CARE HOME ADULTS 18-65
Fair View Croft Mitchell Troon Camborne Cornwall TR14 9JH Lead Inspector
Paul Freeman Unannounced Inspection 24th January 2006 02:00 Fair View DS0000009021.V266982.R01.S.doc Version 5.0 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.V266982.R01.S.doc Version 5.0 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.V266982.R01.S.doc Version 5.0 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.V266982.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th August 2005 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 ensuite 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. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A planned unannounced inspection took place on 24 January 2005. The opportunity was taken to tour the premises, speak with the resident and Mr and Mrs Kearney the providers as well as looking at the records and documents about the care home. This is a well run care home that has good standards of care and residents are fully consulted about all aspects of service provision. Thanks are given to the providers and resident for their cooperation and assistance during the inspection. What the service does well:
No new residents have been admitted following the last inspection but suitable arrangements are in place for the providers to assess the needs of prospective residents. This will make sure the care home are able to meet assessed needs and have a clear picture of the care and support required. The providers are considering offering short term care to one person and plans are currently being progressed. Arrangements will only be finalised after the completion of an assessment by the providers to make sure the home is able to meet the person’s needs. In addition the resident at the home and their relative will also be fully consulted. The providers make sure that any resident at the home has a care plan that details the care and support required. The plan also takes account of individual choice and preference and promotes independence. The plans are regularly reviewed with the resident to make sure their needs are being met and their choices and preferences accommodated. Relatives or representatives are also invited to participate in any review that occurs. Residents are able to participate in a range of activities at the home and in the local community. The providers will also support the resident whenever possible to participate in their hobbies and interests. Each activity reflects the individual’s choice and preference. The Resident indicated satisfaction with the arrangements in place. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 6 Residents are encouraged to make decisions and have control over their own lives as far as possible. The providers are also committed to supporting and advocating for residents to make sure their rights are not compromised. A varied menu that reflects the residents’ choice and preference is provided and seasonally adjusted. The menu is based upon wholesome family cooking and the resident indicated they are very satisfied with the meals. The providers or the Commission has received no complaints over the last year. Satisfactory arrangements are in place to deal with any complaints or concerns and the providers regularly check with residents and their relatives or representatives if they have any issues of concern. Suitable arrangements are also in place to protect residents from abuse. Any concerns or allegation are reported to the statutory authorities and a formal investigation is undertaken where required. 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. Mr and Mrs Kearney are the principle carers and no staff is employed at the care home. Family style care is provided to the residents and reviews of care indicate the resident and their relative are very satisfied with the care and support provided. 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. Residents and their relatives or representatives are also actively consulted about the running of the home and the services and facilities provided. Appropriate measures are also in place to promote residents’ health, safety and well being. What has improved since the last inspection?
A good standard of care and a homely environment continue to be provided. The current arrangements meet the national minimum standards required. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 7 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 View DS0000009021.V266982.R01.S.doc Version 5.0 Page 8 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.V266982.R01.S.doc Version 5.0 Page 9 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): 2 Satisfactory arrangements are in place to assess the needs of prospective residents to make sure the care home is able to provide the care and support required. EVIDENCE: No new residents have been admitted to the care home since the last inspection on 8 August 2006. The providers currently have one vacancy and have improved the format for recording their assessment of 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 planning to offer short term care in the near future and this is currently being planned in conjunction with prospective residents and the Social Services Department. The providers said that a detailed assessment of need would be completed before any stay commenced. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The providers have a good understanding of needs and have established a satisfactory care plans that details the care and support required. EVIDENCE: The resident has a care plan that details their needs and the support and care required. Given the family style care provided sufficient information is included in the care plan to summarise the care needed. The care plan is reviewed with the resident and they’re relative on a regular basis to make sure their needs are met and the services and facilities provided are satisfactory. The resident indicated they are very satisfied with the care and support provided. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 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): 12, 16 and 17. Residents regularly participate in a range of activities at the home and in the local community that reflect their interests and hobbies. Good meals are provided that give a balanced diet and meets the preference and choice of residents. 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. 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 and proving opportunities for residents to have control over their own lives as far as possible. A balanced and nutritional menu is provided that reflects the residents’ preferences and choices and is seasonally varied.
Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 12 Where appropriate the providers will accommodate speaclist diets and if necessary will access speaclist guidance and advice. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 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 Positive care and support is provided in a manner that reflects the residents’ needs and choice and promotes independence. EVIDENCE: The resident’s relative has commented to the providers at reviews they are very pleased and satisfied with the care and support provided which they believe reflects the needs of the resident. 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.V266982.R01.S.doc Version 5.0 Page 14 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 and 23. The arrangements for dealing with complaints and concerns are satisfactory and there are no barriers to residents or relatives raising any issues of concern. Satisfactory arrangements are in place to protect residents from abuse. EVIDENCE: No complaints have been made to the providers or the Commission following the last inspection on 8 August 2005. The providers have established a satisfactory policy and procedure for dealing with complaints. Where residents experience difficulties in communication the providers regularly check with them and their relatives or representatives if they have any complaints or concerns in order that any issues can be dealt with promptly. 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. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 15 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): 30. A suitable standard of cleanliness and hygiene are maintained that promotes good health. 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. 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.V266982.R01.S.doc Version 5.0 Page 16 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): The providers are the principle carers and a good standard of care is provided in a flexible manner that meets the needs and preferences of residents. EVIDENCE: Mr and Mrs Kearney are the principle carers and no staff is employed at the care home. Family style care is offered to residents and reviews of care indicate the resident and their relative are very satisfied with the care and support provided. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 17 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, 39 and 42. The home is well run and residents and their relatives or representatives are regularly consulted to make sure they are satisfied with the services and facilities provided. Appropriate arrangements are in place to promote and protect residents’ health and safety. EVIDENCE: The home is well run and managed by the providers and 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. The providers have experience of social care and are appropriately trained. Mrs Kearney has a range of qualifications that include the Registered Managers Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 18 Award. Mr Kearney is also qualified to NVQ 3 standard and both providers have also undertaken core skill training. It is evident the resident and their relative have confidence in the care and support provided and a positive 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. Satisfactory 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 in place regarding fire safety. 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.V266982.R01.S.doc Version 5.0 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Fair View Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000009021.V266982.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA30 Good Practice Recommendations The laundry room should be provided with an impermeable floor covering. Fair View DS0000009021.V266982.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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