Care Home: Marriners Group

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What the care home does well This is a small family sized home with a very relaxed and comfortable atmosphere. The people who live there are provided with the right support to meet their individual needs. They told us they are supported in living their lives as independently as possible. They said they are very comfortable, get on well together, and consider this their home. They have confidence in the staff and management team. They said staff treat them well and listen to what they have to say. One person said, "The staff are very approachable, most importantly, they are very caring and good listeners." What has improved since the last inspection? The home has dealt with all the requirements from our last inspection. Improvements have been made to the way medicines are recorded. This means that for people who have their medicines administered by staff there are accurate records to show that people are receiving the correct medicines. Improvements have been made to the environment making the home a safer and more pleasant place to live. For example valves have been fitted to the hot water outlets to reduce the risk of scalding and 2 of the 3 bedrooms have been redecorated. What the care home could do better: Discussions with the manager and deputy manager indicated they that they are aware of what they need to do to make sure the home continues to provide good outcomes for the people living there. The owner has agreed to look at the staffing arrangements to make sure that there is always a member of staff present in the home when people are at home. They plan to provide more training to make sure staff have the skills and knowledge they need to continue to support people properly. This will include updating training on the protection of vulnerable adults and providing training on the Mental Capacity Act. They will continue to work closely with the landlord to make sure the home continues to provide a safe, pleasant and comfortable place for people to live. They have agreed to make sure the medicine trolley is properly secured or replaced with a suitable alternative. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ferndale House 32 Ferndale Grove Frizinghall Bradford West Yorkshire BD9 4LF     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: Mary Bentley     Date: 2 5 1 1 2 0 0 8 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. the things that people have said are important to them: They reflect 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Ferndale House 32 Ferndale Grove Frizinghall Bradford West Yorkshire BD9 4LF 01274772619 N/A lydasante@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lydia Asante Type of registration: Number of places registered: Heaton Community Care care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Ferndale House is registered to provide personal care for three people with mental health care needs and is operated by the Mariners Group. Nursing care is not provided. The home is located on a quiet street in the Frizinghall area of Bradford and from the outside there is nothing to distinguish it from other houses on the street. It is close to the main bus routes, local train station and local amenities. Accommodation is provided on two floors and includes three single bedrooms, a communal bathroom, and kitchen and lounge/dining room. There is a small yard at the back of the house. Parking is on street. In November 2008 the fees ranged from 308.00 to 329.00 pounds per week. This fee does not include toiletries, hairdressing, some social activities or transport and papers/magazines. 2 Over 65 1 Care Homes for Adults (18-65 years) Page 4 of 27 Care Homes for Adults (18-65 years) Page 5 of 27 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection of this service was on 28 November 2006. The inspection process included looking at any information we have received about the service since our last visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being placed at significant harm. In future, if a requirement is repeated it is likely enforcement action will be taken. This inspection was unannounced and was carried out by one inspector between the Care Homes for Adults (18-65 years) Page 6 of 27 hours of 09:30AM and 12:30PM. During the inspection we spoke to people living in the home, staff and management. We looked at various records including care records and looked around the home. Before the visit we sent questionnaires to the home to give to people involved with the service. These included questionnaires for people living in the home, visiting health care professionals and staff. In total 5 were returned and the information we received has been included in this report. We asked the home to complete a self-assessment form (AQAA). The manager said she had returned it in good time however we have no record of having received it. We have asked the home to provide us with another copy. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Care Homes for Adults (18-65 years) Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. There are suitable systems in place to make sure that peoples needs are assessed before they move in. Evidence: People living in the home told us they had been asked if they wanted to move in and had been given enough information to help them decide if the home was the right place for them. The home has not had any new admissions for approximately four years. Information such as the Statement of Purpose is available in the home. We saw that people have contracts setting out the terms and conditions of their stay. The contracts include information about the fees and items not covered by the fees. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 living in the home are involved in making decisions about the care and support they receive. Evidence: People living in the home told us they are able to make decisions about their lives. One person said I have much autonomy and with support from staff I lead a fulfilled lifestyle. Each person has a care plan. The care plans contain information about peoples abilities and preferences and give clear information about the level of support they need. Areas of risk are identified and plans are in place to show how these risks will be managed. People living in the home told us they are involved in reviewing their care plans at regular intervals. Formal care reviews take place approximately once a year and people told us they are involved in these reviews. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: Two of the three people living in the home manage their own money. The local authority acts as appointee for the third person and the home manager looks after their personal allowance. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 are as independent as they can be, lead their chosen lifestyle and are supported in making the most of their abilities. Their dignity and rights are respected. Evidence: One person said, I exercise full control over decision making with reference to daily life. People told us they live their lives as they choose and get support from the home when they need it. People go out every day, two people use public transport independently and organise their own busy lives. The third person spends time with staff in one of the other establishments run by the company. She is not able to go out on her own but told us staff take her out in her wheelchair or in the car. One person has completed a degree course with the Open University, she told us she also enjoys doing Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: puzzles as she likes to keep her mind active. Another person told us she enjoys going to concerts, she was planning a trip to Manchester to go to a Cliff Richards concert. Food is available in the home and people can help themselves to snacks and drinks at any time. The main meal of the day is in the evening and cooked by staff. During the week it is cooked elsewhere and brought to the home, at weekends it is usually cooked in the home. The manager told us people are consulted about the menu and people told us the food is very good. If people want to cook staff are available to provide the necessary support. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 are supported in meeting their personal and health care needs in a way that takes account of their preferences and abilities. Evidence: The care plans have information about the level of support people require to meet their personal and health care needs. For example, one persons plan says they may need prompting to wash their hair and another says the person does not require any support with personal care. Information about peoples health care needs is recorded. This includes information on how peoples behaviour may change if there is a deterioration in their mental health and there are instructions on what staff should do if they observe these changes. Two people told us they make their own arrangements for visiting GPs, dentists etc. The third person who lives in the home relies more on support from staff because they have more physical care needs. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: Two of the 3 people living in the home manage their own medicines, this includes getting their prescriptions and collecting their medicines. They told us they keep their medicines locked in their bedrooms. This is recorded in their care records along with information for staff on the arrangements for monitoring that they are continuing to take their medicines. Staff help the other person with her medicines, we looked at the records of administration and they were up to date and accurate. The medicine trolley is not anchored to the wall. This was discussed with the manager who agreed to either make arrangements for the trolley to be secured or to provide an alternative medicine cupboard. The care plans have information on peoples wishes with regard to end of life care. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. There are appropriate systems in place to make sure that complaints are dealt with and people are protected. Evidence: People living in the home told us they know how to make a complaint if they need to. The home told us they have not had any complaints since the last inspection and none have been referred to us. The home has policies and procedures in place to safeguard vulnerable adults. These include policies on whistle blowing and accepting gifts from people. All the staff have received training on the protection of vulnerable adults. However, it is some years since they attended this training and the manager agreed to arrange an update early next year. Information is available on the Mental Capacity Act and the Code of Practice. The manager told us that staff have not yet received training on the Mental Capacity Act and has agreed to organise this in the near future. Care Homes for Adults (18-65 years) Page 18 of 27 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 clean, comfortable, and suitably equipped to meet the needs of the people living there. Evidence: People living in the home told us it is always clean and fresh and it was clean when we visited. One person said it is a homely environment and described it as a bright and well maintained establishment. Two of the bedrooms have recently been decorated. Two people told us they have keys to their bedroom doors and lock their rooms when they go out. People told us they like their rooms and said their privacy is respected. People have personal belongings, which reflect their tastes and interests and they told us they take responsibility for keeping their rooms clean and tidy. The manager told us that valves have been fitted to the hot water outlets to control the temperature and reduce the risk of scalding. A restrictor has been fitted to the window in the bathroom, however when we visited it had come undone. This was dealt with immediately and the manager said she would add it to the monthly Health & Safety checklist to make sure it was maintained in safe working order. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The company provides an off site laundry service for people living in the home. People told us they are happy with this arrangement. Care Homes for Adults (18-65 years) Page 20 of 27 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive the right support from suitably trained staff and have confidence in the staff team. Evidence: There is a member of staff in the home between the hours of 4.00pm and 9.00am; the person who comes on duty at 4.00pm sleeps over. Outside of these hours staff are available if needed and people living in the home know how to contact staff. This means there are times when people are in the home without support from staff. For example, when we arrived there were no staff in the home however one of the people who lives there was able to contact staff immediately. People in the home are very independent nonetheless there should always be a member of staff present when people are in the building. We have discussed this with the owner. People living in the home said they rarely needed to contact staff during the night but said it is reassuring to know they are there. People told us staff treat them well, they said staff listen and take notice of what they say. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: The home told us they have not appointed any new staff since the last inspection. We discussed the recruitment procedures with the manager and deputy. The told us they understand that all the required checks, including PoVA (Protection of Vulnerable Adults) and CRB (Criminal Records Bureau) must be completed before staff start work. They confirmed that CRB checks have been completed for all existing staff and we saw evidence of this in the staff files. At the last inspection we talked to the management team about the lack of risk assessments for staff working alone. These have now been completed. The manager and/or deputy visit the home at set times every day and keep in touch with staff by phone during the evenings. All the staff have achieved an NVQ (National Vocational Qualification) at level 2 or above. All the staff are currently doing training on the care of people with mental health care needs. This is a 12 week training programme covering subjects such as depression, schizophrenia and self-harm. Most mandatory training is provided in house. Staff have regular supervision and appraisals. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 have confidence in the care home because it is run and managed appropriately. Evidence: The manager and deputy manager have both completed the Registered Managers Award. They are very involved in the day-to-day running of the home and provide strong leadership to the staff team. The people who live in the home are very much involved in making decisions about how the home runs. They are also involved in reviews of their care with staff from the home and external professionals. These reviews take place approximately least once a year. The manager told us they send questionnaires once a year to people involved with the service. However, she said that because the same people have lived there for several years they rarely get any new information. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: There are suitable systems in place to protect the health and safety of people living and working in the home. The home has obtained an electrical wiring certificate since our last visit. The manager confirmed that checks had been carried out on the gas appliances but said the landlord had not passed on the certificate. She agreed to get this and forward a copy to the Commission. Care Homes for Adults (18-65 years) Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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 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 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) 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 Adults (18-65 years) Page 27 of 27 - 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. 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