Inspection on 23/12/08 for Fair Havens Christian Home

This inspection was carried out on 23rd December 2008.

CSCI found this care home to be providing an Good 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 Havens Christian Home 15/01/08

Fair Havens Christian Home 19/02/07

Fair Havens Christian Home 11/01/06

Fair Havens Christian Home 14/06/05

Fair Havens Christian Home 09/02/05

Fair Havens Christian Home 03/08/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fair Havens Christian Home 468 Winchester Road Southampton Hampshire SO16 7DD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nick Morrison     Date: 2 3 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Fair Havens Christian Home 468 Winchester Road Southampton Hampshire SO16 7DD 02380790874 02380777478 matroncan1@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Fair Havens Christian Home Name of registered manager (if applicable) Mrs Christine Newman Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 23 The registered person may provide the following category of service : Care home with nursing(N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Dementia (DE) Physical disability (PD) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Fair Havens Christian Care Home is a small homely care home with nursing that accommodates twenty-three service users. The age range for admission to the home is 65 years and over. Fair Havens is registered to accommodate up to eight service users who are physically disabled but are in need of personal care only and up to ten service users in the old age category who are in need of nursing care. The home is registered Care Homes for Older People Page 4 of 25 23 0 23 Over 65 0 23 0 care home 23 Brief description of the care home to care for twenty-three service users over 65 years of age with dementia. The home consists of a two-storey building with a newer purpose built ground floor extension. Seventeen of the twenty rooms are single occupancy accommodation and three rooms are double occupancy. Eight of the twenty rooms have en-suite facilities. The home has a well maintained landscaped garden and patio areas for sitting in. Fair Havens Christian Care Home is situated in a residential area on the outskirts of Southampton city and has easy access to all of the local amenities. The current fee charged is £485 - 738. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 23rd December 2008 and lasted five hours. During this time we looked at the files of six people who use the service. We also met with the senior nurse on duty and four other members of staff. We spoke with four people who live at the home and discussed with them the service they receive. All records and relevant documentation referred to in the report was seen on the day of the inspection visit. We also referred to the services own self-assessment of the home. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their needs assessed prior to moving into the home. Evidence: The home requires full assessment for all service users prior to deciding whether or not they can meet the persons needs in the home. Service users files showed that these assessments were in place and had been completed prior to the person moving in. Assessments were comprehensive and contained details of all needs. The assessment included their physical, psychological and spiritual needs and was completed by the manager. Service users spoken with confirmed that they had an assessment and received clear information about the service prior to moving in. One of the files we looked at was for someone who had recently moved into the home and we found that a full assessment had taken place, including an assessment of risk to the person. The assessment was comprehensive and covered a full range of Care Homes for Older People Page 9 of 25 Evidence: potential need areas. Care Homes for Older People Page 10 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their needs identified in a care plan and from having their healthcare needs met. They are protected by the homes medication policies and procedures and are treated with dignity and respect. Evidence: Each service user has a Care Plan in place. Care plans were well written and contained clear information on each persons needs and the support they required from staff in order to meet those needs. There was daily recording in respect of each care plan and those service users spoken with were aware of their care plans and its contents. They told us staff had consulted with them in devising the care plan. The files we looked at showed that care plans reflected the needs identified in the initial assessment. Each care plan contained the persons preferred times of getting up and going to bed. The healthcare needs of people living in the home were monitored well. Records were kept on service users files about their current health needs and records also showed that needs were responded to in a timely manner and that people were supported to Care Homes for Older People Page 11 of 25 Evidence: access the healthcare services they needed. This was confirmed in discussion with service users on the day of the inspection visit. The service liaises with the families of service users to ensure they are kept informed about their relatives health needs. This was confirmed by a number of service users Observation throughout the day of our inspection visit showed that people living in the home were well presented and had support to maintain their own appearance where necessary. Service users told us they thought they were respected by staff in the home and treated with dignity and respect. Each service user had a telephone in their room which was provided by the home and included in the weekly fee. The only exception was where there was excessive use, in which case the home retained the right to pass on costs to service users. For most service users this was not the case. Service users spoken with valued the use of a private telephone in their room as it was much easier for them to keep in contact with friends and family. The telephones we saw had large number keys on them to make them easier to use. There had been a requirement from the previous inspection that the registered manager must ensure that a record is maintained of all prescribed medication and the date that these are administered to the service users. We looked at all the medication records and found that this requirement has now been met. The records were filled in by staff as medication was administered and kept up-to-date. One failing with the medication records was that, where people had not had medication that was prescribed on an as required basis, there were two different ways of recording the fact. Some staff left the box blank, while others recorded that it had not been given. This was also the case where people were in hospital at the time they should have received medication; some recorded that th person was in hospital and some left the box blank. This is confusing and we highlighted it to the Manager who was aware it had been a problem in the past and said she would rectify it by ensuring that all staff recorded in the same way. There had also been a requirement from the previous inspection that The registered manager must ensure that there is a robust procedure in place for service users who are self medicating, including a risk assessment and consent from the GP. The home has addressed this requirement and now has a self-medication policy in place to cover this eventuality. The file for one person who self-medicates was seen and it contained an appropriate risk assessment. The medication in the home was stored safely. There was a medication trolley on each floor and these were secured to the wall and locked. Other medication was stored in a locked cupboard on the ground floor. Good, clear records were kept of all the medication coming into and going out of the home. Care Homes for Older People Page 12 of 25 Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from good support in maintaining contact with friends and families and a good, balanced diet Evidence: The home provides a range of activities to ensure that people living there receive stimulation and are able to interact with others. Each persons care plan contained a social activity plan with clear information about what support they required to ensure their social needs were met. Service users told us they were able to choose what they did and said there were always activities available to join in with if they wanted. As a Christian home, the home had religious services on a regular basis and service suers spoken with looked forward to these as an opportunity to practice their faith and to do so in the company of others. Some entertainers came into the home regularly an on the day of the inspection visit they were planning the entertainment for Boxing Day. There were also some outings planned in the summer months. The list of activities available in the home was being updated at the time of the inspection visit and the current list included prayer and Bible sessions, scrabble, crosswords and discussing Care Homes for Older People Page 14 of 25 Evidence: newspaper stories. The range of activities were discussed at service users meetings to allow people the opportunity to contribute ideas. People living in the home were supported to maintain contact with their families and friends. Records showed there were regular visits and that staff kept in touch with families to ensure they were kept up-to-date with what was happening with their relative. Families were encouraged to visit the home at any time that was convenient to them and their relative. Feedback from service users confirmed this and that the staff in the home always made their guests feel welcome. The food in the home was of good quality and one service user told us there was always a good choice of fresh vegetables and that all the food was cooked and presented well. Menus were listed in the home so that service users knew what options were available each day. The food storage area showed that good quality food was purchased for the home and menus showed that a range of nutritious meals were available. People living in the home told us the food was good and that they received sufficient portions. They also commented on the luxury of being able to have their breakfast in bed whenever they wanted. Service users were also able to eat other meals in their rooms if they preferred. The kitchen area was well managed and kept very clean. The cook understood the different preferences and needs of people living in the home and all diets were catered for. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a clear and effective complaints procedure and are protected by the homes adult protection procedures and practices Evidence: There had been a requirement from the previous inspection that the registered person must ensure that a record of all complaints made is maintained and includes details of investigations and any action taken. Examination of the complaints records showed that there is now a system in place for recording and responding to complaints. The home has a Complaints Policy in place and this has been made available to all service users and their families. People told us they were aware of how to complain if they thought they needed to. Systems were in place through policies and staff training to ensure that people were protected from abuse. Staff were aware of their role within this and the Manager was aware of the local reporting procedures for any suspected incidents of abuse of any kind. No such issues had been identified in the home. Service users spoken with said they felt safe in the home and felt that they were well cared for. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from living in clean, safe, well-maintained environment. Evidence: The home was well decorated and maintained throughout and provided a comfortable and homely atmosphere. Service users spoken with said they felt the home was comfortable and clean. They each told us they were happy with their room and had everything they needed in there. The facilities down stairs included three different lounge areas so that people had a choice where to sit. There was also a dining room and well kept gardens. There was a passenger lift and a stair lift in the home. The passenger lift was very smooth and easy to use. Also, downstairs, was a small wheelchair lift to take people over one step. This had broken down at the time of the inspection but we were told quotes had been obtained for its repair. The laundry area was well equipped, well managed and clean. The home had an Infection Control policy in place to limit the risk of the spread of infections of any kind. There was also information on infection control posted around the home as a reminder for staff. Staff observed on the day of the inspection visit demonstrated that they were aware of infection control procedures and how to maintain cleanliness. All staff had received training in infection control. Care Homes for Older People Page 17 of 25 Evidence: Anti-bacterial soap, protective gloves and paper towels were used throughout the building to contribute to the control of possible infection. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being supported by adequate numbers of sufficiently trained staff and are protected by the homes recruitment policies and practices. Evidence: There had been a requirement from the previous inspection that the registered manager must ensure that there is a robust recruitment procedure in place. All checks including CRB, POVA first, references are obtained prior to employment in order to safeguard the welfare of the service users. We examined the recruitment files of four members of staff, including the two most recently appointed people and found that all the necessary documentation was in place for each of them. This included Protection of Vulnerable Adults (POVA) first checks, Criminal Records Bureau (CRB) checks and two references. In addition the home had copies of photographic identification for each person and, where appropriate, evidence to state they were entitled to work in the UK. Daytime staffing arrangements in the home consisted of a trained nurse and four care staff as well as the Manager, the cook, an administrative assistant, a cleaner and a physiotherapist. The home also employs its own handyman. At night time there was a trained nurse plus one care staff with another care staff sleeping in at the home in case they were needed. Staff and service users spoken with were both of the opinion that staffing in the home was adequate to meet the needs of the people living there. Care Homes for Older People Page 19 of 25 Evidence: Training records in the home demonstrated that all staff receive regular training. In conversation, staff told us that the training provided by the home was very good and that they had good access to it. They said they attended all mandatory training courses as well as things they were particularly interested in and things that were particularly relevant to people living in the home. Staff told us the Manager was very supportive and encouraging in assisting them to develop their individual skills through training, supervision and by working alongside more experienced staff, including the Manager. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are protected by the homes financial procedures and by the management of health and safety issues. Evidence: There had been a requirement from the previous two inspections that the manager must establish a system to improve and review the services delivered in the home, by seeking the opinions and views of the service users and/or their representatives. Since that time the home has introduced a very comprehensive quality assurance system which they have begun to implement. The system had been devised by National Registered Nursing Homes Association. The Manager has had training in quality assurance and demonstrated a good understanding of the process. The home has questionnaires for people who use the service and people who have an interest in it. These are given out to people and can be returned anonymously. They are then collated and issues are drawn from them. These issues contribute to the development plan for the service and the plan is shared with service users and other stakeholders. Care Homes for Older People Page 21 of 25 Evidence: The Manager is planning to improve upon the present system by commissioning external audits. The Manager is registered and has demonstrated that she has the skills, knowledge, qualifications and experience to manage the home. Throughout the inspection it was clear that the home is being managed well. All requirements from the previous inspection had been addressed. Service users spoke well of the Manager and said she was always available to them and interested in how they were. Staff spoken with spoke very highly of the Manager and said she was very supportive. They told us they learned a lot of things from working alongside the Manager and supervision records showed that the Manager used these meetings to help staff develop their skills. The home has a policy in place to ensure that service users money is safe while in the home. The home does not look after the finances of service users but keep some small amounts of money for some people in agreement with them and their families. Good records were kept of all transactions. No outstanding Health and Safety issues were identified throughout the course of the inspection process. The home has a handyman who can attend rapidly to any issues in the building and also uses a maintenance company for larger pieces of work. The maintenance book demonstrated that issues were generally dealt with in a timely manner. Good records were kept of the maintenance of all the equipment in the home showing that items were regularly serviced. Regular health and safety checks of the building were undertaken and good records were of these. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!