Inspection on 20/12/06 for Fair Haven Care Home

This inspection was carried out on 20th December 2006.

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

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOMES FOR OLDER PEOPLE Fair Haven Care Home 66 St Georges Avenue Northampton Northants NN2 6JA Lead Inspector Mrs Linda Preen Key Unannounced Inspection 20th December 2006 10:00 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 Care Home DS0000067704.V321579.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 Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fair Haven Care Home Address 66 St Georges Avenue Northampton Northants NN2 6JA 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) 01604 712050 Minster Pathways Limited Mrs Sylvia Inglis Care Home 21 Category(ies) of Learning disability (21), Mental disorder, registration, with number excluding learning disability or dementia (21) of places Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No persons shall be admitted to Fair Haven Care Home within the categories of DE and DE (E) No persons shall be admitted to Fair Haven Care Home under the age of 45 years By agreement 4 services users accommodated within Fair Haven Care Home receive personal care by reason of Dementia No person shall be admitted to Fair Haven Care Home under categories MD and LD when there are 21 persons in total of those categories/combined categories already accommodated within the home No person shall be admitted into Fair Haven Care Home under categories MD (E) or LD (E) when there are 21 persons already accommodated within the home The maximum number of persons to be accommodated within Fair Haven Care Home is 21 1st inspection under new ownership. 5. 6. Date of last inspection Brief Description of the Service: The home is situated by Northampton racecourse and is within easy reach of local amenities, shopping facilities and leisure services. There is public transport close by to access other areas of the town where a larger range of facilities are available. Accommodation is provided in a mix of single and double rooms, each of which is furnished and decorated according to resident’s individual taste. Six of the bedrooms have en-suite facilities and the others are fitted with washbasins. A range of communal rooms that are furnished in a homely manner, as well as an attractive garden are available for resident’s use. Residents are accepted from different ethnic minorities and staff will make all efforts to accommodate special needs in relation to this. Fees range from £350 to £1500 per week according to assessed need. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections carried out by The Commission for Social Care Inspection is on outcomes for the residents accommodated within the home. Two hours were spent prior to the inspection reviewing and collating information provided by the service. The Commission sent comment cards out to a random selection of residents and to General Practices providing a service to the home. The inspection took place over a period of three hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be assessed. The method used was “Case Tracking”. This involved looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff rotas and medication records were seen. 8 comment cards had been received from residents, 1 comment card from relatives and 3 from General Practitioners. All of these comment cards were positive concerning the standard of care provided. Information was also available from a questionnaire completed by the providers of the service What the service does well: What has improved since the last inspection? Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 6 This is the first inspection under new ownership. 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. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5. Standard 6 does not apply to this home. Quality in this outcome area is good. Residents have the information required to enable them to make an informed choice concerning admission to the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new Statement of Purpose has been provided as part of the new registration process. This clearly sets out the facilities and services to be offered and complies with Schedule 1 of the Regulations. Resident comment cards confirm that they were given a choice concerning moving into the home and some state that they visited prior to moving in or that they knew other residents in the home. Comprehensive assessments of need were available for the residents chosen to case track. These were completed both by the Northamptonshire County Council Care Management as well as separate assessments completed by staff in the home. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Good systems are in place to ensure that all aspects of resident need are identified and documented for staff guidance, to ensure that these needs may be met in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents were chosen in order that their experience within the home could be assessed. This included looking at their records, talking to them and talking to staff concerning their needs. Comprehensive care plans are available to guide staff as to how to meet their needs. These care plans are regularly reviewed and signed by the resident concerned. Recent work has been commenced on collating information about life history in order to further inform staff about individual residents. Records of access to healthcare professionals and regular health checks and screening programmes were seen within individual records. One of the residents said that he had recently been advised to reduce his consumption of cigarettes owing to a chest infection and reported that this had helped considerably. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 10 Medication profiles were available for each resident to inform unfamiliar medical and other staff concerning medication history. Regular monitoring of blood levels was carried out where the type of medication required this. Systems are in place for the ordering, storing, administration, recording and disposal of medication. A pre-dispensed system is used and staff receive the necessary training to deal with this area of care. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents were sitting in the various lounge areas and freely accessing all areas of the home. Staff encouraged them to be as independent as possible and were aware of changes in body language for those residents whose verbal communication was limited. Records of the preferred times of rising and retiring were seen in the case notes and these preferences were observed to be honoured with residents getting up at various times of the morning and being offered breakfast as they came down. A varied programme of activities is provided and records of these, along with records of the residents who participated were available. One resident reported that they had had a visit from a gentleman who talked about old times and played old records on the previous day, which they had all enjoyed. One resident was going out to his allotment and said he liked to keep active, while another was planning to walk to the local MIND daycentre where he said he goes twice a week. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 12 One lady was celebrating her birthday and was pleased to discuss presents and cards she had received from staff and fellow residents. A celebration buffet was planned for lunch, and all residents were offered a glass of sherry or other drink of their choice in order to toast her good health. Visitors are welcome at any time and may see residents in their own room or in one of the communal areas. Residents are encouraged to go into the community, either alone or with staff assistance, and one resident had been to meet a family member to exchange Christmas gifts during the week. Menus provided as part of the pre-inspection questionnaire, demonstrate that a varied, nutritious diet is provided. Residents spoken to confirmed that the standard of food was good and that they were offered choices. Residents are encouraged to assist with small domestic tasks such as table setting and bed making as well as keeping their rooms tidy if they are able. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 13 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 and 18 Quality in this outcome area is good. Residents may be confident that their concerns will be addressed and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the complaints procedure is on display in the entrance to the home. Residents spoken to confirmed that they were aware of whom to speak to in case of a concern or complaint and stated that the manager would sort it out for them. Those residents who completed comment cards were also aware of this procedure. There have been no complaints received by the home or the Commission for Social Care Inspection since the change of ownership earlier in the year. Staff records show that they have received training in the types of abuse possible and also the local safeguarding adults reporting system. Risk assessments in individual resident files record if the named resident is at risk from potential abuse when going into the community. Staff recruitment includes clearance with the Criminal Records Bureau in order to further protect residents. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 14 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, 20, 24, 25 and 26 Quality in this outcome area is good. Residents live in homely surroundings, which are well maintained and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A limited tour of the environment was undertaken. This demonstrated that the home was bright, airy and clean, and was maintained to a good standard in a homely manner. Resident rooms seen were furnished and decorated to a good standard and evidence of personalisation was seen, with small items of furniture, ornaments and pictures on display. Screens are available in shared rooms in order to preserve dignity and privacy. A range of communal lounges as well as a pleasant garden are available for resident use. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and in sufficient numbers to meet the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels are calculated according to resident dependency, using the Residential Forum guidance. Rotas provided as part of the pre-inspection questionnaire, demonstrate that three or four staff are on duty during the morning and two during the afternoon and night. Staff turnover is very low, with most of the staff having worked in the home for several years, ensuring continuity for the residents. An equal opportunity policy is in place within the home. Residents spoken to said that the staff were all very nice and caring and one resident said he got on well with his key worker. A selection of staff files was reviewed. These demonstrated that robust recruitment processes are in place in order to protect residents from potential harm. These include Criminal Records Bureau checks as well as references from previous employers. Staff training records demonstrate that the company has a commitment to staff training and that 54 of staff hold a National Vocational Qualification in care. This gives them a basic knowledge of residential care needs. In addition to this, new staff complete an induction and foundation programme to Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 16 nationally set standards and all staff undergo statutory training in Fire, Food hygiene, Moving and Handling and Health and safety. Specialist training is also undertaken in such subjects as dementia and challenging behaviour. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 17 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, 32, 33, 35 and 38. Quality in this outcome area is good. The Registered Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered manager is a qualified social worker, who also holds a Diploma in Management Studies and has many years experience in caring for this resident group and managing the home. She has an inclusive management style and both residents and staff approached her freely during the inspection. Quality Assurance systems are in place to ascertain the opinions of those having contact with the home as well as the residents. Results of a recent survey were available, and all who responded were complimentary concerning the service provided. Comments such as “in comparison to other homes I visit, Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 18 I consider Fairhaven to be of the highest standard of care available and the staff to be very helpful and caring” were made by a General Practitioner. Systems are in place to ensure the safety of resident’s finances. Where possible, residents are enabled to manage their own affairs and are taken to the bank by staff if needed. Some residents are subject to Power of Attorney and in these cases, invoices for sundries are sent to the specified person along with the relevant receipts in order that they may be paid. Two signatures are available for all transactions concerning resident’s finances to protect their interests. The home appeared well maintained and no Health and Safety issues were identified. Fire fighting equipment had been maintained in October 2006 and two new extinguishers provided. The pre –inspection questionnaire records that fire alarms and emergency lighting are checked at the required intervals. Eight staff hold a current First Aid certificate. Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 19 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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Fair Haven Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Care Home DS0000067704.V321579.R01.S.doc Version 5.2 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!