Care Home: The Fountains Care Centre

Similar services:

• Innova House Care Home
• Portland College
• Byars Care Home
• Byars Care Home
• St Marys Nursing Home
• St Marys Nursing Home

What the care home does well The home is in a rural setting and provides people with a quiet environment. People are cared for clean and comfortable surroundings and the home is decorated to a good standard. All people spoken with made positive comments about the care they received; one said I`ve lived in three homes and this beats the lot! and another said he enjoyed being able to do whatever he wanted to but help was there when he needed it. The staff group is well trained and knowledgeable about the people living at the home and how they prefer to be cared for. The manager is very approachable and there is a stable staff group, enabling a good knowledge of the needs of individuals. People are encouraged to make choices about their daily lifestyles and individual likes and dislikes are catered for. What has improved since the last inspection? Staff training is more structured and staff are now assessed on their competency. Regular training and supervision has enhanced care for people. There have been no complaints in twelve months.Bathrooms have been renovated and a sluice has been added. What the care home could do better: Staff folders need to include up to date photographs. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Fountains Care Centre Church Lane Tetney Lincs DN36 5JX     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: Julie Western     Date: 0 4 0 3 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 21 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 21 Information about the care home Name of care home: Address: The Fountains Care Centre Church Lane Tetney Lincs DN36 5JX 01472210456 01472816456 catefountains@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Halcyon Care Limited care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of people who can be accommodated within the home is 45. The registered person may provide the following category of service only: Care home with nursing - Code N To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories:- Old age, not falling within any other category - Code OP Physical Disability - Code PD (not exceeding 6) Date of last inspection Brief description of the care home The Fountains Care Home is registered with the Commission for Social Care Inspection to provide nursing care and personal care to people over the age of 65 years and up to 6 people with physical disabilities. 0 6 Over 65 45 0 Care Homes for Older People Page 4 of 21 Brief description of the care home The property is located in the village of Tetney in North East Lincolnshire, lying between Louth and Grimsby. It is a large detached building, standing in its own grounds and gardens. Car parking is to the side of the house. Accommodation is provided in 37 single and 4 shared rooms on the ground and first floor. There are two passenger lifts to access the first floor. The brochure states The Fountains provides a home where residents are helped to retain their independence and be involved in their care. The emphasis is on quality and enjoyment of life. We are not just caring for you, we care about you. The current weekly fees range from 351 to 600 pounds and information about these and other facilities provided can be obtained from the manager. Care Homes for Older People Page 5 of 21 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: This was an unannounced visit and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms we and us refer to The Commission for Social Care Inspection (CSCI). The visit lasted approximately four hours and we took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified of since the last inspection. Before we made our visit the provider had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. We sent out surveys to people before we visited the service. The main method used to carry out the inspection is called case tracking; this includes Care Homes for Older People Page 6 of 21 following the care of a sample of four people through their records and assessing their care. We spoke to four people who use the service and saw rooms of those people who said we could. We spoke to three staff members. The manager and operations manager were present throughout the visit and the general outcomes of the visit were discussed with them. 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 21 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 21 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. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. Evidence: The manager confirmed that she or a trained nurse always visited prospective residents at home or in a care setting such as a hospital to undertake a thorough assessment of all their care needs. Records we saw confirmed this. We saw written admission documentation that gave staff clear information to meet the needs of people they care for. The statement of purpose we saw was very comprehensive and contained terms and conditions and contracts. The service user guide we saw contained useful information for people newly admitted to the home . It was not yet in large print, but the manager said it was in the process of being reprinted. These documents, together with a brochure were also left with prospective residents on the initial assessment visit. A resident we spoke with described how she had visited for the day before she was sure she wanted to move in permanently. Another said that this Care Homes for Older People Page 10 of 21 Evidence: home had been chosen because it was the best of the ones they and their relatives saw. A staff member described the admission process and the importance of making new residents and their families welcomed. Since the last inspection the home has been awarded a spot contract for intermediate care with a local primary care trust. On the day of the inspection there were no people admitted for intermediate care. Care Homes for Older People Page 11 of 21 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. Care plans are in enough detail to ensure that the care needs of people can be met. Evidence: Care plans we saw contained information about the health and personal care needs of people. They were reviewed regularly and signed where possible by people or their relatives or advocates. We saw a medication policy that was clear and comprehensive. The pharmacist visited regularly, the last visit being in January 2009 and no issues were identified. People received regular visits from district nurses and other agencies involved with their care and the local GP held a weekly surgery each Monday. We saw staff carrying out their duties with kindness and sensitivity towards people, especially when attending to their personal needs. Care Homes for Older People Page 12 of 21 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. Social activities are regular and are tailored to suit individual needs and wishes. People have a choice of meals from a balanced and varied menu. Evidence: There are two activities organisers who work throughout the week, including weekends. A biography of people is included in their care plans and shows their wishes and preferences for daily living. A programme of regular activities is displayed in the entrance area. The activities for the week included entertainers, indoor games such as board and card games and trips to local pubs and shops. On the day of the inspection people were playing carpet bowls. People we spoke with all said they had a choice of whether or not to take part. Some told us they preferred to sit in a quiet lounge instead and one said she went on regular outings with the local dial-a-ride service. People we spoke with all said they enjoyed the meals served; one said the mid-day meal was marvellous and another that it was lovely having your meals cooked for you and with such variety. The menu for the week was displayed in the dining room and offered alternative choices of meals. The cook has the National Vocational Qualification in nutrition and food hygiene at Level 2. She was knowledgeable about the nutritional needs of service users and described cooking for people on various diets. Care Homes for Older People Page 13 of 21 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. The procedures for addressing complaints and for protection from abuse are clear. People and their families are confident that their comments and concerns will be listened to. Evidence: People spoken with said they did not wish to complain but knew how to make a complaint. The home had an up to date copy of the Local Authority adult protection procedures; staff members said they had read it. The training programme showed that there was a rolling training course for staff on safeguarding adults. Staff members spoken with knew what to do in the event of a serious concern.The manager said that residents and their families were regularly asked for their views regarding the running of the home. Two people we spoke with said they would see the manager if they had a complaint. Since the last inspection there had been one complaint under the safeguarding adults procedures. This related to the care practice of one resident and was substantiated, the home taking appropriate action to address it. Care Homes for Older People Page 14 of 21 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 live in a comfortable and pleasant environment with both private and communal space that is generally suitable for their needs. Evidence: Overall, the standard of decoration internal was good and afforded residents a great degree of comfort. The courtyard gardens were well maintained and offered pleasant places for people to sit out in good weather. The grounds included a tennis court. Staff described how any maintenance issues were addressed quickly by the maintenance personnel. On the day of the inspection a new area for up to 7 people with a dementia was being built using part of the first floor. On completion this area will have its own kitchen. Because of the ongoing building work, the carpets throughout the communal areas were dirty and stained. The operations manager said that as soon as building work was complete, these would be replaced throughout both ground and first floors. There were safety notices around the building to prevent the spread of infection and COSHH regulations were observed throughout. The most recent visit from the Environmental Health Officer found some minor issues and awarded the home two stars. The issues had since been satisfactorily addressed. The building smelled clean and fresh throughout. Care Homes for Older People Page 15 of 21 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for people. Staff members are suitably trained, qualified and competent. Evidence: The daily staff rota showed that there was a senior nurse on each shift plus 4 to 5 carers during the day and 2 to 3 at night. In addition the manager, also a nurse, was present Monday to Friday. The home also employed a cook and kitchen assistant, 2 domestic, 1 laundry and 1 maintenance staff. There were no vacancies at present. We spoke with staff members who said there was very little staff turnover and some had been with the home many years. We spoke with people who said there were enough staff to help them and staff we spoke with confirmed that there were enough staff available to carry out their tasks within the time given. 15 staff members have gained the National Vocational Qualification [a nationally recognised qualification], with a further 2 working towards it. 6 have the NVQ at Level 3, with three staff members working towards it. Nursing staff have also gained NVQs in infection control, health and safety, safe medication handling and palliative care. The most recent staff member to be employed described how she had an interview, gave references and underwent CRB/POVA checks and staff records we saw confirmed this. We saw a training plan from last year and the operations manager said the plan for Care Homes for Older People Page 16 of 21 Evidence: this year would be in place shortly. It included dementia training. Staff are also receiving training on the Mental Capacity Act and Deprivation of Liberty safeguarding. We saw that staff received regular supervision and had regular meetings. Care Homes for Older People Page 17 of 21 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 health, safety and welfare of people are promoted. The views of people are listened to and they are involved in decisions affecting them. Evidence: The manager has been in post for 2 years and has worked in the care profession for 20. She is a trained nurse and has previously worked in an intermediate care setting. People we spoke with all made positive comments about the way the manager ran the home, finding her approachable and supportive. One resident particularly liked the surgery the manager ran at weekends for relatives to discuss issues with her. There is a sound quality assurance procedure, with separate questionnaires for people, their relatives/visitors and staff. The findings are discussed with the operations manager, who visits regularly, and acted upon. Health and safety policies are well documented and demonstrate a clear commitment to ensuring the wellbeing of people. Records are well maintained but staff folders did not include photographs. Care Homes for Older People Page 18 of 21 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 Older People Page 19 of 21 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 1 37 Staff folders should contain up to date photographs. Care Homes for Older People Page 20 of 21 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 21 of 21 - 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!