Inspection on 10/09/05 for Fairburn

This inspection was carried out on 10th September 2005.

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

Fairburn 22/10/06

Fairburn 11/02/06

Fairburn 20/03/05

Fairburn 05/01/05

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Fairburn 54 Kingsway Little Stoke South Glos. BS34 6JW Lead Inspector Melanie Edwards Announced 10 September 2005 10:00 th 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 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 Stationary 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. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fairburn Address 54 Kingsway Little Stoke South Glos. BS34 6JW 0117 9311069 0117 9311069 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Aspects and Milestones Trust Mrs Sarojini Subramanyan Care Home for Younger Adults 8 Category(ies) of LD Learning disability, for 8 registration, with number PD Physical disability, for 3 of places Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 8 persons aged 18 years and over with learning disabilities who are receiving nursing care and/or personal care only. Date of last inspection 20 March 2005 Brief Description of the Service: Fairburn is a care home operated by Aspects & Milestones Trust, to provide either respite nursing or residential care for up to eight adults aged between 18 – 64 years with learning difficulties. This can include up to 3 persons with physical disabilities accommodated on the ground floor. All service users admitted to the home have differing levels of learning and physical disability and the provision of respite care varies according to individual need. The home is situated in a residential location in Little Stoke and is close to local shops and amenities. It also has its own mini-bus to facilitate social and recreational activities. The home is a converted GP surgery, providing accommodation on two floors. This consists of six single and one double bedroom. Whilst none of the rooms have en-suite facilities, all have a wash hand basin. There is no lift access to the first floor. Communal areas include a lounge, dining room and conservatory, all of which are fully utilised. Bathrooms and toilets have been fitted with adaptations to meet the care needs of clients in the home. There is appropriate provision of equipment to assist staff and clients. However, many clients bring their own equipment into the home for the duration of their stay. The home is set in its own grounds and there is level access to the garden. Car parking is available, but this is limited within the homes own grounds. There is additional off road parking. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on a Saturday, as residents who stay at the Home attend day care services during the week, and this enabled the inspector to meet residents. Please note that due to their disabilities, some residents cannot express their views verbally about the Home. Please also note that people who use the service only stay at the Home for short breaks, however for ease of reading the report the term ‘resident’ has been used to refer to people staying at the Home. As part of the inspection process, the inspector spent time sitting in the lounge observing staff assisting residents. Staff were also observed assisting residents with their needs, residents were seen initiating conversations with the staff on duty and it was apparent that staff and residents enjoy warm and close relationships. The inspector spoke to the registered manager, one care assistant and two registered nurses, about their roles and responsibilities, training needs, and how they assist and support residents. A selection of records relating to the day-to-day running and management of the Home were inspected. A selection of resident’s care records and care plans were also reviewed. The whole of the environment was inspected, both inside and outside the Home. What the service does well: What has improved since the last inspection? What they could do better: All residents would benefit if assessment were expanded to include sufficiently detailed information about resident’s preferred social interests. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 6 Residents would also benefit if all care plans stated in clearer detail how staff should assist residents with their personal care needs. 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. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 Generally, residents assessed needs are met, and residents and their families are given the information they require about staying at the Home. EVIDENCE: To find out how residents care needs are assessed, two residents assessment records were inspected. An assessment is carried out for each resident of his or her physical, and psychological needs. One resident’s record included some general hand written information about the person’s preferred social interests. However this information had not been transferred into the persons completed initial assessment of what their range of needs were. This could mean staff will not have the full necessary information about the person to ensure their social care needs are met. The assessments had been regularly reviewed and updated; demonstrating staff monitor residents’ changing needs. The staff were understanding and sensitive when assisting residents with their needs. Staff also work closely with residents’ families, who often care for residents when they are at home, to ensure a consistent type of care is provided while residents stay at Fairburn. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,8,9 Residents’ changing needs are met, monitored and reviewed, and they are supported to live a safe, independent lifestyle. EVIDENCE: To review the way that care is delivered, two residents care plans were inspected. The care plans contained information that detailed how to support the residents with their needs, as well as how to ensure residents maintain their independence while staying at the Home. The care plans had been regularly reviewed and updated by staff, demonstrating staff monitor residents’ changing needs. One resident’s care plans did include some information about the person’s personal care need’s, however this part of the care plan was vague in detail, and it was not clear what actions staff need to take to support the person to meet their personal care needs. Residents are involved in the day to day running of the Home, and are involved in planning for meals. One resident was cooking the lunchtime meal with the support of a member of staff during the inspection, and they were clearly Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 10 enjoying this activity, it was also noticeable that residents approached staff in a relaxed and confident manner. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 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 standard(s) 12,13,17 The Home supports residents to continue to be a part of their local community, while they stay at the Home, and to take part in their preferred choice of social and therapeutic activities. Residents are provided with a healthy and well balanced diet. EVIDENCE: Residents are supported while they are staying at the Home to continue to attend the day care services that they go to while they are living in their own home. During the inspection staff were seen spending time talking to residents. A small group of residents and staff went out into the local community for a walk during the morning, and in the afternoon a small group of staff and residents went out for a drive to Wales. The menu record was inspected to find out if residents are provided with a well balanced diet. There were choices of dishes recorded for each day and the menu was nutritionally well balanced, and varied. The lunchtime meal was sampled; the meal consisted of either a sausage casserole with apples, or freshly made macaroni cheese. The inspector sampled the macaroni cheese, and this dish was tasty and well presented. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 12 Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 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 standard(s) 18,19,20 Residents are supported to meet their range of needs in the way they prefer, and the systems in place for handling, administration, storage and disposal of resident’s medication are safe. EVIDENCE: The procedures for the administration, storage and disposal of medication were inspected to monitor what systems are in place for the handling of medication. The medication administration charts of three residents were inspected in detail. There was a photograph of the resident kept with each record, to ensure medication is dispensed to the correct person. The medication administration charts were legible, up to date, and contained the signature of the dispensing registered nurse, demonstrating resident’s medication is administered safely, the reasons for any omissions had also been written on the charts. There was also an up to date record of all medication being received into the Home, showing there are safe systems in place to monitor how much medication is kept. As already referred to in the report, residents stay at the Home for regular short breaks. It was apparent that staff and residents evidently enjoy warm trusting relationships, the staff that were on duty communicated among each other, and were working well as a team. Residents also looked very relaxed and comfortable in the Home environment. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 14 Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23, Residents’ complaints are investigated promptly and there are systems in place to protect residents from abuse. EVIDENCE: A copy of the complaints procedure for resident’s to make a complaint is on display on a wall in the hall and this area is well frequented by residents and visitors. The procedure includes the contact details for the Trust and the area office of the Commission for Social Care Inspection, so that if someone is not happy with the outcome of a complaint investigated by the Home the person can make contact with the Commission. The complaints record book was viewed to ascertain how the Home responds to complaints. There had been no new complaints recorded since before the last inspection, the record did include the details of how the complaints were to be dealt with. There are policies and procedures in place relating to the issue of protection of vulnerable adults from abuse. The Trust do provide training to ensure staff are up to date in their understanding of the principle of the protection of vulnerable adults from abuse. Staff demonstrated a good understanding of current guidance in relation to Protection of vulnerable adults from abuse issues, which should help to protect residents from harm or abuse. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 Residents currently staying at the Home benefit from staying in a suitable environment. EVIDENCE: Fairburn is a modern style converted residential property that is close to local shops and amenities, and a bus route into the centre of Bristol City centre making the home accessible to a range of community based facilities. However the Home may not be currently suitable for someone who cannot manage to walk up stairs, as there is no lift. There are however three bedrooms located on the ground floor for residents who cannot manage stairs. The inspector was told that there is going to be a programme of redecoration and repair in the Home, and while rooms are generally satisfactory, the standard of decoration is starting to look ‘tired’ and it will be of benefit to residents when this work has been completed. The Home was clean and tidy and generally satisfactorily maintained. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,35,36, Residents are supported by well-trained staff, which are appropriately supervised. EVIDENCE: The staff duty record for shifts in August and September 2005 were inspected to see how many staff are on duty to support residents. The number of staff on duty is adjusted depending on the number, as well as the needs of the residents staying at the Home, Staff work closely with residents when they are not attending their day care service, supporting them both in and out of the Home. There is always a minimum of one registered nurse on duty, and on the day of the inspection there were two registered nurses and three care staff on duty during the morning and the afternoon, as well as the registered manager. The staff duty record showed that there has been a very low sickness level among staf, which helps to ensure residents are provided with consistent care, as staff they know support them with their needs. Staff reported that they had attended training relevant to the needs of the residents over the last twelve months. From discussion with staff, and from inspecting records it was clear that staff are provided with regular support and supervision in their work and practise, which should help to ensure their effectiveness in carrying out their work, as well as ensure staff feel supported by management. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,40,41,42 The views of residents and their representatives are central to the management decisions made about the running of the Home, and the health and safety of residents, staff and visitors is protected. EVIDENCE: Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 19 Records that were seen on this inspection were satisfactorily maintained and in order. Other records have been referenced elsewhere in this report, and these records also demonstrated well-organised management of the Home. The fire logbook record showed that the necessary and legally required fire safety checks of the building and the fire fighting equipment are being carried out. There are also regular health and safety checks carried out of the environment, helping to ensure that the building is satisfactorily maintained. There are policies and procedures in place to support and guide staff in their care practices, health and safety matters, employment issues, and the general running of the Home. The Home has received the South Gloucestershire Council food safety award for 2005, (the Home also achieved the award in 2004), demonstrating good, and safe practices by staff when preparing and cooking food. There is also a designated member of staff responsible for overseeing the health and safety of resident’s staff and visitors. There was a range of simple yet informative risk assessments in place to assist staff to maintain their safety, as well as the safety of residents, while carrying out their work. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairburn Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 x D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 21 no Are there any outstanding requirements from the last inspection? 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 Regulation Requirement There are no requirements made on this inspection. 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. 2 2. 6 Refer to Standard Good Practice Recommendations All residents assessents should include detailed information about the persons preferred social interests. Care plans should clearly state how best to support the person to meet their personal care needs. Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fairburn D56 D05 S20350 Fairburn V247490 100905 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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