Inspection on 25/04/08 for Fair Haven

This inspection was carried out on 25th April 2008.

CSCI found this care home to be providing an Excellent 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

Fair Haven 09/08/06

Fair Haven 26/01/06

Fair Haven 27/09/05

Fair Haven 15/12/04

Fair Haven 15/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Fair Haven 23 Knyveton Road Bournemouth Dorset BH1 3QQ Lead Inspector Amanda Porter Unannounced Inspection 10:55 25th April 2008 X10015.doc Version 1.40 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 Fair Haven DS0000003937.V361829.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 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. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fair Haven Address 23 Knyveton Road Bournemouth Dorset BH1 3QQ 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) 01202 553503 01202 319003 steveweb@cch-uk.com www.cch-uk.com Christadelphian Care Homes Mr Stephen John Webb Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to CSCI) under the age of 65 may be accommodated to receive care. Date of last inspection Brief Description of the Service: Fair Haven is registered to provide personal care and support for up to 30 older people. The home is owned and managed by Christadelphian Care Homes, a registered charity that exists solely to provide accommodation to persons requiring residential and nursing home accommodation. Fair Haven is not registered to provide nursing care. The home accommodates mainly members of the Christadelphian community although non-Christadelphians can be cared for with permission of the Trustees. Fair Haven is situated in a residential street of Bournemouth within easy walking distance of the town centre, cliff top walks and parkland. Accommodation is provided in 24 single rooms and 3 shared rooms, all rooms have en-suite facilities. There are two lounge areas, a dining room and conservatory for resident use, the conservatory leads on to well maintained mature gardens that are readily accessible to residents and where there are two summer houses A lift provides access between floors and a chair lift provides access between floors on one of the two stairways. Fair Haven provides a good level of pastoral care and support along with 24 hour staffing, all catering and laundry services and access to local community health services such as GPs, opticians, dentists etc. Weekly fees range from, approximately £420 to £550 at the time of inspection. Additional charges are made for hairdressing and chiropody. See the following website for further guidance on fees and contracts www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection took place on the 25th April 2008 over a period of approximately five hours. The purpose of the inspection was to review the requirements and recommendation made at the last inspection and to assess all of the key standards. The Registered Manager, Mr Stephen Webb, was on hand throughout to aid the inspection process. Information gathered for this report came from several sources including: • Reports made to the Commission for Social Care Inspection by the home. • The annual quality assurance assessment completed by the home. • 20 questionnaires completed by residents, 16 by relatives and visitors, 1 by a health professional and 2 by visiting GPs. • Tour of the premises. • Review of a variety of documentation including care records, staff records, maintenance records, policies and procedures. • Discussion with residents, visitors and staff. During the course of the inspection six residents, two visitors and four members of staff were spoken with and asked their views on the service provided at the home. Comments received in surveys and through discussion included: “The staff treat the residents with love and respect, encouraging them to do what is in their own interests but never forcing them. Visitors and staff are also treated well.” “It provides a dedicated caring residence for an elderly clientele. When required medical attention is available at short notice. A masseur and hairdresser visit regularly. The food is wholesome, well prepared and presented. The general atmosphere is one of caring.” “My relative talks about the home as her home not just somewhere she lives. They are like one big family – residents and staff, giving comfort and security and peace of mind with other of like faith.” The residents and staff were all extremely helpful and welcoming throughout the visit. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 6 What the service does well: Fair Haven continues to provide a very homely and comfortable atmosphere in which to live. Residents are well care for by well-trained and experienced staff. Residents say that staff are very kind and considerate and their privacy and dignity is respected at all times. The home carries out thorough assessments prior to residents moving in and this includes finding out about all aspects of care. Prospective residents and their families are encouraged to visit the home before making a decision about admission. Residents’ health needs are well met by the home and community health professionals. Where necessary staff were available to accompany residents to hospital appointments. Medication is well handled at the home to promote the health and well being of residents. The activities arranged within the home meet the expectations of the residents living there. Residents are encouraged to maintain their links with friends and family and all visitors are made welcome. Residents are helped to exercise choice and control over their lives as far as possible. All residents are supported in maintaining their Christadelphian faith. Meals are wholesome and nutritious and planned around the likes and dislikes of residents. The complaints and quality assurance procedures reassure residents that their views are important to the home and that any complaints they raise will be properly investigated. The home protects the residents from abuse by ensuring robust policies and procedures are in place, which staff find easy to follow. The house and grounds are well maintained which provides residents with a comfortable place to live. Residents are encouraged to personalise their rooms with small items of furniture, pictures and a variety of mementos. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the needs of the residents. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 7 The home has an ongoing training programme for staff, which means that residents will be cared for by skilled staff. The home is very well managed by Mr Webb. He has a very competent staff to help him and this helps to ensure the home is run in the best interests of the residents living there. Financial procedures within the home also ensure that residents’ interests are protected. The health and safety of the residents and staff are protected by the policies and procedures that the staff follow at Fair Haven. What has improved since the last inspection? What they could do better: No requirements and only one recommendation for good practice have been made as a result of this inspection. There should be no delay in completing the assessments, which support the care planning system in place. They should be completed at or soon after admission. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 8 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. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 9 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 Outcomes Statutory Requirements Identified During the Inspection Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3. Standard 6 is not applicable to this service. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. New residents move into the home having had their needs assessed and been assured that these needs will be met fully. EVIDENCE: The home has a very detailed handbook, which provides sufficient information to prospective residents prior to them making a decision to move to the home. The care files for three residents were inspected. These showed that the home has a good procedure in place. Prior to anyone moving into the home a full assessment of needs was undertaken with the prospective resident. Sufficient information was obtained so that a care plan could be drawn up and made available to staff. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 11 Residents spoken with confirmed that they or a family member had visited to the home and were given sufficient information about the home before making a decision as to whether to stay. One resident said that she had made up her mind within the first week that Fair Haven was the home she wanted to stay in. Another resident had periods of respite care at the home before eventually deciding to move in permanently. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to provide staff with the information they need to meet the health and personal care needs of residents. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Three care files were reviewed and they contained the relevant assessments and care plans needed so that staff had the information to be able to give a good standard of care. There was a delay in the completion of some assessments in one file seen. However the resident concerned said that their needs were fully met by a very competent staff. Other records also showed that residents were involved in planning their care and had signed to say that they agreed with the care plans that had been drawn up. Where the need for specialist equipment was identified it was provided. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 13 It was clear from discussions with staff and residents that they have access to the health services they need. There was evidence to show that residents get support from General Practitioners, district nursing services and chiropodists. One health care professional said, “There is a family feel to the home. Carers of all grades take care to know and meet each resident’s needs. Manager communicates well with us and takes our advice.” The home has a good medicines policy and procedure in place. Examination of records indicated that medicines are properly administered in accordance with the prescriber’s instructions. Residents and the visitors spoken with were happy with the care they or their relative received and confirmed that staff treated them with respect and were supportive and kind. Comments received included: “Very caring staff with good knowledge of their residents.” “They are all wonderful here. I am very well looked after.” “The home provides a dedicated caring residence for an elderly clientele. When required medical attention is available at short notice.” Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use this service are supported to maintain their life skills and are encouraged to make choices as far as possible. Social, spiritual and recreational activities meet the needs of the residents very well. EVIDENCE: Fair Haven continues to provide an excellent level of social, religious and recreational support to residents. Residents spoken with said they were happy with the lifestyle that living at the home afforded them. Some chose to spend time on their own but knew they could join in with any organised activities if they so wished. Activities included: • Coffee mornings • Gardening • Painting and drawing • Bingo • Sherry mornings Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 15 • Outings. Activities were based on the preferences of the residents and are recorded. Relatives said: “It is a very caring environment. Lots of stimulating activity – my relative says that there is always a great deal going on.” “The home creates an environment and atmosphere in which there is a strong sense of community amongst residents and staff and in which relatives and friends are welcomed and included with friendliness, professionalism and hospitality. It observes the needs of residents closely but sensitively and responds quickly and proactively to changes and variations. Offers spiritual, emotional and intellectual support and well as physical/material.” “The home provides opportunities for the residents to interact and to go out and meet other people. They also provide opportunities for the residents to be alone if required.” Residents confirmed that their visitors were always made welcome at the home and they could have visits in private. Residents are supported in maintaining their faith through daily readings and breaking of bread, visits to and from the local churches and members of the Christadelphian community. The home has a welfare committee, which supports residents with regular visits. All residents spoken with confirmed they enjoyed the food provided. Records showed that residents’ likes and dislikes with regard to food were known and residents were aware that alternatives to the main menu were always available. Following suggestions from residents the menus had been altered recently. Residents said: “Food – There is a good variety to choose from.” “The food is always very good.” “The food is wholesome, well prepared and presented.” As part of the birthday celebrations for each resident they can choose the lunch menu on that day if they so wish. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure. Protection from abuse is promoted. EVIDENCE: To ensure residents and their representatives have access to the complaints procedure it is included in the home’s service user guide and a copy is provided to each resident. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. Comments received during the inspection included “I’ve never had any, but I’d go to the manager”. The home keeps records of all complaints received and investigated. Since the last inspection three complaints have been received, thoroughly investigated and resolved. The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 17 from abuse in its many forms, including neglect. Care staff spoken with during the inspection said they think the standard of training available to them is very high and they are encouraged to undertake training in subjects that interest them. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment at Fair Haven is very good providing residents with an attractive, homely and safe place to live. EVIDENCE: A tour of the premises and review of maintenance documentation showed the home is well maintained inside and out. There was evidence that equipment is serviced regularly. Residents have easy access to all communal areas. There are two lounges, a conservatory and a dining room and all areas are used on a daily basis. The well-tended garden is attractive and easily accessible. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 19 Resident’s rooms were of a good size and furnished appropriately. These rooms were personalised with a variety of mementos, pictures and small items of furniture. All areas of the home seen during the inspection were clean, bright and free from any unpleasant odours. Surveys completed indicated that the home was always kept clean. One member of staff is employed to undertake laundry duties. This person not only makes sure personal laundry is returned in good time, they ensure that all clothes are clearly marked so that they can be returned to the right resident and also does some sewing to ensure that clothes are kept in a good state of repair. The general laundry was also well managed and adequate supplies of clean linen were seen to be available. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 20 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient care staff are employed to meet the needs of residents. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Staff are given the training and support so that they can give a very high standard of care to the residents living at Fair Haven. EVIDENCE: At the time of inspection staff rosters demonstrated that there are sufficient staff on duty at that time. During the inspection staff were on hand to meet the needs of the residents. Residents spoken with confirmed that staff were on hand when they needed them and they were not kept waiting. The home has an ongoing training programme, which includes NVQ level 2 and 3 in care and 90 of the care staff hold the minimum of a level 2 award in care. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 21 Three staff recruitment files were reviewed. The files were well ordered and contained all the information required by law. POVA first and enhanced Criminal Record Bureau checks had been obtained for all new staff. Training files demonstrated that staff were receiving induction training. Staff confirmed that they were encouraged to take up training opportunities provided. Recent training including: • Fire safety • Moving and handling • Dementia care • Medication administration • Mental capacity act • Bereavement and loss • Person centred care • Infection control. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 22 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well organised and the daily management and running of the home centres completely round the care of residents. Very good management practice, systems in place, and records kept, confirm the health and safety of all in the home. EVIDENCE: Through discussion it was evident that residents, visitors and staff enjoy the way the home is run and find the Registered Manager is very approachable. Mr Webb demonstrated throughout the inspection that he runs the home well. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 23 There is a quality assurance and quality monitoring system in place. The home takes steps to review its performance regularly and residents’ views are sought and suggestions put forward are acted upon. Monthly residents’ meetings are well attended and minutes are available for all to read. The Registered Manager and residents spoken with confirmed that residents either deal with their own finances or have a representative to do so. The home will hold a small amount of money for residents if they so wish. Records showed that staff have regular supervision with a more senior member of staff. Staff spoken with confirmed this. There appeared to be a very effective level of communication and staff worked well together. Records showed that staff had received recent training in fire safety and manual handling updates. Substances hazardous to health were seen to be stored securely. Records showed that equipment had been serviced regularly. Accidents were recorded and analysed and appropriate action was taken as necessary. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 4 X 3 Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 25 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 OP7 Good Practice Recommendations There should be no delay in completing the assessments, which support the care planning system in place. They should be completed at or soon after admission. Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fair Haven DS0000003937.V361829.R01.S.doc Version 5.2 Page 27 - 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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