Inspection on 29/05/09 for Fairmead Lodge

This is the latest available inspection report for this service, carried out on 29th May 2009.

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.

Other inspections for this house

Fairmead Lodge 24/01/07

Fairmead Lodge 10/02/06

Fairmead Lodge 21/03/05

Fairmead Lodge 23/11/04

Fairmead Lodge 11/03/04

Similar services:

Coopers Mill Ltd

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Paradise Lodge

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Upaya Ananda

Newton Court (1-2)

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Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Fairmead Lodge 45 Fairmead Avenue Westcliff On Sea Essex SS0 9RY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Sarah Axam     Date: 2 9 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.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: Fairmead Lodge 45 Fairmead Avenue Westcliff On Sea Essex SS0 9RY 01702308197 01702586943 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Mehmood Hassan,Mrs Nusrat Hassan care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 3 The registered person may provide the following categories of service only: Care Home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Fairmead Lodge is registered to provide care and accommodation for three residents with a learning disability. Accommodation is a family style house in keeping with other houses in the locality. There are two bedrooms, bathroom, toilet and office on the first floor. On the ground floor there is a third bedroom, small laundry, toilet, kitchen and lounge/diner. There is a small paved parking area to the front of the home. The rear garden and patio area is well kept, functional and well used by residents. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 3 Brief description of the care home The fees range from £420 - £1700.00 per week depending on the assessed care needs and source of funding. Additional charges should be discussed directly with the home. 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 unannounced site visit took two hours to complete and was carried out as part of the annual inspection programme for this service. This visit was conducted with assistance from the manager and the provider. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. We looked at all the information that we had received, or asked for, or what the service has told us about things that had happened in the service for the last twelve months. Two staff, one resident, two professionals and the residents relatives were spoken with during the site inspection. The manager was sent an (AQAA) Annual Quality Assurance Assessment form by us (CQC), that both asked how well the home is meeting the needs of the people who live at Fairmead Care Home. All information obtained was triangulated and reviewed against the commissions key Care Homes for Adults (18-65 years) Page 6 of 27 lines for regulatory activity. This helps us to use the information to make judgements about the outcomes for the people who use this service in a consistent and fair way. Care Homes for Adults (18-65 years) Page 7 of 27 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 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 Adults (18-65 years) Page 8 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 9 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. A clear and comprehensive assessment process assures people that their needs could be met prior to moving in their home. Evidence: The manager told us that should a person enquire about a place in the home they would be provided with information such as, a statement of purpose and residents guide, which provides information about the home to help people decide if they could be happy at the service. We looked at the information provided about the home. The residents handbook included information such as, staff structure, their qualifications, the complaint process, support, accommodation, local area, health, any specialist services and activities. The manager told us that the person would be then assessed by the manager to complete details of the prospective residents needs. A copy of the social services or local authority needs assessment would also be obtained. We saw that the assessment covered details such as, the persons physical and health needs as well as the support the individual required to maintain personal and oral hygiene. In all documentation Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: each persons communication needs, their likes, dislikes and hobbies is also recorded to help determine that the home would be able to meet their needs. The manager said that people are invited to visit the home before they move in and once they do a contract would be agreed. When we visited the home we looked at this information and could see that it was in place for all residents. A resident told us that they were given enough information to help them make a decision about moving into the home and that they all had a number of visits prior to admission. 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 using the service can be confident that their identified needs will be met appropriately and that they will be able to live the lifestyle they choose. Evidence: The manager told us in the Annual Quality Assurance Assessment that each person had a care plan, which was reviewed at least every twelve months or more often where this was appropriate. They told us that emphasis was put on enabling residents to make decisions and choices about the home. We saw that residents were involved in making choices such as new activities to be introduced, social events, food and menus, contact with family or friends, what they wished to do during the day and evening, work opportunities and general house issues. Some of the policies and procedures were available in formats, which would help to enable residents understand them or to express their views about how the home was run, such as the complaints procedure. A resident confirmed to us that they are actively encouraged to make informed choices and are kept up-to-date about any changes to do with their care, the staffing group and the home. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: When we visited we looked at care plans for all people who lived in the home. We saw that staff recorded long term and short term goals for the resident and the persons views about their goals or how they could be achieved was recorded in the plan. Goals could be as simple as, what meals they had, day activities, community involvement and choice of clothes to wear. Risks to the resident health and safety were well managed while allowing the resident to participate in activities such as preparing meals or accessing the community. Where the level of risk to a person was assessed as high and there was the likelihood that the person may injure themselves (such as risks associated with road safety or risks associated with cooking meals) then staff imposed some limitations and supervised the resident appropriately. Where this was necessary then it was recorded clearly (and always agreed with the individual) within the plan of care. When we visited we saw that this resident was supported in making decisions, participating or contributing to the running of the home, such as, carrying out laundry, helping with lunch and making drinks. This persons relatives confirmed that their relative had lots of choice, were respected and the staff encouraged their independence. 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 using the service can be assured that they will have the opportunities for personal development and build upon their daily living skills so that they are able to lead a lifestyle that they choose. Evidence: The manager told us in the Annual Quality Assurance Assessment that residents are supported to develop skills and to participate in activities of their choice both in and outside of the home. The manager said that residents were encouraged to participate in activities. When we visited the home we looked the care plan for the resident living there. We saw that this resident had a plan of care which described their wishes for the activities they wish to participate in. The resident who lived at Fairmead was capable of living an independent lifestyle and this was reflected in their care plan. We saw that this person used the local Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: community (pubs, clubs and shops), used public transport, maintained personal relationships, learn skills to improve their daily living skills and managed their finances independently. We looked at records kept by staff there about the activities that this resident participated in. These were completed fully and were recorded clearly what was carried out during the morning, afternoon, evening and weekends. It was clear that the activities were suitable for the resident as they included pursuits, which the resident liked to participate in. Their relative also confirmed to us that this was the case. The manager told us in the Annual Quality Assurance Assessment that residents are supported to contribute to their care plans so that they can have the opportunity to fulfill the lifestyles of their choice. This person had a care plan which described the support they needed and involvement was recorded well. We looked at the daily routines for the home. In the care plan it was recorded what that this person carried out domestic chores in order to give them a sense of purpose. This included activities such as setting a place at the table for their meals, completing laundry, preparing of meals and all this was reflected in their care plan. We looked at the arrangements for supporting this resident with choosing and preparing food and meals. We saw that staff supported the resident in buying and preparing food and that there was a planned menu, which reflected this residents likes and dislikes. This persons relative confirmed that they regularly went to the home and could drop in any time or call and felt very comfortable and welcome by all the staff. 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. Residents assessed needs are followed through in good care plans that give staff the necessary information to provide good care outcomes. Evidence: The manager told us in the Annual Quality Assurance Assessment that the health and personal care needs of the resident are met and that staff are trained to administer medicines safely. When we visited the home we looked at how the personal and health care needs of the resident were assessed and how they were supported. We looked at the care plan. We saw that they way in which this person wished to be supported in maintaining health was recorded and kept under review. It was recorded that this person enjoyed good health and they looked well cared for. We saw that this resident were supported in attending routine appointments for health care monitoring and there were minutes of meetings, letters and conversation recorded with a number of other specialist services, such as Community psychiatric nurses, consultants, social workers and generally a number of NHS community Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: services when needed. We spoke with two members of staff and looked at training records and saw that staff had appropriate training in the safe handling and administration of medicines. We looked at medicine administration records and these were completed accurately to show that residents received the medicines, which were prescribed for them. 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 systems in place to ensure that peoples views are listened to acted upon and support residents to be protected from abuse. Evidence: We were told in the Annual Quality Assurance Assessment that any complaints or safeguarding alerts would be dealt with openly and thoroughly. When we visited the home we looked at the policy and procedure in place for recording and dealing with complaints. The manager has a good complaints procedure in place. All complaints were recorded, maintained and outcomes recorded. The manager told us that residents and relatives are provided with information on how to complain and how their concerns would be dealt with. Both the resident and relative confirmed this to us. The manager also told us that staff received information about dealing with complaints and whistle blowing and had training in safeguarding when they commence work at the home. We spoke with two members of staff and looked at training records and saw that staff had appropriate training in the protection of residents. The manager told us that the resident living in the home would be capable of making a verbal complaint. They told us that there had been no formal complaints made about the service within the past twelve months. A resident told us that they felt the manager and staff listened to them and felt that if they were to raise a concern then it would be Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: dealt with satisfactory. There was a safeguarding policy and procedure in place and the manager told us that all staff were given this information when they commenced work at the home. Two members of staff were on duty during the inspection. They told us that they had received safeguarding training and they demonstrated that they understood their responsibilities if they witnessed or suspected any ill treatment of residents. There was a whistle blowing policy which staff had access to. This helps assure staff that they will be protected from harassment should they need to raise concerns about the home or other staff. We saw that staff were recruited thoroughly and all the relevant checks to a persons fitness were carried out before they started work at the home. We saw that all staff had received safeguarding training to keep them up to date with local policies and procedures and help ensure that all concerns would be treated properly. Care Homes for Adults (18-65 years) Page 19 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. People live in a clean safe environment. Evidence: The manager told us in the Annual Quality Assurance Assessment that some general refurbishment had been carried out to the home. She said that home was clean, residents bedrooms were individually personalised and the home was safe. We carried out a brief inspection of the premises when we visited the home. The resident showed us around. The home was clean and comfortable and was decorated and furnished with items which reflected the persons personality and likes. The resident told us that the house was decorated to their tastes and the furniture and fittings were all of their choosing. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered positive relationships by well-supported and caring staff and are protected by staff recruitment, induction and training. Evidence: The manager told us in the Annual Quality Assurance Assessment that staff are recruited thoroughly and trained to meet the needs of resident. We looked at how staff were recruited to work in the home. We reviewed the information for the one person who had been employed at the home since the last inspection. We saw that before the person commenced work that they had provided information about their previous employment and satisfactory references had been obtained. Criminal Records Bureau disclosure and POVA First checks had been carried out and the person had been interviewed. The manager told us that they were implementing the Common Induction Standards induction. This is a set of nationally recognised standards and helps to ensure consistency in the delivery of care and support to people who receive social care. The manager told us that she was completing a training and development analysis for staff working in the home. We saw that staff had received training in safe moving and handling, administration of medicines, communication, infection control and health and safety. Staff had received training in respect of caring for people who have learning Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: disabilities, communication and training around supporting people to make choices. 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. The management strategies of the home were stable which ensures the health, safety and welfare of all residents. Evidence: The manager told us in the Annual Quality Assurance Assessment that there was a system in place for monitoring the quality of the service, including obtaining the views of resident. They told us that where less positive comments were received that an action plan would be put in place to address the issues raised. They also told us that regular staff and a resident meeting are held to discuss and consult on matters affecting them. When we visited the home we looked at the arrangements in place for obtaining the views of the person who lives in the home, people who are important to them such as family and advocates and other people who are involved in their care. We saw that people were provided with questionnaires and that the resident was asked if they were happy with their surroundings, lifestyles, opportunities available, privacy, dignity, independence and choice. The resident told us that they were encouraged to express their views and their relatives felt that they were well looked after. We looked at how the home was managed and maintained. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: There were records and certificates to show that the home was maintained and fit for purpose. Checks were carried out to ensure that systems and equipment such as heating and hot water systems, fire detection installations and electrical equipment were maintained in good safe working order. We saw reports from the local environmental health officers and these indicated that the manager complied with their regulations. We looked at accident records and there had been no accidents or incidents affecting the health, safety or welfare of the resident. 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 1 35 All new staff need to follow the Skills for Care sector criteria for induction. This means implementing the Common Induction Standards induction. This is a set of nationally recognised standards and helps to ensure consistency in the delivery of care and support to people who receive social care. Care Homes for Adults (18-65 years) Page 26 of 27 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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. 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