Inspection on 25/09/06 for Fairfield House

This inspection was carried out on 25th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairfield House 08/07/09

Fairfield House 02/07/07

Fairfield House 30/01/06

Fairfield House 07/12/05

Fairfield House 08/02/05

Fairfield House 05/10/04

Fairfield House 08/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Fairfield House Ashcombe Road Dawlish Devon EX7 0QQ Lead Inspector Sam Sly Unannounced Inspection 25th September 2006 14:00 Fairfield House DS0000003699.V298680.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 Fairfield House DS0000003699.V298680.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. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairfield House Address Ashcombe Road Dawlish Devon EX7 0QQ 01626 862173 01626 868127 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) Education & Care (Devon) Limited Vacant Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Bedroom F19 must be used for prospective students` assessment visits. 30th January 2006 Date of last inspection Brief Description of the Service: Fairfield House is one of three establishments that make up Oakwood Court College, a privately run educational and care service for students with a learning disability aged 16 up to 25 years old, owned by a Education & Care (Devon) Limited in Dawlish. Students attend the College for up to three years either on a 38-week term time basis or on extended placements. Oakwood Court College is also Inspected by the Office for Standards in Education (OFSTED) and the Adult Learning Inspectorate (ALI). The College received an annual assessment visit in June 2006 but there most recent full Inspection was in May 2005 and the report can be obtained at: www.ofsted.gov.uk. Fairfield House is situated in a rural setting about a mile from the town centre of Dawlish. The College provides transport for students to local amenities and to the main College site in Dawlish. There are gardens to the front of the house, and the acting manager’s office to the rear. The main building has disabled access and is a large two storey house with a large communal lounge and kitchen, a dining room, computer room, quiet meeting room, large laundry, office and additional activities room. All bedrooms are single with several bathrooms, shower rooms and toilets. There is also a disabled toilet on the ground floor. There is a small cottage to the rear of the main building that accommodates three students and is part of the Fairfield establishment. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was unannounced and took place during a weekday and evening in September. It included discussion with students and observation of others during the evening. Interviews and discussion also took place with some of the staff on duty and the acting manager Pat Dingle. The care of three residents was tracked, which included talking to the residents and looking at records. Care records, and health and safety records were examined. Staff records were also examined. A tour of the all the communal areas and about half the bedrooms was carried out during the site visit. The inspection process also included a review of contact the Commission has had with Fairfield House since the last key inspection, information contained in a pre-inspection questionnaire sent by the acting manager, and comment cards received by the Commission from nine students, three staff, ten relatives, and six health and social care professionals. The weekly fee at Fairfield House, due to it being part of a residential College are set by the Learning Skills Council. All the required key standards were assessed during the inspection process. What the service does well: Fairfield House has an excellent system for making sure new student’s needs are understood by staff when they move in. A student told the Commission: ‘I was excited to come here’. Decision-making and risk taking are an every day part of life at the College and students lead really interesting and full lives whilst developing and growing in confidence and independence. Students enjoy being at Oakwood College. One social worker told the Commission: ‘All students I work with enjoy their three years at Oakwood’. Students are clear about how to complain, and who to go to if they are unhappy. Staff know how to protect students from abuse. Students told the Commission that staff treat them well. Fairfield House is homely, clean and comfortable. A dedicated and enthusiastic staff team and acting manager support students. One social worker told the Commission: ‘staff are proactive and progressive in their support’. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 6 The care given to students is continually monitored and improved by the Owners of Oakwood College. 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. Fairfield House DS0000003699.V298680.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 Fairfield House DS0000003699.V298680.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The assessment of student’s needs prior to admission is detailed and thorough. EVIDENCE: All students that returned comment cards said that either they or their parents had received enough information to enable them to make a choice about moving to Oakwood College. The College has a welcoming information pack it sends to potential students, parts of which include symbols. There is also a Statement of Purpose that reflects Fairfield House is part of the wider services provided by Oakwood College. The acting manager is actively working on producing the Service User Guide in a more accessible format. The standard of pre-admission assessment and continual assessment of students needs is high with full and detailed assessments being carried out by both the College and the placing local authority before admission. This includes a three-day assessment stay at Fairfield House before admission, and the process involves significant input from professionals, family and the student themselves. The first half term after admission is a continued assessment period with a review and full care drawn up afterwards. In the meantime a pen picture is drawn up, an initial risk assessment is put in place and detailed records are kept throughout about the students skill development. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Decision-making and risk taking is integral to student life at Oakwood College, with individual care plans reflecting student’s goals and aspirations. EVIDENCE: Three student’s care was case tracked, including talking to them, talking to staff and examining records. New students were still undergoing their initial assessment, so their records included the information gathered prior to admission, a daily programme, an initial risk assessment and daily records. Students in their second and third year had in depth care plans and individual learning plans with goals, which had been developed with the student. Each resident is allocated a key worker who meets regularly with them; these 1:1 meetings are recorded. Students spoken with were clear about whom their key worker was, and what their role was. . Decision-making is a key part of the curriculum at Oakwood College, and it was evident through talking to students and reading records that students are supported to make all the decisions about what they do including what they Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 10 eat, and what they do for recreation. Decision-making goes hand in hand with risk taking, and student’s work towards taking risks within a safe framework. Students are supported to manage their own finances, and recent steps have been made to work towards more students managing more of their own medication using a risk framework. Before admission the student’s entitlement to benefits, and the College staff’s involvement in supporting the management of finances is agreed with parents. By talking to staff and students it was evident that issues of equality are understood and every effort is made to ensure students rights are upheld. The diverse needs of students are also well understood. Information was available on the particular personal care needs of one resident. Staff had received training recently on equality and diversity, and discussion with staff showed they were aware of equality barriers that people with learning disabilities faced. Students have regular house meetings and many quickly become competent at expressing their views. All students who sent in comment cards said they could make decisions about what to do at weekends and evenings. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 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, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Students not only lead interesting active stimulating lives at Oakwood College, but they gain in confidence and independence during there time there. EVIDENCE: Students are at Oakwood College for up to three years and in this time have a curricular and extra-curricular timetable during term time. Time at Fairfield House is also used to assess and develop independence skills so all household chores are done by the students. The daily routines are governed by what students want and need to do to gain skills. All students have locks to their bedroom doors and are responsible for their keys. During the site visit staff spent practically all of the time interacting, supporting and working with students. The last Office of Standards in Education report in 2005 stated that a key strength of the College was ‘very good standards achieved in independence skills and personal development.’ This inspection confirms this is still the case with further improvements being made to the activities being offered with the introduction of an activities co-ordinator who has spent time asking each Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 12 student what they would like to do, and putting together a programme for each evening and each weekend. This programme is starting imminently and includes attending a youth club, swimming, dance, aerobics, yoga, aquavit, karaoke, pool, bowling, ice skating, kayaking, rock climbing, meals out art and craft, gym, cycling, horse riding, football and archery. One student had started driving lessons and had his first one during the site visit, and others were going out to a youth club for people with learning disabilities. As resident’s independence developed they are encouraged to use the local community facilities unsupported. They get about using vehicles provided by the College, or by using the train from Dawlish. Many students go back to their parent’s houses during holiday periods others stay at the College. Every effort is made to support relationships with family and friends and the Commission is aware of the lengths staff have gone to in maintaining sometimes fragile relationships over the past year. Students can phone or e-mail relatives whenever they like, and are helped to remember and buy gifts for birthdays and special occasions. One relative commented that: ‘we are happy with the care our son receives. He is happy and content and we are kept informed at all times.’ Another said: ‘It offers the calm environment and staff that he needs.’ Of the nine relatives that sent in comment cards all said they were made welcome, and all were satisfied with the care provided. Intimate relationships are also supported by staff through guidance, information and the provision of a counselling service at the College. Students, with support if necessary, cook meals at Fairfield House. The students are involved in planning, buying, cooking and clearing away meals, and those spoken with liked cooking for themselves, and can eat what they like. Dietary needs are also catered for, and students are regularly weighed and encouraged to eat a healthy diet. A main meal each weekday is provided for students at the main College site. Some students are involved in cooking these meals as part of their curricular activities. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 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, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and personal care support and medication practices provided enable students to develop independence. EVIDENCE: The students at Fairfield House generally require more support than those at the College’s other two establishments, and most of the newly admitted students live at Fairfield House. Personal support takes the form of prompting, encouragement and supervision, with some students requiring more than others. Personal care and healthcare support is documented in care plans, with goals set to develop independence. Students have fairly structured timetables during the week, which necessitate learning to get up on time, and going to bed to get enough sleep for the next day, however students are encouraged not forced to get up and go to bed. Students dress as they wish, and part of their independence training can be shopping for clothes and getting their haircut. Students are registered with a local G.P whilst at College however dental, optician and audiologist appointments are generally arranged by parents for when a student is at their house. Three social care professionals returned comment cards to the Commission and reported that staff work in partnership, demonstrate an understanding of Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 14 student needs, and all were satisfied with the overall care provided at Oakwood College. One professional went on to comment that students ‘enjoy being at Oakwood; staff are proactive and progressive in their support. All students I work with there enjoy their three years’. The acting manager and staff at Fairfield House have just developed a medication risk assessment so that student’s self-administration skills can be assessed and proactively encouraged from admission onwards. At present none of the students at Fairfield House self-administers medication. The procedures for staff administration were observed and found to be safe, with storage in a metal cabinet, and records kept of receipt, administration and the disposal of medication. Controlled drugs were being kept appropriately with accurate records. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 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 the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff listen to student concerns and act on them and students are protected from abuse. EVIDENCE: All the students that returned comment cards said they knew who to speak to if unhappy and knew how to make a complaint. The College has a clear complaints procedure supported by pictures for students, and they are reminded in meetings about the process. Students are also encouraged to speak about concerns during 1:1 meetings with their key workers and during weekly house meetings. Three of the six relatives that sent back comment cards were not aware of the complaints procedure. The Commission received a complaint with regard to Fairfield House in July 2006, which was investigated and upheld. Since then the College revised some of its policies and procedures and improved the service. The acting manager has been very good at keeping the Commission informed of any incident or event that affects the well being of a student. Most staff have received Protection of Vulnerable Adult training (POVA) and the acting manager is aware of those that have not and is arranging training. All staff spoken with were able to define abuse and knew the reporting procedure and where the policy is kept. One staff member who had recently been promoted needed to review the procedures with regard to their new position of authority. The acting manager has adult protection and child protection training and is aware of his duties with regard to the POVA and POCA lists. Every staff member is issued with a handbook about the protection and safety Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 16 of students, which sets out clearly the child and adult reporting procedures. The acting manager has dealt with Child and adult protection issues swiftly and appropriately. The acting manager has ensured that staff receive British Institute of Learning Disabilities accredited training for working with behaviours that challenge and a behavioural support plan has been developed for students who need support. Fairfield House DS0000003699.V298680.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Fairfield House is homely, clean and comfortable. EVIDENCE: A tour of Fairfield House and the Cottage found that the premises were clean, comfortable, homely and adequately furnished and decorated. Some maintenance issues were identified; the fly eliminator is positioned so that dead flies fall onto a kitchen work surface used for food preparation. One of the freezers is not cold enough. A light in the shower room was not working, and as was found at the last inspection in January 2006 the sensor lights in the bathroom and shower room turn off when students are still in the bath or shower. Two students complained of being scared in the dark when this happened. There was no curtain or covering for one of the shower rooms windows, and another shower room smelt damp. In the cottage the front door frame is loose and some of the windows are painted shut. A maintenance and renewal programme was sent to the Commission soon after the visit. Each student had his or her own single bedroom, which is lockable. Keys are provided for students. Students said they were happy with their bedrooms, Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 18 and those entered were full of personal belongings, and bright and cheerful with plenty of storage space. The laundry facilities were sufficient with space for students to go in and do their own laundry and ironing. Fairfield House DS0000003699.V298680.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Students are supported by a dedicated, enthusiastic, competent and effective staff team, however there are deficits in the staff recruitment process. EVIDENCE: Four staff files were examined, and several staff were interviewed during the site visit. The responsibility for different parts of the staff recruitment process are shared between the acting manager, the deputy manager, the Chief Executive and the business manager and there was evidence that information did not flow freely, for example the acting manager was not aware that POVA First checks had not been returned for two staff members. There was no checklist to ensure that all parts of the employment process were fully completed, and completed appropriately. One staff member had just started during the site visit and was about to do a shadowing role until a full CRB check was returned. It was found that a POVA First check had not been returned for this staff member, and that an interview had taken place before the references indicated on the application form had been returned. The acting manager had seen two written references at the interview, which had been provided, however the checks on these references had not identified that neither was from the previous employer. An interview Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 20 record had been kept of this interview. The acting manager decided to send the staff member home until the correct checks had been carried out. Examination of staff files found that another staff member had begun work before a POVA First check had been returned, and three of the four staff had not had a record made of their interviews. One staff member’s references included comments that required further clarification. The Chief Executive had clarified comments about another member of staff in the same position. Forms of identification, application forms, evidence of an initial induction and contracts were found in each file. The acting manager has introduced a system where a new member of staff is allocated a mentor (a more experienced member of staff) who helps them settle in. Staff liked this system. Staff are also supplied with a detailed information booklet on keeping students safe. The acting manager is about to extend the present induction training to ensure it meets the Skills for Care standards. Staff interviewed said they had received some training, with more planned. All had attended POVA training. One relative commented that ‘there should be more training for new staff on dealing with autistic young people’. Newer staff were asked if they had any training on autism and other specialist areas including total communication. None had, and all said this would help them with a lot of the students that attend Oakwood College. A few of the longer serving staff had received autism and total communication training. Some staff were undertaking NVQ 2, 3 and 4 training, however nowhere near 50 of staff had at least NVQ 2. Staff interviewed were aware of the complaints procedure and adult protection procedures. During the site visit staff were observed to be supportive and sensitive to the needs of students. Staff spoke enthusiastically about their jobs and the students in their care. Staff said they received good support from the acting manager and from one another, and were given regular supervision and attended regular staff meetings. One staff member commented that they ‘worked well as a team and made sure all needs were met’. Students spoken with said that the staff treat them well, they would go to them if they were unhappy, and they all knew who their key worker was and had had a 1:1 meeting. Fairfield House DS0000003699.V298680.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Students can be assured that the quality of care provided at Fairfield House is continually monitored and improved, however deficits in the fire safety procedures could put students at risk. Although working for the benefit of students the current acting manager and service structure of Oakwood College, and therefore Fairfield House has not been registered with the Commission and this is not beneficial to students. EVIDENCE: The Owner of Oakwood College decided over a year ago to restructure the management and staffing structure. The Commission was kept informed of this restructuring and was told that an application to re-register the new structure of the College as one establishment instead of three, and to register the acting manager would be forthcoming. This has not happened. At present the Chief Executive of the College is the registered manager, but his Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 22 responsibilities mean he is not able to manage the day-to-day running of the home. The acting manager is currently attending regular senior management meetings, but is not receiving any formal supervision or undertaking periodic training to maintain and update his knowledge skills and competence. Staff are very complimentary about the acting manager and say he is ‘supportive of their ideas’, ‘brilliant’, ‘approachable’ and has helped them become ‘a strong team’. Students also said they felt able to talk to him. Staff that returned comment cards to the Commission said that the College ‘cares for individual students and also supports staff well, making it a great place to work and a happy environment for students’. One of the Directors of the Company has taken over the development of the Quality Assurance system. The Learning Skills Council give advice and guidance to the College on Quality Assurance, and a regular self-assessment is carried out which gathers the views of students, staff, placing local authorities and parents. A three-year development plan is also produced. The acting manager is in the process of reviewing the College’s policies and procedures. Staff spoken with, and the staff development plan showed that health & safety training in the areas of food hygiene, first aid, fire training, student protection, has either been undertaken or the acting manager is aware of gaps and is booking training. Fire checks are carried out at required by the maintenance team with records kept. During the site visit it was found that two students were wedging their bedroom doors open with furniture and belongings. The student’s both said they did not like having their bedroom doors closed. The pre-inspection questionnaire returned to the Commission showed that regular checks for legionella were carried out, electrical appliances were tested regularly, a wiring certificate had been issued in 2003, there had been no visits from the fire service or the environmental health department, and regular environmental risk checks took place. During the site visit it was found that temperatures in fridges and freezers were being monitored, however one freezer was not cold enough and no steps had been taken to rectify this. Fairfield House DS0000003699.V298680.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 2 2 4 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 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 24 Yes 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. 2. Standard YA34 YA37 Regulation 19 8 Requirement The required staff fitness checks must be carried out before employment. The Owner must apply to the Commission to re-register the College and register a manager (Previous timescale 31/03/06 – not met). Fire doors must not be wedged open. Timescale for action 26/10/06 26/12/06 3. YA42 23(4) 25/09/06 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 YA1 Good Practice Recommendations Students should be given a copy of a Service User Guide that contains all the required information. A copy should also be sent to the Commission. Relatives should be reminded of the Home’s complaints procedure. The maintenance and renewal issues identified during this visit should be included in the Home’s programme. DS0000003699.V298680.R01.S.doc Version 5.2 Page 25 2. 3. YA22 YA24 Fairfield House 4. 5. YA34 YA35 There should be a checklist to ensure all parts of the staff employment process are completed. At least 50 of care staff should have NVQ 2. Staff should receive specialist learning disabilities and communication training relevant to the needs of students. The induction and foundation training should be to Skills for Care standards. 6. 7. YA37 YA40 The acting manager should receive regular supervision and undertake training to maintain his knowledge and skills. All the Homes policies and procedures should be audited and revised where necessary. Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Fairfield House DS0000003699.V298680.R01.S.doc Version 5.2 Page 27 - 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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