Care Home: Fridhem

What the care home does well What has improved since the last inspection? Since our last inspection a number of improvements have been made to the home, which will all be completed shortly and provide all en-suite bedrooms, better lounge and dining facilities and improved access.A grand opening event is planned for early July with a race theme New care plans have been introduced which provide more detail of the individual needs of the people living in the home. A new activity coordinator now works 4 days a week and the range and extent of the activities and events available has increased. What the care home could do better: The service needs to ensure that full details are available for everyone working in the home. No other requirements were made as a result of this visit. CARE HOMES FOR OLDER PEOPLE Fridhem 79 Station Road Heacham Kings Lynn Norfolk PE31 7AB Lead Inspector Alan Buttery Unannounced Inspection 13th February 2008 10:00 X10015.doc Version 1.40 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 Fridhem DS0000027394.V359832.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 Older People. 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. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fridhem Address 79 Station Road Heacham Kings Lynn Norfolk PE31 7AB 01485 571455 01485 571455 fridhemresthome@yahoo.co.uk 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) Mrs Angela Bailey Mr Mark John Bailey, Ms Helen Marshall Not applicable Care Home 24 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (16) of places Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 2006 Brief Description of the Service: Fridhem Care Home is owned by Mrs Helen Marshall, Mrs Angela Bailey and Mr Mark Bailey and provides residential care for up to twenty-four older people, including eight people who have dementia. The home is situated in the village of Heacham, approximately three miles from the holiday resort of Hunstanton. The home is situated in a quiet street, which becomes busier during the tourist season. There is good access to the shops and local facilities. The bedrooms are on the ground and first floor, and have views over the gardens. There is a passenger lift between the floors. The home is a large traditional Norfolk house that has been extended. There are small gardens with sitting out facilities. There is a car park at the front of the home. The home receives any nursing or medical services from the local health centre. The home’s current fee range is between £380:00 & £500:00, dependent on needs. Residents are advised of the charges payable before admission to the home and are also advised of additional charges such as hairdressing, chiropody, newspapers and toiletries. A copy of the most recent inspection report is available in the home to anyone wishing to see a copy. Fridhem DS0000027394.V359832.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 star. This means the people that use this service experience good quality outcomes. This was an unannounced visit and looked at the key minimum standards for older people. During the visit the proprietors were available to assist and provide the information required. A number of surveys were returned by people living in the home, relatives and staff, and the service completed an Annual Quality Assurance Assessment (AQAA) Information and comments from within these documents are included in the report. The home is currently full, with a waiting list, and has a mixture of local authority and privately funded packages of support. What the service does well: What has improved since the last inspection? Since our last inspection a number of improvements have been made to the home, which will all be completed shortly and provide all en-suite bedrooms, better lounge and dining facilities and improved access. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 6 A grand opening event is planned for early July with a race theme New care plans have been introduced which provide more detail of the individual needs of the people living in the home. A new activity coordinator now works 4 days a week and the range and extent of the activities and events available has increased. 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. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information is gathered about people wishing to move to the home to ensure that identified needs can be met. EVIDENCE: Prior to any new admission to the home, one of the proprietors visits them either in their own home or hospital, and carries out a detailed assessment, to determine whether they are able to meet the individual needs of the person. There are not any vacancies in the home at present, and as a result, anyone looking to move to the home would be placed on their waiting list, pending a suitable vacancy. Once a suitable vacancy is identified, the service confirms in writing that they able to meet the identified needs, and arrangements made for the person to move into the home. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 9 Wherever possible, the prospective new resident would visit the home, and if this is not possible, the person’s family would be involved. On admission the initial care plans, service user guide, contracts and profiles of the person are completed. Evidence of the above process was seen on the files of three of the people living in the home that were examined as part of our inspection. The home does not offer intermediate care. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual plans detail the support required, and ensures it can be provided in a way the individual likes. EVIDENCE: As detailed above, a detailed assessment is undertaken before anyone moves to the home, and following this initial care plans are prepared and sent to the prospective resident of their families for them to look at and agree. The care plans detail the identified support needs, both in relation to health and social care, and how the person wishes the support to be provided, and the plans are signed by either the person they relate to or the immediate family. The initial care plans are reviewed within the first 14 days of the persons stay, and changes made where needed, and further reviews take place at least once a month, often more frequently, and as needs change. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 11 The format used for the care plans has changed since the last inspection, but further attention should be given to ensure that the outcomes sought by people using the service are taken into account. The home has a medication policy, and their local pharmacist carries out a regular review. The local chemist supplies medication under a monitored dosage system. Staff are provided with initial training to ensure that everyone living in the home is treated with dignity and respect, and during the course of our visit, care staff were seen to knock on doors before entering people’s rooms, and generally interact in a very appropriate manner with the people living in the home. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. A range of activities and events are available to everyone living in the home, allowing them the chance to participate when they wish to. EVIDENCE: A variety of activities are provided to people living in the home. In addition a number of events and trips out are arranged throughout the year, which include trips to local attractions such as Sandringham House, Thursford, Spalding, local theatres and cinemas. Events arranged within the home include regular musical features such as the one mentioned above, theatre productions, organists, hairdressing, cheeses and wine nights, coffee mornings, and regular religious services. Many of these events also include relatives and families. Other activities include bingo, bowling, games, and individual sessions such as music, reading and card games, often in the persons room. Family and friends are made welcome at all times, and the home is run in a family orientated way, and the ongoing developments will help this. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 13 Meals are served in a comfortable setting, and again based on a home cooking format. People living in the home have a choice of meals available to them, and are given the chance to make personal preferences known. Alternatives are always available to suit individual wishes. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure any complaints concerns or allegations are dealt with appropriately. EVIDENCE: The service has a complaints procedure in accordance with the regulations, and ensures that any concerns that are raised are appropriately investigated. The manager confirmed that the home has not received any complaints since the last inspection, and that there have not been any safeguarding adult issues. Procedures are in place to ensure that any allegations of abuse are properly dealt with, in accordance with the local authority procedure. The manager advised that all staff have received training in adult protection issues, using local authority training schemes. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Recent improvements to the home, which will shortly be completed will provide spacious and comfortable accommodation for the people living in the home. EVIDENCE: Ongoing renovation work has continues since the last inspection, and the home now provides all single en suite rooms (2 are about to be completed) Once this is done, other areas will be redecorated, and the conservatory extension completed, the front entrances and parking areas has already been finished. This will provide comfortable and spacious accommodation for the people living in the home. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 16 On the day of our visit, the home was clean and free from offensive odours, and although building work continues which does of course make it more difficult to keep things tidy. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Staff are competent and well trained to provide care and support to people living in the home. Although some information was not available to be seen. EVIDENCE: During our visit we looked at the recruitment procedures and staff records in the home. Although procedures are in place, some of the records we examined did not contain the required detail. For example a lack of formal references and Criminal Record bureau checks was noted on one file we examined, and this should be addressed. Details of the training received by staff during the past year was examined, and this included both mandatory and client specific training. Staffing levels were discussed with the proprietors, and these appear adequate to meet the needs of the people they support, and the staffing levels are kept under review. In addition the proprietors do take a very hands on role within the home. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 18 Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed, and the views of people living in the home always taken into account. Procedures are in place to ensure the health and safety of the people living and working in the home. EVIDENCE: Management in the home is very much focussed on the needs of the people living there, and two of the proprietors actively work in the home and are well liked by the people living there. During our visit we observed how management interact with the people living in the home, and this was seen to be very positive. Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 20 People living in the home are encouraged to make their views and wishes known and events, meals etc are geared to these requests. Procedures are in place to ensure that both people working and living in the home are not at risk of injury. Staff receive training in health and safety matter and regular checks on all equipment are carried out to ensure they are safe. Some surveys were completed by care staff in the home, and comments included; ‘Anytime I find the management approachable to discuss any queries, in private or as a group’ ‘We have supervision every two months’ Fridhem DS0000027394.V359832.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? 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. 1 Standard OP29 Regulation 19 (1)(b)(i) Requirement Information regarding staff employed in the home must be available in accordance with schedule “ of the regulations Timescale for action 31/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fridhem DS0000027394.V359832.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Fridhem DS0000027394.V359832.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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