Inspection on 20/07/05 for Avenue Care (Fareham) Limited

This inspection was carried out on 20th July 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

Avenue Care (Fareham) Limited 07/03/08

Avenue Care (Fareham) Limited 02/11/06

Avenue Care (Fareham) Limited 03/01/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Avenue Care (Fareham) Limited 36 The Avenue Fareham Hampshire PO14 1NY Lead Inspector Beverley Rand Unnannounced 20.07.05 11:15 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 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 Older People. 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. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Avenue Care (Fareham) Limited Address 36 The Avenue Fareham ampshire PO14 1NY 01329 235557 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Avenue Care (Fareham) Limited Mr Stephen Press Care Home 24 Category(ies) of Dementia - DE - 24 registration, with number Dementia, Over 65 - DE(E) - 24 of places Mental Disorder - MD - 24 Mental Disorder, Over 65 - MD(E) - 24 Old Age - OP - 24 Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category MD and DE referred to above are not be admitted under the age of 55 years. Date of last inspection 18.11.04 Brief Description of the Service: The Avenue Rest Home provides residential care for up to 24 older persons, including those with dementia and mental disorder. The home is near to the town of Fareham, with a bus stop outside. The building is a detached property with grounds. There are two stairlifts and a passenger lift. There is a car park at the front of the house and there are well-maintained gardens at the rear and front of the house. Maintenance and decoration of the home is of a high standard. There are three lounges plus a conservatory, which opens onto the back garden Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first unannounced one of the year. The inspector spoke individually with three residents, and the two care staff, together. The manager assisted during the inspection, and records such as assessments and care plans were seen. What the service does well: What has improved since the last inspection? What they could do better: Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 6 The manager and staff need to have a clearer understanding of the role of Social Services with regard to the Protection of Vulnerable Adults, and what they should do if there was an allegation or suspicion of abuse. 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. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Standard 6 does not apply to The Avenue. The manager ensures that no one moves into the home without an assessment of their needs. EVIDENCE: The inspector viewed two recent pre-admission assessments, and found them to be thorough and containing the necessary information. The manager will undertake assessment where it is most appropriate, and the two new residents had visited the home for their assessments. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 9 The manager ensures that all residents have their needs and wishes set out in a plan of care, and that medication is administered correctly. EVIDENCE: Residents have their needs and wishes set out in a plan of care. These plans were found to be detailed, stating, for example, the times residents liked to get up, go to bed, social interests, what sort of help was needed with personal hygiene, etc. Staff told the inspector that they used the care plans on a daily basis, particularly for recording any changes. The inspector looked at the medication trolley and checked the associated records, which appeared to be in order. The local pharmacist inspects the medication about twice a year and had recently visited. The inspector saw the report an there were no issues of concern noted. The majority of staff are currently undertaking a modular medication course which is assessed through Protocol Training. Staff explained the procedure they followed when administering medication, i.e. signing the records after tablets had been taken. Some residents are responsible for their own medication, and this is kept in a locked drawer in their rooms. GPs review medication every six months. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 10 Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 The lifestyle of the home is relaxed and residents can decide what activities to join in with. EVIDENCE: Some of the residents recently went on a trip to the New Forest, to see deer and have afternoon tea at Rhinefield House. The trip was funded by the manager, and two people who spoke about the trip with the inspector thoroughly enjoyed it. The trip was described as, ‘well organised’ bringing a ‘touch of magic’. The inspector was also told about other trips to Lee on Solent and Gosport Pier. Other activities include facials and manicures, bingo, reminiscence games, ball games, visiting singers, exercise sessions, old films and craft sessions. Two residents who were asked, said that their mornings were relaxed, one said that they had breakfast in bed, and went downstairs just before lunch. Care plans showed what time people liked to get up and go to bed. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The manager’s approach ensures that residents feel able to complain. The lack of understanding of adult protection procedures means that residents may not be fully protected in the event of an allegation or suspicion of abuse. EVIDENCE: The inspector spoke with three residents about the complaints procedure and they all felt that they could talk to the manager, and that he would do something about it. The home has a complaints policy which states that an initial response will be given within 48 hours. Both staff members said that they would tell the manager if a resident made a complaint. In the event of an allegation or suspicion of abuse at the home, staff said they would report this to the manager. When asked what they thought the manager would do about it, they said he would investigate further. The inspector asked the manager what he would do, and he said it would depend on whether the person had dementia or not (with regard to how reliable the accusation was). This issue was discussed at the inspection on 19/4/2004 and the procedure subsequently amended. The inspector advised the manager that that he must always refer allegations or suspicions to Social Services, who will make the decision whether to investigate or not, and what form the investigation will take. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 The manager ensures that residents live in a clean, safe environment, but the laundry may benefit from having a hot water supply. EVIDENCE: One of the residents said that there were, ‘comfortable, clean beds’ at the home, that they liked their bedroom, the communal rooms were, ‘comfortable’ and that the white paint had been redecorated. Another resident said they had a, ‘pleasant room’ and that the lounge was decorated for Christmas and birthdays. The manager told the inspector that one bedroom had been fitted with a new carpet and that he was ‘working through’ the white paintwork. The home is maintained to a high standard. There are three separate lounge/dining rooms, each of which appealing to people with different needs. The conservatory area is in the central lounge, and acts as a link between the house and garden. The home has well maintained gardens comprising of a lawned area, trees, rose beds, shrubs and seating. The manager has replanted the border in front of the house and placed some seats, which he says residents enjoy. Bedrooms are also decorated to a high standard. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 14 Staff confirmed they used disposable gloves and aprons when attending to personal care. The sink in the laundry does not have a hot water supply and the manager believed that it was not necessary for there to be one. The inspector has referred this to Fareham Borough Council’s Environmental Health department for their consideration. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 The home’s commitment to NVQ training means that residents are in safe hands. EVIDENCE: The home has a high commitment to NVQ training and nine out of fourteen staff have achieved NVQ2, and a further four are due to start. This figure exceeds the standard of 50 of care staff needing NVQs and is seen as good practice. Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed. EVIDENCE: Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 4 x x x x x x 2 STAFFING Standard No Score 27 x 28 4 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x x Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 18 N/A 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 OP18 Regulation 13 (6) Requirement The manager and staff must understand the role of Social Services in investigating any allegation or suspicion of abuse, and understand their duty to report any such allegations or suspicions. Timescale for action 31/08/05 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 Good Practice Recommendations Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 19 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Avenue Care (Fareham) Limited H54 S60902 The Avenue (Fareham) Limited V240041 200705.doc Version 1.40 Page 20 - 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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