The inspection took place on 7 December 2015 and was unannounced.
Ferndale House Residential Home provides care and accommodation for up to 17 people and there were 16 people living at the home when we inspected. These people were all aged over 80 years and were all living with dementia.
All bedrooms were single. Four of these bedrooms had an en suite toilet. There was a communal lounge and dining area which people were observed using. There was also a conservatory which people used as a dining area or for activities. A passenger lift was provided so people could access the first floor.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff were trained in adult safeguarding procedures and knew what to do if they considered people were at risk of harm or if they needed to report any suspected abuse. People said they felt safe at the home.
Care records showed any risks to people were assessed and there was guidance of how those risks should be managed to prevent any risk of harm.
There were sufficient numbers of staff to meet people’s needs. Staff recruitment procedures ensured only those staff suitable to work in a care setting were employed.
People received their medicines safely.
The CQC monitors the operation of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. Staff were trained in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS). People’s capacity to consent to their care and treatment was assessed and decisions made in their best interest and in line with relevant legislation.
There was a choice of food and people were complimentary about the meals. The provider consulted people about the food and meal choices.
Staff were skilled in working with people who were living with dementia and had access to a range of relevant training courses to enable them to meet people’s individual needs.
People’s health care needs were assessed, monitored and recorded. Referrals for assessment and treatment were made when needed and people received regular health checks. A GP commented that the staff worked well with them to meet people’s health care needs.
Staff were observed to treat people with kindness and dignity. People were able to exercise choice in how they spent their time. Staff took time to consult with people before providing care and showed they cared about the people in the home. Staff were skilled in providing end of life care to people.
Each person’s needs were assessed and this included obtaining a background history of people. Care plans showed how people’s needs were to be met and how staff should support people. Care was individualised to reflect people’s preferences.
Staff supported people with activities and there was an activities programme which included entertainment and gentle exercise.
The complaints procedure was provided to people and their relatives. People said they had opportunities to express their views or concerns. There was a record to show complaints were looked into and any actions taken as a result of the complaint.
Staff demonstrated values of treating people with dignity, respect and as individuals. People’s and stakeholder professionals’ views about the quality of the service were sought. Staff views were also sought and staff were able to contribute to decision making in the home.
A number of audits and checks were used to check on the effectiveness, safety and quality of the service which the provider used to make any improvements.