Care Home: Fernwood Court

What the care home does well The home works well with other agencies and other professionals and seeks advice when they need to to provide required care and support to people who live there. What the care home could do better: Staff must ensure that there is a record of all complaints/ concerns that people raise. Records should also detail actions that have been undertaken as a result of these concerns. There is a need to ensure that the number of staff on duty at the home is sufficient to care, and support people living their and also keep them safe. Appropriate door locks should be fitted to bedroom doors that lock the door when it is closed but enable people to open it from inside by the door handle. This will stop people being able to wander into other peoples rooms without being invited. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Fernwood Court 300-310 Wolverhampton Rd West Bentley Walsall WS2 0DS 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Amanda Hennessy Date: 1 0 1 0 2 0 0 8 Information about the care home Name of care home: Address: Fernwood Court 300-310 Wolverhampton Rd West Bentley Walsall WS2 0DS 01902604200 Telephone number: Fax number: Email address: Provider web address: fernwoodcourt@schealthcare.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Healthcare Facilities Ltd care home 59 Number of places (if applicable): Under 65 Over 65 50 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 9 8 That the staffing levels agreed by the Responsible Individual and returned to CSCI in a letter dated 6 June 2005 are not reduced without prior consultation and agreement with the CSCI. That proposals are received from Southern Cross Healthcare Facilities Limited in respect of unitising the home within fours weeks of the date of registration. That the seven younger adults with mental health needs (MH) are found alternative placements within fours weeks of the date of registration. That the variation granted on the 13 September 2005 for one female service user who is 57 years and has dementia will only be for the lifetime of that service user and whilst the home is able to meet her needs. That the variation in respect of mental disorder (MD) granted on the 14 September 2005 will be for the lifetime of those five identified service users and whilst the home is Care Homes for Older People Page 2 of 8 able to meet their needs. That the maximum occupancy of the home is 59. Date of last inspection Brief description of the care home Fernwood Court is a purpose built, four storey building. Southern Cross Healthcare Services Ltd has privately owned the home since June 2005 since which time it has changed its name to Fernwood Court. The care home can accommodate up to 59 older people with dementia requiring personal care. There are communal rooms and assisted bathrooms on each floor. A passenger lift provides access to each floor. The home has a laundry and kitchen situated on the ground floor. The home has an enclosed garden at the rear of the building and a large car park at the side. All bedrooms have en-suite facilities. As no information about fees has been included within this report the reader is advised to contact the service direct for this information. Care Homes for Older People Page 3 of 8 What we found: Concerns have been highlighted to the Commission for Social Care Inspection about injuries and care received by one identified person living at the home. We found that the home does sometimes struggle to meet this persons needs and also minimise the risk of aggressive incidents between people living at the home. We found that the identified people can be unsettled at night and wander constantly. The person whose care we were reviewing frequently does not settle until between 3 and 5 am and frequently wanders into other peoples rooms. We found that this can distress other people and that this can also result in aggressive incidents. One incident detailed when a persons face was scratched when they entered another persons room during the night. We saw records to demonstrate that a Safeguarding referral had been by the home following this incident and a review of this persons care will be undertaken. It was positive to see that medical advice had also been sought about this person and their health. We found that the bedroom doors in the home are the type that the doors have to be locked from outside or when in the room people need to use a thumb lock to keep the door locked. This type of door lock is not appropriate for people who have dementia who may not able to use the door lock and therefore stop people from coming into their room. A door lock which is locked when the door is shut but can be opened from inside by just using the door handle would provide greater assurance of stopping other people entering their room when not invited. We found that although the complainant had told the Commision for Social Care Inspection that they had already highlighted their concerns to the home there was no record of any complaints made. Staff agreed that the person had highlighted concerns but as they were not in a written format did not realise that they should be logged. We were found that other actions had been undertaken as a response to the concerns raised. We found that the number of night staff is not sufficient to meet peoples needs. There are five night staff covering four floors at night. This means that when staff breaks are covered there may not be a member of staff on each floor. This is a concern as some people require the support of two members of staff and means that all floors are not supervised. What the care home does well: What they could do better: Staff must ensure that there is a record of all complaints/ concerns that people raise. Records should also detail actions that have been undertaken as a result of these concerns. There is a need to ensure that the number of staff on duty at the home is sufficient to care, and support people living their and also keep them safe. Care Homes for Older People Page 4 of 8 Appropriate door locks should be fitted to bedroom doors that lock the door when it is closed but enable people to open it from inside by the door handle. This will stop people being able to wander into other peoples rooms without being invited. 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, Care Homes 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 16 23 There must be a record of all 22/11/2008 concerns and complaints raised and a record of the investigation and outcome of the complaint. This will give coinfidence that people are listened to and their concerns are addressed. 2 27 18 There must be sufficient staff 22/11/2008 to provide care for people living at the home. People will have their needs met and the risk of harm will be minimised. 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 1 19 Door locks are fitted to bedroom doors that enable people from inside to open by the door handle and from outside the door a key is needed. Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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