Inspection on 02/02/07 for 19 Fairview Road

This inspection was carried out on 2nd February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

19 Fairview Road 29/01/09

19 Fairview Road 25/01/06

19 Fairview Road 04/10/05

19 Fairview Road 03/03/05

19 Fairview Road 10/08/04

19 Fairview Road 05/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Fairview Road (19) 19 Fairview Road Vange Basildon Essex SS14 1PW Lead Inspector Helen Laker Unannounced Inspection 2 February 2007 11:00 nd Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairview Road (19) Address 19 Fairview Road Vange Basildon Essex SS14 1PW 01268 527840 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Family Mosaic Mrs Ann Sesay Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: The home is situated in a busy residential area of Vange. The interior of the house is well decorated, and homely. The lounge has patio doors that open out on to a large, well-maintained garden at the rear of the building - which the residents themselves take great pride in. The home is walking distance from local amenities, and a short bus journey away from a large market and shopping complex. The Service User Guide and Statement of Purpose are available and are updated as required. The residents and their representatives can be provided with this information and the home is advised to have Commission for Social Care Inspection reports available too. These can be displayed for reference. At the time of this report the current service users charges were noted to be documented as £1157.00 to £1258.38 per week. It was not possible to establish current overall charges, as the senior carer was unable to confirm the range of overall fees charged. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection, which took place over one day with one inspector in the home. There was a tour of the premises and grounds and an inspection of records and documentation. Time was spent discussing the care of the four service users. The manager in charge of the day to day management of the home was on this occasion rostered on a day off, four staff and two residents were spoken with. Further feedback was also received from service users and care staff through survey and discussion. Responses have been included in the relevant sections of the report. A pre-inspection questionnaire and other reports and correspondence provided by the staff on duty were also used as evidence to inform this report. Twenty three National Minimum Standards were inspected on this occasion, and twenty two overall outcomes were met with one recommendation detailed in the report. Discussion of the inspection findings took place with the senior carer in charge at the end and throughout the inspection and guidance was given. What the service does well: What has improved since the last inspection? The home has improved on their Health and Safety / COSHH practices within the home. Proper procedures and documentation are now in place and being carried out when an incident involving a resident occurs. The homes’ dinning room which ventilated and smells much more supported to reduce his cigarette more healthy environment for the doubles as one resident’s smoking area, is pleasant. The resident is being appropriately intake and smoke outside – which creates a other residents in the home. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 6 Documentation has improved and appropriate assessments are being undertaken and social activities are being reviewed on an individual basis for current service users to afford them more choice and opportunity. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The admission procedure does include an adequate assessment, which ensures that service users needs can be met. The home provides a caring environment where visitors are made welcome. EVIDENCE: There have been no new admissions to the home since the last inspection. Individual support plans list the residents’ individual difficulties and needs. These are reviewed on a regular basis. The home has aims and objectives for each resident in place, to aid the staff to support the residents’ in their everyday lives. Resident likes and dislikes are generally documented clearly and detailed information can be incorporated. The individual support plans also document the residents’ progress towards achieving their goals, and any positive changes that occur in their lives as a result. Person centred planning is used effectively and photographs of each person have been used to tell their own story, and to illustrate what the residents’ prefer in their every day lives. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Each service user has an individual plan and service users are supported to take risks as part of an independent lifestyle via a process of assessment. The health needs of service users are well met and present documentation ensures clarity of needs. Due to service users learning disabilities they are only able to make limited decisions but staff facilitate this as much as possible. EVIDENCE: Each resident has a series of care needs assessments made, which are contained within their individual person centred support plan. Each assessment consists of an aim, short and long term goal for the individual, details of support required, how staff will enable the resident to achieve their goal and a date for which the assessment should be reviewed. Reviews for each of the residents’ needs assessments happen on a monthly basis, where it can be decided whether the need has changed, been met, or whether continued support is required. The residents are all involved in their own reviews, and Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 10 (where able) are asked to sign their needs assessment to acknowledge their own responsibility in having their need met. Along with the care needs assessments, residents are also encouraged to be as independent as possible and to make decisions about their own lives. The home holds regular residents’ meetings, where the residents are invited to share their opinions, and offer their ideas for all matters related to the home. There they can make decisions about their lives within the group. On a daily basis, the residents are given the opportunity to make decisions within their daily routines. Each day the residents are offered a series of choices, which the staff facilitate - would they like a bath or shower when they get up in the morning? What would they like to eat for dinner? And in the longer term, would they like to attend college? Or pursue a hobby? The residents at this home are supported to take risks, in order for them to maintain an independent lifestyle. The home has risk assessments in place for each resident, for any potentially hazardous activity that they may undertake in their daily lives including smoking, blurred vision problems and the insertion of small objects. For example at the homes previous to last inspection it was noted that some residents find difficulty in using aerosol deodorants. Deodorant is required as part of their personal healthcare needs. The home has decided that roll-on style deodorant is a suitable alternative, as it poses a low risk to the residents’ health. Risk assessments are put in place for all aspects of the residents’ lives as appropriate. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Social activities take place and service users are generally happy with the choices in routine available to them. Links with families, friends and advocates are good and contact is maintained. Visitors are made welcome and overall the service users rights and responsibilities are recognised in their daily lives. EVIDENCE: The residents’ each have an annual diary and opportunities form kept in their care plan, which lists all of the activities that the individual has participated in. Activities are arranged according to individual preference, as well as activities for the whole group. It was discussed that more detail would ensure clarity of needs and interests. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 12 Two residents were out on the day of inspection. Some residents go to colleges and on activities differing days of the week. They attend local cookery courses and go to art clubs, but others whose interests are slightly different choose to participate in limited opportunities outside of the home. One resident’s only activity is volunteering two mornings now a week at a local charity shop. The home does have transport and in the summer are out most of the time. The residents attend appointments in the community with hairdressers and chiropodists, as well as visiting the local shopping centre and other local places of interest. The residents are invited to participate in their daily living routines where practicable. The residents’ weekly menus offer a choice of meals and meal alternatives, which are well nutritionally balanced and healthy. The home keeps a good stock of foods, so that the residents can choose their own meals on a daily basis. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that the health care needs of service users are identified and met. EVIDENCE: The residents are all encouraged to be as independent as possible with their personal care, and are only minimally supported by staff when meeting their healthcare needs. The residents’ physical and emotional health needs are met by staff - in close consultation with the residents. The home has one resident who is a smoker. He has recently been encouraged to smoke in designated areas, and as a result has significantly reduced the daily amount of cigarettes that he consumes. Staff previously told the inspector that they are keen to continue with the support this resident needs, in order to maintain the reduction in his cigarette intake and this has continued. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 14 Key workers review the residents’ progress within the home on a monthly basis; a person-centred approach is used. The home has medication policies and procedures in place, which all staff have read and understood. The medication administration records (MAR sheets) were all assessed, and found to be up-to-date and correct. The home monitors and records the temperatures at which its medicines are kept, with a thermometer on a daily basis. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, & 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has an appropriate complaints policy, which informs complainants of their rights and assures them their complaint will be taken seriously. Staff are aware of the issues relating to the protection of vulnerable adults. EVIDENCE: The home has a complaints book, which records any complaints and subsequent action taken. The recording of outcomes and any action taken was discussed, and it is recognised that the home has had no complaints since the last inspection. All staff have read the homes’ abuse policy and protection guidelines, which are reviewed on an annual basis. The manager has had training for Protection of Vulnerable Adults, and all staff can attend Adult Protection training yearly. The complaints policies give clear guidance on the procedures to follow when a resident / their representative or a staff member wishes to make a complaint. The home has appropriate policies and procedures in place to meet this standard. Both the homes’ protection policy, and complaints guidelines contain details of how to contact the Commission for Social Care Inspection. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was clean and bright and provided the service users with homely and comfortable surroundings. Internal maintenance and decoration issues have been addressed. EVIDENCE: The individual bedrooms within the home are well decorated and comfortable. The residents have been able to personalise their rooms with their own belongings. Their rooms are suitable for their individual needs and lifestyles, and promote their independence. Since the last inspection the whole house has been redecorated apart from the ceilings. New carpets have also been purchased for the bedrooms. A step to the back door has been built. A new kitchen and shower unit have been installed. Some palings in the fence have been re erected following being blown down by the wind. The patio and walkway to the rear was noted to be somewhat uneven and cracked and has been identified by the home as needing replacement to ensure the safety of existing service users. The dining room doubles as the smoking area for one of Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 17 the residents, the musty smell of stale tobacco can leave an unpleasant odour in the room a de-humidifier has been purchased and placed in the dining room – which is the allocated area for smokers. This has helped eradicate the tobacco odours from the room, and on the day of inspection smelt pleasant and clean. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Adequate recruitment procedures were demonstrated on this occasion and corporate policies are in place. Overall the home has an effective and competent staff team who receive training to the required standard and updates are generally addressed. EVIDENCE: Staff rotas reviewed evidenced adequate staffing arrangements for the current service user group. Service users are appointed a keyworker. The role of the key worker was evident within staff records and most staff appeared clear as to the specific role required. Four staff employment files were inspected. At the time of this inspection those files inspected contained the documentation required to demonstrate that robust recruitment procedures are in place to safeguard service users. The home was advised also that even if a staff member is transferred from another home in the group the mandatory recruitment procedures apply and documentation must be in place. It was pleasing to note that records were Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 19 easily accessible facilitated by a key being left in a locked cupboard, and all staff files usually held at head office being transferred to the home for storage. The inspector was advised that the home has access to the proprietor’s corporate training budget. Staff have access to a wide range of training. Training records were available to inspect and were generally satisfactory with a training plan in place, which was seen. The home offers its staff mandatory and supplementary training courses throughout the year, but does not have a comprehensible system in place for keeping records of what training has been completed. Updates are being addressed. The inspector was informed and noted from files inspected, that supervision is now carried out regularly in a planned way. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is guidance and direction to staff and the home has in place practices that will promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: It has previously been noted that the manager of the home operates an open, friendly and positive approach towards the residents and her staff team. She conveys clear leadership qualities, but also encourages her residents and staff to come forward with suggestions and new ideas to improve the service that is provided. The home holds resident meetings on a monthly basis, and regularly take a survey of their views about the service, for the purposes of quality assurance. The residents’ questionnaire includes issues such as; how caring the staff are towards them, if they feel that their feelings are respected and Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 21 listened to and what aspects they like or dislike about the service. Feedback from service users was found to be very positive. The homes’ utility room has a clothes iron mounted on the wall and its washing powder is kept within reach of the residents. Cleaning products are considered to be potentially dangerous and for regulation purposes are known as COSHH (Care of Substances Hazardous to Health) materials. Residents are encouraged to wash their own laundry, with the support of staff. The residents are not left in the laundry room unsupervised. The nurse in charge, on duty during the day was aware of health and safety issues in the home. Regular regulation 26 reports are received by the commission. Safety certificates were seen for maintenance inspections and were up to date. Fire drills are generally held on a monthly basis. The home has appropriate policies and procedures in place. Risk assessments for safe working practices are in place. Up to date employers liability insurance was seen. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 x 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations A comprehensible system should be in place for keeping records of what training has been completed. Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fairview Road (19) DS0000018057.V320574.R01.S.doc Version 5.2 Page 25 - 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. 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