Random inspection report
Care homes for adults (18-65 years)
Name: Address: Fairfield House Ashcombe Road Dawlish Devon EX7 0QQ one star adequate service 09/07/2009 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: Judy Hill Date: 1 0 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Fairfield House Ashcombe Road Dawlish Devon EX7 0QQ 01626862173 01626868127 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Deidre Marie Curran Type of registration: Number of places registered: Conditions of registration: Category(ies) : Education & Care (Devon) Limited care home 17 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 17 Bedroom F19 must be used for prospective students` assessment visits. Date of last inspection Brief description of the care home Fairfield House provides accommodation and care during term time for students attending Oakwood Court College. Oakwood Court College is a privately run educational service for students with a learning disability aged 16 up to 25 years old. The college offers courses lasting up to three years and is inspected by the Office for Standards in Education (OFSTED). Fairfield House and The Cottage and Flat, which are in the grounds of Fairfield House
Care Homes for Adults (18-65 years) Page 2 of 8 0 9 0 7 2 0 0 9 Brief description of the care home and included in the registration are situated in the rural outskirts of Dawlish, but are within a mile of the town centre, train station and beach. Transport is provided for students to enable them to travel to and from college and to participate in activities outside their home. Information about the College and the care and accommodation services available for students is available from Oakwood Court College in the form of a Welcome Pack, which will be given to prospective students and their representatives. Copies of inspection reports are available at the home and, or can be obtained on request from the service provider or accessed on the CQC website. The fees, which are LSC funded, cover the costs of college fees as well as student care and accommodation and range from £48,000 to £67,000 pounds (term time). The fees do not cover care and accommodation during college holidays, personal items, such as clothing or a weekly personal allowance. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This random inspection was carried out in two parts. The first part of the inspection was unannounced and carried out with the registered manager to enable us to gain access to records and to discuss the development of the service. The second part was carried out in the evening to enable us to meet and talk with some of the people who live at Fairfield House and the staff who work with them. We looked at the plan of care for two of the people who used the service and saw that changes had been made to the way in which these records are compiled and stored. The records that the staff need to access on a regular basis are now being kept in working files and all other information in a separate file. This makes access to up to date information much easier for the staff. The information kept in the working files provided the staff with a clear description of each person, their individual needs and how these needs should be met. Risk assessments had been carried out and information provided about how to minimise risk. Achievable goals had been set. Evidence was seen to show that the people who use the service play an active role in planning and reviewing the care that they receive. Daily records on each person are compiled by the care staff after every shift. These records help to provide continuity and enable the care provided to be reviewed on a continuous basis in addition to formal reviews. All of the people who live at Fairfield House attend Oakwood Court College on weekdays and can choose what to do in the evening and at weekends. Regular weekly meetings enable people to plan some of their weekend activities in advance. The residents make good use of local community facilities, such as clubs and the cinema, but also participate in sports, go walking, attend evening classes and spend time at home watching television, listening to music and playing games. The people who live at Fairfield House have lunch at the College from Monday to Friday but have their evening and weekend meals at home. These are set meals but people may choose to have something different if they want. The people who use the service are encouraged to play an active role in shopping for food and meal preparation. Improvements have been made in the handling of medicines and where assistance in needed this is provided by senior staff who have received appropriate training. The medication records are checked weekly by the registered manager to ensure that medicines are handled safely. Parts of the Fairfield House have been redecorated since the last inspection and some new furniture has been purchased. The communal areas were seen to be spacious, comfortably furnished, clean and homely. Three people showed us their bedrooms and these clearly reflected their hobbies and interests. People have keys to their bedroom doors and the staff were observed knocking on bedroom doors and waiting for a response before entering the room. The complaints procedure is displayed in picture form in the entrance hall. Surveys
Care Homes for Adults (18-65 years) Page 4 of 8 completed and returned to us by eight of the people who use the service told us that they would know who to talk to if they were not happy and surveys completed by six members of staff told us that they would know how to deal with a complaint or concern. No complaints had been recorded in the past year. The registered manager told us that the staff had received training in Safeguarding Vulnerable Adults and Children. We looked at the records of two members of staff and found that safe recruitment practices were being used. Induction training is in place and all new staff are registered to complete a National Vocational Qualification in Care at Level 3 when they have completed their six month probationary period. Records are kept of the staffs training needs and achievements. We interviewed two members of staff in private and they told us that they were well trained and that the staff worked well as a team. Since the last inspected Deidra Curran has been registered as manager. Deidra has completed her National Vocational Qualification in Care at Level 4 and gained a Registered Managers Award in Childcare. She is currently completing a Registered Managers Award in Leadership and Management. What the care home does well: 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 5 of 8 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 6 of 8 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 Care Homes for Adults (18-65 years) Page 7 of 8 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 8 of 8 - 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!