Inspection on 29/01/09 for 19 Fairview Road

This inspection was carried out on 29th January 2009.

CSCI 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

19 Fairview Road 02/02/07

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 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 19 Fairview Road 19 Fairview Road Vange Basildon Essex SS14 1PW 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: Pauline Marshall Date: 2 9 0 1 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. They reflect the things that people have said are important to them: 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 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 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 29 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 19 Fairview Road 19 Fairview Road Vange Basildon Essex SS14 1PW 01268527840 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): fairview@familymosaic.com Family Mosaic Name of registered manager (if applicable) Mrs Ann Sesay Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 0 care home 4 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home The home is situated in a busy residential area of Vange. The house is nicely decorated and has a homely feel. There is a nice garden that you can go out into through the patio doors in the lounge or the dining room. The home is near to local shops and a short bus ride away from a large market and shopping centre. The last inspection took place on 2/2/07 and because the home gives a good service it had an annual service review on 25/1/08 instead of an inspection. People interested in living at 19 Fairview will be given a copy of the managers Statement of Purpose and Service User Guide that gives you lots of information about the home. It costs £1349.00 each week for a person to live at 19 Fairview Road and people living there will pay a contribution towards this of between £65.20 and £102.90 each week, according to their assessment. People will have to pay extra money for things like hairdressing, their toiletries, their clothing, their holidays and towards the lease car hire. Care Homes for Adults (18-65 years) Page 5 of 29 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 Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home We visited the home and looked at some of the files belonging to people living in the home and the homes staff. We also looked at the policies that explain how the home does things. We looked around the home and spoke to the staff and the manager. We read the information (AQAA) sent to us by the manager. The AQAA is a form required by law for the manager or provider to carry out a self-assessment of how well the outcomes of people using their services are being met. AQAA We sent surveys to people living at 19 Fairview Road, their relatives and to some of the staff to see what they think about the home. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well The home is clean tidy and safe. The manager gives people up to date information about the home and makes sure that the home can meet their needs. The support plans are written around what the person living in the home wants. Care Homes for Adults (18-65 years) Page 8 of 29 The home supports people with their health care needs. The manager makes sure that people have their say on how the home is run. Staff are well trained and the manager supports them well. What has got better from the last inspection Care Homes for Adults (18-65 years) Page 9 of 29 The manager now has a training plan that shows when staff needs updates in their training. The manager now has one day each week to do her office work. What the care home could do better The home could keep all of the staff documents together as some were on the computer and some were in the files. Care Homes for Adults (18-65 years) Page 10 of 29 The manager could have extra time to do her paperwork. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Pauline Marshall 01223 771300 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 29 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 12 of 29 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 . People are provided with sufficient information to enable them to make an informed choice about the service. Evidence: The Statement of Purpose and Service User Guide are incorporated into one document and is called the homes brochure; this was last reviewed on 20/09/2008 and the Service User Guide section includes pictures of the home. The last admission to the home was made in 2005 and a full assessment of needs was carried out. The manager has since devised new assessment documentation that will be used for all new admissions. Four care files were examined and they all contained a series of needs assessments including those prepared upon peoples admission to the home. The support plans showed that peoples needs are regularly reviewed and updated to take into account any changes. Each of the care files examined contained a copy of the individuals license to occupy, setting out the details of their terms and conditions with the home. Care Homes for Adults (18-65 years) Page 13 of 29 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 excellent 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 are well supported to live their life in a way that they choose. Evidence: The manager prepares a support plan based on the initial needs assessment and it contains information on the aims of the plan, the short and long term goals for the individual and how staff will assist the person to meet their goals. All of the support plans examined were person centred and had been reviewed on a monthly basis and showed where changes to needs had been identified and where the support provided was adapted to meet the changing needs. People living in the home said when spoken with that they are fully involved in the on-going review of their support plans and are encouraged to retain their independence. The manager said in her AQAA staff encourage people using the service to remain as independent as possible and people surveyed and spoken with confirmed this. The daily notes were very detailed and informative and the Who am I document provides staff with a pen picture of peoples lives. The record of meetings held for people living in the home showed that regular monthly Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: meetings take place and that issues such as meals, outings and the running of the home are discussed. People living in the home said when spoken with we have lots of meetings and we decide what it is we want to do and eat. There were risk assessment and management plans on all of the care files examined. One of the risks identified showed that two people enjoyed walks out together, without staff in the local community and the manager said that in the past staff were reluctant to facilitate this despite rigorous assessment and planning but now staff are more prepared to take risks. The manager said in her AQAA a year ago we were not prepared to take the risk of people going out alone but now staff are more prepared to do so. People spoken with said that they now enjoyed frequent walks within the local area and that they tell the staff what time they plan to return and that this is making them feel more confident when going out. Care Homes for Adults (18-65 years) Page 15 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are well supported to live a lifestyle that meets their identified needs and preferences. Evidence: Peoples support plans showed that they are offered a range of opportunities for accessing the activities of their choosing. One person living in the home does voluntary work in a charity shop every Monday and Friday and when spoken with the person said I have worked at Barnardos for a long time and I enjoy the work, I meet lots of interesting people. Another person regularly attends college and enjoys shopping and meals out and when spoken with said I like going to college and I like going out to the shops, I can pick what I want and staff always help me when I need it. Another person was supported to purchase a new TV recently and said that it has Freeview on it providing them with more choice in what they wish to watch. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: People living in the home spoke of their opportunities to cook a meal for others and one person said that they enjoyed knitting and was very proud of the blanket they had made. One person smokes and their support plan includes full detailed information on how staff supports them in this. The home has a people carrier, which is used to transport people when they wish to go out for pub lunches, shopping and to health appointments. People are encouraged to maintain their relationships with friends and family and the support plans examined evidenced that they visit them regularly. The manager said in her AQAA people attend events organised by other homes, providing them with the opportunity to interact with old friends and acquaintances and should they wish to embark on a personal relationship we would address this individually and put in place any necessary arrangements. The regular meetings held for people living in the home are supplemented by daily discussions to decide on everyday issues as they arise. People spoken with were fully aware of their responsibilities in the home and said that they felt that staff paid them respect when supporting them in their everyday life. People living in the home decide on a weekly basis what they would like to eat the following week. The manager said that each Sunday the following weeks menu is discussed and a shopping list prepared from these discussions and that additional food is purchased in case people change their mind. People spoken with said, I choose what I want to eat when out shopping and we buy a lot of different foods. The cupboards, fridge and freezers were full of a range of different foods and the home has prepared an alternative menu choice that includes cooked breakfasts, toasted sandwiches or jacket potatoes for lunch, light meals of omelette, soups, beans on toast or salad and a range of evening meals. There was an ample supply of fresh fruit and salads available and people spoken with said there is always loads of fruit and vegetables that we can have with a meal or as a snack. The last Environmental Health food safety inspection took place on 10/12/07 and it was recommended that a food safety management plan be implemented. The manager devised a cleaning schedule, a food storage plan and charts for recording the temperatures of foods, however the manager said that she has acquired the Safer Food Better Business folder and will be using this in future to ensure that her food safety management plan is effective. Care Homes for Adults (18-65 years) Page 17 of 29 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 . People receive personal care in a way that suits them and their health care needs will be fully met. The home’s medication policy and practice will protect people from the risk of medication errors. Evidence: People spoken with said that staff provided them with the correct levels of support and this was identified in peoples support plans. People said when spoken with I go to bed and get up when I want and staff help me to choose what clothes to wear and the staff treat me with respect. The support plans showed that each person living in the home is supported by the homes key worker system and people spoken with were clear on whom their key worker was and what they did for them. The care files examined all contained a health action plan and there were completed records for annual visits to the hospital for blood tests and x-rays and a clear record of peoples weight. People spoken with confirmed that staff supports them to manage their own healthcare. Medication is stored in a locked cabinet in the utility room; regular temperature checks Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: are made and the results recorded to ensure that the room is kept at an appropriate temperature and that it does not get too hot for medication storage. The home uses a monitored dosing system and carries out a regular weekly audit; the last one recorded was dated 28/12/08. All staff has had medication training and there was a list of names together with their signatures available with the medication administration record sheets (MARS). There were written protocols in place for all as and when prescribed medication. Care Homes for Adults (18-65 years) Page 19 of 29 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 . People know that their concerns will be dealt with and that they will be protected from harm and abuse. Evidence: There was a pictorial complaints leaflet displayed on the wall in the hallway and a copy of the procedure was available in the folder containing the homes Statement of Purpose and Service User Guide on the hallway table. The complaints procedure was last reviewed in May 2008 and it contains clear timescales for action. The last complaint was received in 2005 and was appropriately dealt with. The manager has now devised a complaints recording form, which she said, would be used to record any future complaints. The homes abuse policy was last reviewed in May 2008 and all staff has had training in safeguarding; the organisation has this training scheduled monthly and any new staff attend within a month of starting work. The manager said in her AQAA staff have received POVA (protection of vulnerable adults) training and this shows through discussions and staff awareness in their every day role. Staff spoken with was aware of the homes whistle blowing and abuse policies and knew the actions to take if they suspected abuse. There was a copy of the government document No Secrets and a copy of Essex County Councils Protection of Vulnerable Adults information. The manager was aware of the new Southend Essex and Thurrock guidelines and said that she will be obtaining them and sharing them with the staff team. Care Homes for Adults (18-65 years) Page 20 of 29 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 homely, comfortable safe environment. Evidence: All four bedrooms are on the first floor of the home, they are all of a reasonable size and have washbasins in them; one room has an en-suite bathroom. Bedrooms were individual and personalised and people spoken with said they were able to choose their own soft furnishings, bedding and the way their room was decorated. The lounge, dining room, kitchen, office, toilet and utility room are all located on the ground floor and there are patio doors leading from the lounge and dining room into the garden, which is spacious and attractive. There is a no smoking policy in the house and a shed has been provided to enable the one person that does smoke to do so in comfort. The home was clean, pleasant and hygienic and staff supports people living in the home to carry out general cleaning tasks. The manager said in her AQAA one person assists with the recycling of waste with staff support and this is in the care plan, this was confirmed in the support plan. When spoken with the person confirmed that they helped with recycling and said I enjoy keeping the home clean and tidy, its nice living in a clean home. Staff was aware of the need for infection control and all have had infection control training. The manager keeps a maintenance book where all requests for repairs to the property are entered; the book is signed and dated when repairs are Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: carried out. Care Homes for Adults (18-65 years) Page 22 of 29 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 . People are cared for by a competent, well-trained and supervised staff team, who are safely recruited. Evidence: The roster showed that there are two support staff working throughout the day and one support staff working at night. The manager works shifts alongside her staff and has had limited time to enable her to carry out her managerial duties, however she is now rotered to work one day a week from 9.00am to 16.30pm in addition to support staff to provide her with time to do her managerial tasks. There was sufficient staff to meet the needs of the people living in the home. Three staff files were examined and they all contained two written references and copies of staff induction and training certificates. Two of the staff files examined did not contain a criminal records bureau check but there were copies of these on the homes computer system. The manager had difficulty accessing the computer system and it was the acting registered homes service manager that was able to access these for inspection; it is good practice to keep all recruitment paperwork together in one filing system to ensure that important documents do not get mislaid. All of the staff files examined contained evidence that regular supervision had taken place. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: The manager said in her AQAA staff now have individual training folders and a schedule is available on what training in forthcoming. There was a mandatory training review sheet, which indicates when updates in training are required and staff spoken with said that the training provided at 19 Fairview Road is very good. The training certificates examined included health and safety, safeguarding (POVA), fire awareness, risk assessment, fair access to care, diversity and inclusion, epilepsy, infection control, person centred planning, food hygiene, first aid and complaints. Care Homes for Adults (18-65 years) Page 24 of 29 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 . People will live in a well run home that is run in their best interests. Evidence: The manager is a qualified nurse who has many years experience working with people who have a learning disability; she has clear leadership qualities and operates an open, friendly and positive approach towards the staff and the people living in the home. The manager says in her AQAA we are open to suggestions and ideas to improve the service, staff and people living in the home confirmed this and said that the manager will always give new ideas a try. People said they are fully involved in how the home is run and that they have a say in all aspects of the running of the home. Regular monthly meetings are held for people living in the home and people spoken with confirmed that in addition to meetings they discuss issues daily with their key worker and the manager. The organisation provides people living in the home with questionnaires each year as part of their quality assurance system and these include questions on how well people feel respected and if they feel listened to and what they Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: like and dislike about the home. The manager completed her AQAA and it provided all of the information that we had asked for. The home has a fire risk assessment and regular fire drills take place and there is a pictorial fire poster displayed in the hall. All safety certificates were in place and up to date and the manager carries out a monthly health and safety check. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes  No  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 27 of 29 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 Description 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 Description 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 33 It is recommended that the manager have sufficient time allocated to carry out her managerial tasks to ensure that all administration tasks are carried out effectively. It is recommended that one system be used for staff records to ensure that all documents are available as required by the regulations. 2 34 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 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 Adults (18-65 years) Page 29 of 29 - 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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