Inspection on 04/10/05 for 19 Fairview Road

This inspection was carried out on 4th October 2005.

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 02/02/07

19 Fairview Road 25/01/06

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 Claire Brookes - Nandara Unannounced Inspection 4th October 2005 14:45 Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 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.V256963.R01.S.doc Version 5.0 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.V256963.R01.S.doc Version 5.0 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) Mosaic Essex Mrs Ann Sesay Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 2005 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. Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the inspector’s arrival at the home, there was one resident and two staff members present. Shortly afterwards the other residents returned from their daytime activities. The inspection included time spent talking to the residents of 19 Fairview Road, and a complete tour of the house and garden took place. What the service does well: What has improved since the last inspection? What they could do better: Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 6 The home would do better if they were able to find a way of eliminating the smell of tobacco from certain parts of the shared living area - as this may create an unpleasant atmosphere for non-smoking residents and visitors. The home could also improve on some of their Health and Safety and COSHH practices within the homes’ utility room. 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. Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 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.V256963.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 19 Fairview Road takes great care in ensuring that the residents know that their assessed and changing needs are reflected in their support plan. The residents are supported to make decisions about all aspects of their lives, and comprehensive risk assessments are put in place as necessary, which maximise the residents’ independence. EVIDENCE: Each resident has a series of Care Needs Assessments made, which are contained within their individual 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 (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 Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 10 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. For example, each day the residents are offered a series of choices, which the staff facilitates - 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. For example, 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.V256963.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The residents’ all receive good quality care, in the way that they prefer and require. The home has very thorough medication policies and procedures in place, and operates excellent practice in its storage and administration of medicines. EVIDENCE: There are currently two male residents in the home, cared for by an all female staff team. 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. As yet no residents have objected to being cared for by female staff, but the registered care provider has male bank staff available, in case this were ever requested. The residents’ physical and emotional health needs are met by staff - in close consultation with the residents. 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.V256963.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27,28 & 30 The home generally provides a comfortable and safe environment for its residents. The residents’ bedrooms are beautifully maintained, and shared areas are spacious and nicely decorated. In contrast however, the dining area is not being kept free from offensive odours. 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. For example, one resident prefers to spend time alone in her room, enjoying knitting and needlecraft. She has an ottoman-chest in her bedroom that she keeps all of her materials in. The toilets and bathroom are clean and well maintained, and provide sufficient privacy for the individuals who use them. Shared areas are bright, clean and well looked after, and most complement the residents’ own private rooms. A new kitchen was being installed on the day of the inspection. The dining room is large enough for all residents and staff to sit together for meals, it is pleasantly decorated and there is one resident’s artwork displayed on the wall. On the day of the inspection the dining room needed to be vacuumed, and as it doubles as the smoking area for one of the residents, the musty smell of stale tobacco left an unpleasant odour in the room. Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 39 & 42 There is an open managerial approach taken within the home, and this is of great benefit to the residents’. They can be certain that their views are taken into account through the running and development of the service. COSHH procedures are not always being thoroughly followed. EVIDENCE: The manager of the home operates an open, friendly and positive approach towards the residents and her staff team. She operates with 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 takes 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 listened to and what aspects they like or dislike about the service. The inspector read the results of the most recent questionnaires, and found the results to be very positive. Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 17 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 supposed to be left in the laundry room unsupervised, but the door to the room is not kept locked. Therefore a COSHH substance and the homes iron are accessible to the residents. Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairview Road (19) Score 3 3 4 X Standard No 37 38 39 40 41 42 43 Score X 3 3 X X 2 x DS0000018057.V256963.R01.S.doc Version 5.0 Page 19 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. 1 Standard 30.1 Regulation 16(2)(k) Requirement Timescale for action 04/03/06 2 42 13 (4) (b)(c) The registered manager must ensure that the home is free from offensive odours – including the smell of tobacco. The registered manager must 04/12/05 ensure that all COSHH substances and any potentially harmful electrical equipment in the utility room, be kept locked away. 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 42 Good Practice Recommendations It is recommended that a lock be fitted to the utility room door, to prevent unsupervised access to the room. Fairview Road (19) DS0000018057.V256963.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 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.V256963.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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