Care Home: Frodsham Christian General Care Home

What the care home does well Each person who comes to live at Frodsham nursing home is assessed so that they know their needs can be met. All the people who live at Frodsham nursing home have a care plan in place so that staff know what they need to do for each person. There is enough staff on each shift so that people living in the home are not rushed and their independence is maintained. Medicines are managed well so that people receive their medicines as prescribed. The activities on offer are varied so that people have enough to do and can make choices about their day so that they have some control over their lifestyle. Frodsham nursing home has a warm homely atmosphere and residents spoken with said " I like living here " " the staff are lovelyand look after me well." The food on offer is good and wholesome and people spoken with said " the food is very good" A good standard of hygiene was seen throughout the home and the standard of decor was very good so that people live in a comfortable environment. Staff were seen to have a good relationship with the people in their care. The staff are supported by regular formal supervision sessions so that they can discuss their development and improve their skills and competence. All staff receive regular training to improve their skills. Recruitment procedures are robust so that people who are employed at the home are safe to work with elderly people. There are good auditing systems in place so that areas of improvement can be identified and acted upon. What has improved since the last inspection? The recording of information in care plans has improved so that staff know what to do to meet peoples needs. The managment of medicines has improved so that people receive their medicines as they are prescribed. The staff have received training to improve their skills. Recruitment records are more robust so that the home is sure people are safe to work at the home. What the care home could do better: The complaints made to the home have been recorded , however,records should be more detailed and clearer so that an audit can be completed more easily. The manager should be registered with CQC so that her fitness can be properly assessed. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Frodsham Christian General Care Home Chapelfields The Main Street Frodsham Cheshire WA6 7BB     The quality rating for this care home is:   two star good service 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. Lead inspector: Joan Adam     Date: 1 6 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Frodsham Christian General Care Home The Main Street Chapelfields Frodsham Cheshire WA6 7BB 01928734743 01928734745 frodsham@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Trinity Care Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 70 Number of places (if applicable): Under 65 Over 65 30 40 0 dementia old age, not falling within any other category terminally ill Additional conditions: 1 0 3 This home is registered for a maximum of 70 service users to include: * Up to 40 service users in the category of OP (old age not falling within any other category) * Up to 3 service users in the category of TI (terminally Ill) * Up to 30 service users in the category of DE(E) (dementia- over 65 years of age) * Up to 1 service users in the category of DE (dementia) Date of last inspection Brief description of the care home Frodsham Christian Care Home is a purpose built care home with separate units providing nursing care for 40 elderly frail people, and 30 people who have dementia. The home has two storeys and all bedrooms are single rooms with en suite facilities. There is a choice of lounges with a communal dining room on the ground floor of the Care Homes for Older People Page 4 of 22 Brief description of the care home unit for elderly people, and lounges and separate dining facilities on both floors of the dementia unit. In addition there are accessible ground floor gardens, and a large patio area, both of which are enclosed. The home is situated within a very short walk of the town centre. Public transport services, i.e. trains and buses are accessible close to the home. Trained nursing staff are on duty twenty-four hours a day. The weekly fee payable at the home ranges from #353.91 to #719. The acting deputy manager provided this information. Care Homes for Older People Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We made an unannounced visit to Fodsham Nursing Home on 16 April 2009. This was to assess if peoples needs were being met at the home. During the visit we spoke to the manager, some staff members and some residents. Before the visit the manager was asked to complete a questionnaire called an Annual Quality Assurance Assessment (AQAA) to provide us with up to date information about the home. Some of the comments we received and the information is detailed in this report. The manager was not at the home on the day of the visit therefore feedback was given to the deputy manager at the end of the visit. Care Homes for Older People Page 6 of 22 Care Homes for Older People Page 7 of 22 What the care home does well: What has improved since the last inspection? What they could do better: 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are fully assessed before they live at Frodsham Nursing Home so they know their needs can be met. Evidence: We looked at the AQAA and this told us that each person and their family is given information regarding the home before they are admitted. When we visited the home we found this to be true. The care plans for two newly admitted people were looked at. These contained detailed pre-admission documents which had been fully completed by senior staff before the person had been admitted to the home. Details from social services were also present. This information was used to write a plan of care to let staff know what their needs were and how they could meet them. Care Homes for Older People Page 10 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Frodsham Nursing Home have their health,personal and social needs met in a dignified way. Evidence: We looked at the AQAA. This informed us that each person who lives in the home should have a comprehensive care plan in place. When we visited we found this to true. Care plans were looked at for people living at the home on both units and it was found that people receive care in the way that they choose, that each person has a plan of care, which gives staff clear instructions on how to provide care in a way which people preferred. A moving and handling assessment had been completed on each resident so that staff would know how to move them safely. A nutritional assessment had been filled in so that staff would know if the residents were at risk of loosing weight. Monthly weights were recorded. Choices were recorded such as when they liked to get up, where they spent their day and how their spiritual needs were met. Visits from other health care professionals such as G.Ps and district nurses were recorded so staff would know when these visits had taken place and why. The reviews Care Homes for Older People Page 11 of 22 Evidence: were detailed as were the daily records so staff would know what changes, if any, had been made. The home was warm and welcoming and all staff were seen to be friendly and appeared to have good relationships with the people in their care. When spoken with staff were aware of peoples needs and their likes and dislikes. Residents spoken with said it is a very nice home the staff are really good Medicines on the dementia care unit are managed well. The home uses a blister pack system for medication so that staff can see which medicines have been given out each day. All medication administration sheets had been completed. Controlled drugs were checked and the checking of these by staff had been recorded appropriately. Items with a short shelf life in the drug fridge had been dated and signed so that staff would know when these had been opened. On the frail elderly unit one tablet was missing from the blister pack but staff were unable to say where this had gone. This was fully discussed with the deputy manager.Audits are completed on medications so that mistakes can be put right quickly. Care Homes for Older People Page 12 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Frodsham Nursing home are able to take part in a range of activities and mealtimes were a positive experience. Evidence: We looked at the AQAA which told us that the provision of activities on offer is varied and takes in to account the needs and wishes of the people who live in the home. When we visited we found this to be true. We found a varied activities programme was on offer each day for people to join in if they wish. When we asked people they said could choose to join in or not. Activities on offer are reading the newspaper, daily excersises, film shows and bingo. People said they could go out to the local shops and cafes in the village with a staff member. we can go to the market, I like doing that there is enough going on you dont have to join in everything we get people in to entertain us There is a varied menu on offer at Frodsham Nursing home and the lunch looked good and appetising.The dining rooms on both units were pleasantly decorated and tables were set with white tables cloths and fresh flowers so that it was a pleasant place to eat and socialise. People spoken with said the food is really good we have a good choice of food food is very nice The home uses a nutmeg Care Homes for Older People Page 13 of 22 Evidence: system which ensures a balanced, nutritional diet is provided. Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Frodsham Nursing Home are confident that their complaints are listened to and staff have received training so that they know what to do to protect people. Evidence: We looked at the AQAA which told us that a number of complaints had been made to the home. It also told us that staff have received training in how to protect people rights and the complaints procedure. People spoken with said that they knew how to make a complaint. I would speak to the manager, but I have no complaints Complaints were logged but it was difficult to find all the information needed. The records could be more detailed and clearer. The home had policies and procedures on the prevention of abuse and whistle blowing. The safeguarding procedure is how the local council and other agencies respond to alleagtions of abuse against vulnerable people.Staff have received training about safeguarding people from abuse so that they know how to deal with any incident or suspicion of abuse. Staff spoken with were aware of what to do if abuse was suspected. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a well maintained environment, which is equipped to meet their needs. Evidence: The AQAA told us that the home had undergone some refurbishment and redecoration. When we visited we found this to be true. The home was cleaned to a high standard with no unpleasant odours. There were small seating areas around the home for people who did not wish to stay in their bedrooms or use the main lounge areas. The dining room on the dementia unit has been redecorated and was clean and fresh looking making a pleasant place to dine. The corridors on this unit had pictures giving a themes such as music which looked nice. Bathrooms had been decorated to give a more homely feel. The garden was well maintained and enhance the views from peoples bedrooms. The home had equipment and special beds to enable staff to care for the people living there more easily and comfortably. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care and support from skilled staff that they like. Evidence: We looked at the homes AQAA which showed us that a variety of staff are employed to provide care and support to the people who live in the home and that the staff was recruited correctly. We found this to be true. We found that staff are supplied in sufficient numbers to meet peoples needs and people who live in the home said they thought that there was enough staff on duty on each shift. We saw that some of the staff working in the home have achieved a national vocational qualification in care. This shows that staff have had formal training to carry out their roles. Other staff members are enrolled to complete this course. We saw staff training is on-going and that all staff have received mandatory training in key subjects. This means that staff have been given the skills to promote peoples health and welfare. Care Homes for Older People Page 17 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the views of people who live there are obtained. Evidence: The manager at the home has been in post since June 2008 but has not as yet applied to be registered with CQC. She was not at the home on the day of the visit. The deputy manager was on duty. The organisation who owns the home has a number of quality assurance systems in place designed to identify strengths and areas of improvements, these included audits for areas such as medications, care plans and the environment. These are completed on a monthly basis by the manager of the home. Staff spoken with felt that the manager and deputy were supportive. The staff are supported by regular formal supervision sessions so that they can discuss their development and improve their skills and competence. Regular staff meetings take place for all grades of staff and minutes are taken. Resident/relative meetings are also held on a regular basis and the manager has an open door policy. It was observed that the deputy manager had a good relationship Care Homes for Older People Page 18 of 22 Evidence: with people who live at the home and their relatives present on the day of the visit. Regular fire drills and staff training sessions are held to make sure staff know what to do in case of fire and there was a record of the names of staff attending. The AQAA gave us details of when equipment in the home had been checked and serviced to make sure that it continues to be safe and effective. Small amounts of residents monies are held and all transactions are recorded so people who live at the home know their money is safe. There is a robust recruitment system in place so that all staff employed have the correct safety checks so that the manager knows they are safe to work with elderly people. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 38 18(1)(c) All staff must receive to date 30/10/2008 moving and handling training so people living in the home are not placed at risk of possible injury. (Unmet requirement from inspection 16/04/08) 2 38 23 (4)(d) All staff in the home must 30/10/2008 undertake an annual refresher course in fire safety training so that people in the home are protected. (Unmet requirement from inspection 16/04/08) Care Homes for Older People Page 20 of 22 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 31 8 The manager must apply to be registered with CQC So that her fitness can be assessed 31/07/2009 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 16 It is recommended that the complaints log contain more detail and be made more clear so that an audit trail can be easily followed. Care Homes for Older People Page 21 of 22 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 22 of 22 - 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!