Inspection on 29/06/06 for Fair Haven

This inspection was carried out on 29th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fair Haven 16/11/07

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Fair Haven 54 Linden Avenue Clay Cross Chesterfield Derbyshire S45 9HE Lead Inspector Judith Beckett Key Unannounced Inspection 29th June 2006 13.00 Fair Haven DS0000065893.V300971.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 Fair Haven DS0000065893.V300971.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. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fair Haven Address 54 Linden Avenue Clay Cross Chesterfield Derbyshire S45 9HE 01246 855222 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) Derbyshire Care & Home Support Limited Glenys Wood Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection of this service. Brief Description of the Service: Fair Haven was registered in December05. Two residents and the staff transferred from Wood St. Holmewood which de-registered. The home is registered for 3 Learning Disability. The dormer bungalow accommodates 3 service users. It is situated in a quiet private residential area within 15 mins walk of the shops and amenities. The bungalow has its own private garden where service users can sit. Accommodation consists of, on the ground floor, two bedrooms, a communal lounge, separate dining room/quiet room, kitchen, laundry and bathroom. The first floor has a bedroom plus sleep over room and toilet. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the afternoon. One service user was in the lounge watching television and waiting for a film to start. Another was out doing her birthday shopping with one of the staff. The third service user was at the day centre. Since the home opened the residents have remained the same with one service user joining them in January. The staff team have had one new member join. The inspection covered all the key standards, as this was the first inspection since opening. Discussions took place with the manager, service user and staff, records were inspected. All service users care plans were looked at. The residents have the benefit of a minibus to go out in and regular trips are organised, enabling them to lead as full a social life as possible. The home continues with a full training programme for members of staff, this includes Drugs Administration training. What the service does well: The home provides a caring environment for service users. The home is safe, comfortable and well maintained and provides good standards of care. Service users are provided with a quiet, domestic setting and a full social life, which is appropriate to their abilities and interests. Residents access local services and attend local classes and a day centre. The home is well managed by a stable and competent staff team, which benefit from good working staff relationships and good support from Derbyshire Care and Home Support. Good relationships and communication has been established with relatives. Access to health services are good for all residents. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 6 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. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Service users were provided with information about the home and its services. EVIDENCE: The statement of purpose and service user guide were well written and easy to read. Both documents included photographs. Since opening, the home had one resident from supported living for a trial period and she had remained at the home. Simplified copies of the service user guide have been provided for all residents. All service users were case tracked and had comprehensive needs assessment in their files. Service users were supported to access local learning disability services. Observations of interaction between staff and service users indicated that the home was able to meet the assessed needs of its service users. Each service user had a contract and statement of terms and conditions, detailing the fees covered. But these were for Wood Street. The document was well set out, easy to read and contained photographs. New ones relating to Fair Haven are required. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to enable them to achieve an independent lifestyle as possible. EVIDENCE: All the service users have been resident at Wood Street/Fair Haven for some time. It is evident that staff know them well. All attend varying services according to their needs and abilities. All are treated as individuals and have different hobbies and pastimes. Service users are encouraged to use any independent living skills they have and are encouraged to make independent choices according to both ability and need. Some are able to carry out small tasks in the home including laying the table, cleaning, shopping, washing up and helping to prepare meals. They all have access to advocacy services. Care plans have been developed by the staff for each service user and were reviewed on a regular basis. A key worker system is in place. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 10 Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to enable them to achieve an independent lifestyle as possible. Service users take part in appropriate leisure activities. EVIDENCE: One of the service users informed me that this year the home is planning to take all residents away on holiday. They were very excited about this. It is planned that the three will go together on a coach trip with two of the staff. Service users participate in domestic tasks according to their assessed abilities. All of the service users have access to day centre services. They attend activities outside the home as they wish, accompanied by staff from the home. Fair Haven is integrated into the local community and staff were fully aware of the facilities local to the home. Service users are enabled to access local facilities. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 12 Service uses open all their own mail but some require assistance to have it read. Choices are available for meals. The residents discuss the menus and go shopping also. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. They were suitable systems and arrangements in place to ensure that service users are well supported in terms of their personal and health care needs Suitable recording for funeral arrangements had been made. EVIDENCE: The personal support needs of each service user case tracked were documented by way of their individual assessments and care plans including their preferences. Individual records were kept of service users access to outside health-care professionals. All service users were registered with the same G. P.in Clay Cross .Two service users visit the dentist at Tibshelf, one visits Chesterfield. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 14 There were relevant policies and procedural guidance in place for staff in relation to death and dying and all residents preferences were noted in their files. Recently all staff has completing a Certificate in the safe handling of medicines. All medicines were kept in a locked cupboard in the sleep room/office. No controlled drugs were kept on the premises. The drug sheets were inspected and seen to be in order. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome is good. This judgement has been made using available evidence including visit to this service. Staff have a good knowledge and understanding of Adult protection issues, which protects service users from abuse. EVIDENCE: The home has a clear complaints procedure. There is a copy for each service user in an easy to read format in their service user guide and this is displayed in the hallway. A record of all complaints or issues in the home are recorded. The manager stated she is always available to discuss concerns with relative’s service users, health care professionals and staff. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30. 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 within the home is good providing service users with an attractive and homely place to live. EVIDENCE: All areas of the home were inspected. The home was clean, well ventilated and well lit. The garden was pleasant and well maintained, also fully accessible to service users with patio furniture provided. Service users rooms were personalised , well decorated, well furnished and clean. Service users had chosen their own colour schemes ,furniture and bedding. Communal areas were clean and homely. The bathroom was suitably equipped for the residents. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Quality in this service is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported by a stable staff team and the manager constantly seeks to facilitate staff development in accordance with the needs of the service user group. EVIDENCE: Two staff members have completed NVQ 2 in care and two are working towards it (to be completed in Sept/Oct). The new member of staff is undertaking the induction and foundation course. All mandatory training is completed by the staff. Fire training was booked and Adult protection updates are to take place in July. All staff hold current first aid certificate. Regular staff meetings take place as well as resident meetings. The manager records staff supervision sessions two monthly. A staff file was examined all relevant information was held C.R.B.checks are done at the head office. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and service users rights and interests are promoted within the framework of effective communication and management systems. EVIDENCE: The manager has now completed her N.V.Q 4. Service user questionnaires had been completed and were seen in service users files. These related to the time spent at Wood Street. It is recommended that a new questionnaire be completed now that the residents have been at Fair Haven for six months. Reports of regular visits to the home by the registered provider were made. There were satisfactory arrangements for the annual maintenance of equipment in the home P.A.T records were observed. There were suitable systems in place for the reporting and recording of accidents and untoward occurrences. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 19 A range of policies and procedures were in place and developed by the organisation. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 20 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 3 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 3 27 3 28 4 29 3 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 3 2 3 3 3 3 Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 21 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. 1 Standard YA5 Regulation 5 Requirement The terms and conditions must relate to Fair Haven Timescale for action 01/09/06 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 YA39 Good Practice Recommendations A current quality monitoring review is recommended to take place. Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Fair Haven DS0000065893.V300971.R01.S.doc Version 5.2 Page 23 - 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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