Care Home: Friday House

What the care home does well The home provides a caring and individual service for residents in a homely and comfortable environment. The care plan process is detailed, personalised and gives staff clear guidelines to meet the residents personal, social and healthcare needs. Care plans are regularly monitored and updated as required. An individual person centred file for each resident is being implemented. This will be in a pictorial format to engage residents in a more interactive and creative way regarding their preferred care and support. Residents are encouraged to personalise their bedrooms and take part in the daily life of the home as much as possible to improve their daily living skills. Staff training, supervision and recruitment is well co-ordinated. What has improved since the last inspection? A pre-admission assessment form has been developed to record the care and support needs of the prospective resident. A wider range of activities and opportunities for personal development have been developed so that residents individual preferences can be more suitably met both in the home and in the wider communityA programme of decoration and refurbishment throughout the home has been completed since the last inspection (see details in the Environment section of this report). The staffing numbers have been reviewed to ensure that the residents` personal and social needs can be met at all times. CARE HOME ADULTS 18-65 Friday House 141 March Road Friday Bridge Wisbech Cambridgeshire PE14 0LP Lead Inspector Andy Green Unannounced Inspection 18th June 2008 11:00 Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Friday House Address 141 March Road Friday Bridge Wisbech Cambridgeshire PE14 0LP 01945 860186 01945 860166 friday.house@activecarepartnerships.co.uk www.schealthcare.co.uk West Regent Ltd Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Penny Ann Clare Care Home 19 Category(ies) of Dementia (1), Learning disability (19), Learning registration, with number disability over 65 years of age (1) of places Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. One person under 65 years with dementia (DE) and an associated learning disability One person over 65 years with a learning disability (LD(E)) Categories detailed in Conditions 1 & 2 are for current service users only 4th July 2007 Date of last inspection Brief Description of the Service: Friday House is a large detached house set in extensive grounds in the village of Friday Bridge near to Wisbech. The home is within walking distance of the village centre and a reasonable driving distance of the market towns of March and Wisbech. The home is on a bus route. The accommodation is on two floors. There are two sitting rooms, a large games room and a dining room. The residents have access to extensive gardens. The home is registered for 19 but presently accommodates 17 as two double occupancy rooms have been changed to single occupancy. There are two double occupancy rooms in use with the remainder being single. The fees range from £432 - £750 per week. Copies of CSCI inspection reports are available to residents and their representatives on request from the home’s office. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. CSCI undertook a key unannounced inspection on 18th June 2008. We inspected a number of records including care plans, training records, health and safety records and staff files. A tour of the building and grounds was also undertaken. Four residents were spoken with to gain their views of the support they receive in the home. Five members of staff were interviewed to gather their views regarding the service, training and support they receive. The Annual Quality Assurance Assessment (AQAA) was completed by the manager of the home. This a self assessment process that focuses on how outcomes are being met for people who use the service. Surveys were also received from residents and staff. What the service does well: What has improved since the last inspection? A pre-admission assessment form has been developed to record the care and support needs of the prospective resident. A wider range of activities and opportunities for personal development have been developed so that residents individual preferences can be more suitably met both in the home and in the wider community Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 6 A programme of decoration and refurbishment throughout the home has been completed since the last inspection (see details in the Environment section of this report). The staffing numbers have been reviewed to ensure that the residents’ personal and social needs can be met at all times. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Full assessments are carried out to ensure that residents needs can be met. EVIDENCE: There has been one admission to the home since the last inspection and the manager stated that all relevant information via the care management process is received prior to admission to ensure that the individual’s assessed needs can be met. The manager and one of the seniors undertake all assessments to ensure a consistent approach. The manager has implemented a pre-admission assessment form to record the care and support needs of the prospective resident. A recent pre-admission assessment and the local authority assessment were seen in the file of a new resident. Both documents were detailed and gave satisfactory information. It was recommended that a section regarding mental health details is included in the pre admission form. Relatives continue to be encouraged to be involved in the referral process where appropriate. A number of visits to the home are arranged for prospective residents including an overnight and weekend stay before they make a decision to move in. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are treated with dignity and respect and receive personal care and support to meet their assessed needs. EVIDENCE: Four care plans were inspected and they contained detailed and appropriate information. The care plans incorporates the resident’s views, choices and preferences as much as possible. The likes and dislikes, support and personal care needs, guidelines for the delivery of care and records of visits made by healthcare professionals. Detailed daily notes were also seen and they contained appropriate information describing events and appointments, which have occurred during the residents’ day. Regular reviews of care plans take place and include any updates or changes in care. This was evidenced in the care plans seen during the inspection. The manager has introduced an individual person centred file for each resident, which is in a pictorial format and engages the resident in a more interactive and creative way. The manager stated that report writing training for all staff Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 10 has been given to ensure that there is a consistent approach in the recording of information in cares pans and daily notes. The manager and senior staff monitor care planning with staff and key workers to ensure that there is a consistent approach. A full risk assessment process is in place to ensure that residents are protected from potential harm both within the home and when accessing the community. Evidence of detailed risk assessments were seen in each of the care plans inspected with regular reviews so that information is up to date. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in a range of activities both at home and in the community to meet their needs and preferences. EVIDENCE: Wider ranges of activities and opportunities for personal development have been implemented since the last inspection. During the inspection there was evidence of residents engaging in organised activity in the garden and in the recreation room which has been totally refurbished with new art and crafts equipment, board games eg, chess and draughts. A pool table has also been installed which is popular among a number of the residents. Approximately 9 residents continue to attend local day services in March and Wisbech. Two residents particularly enjoy helping the handyman around the home and they were happily weeding and tidying the garden. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 12 Residents make some trips to the local community, with staff assistance. This includes personal and house shopping, day trips to local towns and holidays. A holiday is being planned to holiday camps later in the year. Since the last inspection a cook/housekeeper which has increased the care staff’s time to undertake activities and to improve daily living skills with residents. The manager stated that she has particularly focused on improving the daily living skills of the residents. It was evident that residents are taking far more responsibility in day-to-day chores and are dealing with their own laundry and ironing with staff assistance. This is a big step forward for most residents who had not previously taken part in this aspect of their lives. Residents have a varied menu in the home and receive a choice of meals to meet their dietary needs and preferences. The cook/housekeper consults regularly with the residents regarding the planning of menus. Residents continue to be involved in the shopping and preparation of food where possible. Cookery sessions with the cook/housekeeper are arranged for residents who would like to take part. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive appropriate health and personal care to meet their assessed needs. EVIDENCE: Residents have regular appointments with a range of healthcare professionals. Evidence of health needs was recorded in care plans along with records of contact with GPs, opticians, CPNs and dentists. It was clear from observations that there is a friendly and supportive atmosphere in the home with staff and residents actively engaged in social and domestic activities. Staff continues to assist residents with personal care when needed and clear guidelines are recorded in care plans. Healthy living is promoted and diet and exercise are encouraged. A number of residents enjoy swimming sessions and trips to the local golf driving range and pitch and putt course. Medication storage and administration records were checked and found to be in good order. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home has a satisfactory complaints process to ensure that residents have their complaints or concerns listened to and acted upon properly. EVIDENCE: The home ensures that all concerns are fully investigated and dealt with appropriately so that residents are protected from any potential abuse and issues are dealt with in line with local authority policies. There have been no complaints received by CSCI about the home. There have been two incidents, which are being dealt with appropriately via Safeguarding Adults procedures. Care staff receive appropriate training to ensure they are aware of adult protection procedures and a training sessions are organised throughout the year. Staff spoken to confirmed that they had received safeguarding training and they clearly showed that they would have no hesitation in reporting any incidents of abuse. The home has a whistleblowing so that staff can raise any concerns appropriately. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: It is encouraging to see that a programme of decoration and refurbishment has been completed since the last inspection. This has included, • • • • A total refurbishment of the kitchen including new fridges, cooker cabinets, flooring and work surfaces Decoration to the upstairs bedrooms and hallways Decoration to the ground floor hallways New laminate flooring throughout the home Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 16 • • • Refurbishment and redecoration to both lounges and dining room all with new furniture and curtains. A large flat screen television has been installed in one of the lounges The gardens have been regenerated including a new gravel drive and pathways, ‘secret garden’ and a sensory garden and vegetable plot are being planned Residents spoken to confirmed that they had been able to choose colours for their rooms and had been consulted on colours for the communal areas of the home. Residents can choose how they want their bedrooms to be personalised and this was clearly evidenced in two of the bedrooms seen during the inspection. Residents are assisted in keeping their bedrooms tidy by care staff in the home where needed. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. The home’s recruitment policy and processes makes sure that residents are protected from harm. Training and supervision is provided so that care staff are competent to deliver care and support. EVIDENCE: Staffing levels are satisfactory to meet residents’ needs and there were four care staff on each shift during the inspection. The manager, administrator, cook/housekeeper and handyman were also available during the day. The recording and organisation of training has improved and individual files were inspected. Five members staff were spoken to and they confirmed that they had received a variety of training including; food hygiene, first aid, moving & handling, epilepsy, Safeguarding Adults from Abuse, interventions for challenging behaviour, infection control, medication and fire safety. The manager stated that care staff are also involved in NVQ training (National Vocational Qualification) at both level 2 and level 3. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 18 Staff supervision has been maintained and staff confirmed that they had received regular supervision sessions with either the manager or senior. Recruitment checks are made and appropriate documents including CRB disclosures (Criminal Records Bureau) are held confidentially in the home The personnel files of four members of staff were checked and they all contained evidence of an application form, references and CRB disclosures. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides supportive leadership and guidance to staff to ensure that residents receive good quality care. EVIDENCE: Since the last inspection a new manager has been appointed and successfully registered with CSCI (Commission for Social Care Inspection). She has relevant experience and has achieved NVQ 4 and an RMA (The Registered Managers Award) She creates a positive approach and communicates a clear sense of leadership and direction to ensure that the home is well managed. Staff spoken to during the inspection confirmed that the manager was supportive and inclusive and that they were encouraged to participate in the development of the service and to raise any concerns or issues without hesitation. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 20 They also stated that the manager has created a tighter structure to ensure that tasks are completed and that staff are clear about their responsibilities. This is reflected in a number of documents including training, care plans and supervision. Supervision arrangements are in place for all staff and evidence was seen of regular recorded sessions. There have been improvements in fire testing since the last inspection and records of weekly fire alarm and emergency lights testing were accurate. Service contracts continue to be in place ensuring that equipment and services in the home are regularly maintained. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA2 Good Practice Recommendations It isrecommended that a section regarding mental health details is included in the pre admission form. Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Eastern Region Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Friday House DS0000015182.V366658.R01.S.doc Version 5.2 Page 24 - 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. 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