Inspection on 12/06/07 for 21 Fairfield Close

This inspection was carried out on 12th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

21 Fairfield Close 21/11/05

21 Fairfield Close 22/07/05

21 Fairfield Close 25/11/04

21 Fairfield Close 24/06/04

21 Fairfield Close 18/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Fairfield Close, 21 21 Fairfield Close Worcester Worcestershire WR4 9TX Lead Inspector Rachel McGorman Key Unannounced Inspection 12 & 27 June 2007 10:30 Fairfield Close, 21 DS0000018652.V337428.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 Fairfield Close, 21 DS0000018652.V337428.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. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairfield Close, 21 Address 21 Fairfield Close Worcester Worcestershire WR4 9TX 01905 616527 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) www.dimensions-uk.org Dimensions (UK) Ltd Mr Philip Edwin Lawson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. This service is primarily for people under 65 years of age with a learning disability. The Home may also accommodate a maximum of two named people over 65 years of age with a learning disability. The Home may also accommodate one named person under 65 years of age with an additional physical disability. The Home may also accommodate one named person over 65 years of age with an additional physical disability 21st November 2005 Date of last inspection Brief Description of the Service: 21, Fairfield Close is registered to provide residential care for up to five adults who experience a learning disability, who may have a physical disability, and whose needs are diverse. The premises is a large, detached bungalow, situated in a residential area on the outskirts of Worcester, approximately a mile from the City of Worcester, with easy access to public transport and a range of amenities and facilities. The home is owned and run by Dimensions (UK) Ltd., and is part of The New Dimensions Group, which was formed in 2001, and as the parent Company, provides strategic direction and a range of functional support services. The organisation has evolved from the New Era Housing Association, which had been established for over 30 years. The range of fees varies between £1,100 & £1,250 per week. The philosophy of Dimensions UK is, ‘to help people with learning difficulties live the life they want’. The stated purpose of the organisation is, to work with people with learning difficulties, supporting them to make choices and to exercise control over their lives, and the main aim of the home is, to deliver a person-centred response to the needs and aspirations of the people we support. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine key inspection, was to monitor the care provided at the home, to assess how well the service meets the needs of the people who live there, in relation to the stated aims and objectives, and to follow up previous requirements and recommendations. Preparation for the inspection included looking at previous reports, obtaining an Annual Quality Assurance Assessment (AQAA) from the management of the home and analysing the contents, and considering the various contacts made with the home since the last inspection. The two visits were unannounced and took approximately 4 hours, when some time was spent with residents, mostly observing their interactions with the people who support them, as some are not easily able to communicate their opinions verbally. These observation were seen to be very positive, and the relationship between them was respectful and considerate. During conversations with staff, comments were made about what it is like to work for the company, how the home is organised and how they support the people who live at the home. In addition the opportunities for training and the supervision they are given in doing their work was also discussed. The care records of several residents were seen, and discussion about the content held with the care manager, Mr Philip Lawson, who was on duty during the inspection. The care plan of one person was inspected in detail for case tracking purposes. A tour of the building was undertaken and the records kept in respect of the maintenance of equipment, and safe working practices were also seen, including the fire log and the accident book, and these are well maintained. What the service does well: Detailed information about the home is provided for residents and their relatives, in an appropriate format, if necessary, and is reviewed regularly, to help them and their families to make the right decisions about their care. The care that is provided at the home revolves around the people who live there, and their complex needs are understood and met in an appropriate way. The families of each resident, or their representative are also supported and their involvement with the home is encouraged. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 6 The individuality of everyone is recognised, and the commitment of staff to supporting and enabling them to achieve as much as they are able is commendable. The home has a vehicle to provide transport for residents, and to enable them to undertake various activities in the community. The activity programme enables them to individually do the things they enjoy and to make choices about their daily lives, which are supported by risk assessments, to promote their safety and enable them to have greater independence. A high standard of personal and health care is provided for each person living at the home, and good working relationships have been developed with other professionals and agencies with obvious benefit to residents. The policies and procedures relating to the administration of medication and the training provided for the staff, help to ensure that residents are protected. Food arrangements at the home give each person a choice about their meals and mealtimes, and helps to encourage their involvement in the daily life of the home. The complaints procedure is produced in picture format and circulated to everyone involved with the home, to enable any concerns to be expressed. A record is also maintained of all the comments made about the home, which helps to give a balanced view of the service that is being provided. Residents live in a homely, comfortable, safe and clean environment, where their privacy and dignity is respected, their independence is promoted, and with their personal possessions around them. The building and equipment is well maintained, the house is nicely decorated, and provides good facilities and a pleasant place in which to live and work. The Organisation follows satisfactory recruitment and selection procedures, and is clear about the support, training and development for the staff it employs. Staff confirmed that they have good training opportunities. The quality of the service provided at the home is checked to make sure that the home achieves what it says it will for the people it supports, and to enable them to say how they would like the service to develop. The records and documents at the home are maintained to a high standard, and kept safely, which should ensure a well-organised service. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 8 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 Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 9 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): 1,2 & 5 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information provided for people who consider moving to the home, will help them to make the right decision about their future care arrangements. The updated assessment and admission procedures ensure that the home is able to provide the care that is needed, and help everyone to know if the home will be suitable. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 10 EVIDENCE: A Statement of Purpose has been produced, which together with the Service Users Guide, provides detailed information for residents and their families, on which to base decisions about their future care needs. The documentation is produced in an appropriate format if needed, and the Service Users Guide contains numerous photographs. These documents have been reviewed and updated recently to reflect the changes within the organisation and the home. The admission procedure includes extensive assessment by staff from the home, and a Community Care Assessment is undertaken by a social worker. A gradual introduction is made to the home following the initial referral, and a place is only offered if it seems likely that a suitable service can be provided for the prospective resident. Admission is agreed on a trial basis initially, to give people the opportunity to decide if they like living at the home. There have been no recent referrals or admissions to the home, but there is documentary evidence that the appropriate procedures are in place, and that these have been followed previously. A statement of the terms and conditions of residence and an occupancy agreement is produced for each person by the organisation, and a contract provided by the placing authority. The details of these documents are discussed with each individual, and their family, or representative, and they have also been produced in a format to enable residents to understand the contents. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 11 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 People who use the 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 plan of care is based on the initial assessment, which clearly identifies the assessed needs of the resident, and how these will be met. The ongoing development of the person centred approach to the care of each resident helps to ensure that all the decisions made revolve round them. The key-worker system ensures that the people living at the home are supported in making choices in all areas of their lives. Assessments are in place and enable a responsible approach to the risks associated with the various activities of daily living. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 12 EVIDENCE: An individual plan of care is produced for each resident, based on the initial assessment undertaken during the admission process. The plans are very comprehensive, detailing the specific needs of the people living at the home and how these are to be met. There has been further development of care planning, and the new format now reflects changes identified during monthly key worker meetings, or in the regular one to one sessions held with residents. Two key-workers are assigned to each resident, and have responsibility for ensuring that appropriate care is provided. There was good evidence of effective person centred planning and care provision in the documents seen, from observation of the positive relationships with residents from everyone involved with their support, and the obvious commitment of the staff working at the home. One care plan was checked in detail during the inspection, and discussed with staff, who were fully aware of every aspect of the needs of the resident. The comments were written as from the resident herself, and gave the reader a clear picture of her wishes and needs, and her likes and dislikes, which were documented under various headings. These include, ‘how I like things to be done, ‘the places I like to go’, ‘what makes me happy and what matters to me’, ‘what people like about me’, and ‘how to keep me healthy and safe’. The daily routines and details about such things as getting up in the morning and going to bed at night were also recorded, with lots of photographs included. Several documents combine to form the plan of care and include: A Support Plan, which details the daily routine, basic communication needs, feeding requirements, and specific guidelines for staff to follow. A medical file is completed and contains information relating to health care needs and details about visits to the doctor, nurses, or the physiotherapist. An Essential Lifestyle Plan, that includes all the activities that the person is involved in, and how these are accessed and implemented. The Key-worker Plan, containing information on the monthly review meetings held with the resident, and cover all aspects of the care and support that is needed. Risk Assessment Plan, that provides details about the risks identified in respect of every aspect of the life of the resident. These are completed, for the premises, the activities undertaken, and any restrictions imposed. Financial procedures are in place, and are regularly audited, for the protection of residents. The manager confirmed that the previous manager, who still works for the organisation, is appointee for two of the people who live at the home, and the possibility of reviewing this arrangement and appointing an agent who is independent from the service, was discussed during the visit. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 13 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 People who use the 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 opportunities made available to residents, and their regular contact with family and friends, enable them to live as fulfilling a life as possible. The involvement of each individual in planning their activities, both within and outside the home, means that they are able to choose what they wish to do. There is a flexible approach to the provision of a healthy diet, and service users are encouraged to decide what to eat and when. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 14 EVIDENCE: People living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range of leisure activities. A programme of activities is produced for each person that reflects their preferences, and further options are being explored by staff at the home. One member of staff expressed an interest in training to become the activities organiser at the home. The activities may be undertaken at home or out in the community, and they may be group or individual arrangements, but they are varied and flexible, and reflect the preferences of each person. Examples include, listening to music, watching a video or one of the soaps on TV, doing a jigsaw, drawing and colouring and helping with the gardening. Other pastimes include, shopping, cookery sessions, swimming, bowling, attending the gym, going to the pub for lunch, visits to the hydro, going to the theatre and to discos. One person particularly enjoys going into town for coffee and a cake, and most people are supported to do their own banking and food shopping. The home has a vehicle for transporting residents to their various community activities. Arrangements for holidays are currently being planned for those who wish, but not everyone wants to go away. One resident doesn’t like the sea, and becomes very unsettled when away from home, therefore just goes out for day trips occasionally. Other people said they love to go away on holiday, and plans this year include Wales, Somerset and Cornwall. Links with family and friends are promoted, and staff offer support to residents and their families, who are all encouraged to be involved with the home. The inspector was told that everyone has relatives, but some live a distance away, and others are not easily able to visit, although they usually attend the parties or B-B-Q that are quite regularly organized. The arrangements regarding the provision of food reflect the preferences of each person, and a list of all the likes and dislikes is maintained. General food stocks for the home are purchased each week with the involvement of residents, but each person also goes to the supermarket to choose what they want. Meals are discussed with everyone individually, and although not everyone is able to express their specific requirements, it is made very clear if something is not wanted. There may be four different meals, all provided at various times, although lunch is a light snack and the main meal is usually taken in the evening. Healthy eating is encouraged, with plenty of fruit and fresh vegetables, and a record is maintained of the food provided. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 15 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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manner in which support is provided by staff helps to ensure that the rights of each resident are respected, when meeting their personal and health care needs. The care that is provided at the home revolves around the people who live there, and their complex needs are understood and met in an appropriate way. The procedures for the administration of medication ensure that the health of each resident is promoted, and that they are protected. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 16 EVIDENCE: The personal care needs of residents are identified, and there is evidence to show in the individual plan of care, how staff understand and respond to them in an appropriate way. Reviews are undertaken regularly with each individual to ensure that any change in their needs is responded to appropriately, and these are also recorded. Staff also confirmed that personal support is always provided in private, and intimate care is given by a person of the same gender, depending on the wishes of the resident. The independence and dignity of each individual is promoted, and a relaxed and flexible approach maintained towards their personal care needs. The healthcare of the people who live at the home is closely monitored, and an initial health assessment is done on admission. Reviews are undertaken regularly to ensure that any change is responded to appropriately, and the outcome is recorded. Well person checks are undertaken, and specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. Residents are also supported to attend for routine sight tests, dental appointments, and for chiropody treatment, and these are also recorded. The individual plan of care contains detailed information on general health matters, and a clear picture of the health care needs and any treatment that has been given, can also be obtained from these documents, which help to ensure that appropriate care is provided. Medication arrangements at the home are satisfactory, and residents are protected by the policies and procedures that are in place. A Monitored Dosage System is in use, and the Medication Administration Record charts seen by the inspector, are being maintained to a high standard. The local Pharmacist undertakes a regular check to ensure that the correct procedures are being followed, and staff confirmed that training has also been provided for them. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 17 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 People who use the 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 who use the service and their family or a representative are able to express any concerns, through a clear and effective complaints procedure. The awareness of the management, together with the training provided for staff, ensures the protection of the people who live at the home, from all forms of abuse. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 18 EVIDENCE: A clear procedure for the investigation of complaints has been produced and any issues are dealt with immediately, to prevent them developing into a larger problem. The document has been produced in a format that is clear to residents, and it has been discussed with them and their families. The Manager confirmed that there have been no complaints made about the service since the previous inspection, but all comments are recorded to give a balanced view of the service. Several compliments had been recorded by visitors to the home about the positive attitude of staff, and the way people are always made welcome. A social worker had noted, ‘an improvement in a resident’, and the comments from a staff nurse in the hospital were recorded about ‘how caring and supportive staff had been to a resident while in hospital’. Relatives talked about, ‘their peace of mind knowing a resident was so well cared for’, and that one person, ‘could not be in a better place’, and ‘how nice everyone always looks’. Cards of appreciation were also kept and the content referred to, ‘how hard working the staff are, how bright and clean the house is always kept, and how professional staff are’. Staff are able to demonstrate a clear understanding of the issues relating to abuse, and also to their individual role as an advocate for residents. An appropriate procedure has been produced relating to the many aspects of abuse and protection, and training for all staff on the Protection of Vulnerable Adults has been provided. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 19 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, 25, 28, 29 & 30 People who use the 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 premises are comfortable and clean, and ensure as far as possible that the safety and wellbeing of residents is promoted. The décor and furnishings are in good condition, and provide residents with an attractive and homely place to live. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space for the needs of each individual. The programme of maintenance and replacement of equipment helps to enhance the quality of life for the people who live there, and enables them to be as independent as possible. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 20 EVIDENCE: The premises at 21 Fairfield Close is a large detached, purpose built bungalow, which is maintained to a satisfactory standard, and is suitable for its purpose. A very attractive, comfortable and safe environment is provided for the people who live there. The communal areas of the home are spacious and airy, nicely decorated and comfortably furnished. Sensory equipment is provided for the benefit of the people who live there. There is a kitchen/diner and two lounges, one with a door to enable access to the patio, which provides more choice for residents. The garden to the rear of the property has been given further attention recently, although its potential is limited, but there have been some really positive developments. The addition of pots and tubs for flowers has greatly improved the appearance of the patio area, and the pansies create a lovely splash of colour. Residents have been encouraged and supported by staff to grow tomatoes and beans in grow bags and pots, and everyone is looking forward to picking and eating them in due course. A memorial area for a resident who died last year has also been developed, which is a lovely way to remember one of their friends. There are five single occupancy bedrooms for residents, which are furnished to reflect the personality of their occupants, and some have sensory equipment, specific to the needs of the individual person. When bedrooms are redecorated or refurbished, it is the policy of the home for with the wallpaper and colour schemes to be chosen by the resident. The Care Manager confirmed that regular maintenance and servicing arrangements are satisfactory, and that everything at the home was in good working order. Several items have been replaced including a freezer and microwave in the kitchen, the boiler, a bath and hoist, and an awning to provide shade to the patio. Maintenance contracts are in place, and the records are well maintained with all the appropriate certificates available. The home is clean and fresh and provides a pleasant environment for the people who live there. Staff confirmed they are familiar with the procedures regarding to the control of infection, and that they have been given training in health and safety matters, which helps them in maintaining satisfactory standards within the home. There are no outstanding requirements following the last visit of the Environmental Health officer. The home has not received a recent visit from the Fire Safety Officer. The Fire Log Book was seen, and appropriate checks have been undertaken with the required frequency. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 21 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 People who use the 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 home has an effective team of staff, who are able to ensure that the needs of people living at the home can be effectively met. Recruitment and selection procedures help to ensure the protection of residents. The training and supervision available to staff ensures that they understand their role, and are able to provide appropriate care to the people they support. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 22 EVIDENCE: Dimensions provides relevant information for staff on joining the organisation, and also keeps them updated on new developments and any changes that take place. Each member of staff is given a Welcome Pack that contains details about the organisation, and its aims and objectives, an Employee Handbook that provides information about terms and conditions of employment and policies and procedures, and an Induction Checklist covering the first three months of employment. Staffing arrangements at the home are quite settled, with only one new member of staff joining the team in recent months. One person has been on extended sick leave, following an accident. The manager confirmed that the home has its full complement of staff, and this enables the planned activities with residents to be undertaken, that appropriate staffing levels are maintained to provide for the identified needs of service users, and that now there is limited use of relief or agency staff, which ensures continuity for residents. Service users and staff benefit from the thorough recruitment and selection procedures that are implemented by the organisation, which include a commitment to equal opportunities. Criminal Record Bureau checks are completed prior to an appointment being confirmed, and verbal and written references are also obtained. A training programme is in place at the home that includes statutory and specialist care related training. Induction and Foundation training, and the Learning Disability Award Framework (LDAF) accredited training, and the NVQ (National Vocational Qualification) training are available to staff. The training needs of staff are regularly reviewed, and those spoken to by the inspector confirmed that they are given ‘good training opportunities.’ A record is maintained in respect of the training received by each member of staff. Formal supervision sessions, which include an annual appraisal, are provided for all care staff by the manager, to ensure that staff are supported in their work, and that residents benefit from a well supervised team. A record of the content of the discussion is maintained in the staff files. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 23 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, 38, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory management arrangements at the home enable service users and staff to benefit from the person centred approach to the care they receive. The quality monitoring system measures the success of the home in achieving the stated aims and objectives for the people who live there. The health, safety and welfare of service users is promoted and protected in respect of all safe working practices. The rights of service users are safeguarded by the effective policies and procedures, together with appropriate records that are maintained at the home. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 24 EVIDENCE: The Care Manager, Mr Philip Lawson commenced working with Dimensions in June 2006. Prior to this he had worked for several years for Worcester City Council as a Housing Officer. He has attended various training courses in the last twelve months, which have included leadership, communication, risk management, safeguarding vulnerable adults, medication and dementia care. He also attends the mandatory training sessions, and said he keeps himself informed of the various developments relating to the care of people with a learning disability. Mr Lawson is to commence the Registered Managers Award in September 2007. The positive interactions observed during the course of the inspection between the manager, the staff and the people they support, confirmed that staff are competent in the delivery of appropriate care, and are able to meet their differing needs. There is clear evidence of effective person centred care being delivered, and that the home is being managed in an open manner that is fully inclusive of service users. The quality monitoring systems for the Organisation include an annual development plan for the region, and for each home, that involves residents together with the staff team, and which is part of the ongoing development of the Person Centred Planning process. Known as PATH (Planning Alternative Tomorrows with Hope), it has identified where people are at, where they would want to be in 12 months time, who they will need to help them to get there, the building bricks and the strengths needed, the first steps and who will do what. The Quality Monitoring Officer visits the home on a regular basis, and undertakes an audit of the various areas which form part of the quality assurance system. Reviews take place every 3 months, to determine what has been achieved, and what still has to be done. The outcomes are measured, the results collated, and an annual report produced. Policies and procedures are in place, and staff confirmed they are familiar with the content. Specifically, the extensive health and safety policy and procedure, was discussed. The Company employs an officer to advise on health and safety matters. Risk assessments in respect of all safe working practices are completed, to ensure that the health, safety and welfare of service users and staff are promoted and protected. The records checked during the inspection have been completed to a satisfactory standard, and the accident records were seen to be in order. Notifications are made under Regulation 37, which requires reports to be sent to the Commission of death, illness or other events in the home. Regulation 26 reports, which relate to visits made to the home by or on behalf of the registered provider, are also submitted on a regular basis. Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 25 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 4 2 4 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 X 27 X 28 4 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 3 4 X X 3 X Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 YA7 Good Practice Recommendations Consideration should be given to appointing an independent person to be the agent for dealing with the pensions and monetary benefits of residents Consideration should be given to appointing an independent person to be the agent for dealing with the pensions and monetary benefits of residents Further consideration should be given to having a dedicated activities organiser to enable a more varied programme for residents in the community to make their lives more interesting and meaningful 2 YA13 Fairfield Close, 21 DS0000018652.V337428.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. 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