Inspection on 18/06/07 for Fair View

This inspection was carried out on 18th June 2007.

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 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 View 24/01/06

Fair View 08/08/05

Fair View 08/02/05

Fair View 05/08/04

Fair View 09/03/04

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

CARE HOME ADULTS 18-65 Fair View Croft Mitchell Troon Camborne Cornwall TR14 9JH Lead Inspector Paul Freeman Unannounced Inspection 18th June 2007 14:50 Fair View DS0000009021.V340419.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 View DS0000009021.V340419.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 View DS0000009021.V340419.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fair View Address Croft Mitchell Troon Camborne Cornwall TR14 9JH 01209 831662 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) Mrs Elaine Muriel Stuart Kearney Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Fairview is a care home that is registered to provide care for two younger adults who experience learning disabilities. It is owned by Mr and Mrs Kearney and is their principal home. Mrs Kearney is the registered person and manages and runs the home with the assistance of her husband. The care provided is of a family style. The home is located in a rural setting on the outskirts of the village of Troon and within easy access to the town of Camborne where a wide range of amenities are available. The home was first registered in 2002 and is a large two storey detached property with outbuildings. The two residents bedrooms are single but en-suite facilities are not provided. The home has limitations in regard to disability access and is not suitable for a wheelchair user. Extensive communal space is located on the ground and the residents also have own dedicated sitting room. One bedroom is located on the ground floor and one on the first floor. The home has extensive grounds and Mr and Mrs Kearney have a range of pets within the home and keep horses in a stable at the rear of the property. The weekly fees are around £250 per week and are determined by the individual needs of each resident. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A planned unannounced key inspection took place on 18 June 2007. The Inspection considered the minimum key standards that are required to operate a care home. This included, care planning, residents health, and the environment. A number of records and document were also considered and the providers and the resident were consulted about the services and facilities provided. The providers had also submitted written information about the services and facilities before the inspection commenced. What the service does well: No new residents have been admitted to the care home since the last inspection. The providers currently have one vacancy and suitable arrangements are in place to assess prospective residents. This makes sure the providers are confidant they can meet the individuals needs, preferences and choices. The assessment will also take account of the views of relatives or representatives and any professionals involved with the prospective resident. The family style care and support provided meets the resident’s needs. Satisfactory arrangements are also in place to safeguarded residents from unreasonable risks. A range of activities is available at the home and in the local community. The activities are based upon residents’ choice and preference. The providers will also support the resident whenever possible to participate in their hobbies and interests. Good arrangements are in place to meet health needs and services are promptly accessed when required. Medicines are also administered safely and residents can administer their own medication when it is safe to do so. Suitable arrangements are also in place to deal with any complaints or concerns and to safeguard residents from abuse. The providers, Commission or statutory authorities have received no complaints or allegations over the last year. Mr and Mrs Kearney are the principle carers and no staff is employed at the care home. The home is well run by the providers who have experience of social care provision. Both providers have successfully completed a range of training that includes the core skills required and NVQ qualifications. Mrs Kearney also holds the Registered Managers Award. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 6 The home is well managed and in a manner that promotes the residents best interests. A range of measures is also in place to promote residents’ health, safety and well-being. 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. The summary of this inspection report can be made available in other formats on request. Fair View DS0000009021.V340419.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 View DS0000009021.V340419.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. JUDGEMENT – we looked at outcomes for the following standard(s): The standard considered was 2. Quality in this outcome area is good. Satisfactory arrangements are in place to assess the needs of prospective residents. This makes sure the care home is able to provide the care and support required. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new residents have been admitted to the care home for sometime. The providers currently have one vacancy and have suitable arrangements in place to assess any prospective residents needs, preferences and choices. The assessment will take account of the views of relatives or representatives and any professionals involved with the prospective resident. When completed it will assist the providers to satisfy themselves they are able to meet the needs of the person concerned. The providers are committed to making sure that any prospective resident would be compatible with the current resident. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 9 Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 6, 7 and 9. Quality in this outcome area is good. The care and support provided reflects the resident’s needs and suitable arrangements are in place to manage risks positively. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The resident has a care plan that details their needs and summarises the care and support required. The style of care planning reflects the family style of care provided and the care plan is regularly reviewed. This makes sure the resident’s needs, preferences and choices are met. The resident indicated they are very satisfied with the care and support provided. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 11 The providers have also established reliable arrangements to assess risk and put any measures that are required to safeguard the residents in place. The risk assessments and risk management measures are also regularly reviewed and monitored. The providers are keen to support and enable residents to make their own decisions and have control over their lives as far as possible. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 12, 13, 15, 16 and 17. Quality in this outcome area is good. A range of activities is in place at the home and in the local community that reflects residents interests and hobbies. Good meals are provided that give a balanced diet and meet the preference and choice of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A range of activities is provided at the home and in the local community. The opportunities reflect the resident’s choice and interests and the resident indicated they are satisfied with the arrangements. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 13 It is evident the resident is treated with dignity and respect and appreciates the family style care provided. The providers are also keenly committed to promoting residents rights. A balanced and nutritional menu is in place that reflects the residents’ preferences and choices and is seasonally varied. Where appropriate the providers will accommodate specialist diets and if necessary will access specialist guidance and advice. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 18, 19 and 20. Quality in this outcome area is good. Positive care and support is provided in a manner that reflects the residents’ needs and choice and promotes independence. Health needs are well met and medicines are safely managed and in a way that also promotes the residents health. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The indications are the resident is settled at the care home and benefits from the style and type of care and support they receive. It is evident that a positive, trusting relationship has been established between the providers and resident and it is clear the providers have a good understanding of the resident needs and preferences. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 15 Health needs are well managed and health services are promptly accessed when required. The evidence indicates the providers will make representations to make sure the residents receive the services they require. Residents are able to administer their own medicines when it is safe to do so. Where assistance is required the providers are suitably trained and the medicines are safely managed. Records are also maintained and it is recommended the person administering the medicines initial the record. This will promote good practice. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 22 and 23. Quality in this outcome area is good. Suitable arrangements are in place to deal with any complaints or concerns and to safeguard residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been made to the providers or the Commission following the last inspection on 24 January 2006. The providers have established a satisfactory policy and procedure for dealing with complaints. Satisfactory arrangements are also in place to protect residents against abuse as far as possible. Any allegations are reported to the statutory authorities and formally investigated where required. It is recommended the providers update their knowledge of the Department of Adult Social Care revised policies and procedures for dealing with allegations of abuse. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 24 and 30. Quality in this outcome area is good. A homely environment is provided and satisfactory standards of cleanliness and hygiene are in place to promote good health. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is maintained to a good standard and provides a homely family environment. Furniture and fittings are replaced when required and the appropriate standard of cleanliness and hygiene are maintained. The laundry is located in an outbuilding and it is recommended that the flooring be improved. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 18 The Resident indicated satisfaction with accommodation provided. The evidence confirms that residents are involved in the planning about redecoration or the replacement of any furniture. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 32, 34 and 35. Quality in this outcome area is good. The provider’s are the principle carers and are appropriately qualified to provide the care and support required. No staff is directly employed at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr and Mrs Kearney are the principle carers and no staff is employed at the care home. The indications are the resident is very satisfied with the care and support provided. Both providers are well trained and hold NVQ qualifications in Care at level 4 and 3. In addition the providers have undertaken core skills training to make sure they have the appropriate knowledge and skills. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 20 Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards considered were 37, 39 and 42. Quality in this outcome area is good. The facilities and services are well managed and in a manner that promotes the residents best interests. Satisfactory health and safety measures are in place but a fire risk assessment must be completed. This will provide residents with further safeguards. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well run and managed by the providers in a manner that benefits the residents and promotes independence and choice. The providers run the home in an open manner and make every effort to consult with residents and their relatives or representatives about the operation of the home. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 22 The providers have experience of social care and are appropriately trained. Mrs Kearney has a range of qualifications that include the Registered Managers Award. It is evident the resident has established a positive and trusting relationship has been established with the providers. The providers make every reasonable effort to monitor and review the services and facilities in consultation with the resident and their relative. Given the size and nature of the care home this is an ongoing process that is part of the dayto-day operation of the home. The Inspectors considers this to be a satisfactory arrangement. Appropriate arrangements are also in place to promote the health and safety of residents. Equipment and services at the home are regularly serviced and maintained and satisfactory arrangements are generally in place regarding fire safety. However the providers do need to establish a fire risk assessment, which currently is not in place. This is required in order to comply with the fire regulations and will provide residents with further safeguarding measures. No accidents or incidents have occurred since the last inspection but suitable arrangements are in place to record and manage any unreasonable risks that may occur. An up to date and suitable insurance policy is also in place. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 23 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 X 2 2 3 X 4 X 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 N/a 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 24 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 YA42 Regulation Requirement Timescale for action 30/09/07 23(4)(a-c) A satisfactory fire risk assessment must be in place. 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. 2. Refer to Standard YA20 YA30 Good Practice Recommendations The records about the administration of medicines should be initialled each time the medicines are administered. The laundry room should be provided with an impermeable floor covering. Fair View DS0000009021.V340419.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Office Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 View DS0000009021.V340419.R01.S.doc Version 5.2 Page 26 - 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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