Care Home: Fernleaf Care Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well People have an assessment provided for them, this is to ensure that the staff will be able to meet their needs. Staff told us that they had had training at the home to help them to carry out their work effectively. People are provided with the care support that they need with care staff being provided to meet peoples assessed needs over a twenty four hour period of care. At this inspection we asked if anyone self medicated no one did. We saw that when people were ill they were seen by their doctor and other health careprofessionals were called to people at the home when needed. A complaints procedure is in place. Concerns and complaints are taken seriously and staff are aware of the procedures for this.There were no recorded complaints and the manager said that minor issues are dealt with at the time. The Care Quality Commission has not been notified of any complaints at the home and no safeguarding issues. We looked at staff records and saw that the recruitment procedure is satisfactory and all the necessary checks are made. Staff receive a formal induction also. When we spoke with staff they told us that they had regular supervisions formally recorded and we saw that this happened at regular intervals. We saw that staff receive training so that they will be competent to do their jobs. Training included: an induction, health and safety, moving and handling, fire safety, first aid, infection control, vulnerable adults, challenging behaviour, person centred care training. We saw a copy of the training matrix and saw that training was on an on-going programme. We observed staff during and after the lunch time meal. They were seen to be courteous with people at the home and had a good rapport with many people who lived there. Comments on care from people who live at the home included: `I enjoy a laugh and a joke with staff. They look after us well`. `I enjoy being with the dog`. `I am able to chose if I do not want to join in activities.` `Staff spend lots of time with us. `I like spending time with the animals.` `The girls are very busy all the time especially in the evenings`. `Our home is generally a happy home`. `Fernleaf does lots of things well.` Relatives comments included: `Staff communicate problems/needs and organises activities for people`. `The meals are usually very good and the cook tries to cater for individual tastes. They arrange activities, games, singing and BBQ`s.` `The home is very homely and the food is good`. `There is always some sort of activity in the week. There is always a calm and caring atmosphere.` `The staff are very approachable always there when you need them. The home is really clean and it is a happy home.``Staff are usually available when you need them.` At inspection four family members told us: `We were impressed by the care home we felt that the staff were kind and understood people`s needs. We like the homeliness of the building and the friendly atmosphere.` The interaction between staff, people at the home and their visitors was good and the atmosphere at the home was friendly and pleasant. We checked the money of one person it was satisfactory. We saw that the Fire systems were checked and training for staff was up to date. We a certificate for the bacteriological analysis of water for Legionnaires disease bacteria it was satisfactory, the Gas record was also satisfactory. We spoke with the owners who explained that all health and safety records were up to date. Whilst walking within the home we noticed that the toilet doors were painted bright yellow with a large picture of a toilet on them. This is useful for people with memory problems and should help guide them to the toilets within the home. In one downstairs public toilet we noticed that it did not have a basin for people to wash hands in it. The owners were made aware of this and promised to attend to this immediately. Policies and procedures are accessible to staff and information within the policies is updated appropriately. They are they kept in the office. We saw a copy of the feed back from a survey conducted in October 2009 that looked at all aspects of the home and it was satisfactory. There are regular opportunities for people to give their views and opinions about how the home is run and the managers of the home conduct regular quality audits. What the care home could do better: This home has pets they include a small dog and other pets however as part of the information provided to prospective people and their relatives it is important that this information is included in all information about the home. This will allow people to decide if this home is right for them. We noticed that the Service User Guide in the bedrooms (2 out of 3 seen) needed replacing and updating so that relatives can be reminded of what the service has to offer within it`s price range. Comments from people at the home: `I did not receive information about the home before deciding if the home was right for me. `I am unsure if I have a contract.` Comments from relatives included: `I have noticed that in the early evening there seems to be a shortage of staff and I feel people are kept waiting for a long time.`Accidents records are made and filed in each persons` individual care record. We looked these records. We found it difficult to establish trends from the information gathered. We recommend that a monthly record of accidents within the home is kept so that patterns can be easily identified. During the inspection we noticed an occasion when staff was helping to return someone from the dining room. This staff member seemed distracted by the nice weather and forgot to watch over someone about to sit down who moved with difficulty. It is important for staff to remain observant when providing care and assistance to people at all times. We noticed that although there was only a maximum of 4 people seated at each table more thought was needed for the seating arrangements. A new person kept saying that they wanted to go home. We saw that they were seated with someone who coughed over food and could not hear well when they spoke to them. We noticed the same arrangement on another table where a person coughed over peoples` food, clearly putting one person off their meal. It is important that the seating arrangement for people at the home is reconsidered so that everyone can enjoy their meals when together. When we spoke with family members they told that they they have noticed the change in residents at the home with more people with the condition of dementia. Random inspection report Care homes for older people Name: Address: Fernleaf Care Home 26 Chesterfield Road South Mansfield Nottingham NG19 7AD two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Allison-White Date: 2 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Fernleaf Care Home 26 Chesterfield Road South Mansfield Nottingham NG19 7AD 01623655455 01623406370 info@bhcarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jeanette Sheppard Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Patricia Sooriah care home 21 Number of places (if applicable): Under 65 Over 65 0 21 dementia old age, not falling within any other category Conditions of registration: 4 0 Fernleaf Care Home is registered to provide personal care to service users of both sexes whose primary needs fall within the following categories:- Old age not falling into any other category (OP) 21 Dementia - up to 60 years of age (DE) 4 The maximum number of persons to be accommodated at Fernleaf Care Home is 21 Date of last inspection Brief description of the care home Fernleaf is a care home providing personal care and accommodation for up to 21 older people and has four beds allocated to care for people with dementia. The home provides short term, long term or respite care and accepts emergency admissions Care Homes for Older People Page 2 of 10 Brief description of the care home subject to bed availability. The home is owned by Mr. and Mrs. Sooriah, trading as Bank House Care Homes Limited, and is a run as a family business. The home is located in Mansfield town centre and is close to shops, pubs, the post office and other amenities. The home was opened in January 1985 and consists of a former hotel building with extensions added. 19 of the home s bedrooms are single, and 9 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. There are 3 bedrooms on the first floor that are accessed by 3 steps, which have a stair lift fitted. The home has an enclosed garden to the rear, which is easily accessible. There is car parking available for up to 8 cars to the front of the home in a small car park. Further information about the home is available in the brochure and service user guide or from the website www.bhcarehomes.com In May 2010 the fees range from £439.000 to £476.00. Care Homes for Older People Page 3 of 10 What we found: This is an overview of what the inspector found during the inspection. The quality rating for this service has not changed and remains 2 star. This was a random inspection. The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people using the service and their views on the service provided. The last key unannounced inspection was 30th May 2007.This was a random inspection. Prior to the visit an analysis of the care home was undertaken from information gathered including information from the Annual Quality Assurance Assessment completed by the provider. Surveys were sent out and returned and comments from them have been included. As most inspections only have one inspector the report is written as what we found as it is written on behalf of the commission. The site visit lasted seven hours and the main method of inspection used was case tracking which involved looking at the records of two people in detail and tracking the care they received by checking their records and discussing this with them where possible.We observed care practises to see how staff interacted with people at the home. This is a home for people over 65 years and/or people with a primary need of dementia. There were 18 people at the care home on the day of inspection. We spoke with people who either received care or were relatives of people who receive care at the home. The Registered Manager and owners were present at inspection and we spoke with other staff also. The Commission and Employer Liability certificates are displayed in the hallway of the home. What the care home does well: People have an assessment provided for them, this is to ensure that the staff will be able to meet their needs. Staff told us that they had had training at the home to help them to carry out their work effectively. People are provided with the care support that they need with care staff being provided to meet peoples assessed needs over a twenty four hour period of care. At this inspection we asked if anyone self medicated no one did. We saw that when people were ill they were seen by their doctor and other health care Care Homes for Older People Page 4 of 10 professionals were called to people at the home when needed. A complaints procedure is in place. Concerns and complaints are taken seriously and staff are aware of the procedures for this.There were no recorded complaints and the manager said that minor issues are dealt with at the time. The Care Quality Commission has not been notified of any complaints at the home and no safeguarding issues. We looked at staff records and saw that the recruitment procedure is satisfactory and all the necessary checks are made. Staff receive a formal induction also. When we spoke with staff they told us that they had regular supervisions formally recorded and we saw that this happened at regular intervals. We saw that staff receive training so that they will be competent to do their jobs. Training included: an induction, health and safety, moving and handling, fire safety, first aid, infection control, vulnerable adults, challenging behaviour, person centred care training. We saw a copy of the training matrix and saw that training was on an on-going programme. We observed staff during and after the lunch time meal. They were seen to be courteous with people at the home and had a good rapport with many people who lived there. Comments on care from people who live at the home included: I enjoy a laugh and a joke with staff. They look after us well. I enjoy being with the dog. I am able to chose if I do not want to join in activities. Staff spend lots of time with us. I like spending time with the animals. The girls are very busy all the time especially in the evenings. Our home is generally a happy home. Fernleaf does lots of things well. Relatives comments included: Staff communicate problems/needs and organises activities for people. The meals are usually very good and the cook tries to cater for individual tastes. They arrange activities, games, singing and BBQs. The home is very homely and the food is good. There is always some sort of activity in the week. There is always a calm and caring atmosphere. The staff are very approachable always there when you need them. The home is really clean and it is a happy home. Care Homes for Older People Page 5 of 10 Staff are usually available when you need them. At inspection four family members told us: We were impressed by the care home we felt that the staff were kind and understood peoples needs. We like the homeliness of the building and the friendly atmosphere. The interaction between staff, people at the home and their visitors was good and the atmosphere at the home was friendly and pleasant. We checked the money of one person it was satisfactory. We saw that the Fire systems were checked and training for staff was up to date. We a certificate for the bacteriological analysis of water for Legionnaires disease bacteria it was satisfactory, the Gas record was also satisfactory. We spoke with the owners who explained that all health and safety records were up to date. Whilst walking within the home we noticed that the toilet doors were painted bright yellow with a large picture of a toilet on them. This is useful for people with memory problems and should help guide them to the toilets within the home. In one downstairs public toilet we noticed that it did not have a basin for people to wash hands in it. The owners were made aware of this and promised to attend to this immediately. Policies and procedures are accessible to staff and information within the policies is updated appropriately. They are they kept in the office. We saw a copy of the feed back from a survey conducted in October 2009 that looked at all aspects of the home and it was satisfactory. There are regular opportunities for people to give their views and opinions about how the home is run and the managers of the home conduct regular quality audits. What they could do better: This home has pets they include a small dog and other pets however as part of the information provided to prospective people and their relatives it is important that this information is included in all information about the home. This will allow people to decide if this home is right for them. We noticed that the Service User Guide in the bedrooms (2 out of 3 seen) needed replacing and updating so that relatives can be reminded of what the service has to offer within its price range. Comments from people at the home: I did not receive information about the home before deciding if the home was right for me. I am unsure if I have a contract. Comments from relatives included: I have noticed that in the early evening there seems to be a shortage of staff and I feel people are kept waiting for a long time. Care Homes for Older People Page 6 of 10 Accidents records are made and filed in each persons individual care record. We looked these records. We found it difficult to establish trends from the information gathered. We recommend that a monthly record of accidents within the home is kept so that patterns can be easily identified. During the inspection we noticed an occasion when staff was helping to return someone from the dining room. This staff member seemed distracted by the nice weather and forgot to watch over someone about to sit down who moved with difficulty. It is important for staff to remain observant when providing care and assistance to people at all times. We noticed that although there was only a maximum of 4 people seated at each table more thought was needed for the seating arrangements. A new person kept saying that they wanted to go home. We saw that they were seated with someone who coughed over food and could not hear well when they spoke to them. We noticed the same arrangement on another table where a person coughed over peoples food, clearly putting one person off their meal. It is important that the seating arrangement for people at the home is reconsidered so that everyone can enjoy their meals when together. When we spoke with family members they told that they they have noticed the change in residents at the home with more people with the condition of dementia. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 13 Staff are to remain vigilant when providing care to people they assist. This will ensure that people receive appropriate support at all times when they need it and reduce the risk of potential accidents. 30/07/2010 2 38 23 Lavatory areas must be fitted 28/06/2010 with wash basins and with hot and cold water supplies. This is to ensure that people are able to keep themselves clean and prevent the risk of infections at the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!