Latest Inspection
This is the latest available inspection report for this service, carried out on 13th May 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Long Furrows.
What the care home does well Support plans for people who live at the home are person centred, ensuring there is detailed and comprehensive information recorded about their specific care needs, identified areas of risk and provide guidelines for staff as to how their support needs areto be met. The manager and the staff team understand the principles of providing person centred care. The healthcare needs of people are well documented. The practice at the home ensures that where appropriate people are supported by staff to attend appointments but also to encourage maximum independence for those people able to manage some aspects of their own healthcare needs. Medication practices and procedures in the home are good so as to ensure people`s health and welfare. People are able to make choices and decisions about how they spend their day and are supported by staff to develop their life skills. People who use the service are able to express their concerns and are protected from abuse. The service has a very low incidence of complaints and safeguarding referrals. Training of staff in safeguarding is regularly arranged by the home. People living at Long Furrows are happy with the care they receive, and the choices of food, and activities. One person stated "I like living here" and another said "I am happy here, they care for me very well". People confirmed they are enabled and supported to maintain close relationships with family members and to see friends and to receive visitors. Again this is echoed in the AQAA when the manager stated that "Long Furrows Residential Care Home prides itself on offering a high standard of individual needs based service, care and support for adults suffering with dementia, with learning disabilities and/or physical disabilities, within a homely living environment. The service provided to the service users, within Long Furrows aims to promote and develop individual service users skills, abilities and competences based on assessed and identified needs. The principles inherent to the provision of care within Long Furrows are that service users are supported as unique, valued individuals in their daily living and leisure activities, with the aim of enabling and facilitating the development of individual`s skills and abilities as well as promoting optimum health and well being." There is an annual quality assurance system in place. The purpose of the reviews the home do validate service improvements and assess the service progress. What the care home could do better: Food should not be pureed all together as this does not afford the service user choice and dignity with their nutritional intake. Pureed food should be placed on the plate in individual portions / food groups so the service user can indicate their likes and dislikes. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Long Furrows 4 Long Road Mistley Manningtree Essex CO11 2HN 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: Helen Laker Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Long Furrows 4 Long Road Mistley Manningtree Essex CO11 2HN 01206392634/391488 01206391695 shirley.bendall@longfurrows.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Shirley Ann Bendall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr M Volf,Mrs J Volf care home 14 Number of places (if applicable): Under 65 Over 65 0 0 0 dementia learning disability physical disability Conditions of registration: 14 14 14 The home accommodates 14 people with learning disabilities who may also have physical disability who may also have dementia. Date of last inspection Brief description of the care home Long Furrows provides a service to people with learning and physical disabilities. The home is a detached building situated next door to another home (Little Manor), which is also owned and operated by the same provider. It has 13 bedrooms, 12 of which are single, the majority benefiting from en-suite facilities. A passenger lift services the
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home bedrooms on the first floor. There are two separate bathrooms, the one on the ground floor being equipped with a specialist bath. The home benefits from two lounges, a conservatory and a separate dining room on the ground floor. There is also a multisensory room equipped with a variety of sensory stimulation equipment. In addition, the home has a computer room, which is accessible to all service users. Discussion with the registered manager at the time of the inspection indicated that the fee range for the home is between 610.68 pounds per week and 1673.07 pounds with additional charges being made for the following: Chiropody, Hairdressing, Toiletries activities and holidays. To the rear of the property there are extensive grounds which are readily accessible to service users. At the front of the premises there is ample parking space for vehicles. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was an unannounced random inspection. The visit took place over one day by one inspector and lasted a total of 3 hours. The purpose of the site visit was to monitor compliance to the Outcome Groups relating to Personal and Healthcare Support, Concerns, Complaints and Protection and Conduct and Management of the Home. As part of the process a number of records relating to people who live in the home, support staff and the general running of the home were examined. Prior to the site visit, surveys for people who live at the home and support staff were requested to be sent to the home for distribution. The response was positive and we received seven completed surveys from people who live at the home and one from relatives. We also looked at all the information that we have received, or asked for, since the last key inspection, including the Annual Service Reviews undertaken on 15th July 2008 and 15th January 2010. Prior to this inspection, the manager submitted an Annual Quality Assurance Assessment (AQAA). This is a self assessment document, required by law, detailing what the home does well, what could be done better and what needs improving. Information given in this document has been incorporated into this report. At the time of the site visit there were thirteen people living at Long Furrows Care Home, whose predominant need was that of learning disabilities. Sufficient members of care staff were noted to be on shift and additionally the registered manager was on duty. On inspection of two care plans these showed that these are developed with the person using the service and/or their representative. Each support plan was seen to be person centred detailing their specific care needs and included peoples strengths, abilities, choices and areas where they require specific staff support. The support plans included comprehensive risk assessments detailing the identified risk and actions to be taken to reduce the risk. The service has a can do attitude and risks are managed proactively so as to assist people to lead the life they want and choose. Records showed that the support plans were reviewed regularly and amended where the persons care needs had changed so as to ensure information recorded was accurate. Evidence showed that the support plans and risk assessment profiles can be easily used as a good source of information by newly appointed staff and/or others who are not familiar with the individual person. This will enable them to deliver a personalised and consistent quality of care and support. Staff spoken with on the day of inspection all confirmed they are given up to date information about the needs of the people they support. One stated I think we all work very well as a team to support people in the best way we can for them. We are flexible in our approach to work and always give support at the times it is most needed and We are always trying to improve the support we give and find ways to promote peoples independence. There is evidence that consultation with the individual goes ahead and that their choices are included, additionally other professionals are used as a part of this process. All care plans are signed for by the resident or their representatives to show that care to be provided is agreed. Looking through care plans it evidenced that specialist services are catered for, that appropriate equipment is provided and in place for those individuals that need it. There is a good process for monitoring of falls; pressure sores and other health issues in place. All residents have access to a GP, district and community nurse, chiropodist, optician, audiologist and dental practice. Good paperwork evidenced staff liaise well with other professionals and have strong links and good partnerships with the local PCT team. Medication is stored within lockable cabinets. Controlled drugs were being maintained in accordance with agreed procedures. Record sheets had been correctly recorded and signed for. Staff spoken with around medication issues evidenced that they were
Care Homes for Adults (18-65 years) Page 4 of 9 experienced, professional and competent. Staff who administer and stock check medication are all fully trained to do so. Overall the homes system for checking, monitoring, ordering, disposal and booking in of, and accounting for medication are all to a good standard. Information relating to how people can make a complaint or raise concerns was displayed on the notice board. The AQAA told us that within the last 12 months there have been no complaints. From inspection of the complaints log book and from discussion with support staff, this was confirmed. People who live in the home know how to make a complaint and to whom they would make it e.g. key worker, manager or other member of care staff. We have not received any complaints about the service or concerns from placing authorities who the home state regularly review the care of people living at the home. The AQAA confirms that they ensure staffs knowledge is continually updated to keep abreast of changes in legislation and any impact that may have on the service. The last SOVA course attended was noted to be in April 2010. the homes AQAA states All of our service users are equal here at Long Furrows, we treat everyone as individuals and with respect,dignity, respecting their independence and right to choice and self-fulfillment. It also states All staff are working through Protection of Vulnerable Adults Work Books, this is an on-going work book, also all staff are attending update sessions of Safeguarding of Vulnerable Adults over the next year, to enable everyone to be aware and support our residents in the correct manner. Whilst touring the home it was observed that a service user who had swallowing difficulties was having their meal pureed together in one unappetising mass. This was discussed with the manager on the day of inspection who agreed this was not good practice and did not afford the service user concerned choice and dignity with their nutritional intake. Pureed food should be placed on the plate in individual portions/food groups so the service user can indicate their likes and dislikes. The manager assured us that this would be addressed. The registered manager has relevant previous experience of working in a care sector and is qualified to National Vocational Level 4 in both management and care. Additionally they are a NVQ assessor holding the D32 and D33 qualifications. She has been the registered manager at Long Furrows Care Home for some years now and makes a positive impact on the running of the home. The manager evidenced through discussion, documentation looked at during the site visit, and the AQAA sent back to CQC that she is knowledgeable, has good experience and is well organised and efficient in her role. There is clear accountability of roles amongst the team and a strong management support system in place. The policy, procedures and support for both residents and staff maintains that their health, safety and welfare is protected. The manager leads by example and encourages the staff team to practice in terms of a residents rights and empowerment. The homes practice is continually changing and adapting according to individual and group need which in turn moulds the service provided. Residents are benefiting from a strong management team and the level of service is continuing to improve. Residents finances are protected and good accountable systems are is place. The homes Quality Assurance, which is to a good standard and residents meetings partly mould the homes business plan. Overall the home provides a very person centred based service which promotes and encourages independence of the individual. What the care home does well:
Support plans for people who live at the home are person centred, ensuring there is detailed and comprehensive information recorded about their specific care needs, identified areas of risk and provide guidelines for staff as to how their support needs are
Care Homes for Adults (18-65 years) Page 5 of 9 to be met. The manager and the staff team understand the principles of providing person centred care. The healthcare needs of people are well documented. The practice at the home ensures that where appropriate people are supported by staff to attend appointments but also to encourage maximum independence for those people able to manage some aspects of their own healthcare needs. Medication practices and procedures in the home are good so as to ensure peoples health and welfare. People are able to make choices and decisions about how they spend their day and are supported by staff to develop their life skills. People who use the service are able to express their concerns and are protected from abuse. The service has a very low incidence of complaints and safeguarding referrals. Training of staff in safeguarding is regularly arranged by the home. People living at Long Furrows are happy with the care they receive, and the choices of food, and activities. One person stated I like living here and another said I am happy here, they care for me very well. People confirmed they are enabled and supported to maintain close relationships with family members and to see friends and to receive visitors. Again this is echoed in the AQAA when the manager stated that Long Furrows Residential Care Home prides itself on offering a high standard of individual needs based service, care and support for adults suffering with dementia, with learning disabilities and/or physical disabilities, within a homely living environment. The service provided to the service users, within Long Furrows aims to promote and develop individual service users skills, abilities and competences based on assessed and identified needs. The principles inherent to the provision of care within Long Furrows are that service users are supported as unique, valued individuals in their daily living and leisure activities, with the aim of enabling and facilitating the development of individuals skills and abilities as well as promoting optimum health and well being. There is an annual quality assurance system in place. The purpose of the reviews the home do validate service improvements and assess the service progress. 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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 Adults (18-65 years) Page 7 of 9 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 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 17 Food should not be pureed all together as this does not afford the service user choice and dignity with their nutritional intake. Pureed food should be placed on the plate in individual portions so the service user can indicate their likes and dislikes. Care Homes for Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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 Adults (18-65 years) Page 9 of 9 - 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!
