Inspection on 30/01/06 for Fairfield House

This inspection was carried out on 30th January 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 4 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 25/09/06

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 30th January 2006 02:30 Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 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.V270435.R01.S.doc Version 5.1 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.V270435.R01.S.doc Version 5.1 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.V270435.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Bedroom F19 must be used for prospective students` assessment visits. Variation agreed in principle subject to a satisfactory Certificate of Completion being issued 22nd September 2005 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). There most recent 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 workshops used by College students to the rear, as well as a College office. 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. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place in the afternoon and early evening of a weekday in January. All the students were either observed or spoken with during the day, as were staff on duty, the College’s Head of Care Pat Dingle, and the Owner of the College Mr Frank Loft. Pat Dingle had only been back in post for a matter of weeks. Evidence was also collected by examining care records, health and safety records, and staff files. All communal rooms, and those student’s bedrooms the Inspector was invited into were visited both in the main building and the Cottage. What the service does well: What has improved since the last inspection? What they could do better: Although staff have a range of ways of giving students information, contracts and Service User Guides should be given to each student or their representative. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 6 To ensure the safety of students there must be an audit trail of medication administered by staff, with no gaps in records. To ensure the premises at Fairfield House remains in good order in the long term there should be a written maintenance and renewal programme with timescales. Now that the College management structure and acting manager is in place the responsible provider should apply to the Commission for re-registration to formalise these arrangements. 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.V270435.R01.S.doc Version 5.1 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.V270435.R01.S.doc Version 5.1 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 The College is actively seeking ways to ensure students are fully aware of their rights and responsibilities. EVIDENCE: The College has a welcoming pack that is sent to potential students, parts of which are supported by symbols. The Statement of Purpose is available at Fairfield House and reflects that it is part of the wider services provided by Oakwood College. The acting manager, Pat Dingle, is actively working on producing a Student Guide, which will include a contract and a copy of the complaints procedure. Pat provided evidence of what had been achieved so far and said the work would be completed within a month. College-Student Teaching and Learning Partnership agreements, which form the contract between College and Student, are in the process of being produced in a format understandable to students. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were inspected in detail as the Owners had met the required standards at the last Inspection, and no issues were identified that warranted further investigation. Three student’s care planning records were examined briefly and found to have all the required information to ensure staff knew the needs and goals of each student. Recommendations made at the last Inspection were discussed with Pat Dingle and he agreed to follow them up. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: None of these standards were inspected in detail as the Owners had met the required standards at the last Inspection, and no issues were identified that warranted further investigation. It was apparent from talking to students that they lead active, interesting lives. Several students said they were looking forward to a trip to Barcelona in March. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 11 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): 20 To ensure staff administers medication safely, there must be a clear audit trail. EVIDENCE: Medication was stored in a suitable metal lockable cabinet, and staff administering medication had attended training. The acting manager Pat Dingle said some were also doing a further distance-learning course with Plymouth University. There were some gaps in the recording of medication administered and the monitoring process had not picked this up. Controlled drugs were stored and administered correctly with records kept. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 12 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 Staff listen to student concerns and act on them, and students are protected from abuse. EVIDENCE: There were copies of the complaint’s procedure displayed, and some of the students were given a copy of College’s complaints procedure during the inspection, and records from student House meetings and key worker meetings proved that students were given lots of opportunities to express any concerns. The acting manager is actively working on reviewing the College’s complaints procedure to ensure the symbolised format is understood by students. The acting manager has child and adult protection training and is aware of his duties with regard to the Protection of Vulnerable Adults and Children (POVA & POCA), and has arranged training for the majority of staff as well as training on positive behavioural interventions. Staff are also issued with a handbook about the safe care of students, which sets out clearly child and adult protection procedures. The acting manager was working on a range of behavioural procedures and individual plans for students. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 13 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 Fairfield House is homely, clean and comfortable, however to remain so on a long-term basis, a written maintenance programme is required. 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 path to the garden required finishing so that students can access it safely, there was still no fly eliminator in the kitchen despite this being recommended at the last inspection, one resident’s bedroom was cold despite the heating being on, one of the bathrooms and a shower room were also cold with no heating, it was reported that the light sensor in one of the bathroom turned the light off whilst students were still in the bath, and one student could hear another student’s TV very loudly through their wall. These issues were brought to the attention of the acting manager. As there was no maintenance and renewal programme, evidence could not be found that these issues had been picked up by the Registered Provider and were being acted on, with timescales for completion. Each student has his or her own single bedroom, which was lockable. Keys are provided for students. Student’s said they liked their bedrooms. Those bedrooms entered had plenty of storage and were full of personal belongings. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 14 The Commission have agreed to the Owner’s request to have a satisfactory Certificate of Completion from Teignbridge Council, for the building work related to the condition of registration of Fairfield House, by the end of February 2006. Neither the Fire service nor the Environmental Health Department had visited since the last inspection. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 15 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): 34 & 35 Staff recruitment procedures protect residents, and staff are appropriately trained. EVIDENCE: Three staff files were examined. Each had evidence of references, a job description and application form, evidence of ID and a contract. The acting manager had just introduced a new employment protocol, which stipulated that staff would not start work until a Criminal Record Bureau check was received. There was no staff interview format, however one had been used in the past and the acting manager was in the process of developing a new format to be used from now on. Criminal Record Bureau (CRB) checks, including Protection of Vulnerable Adult and Child First (POVA and POCA) checks had been sent off for all new staff. Frank Loft said the Company had previously had a problem with accessing the POVA First e-mails, but this was now resolved. Six CRB checks had not been returned by the Company carrying out the checks on behalf of the Frank Loft, however evidence was gained from this Company on the day of inspection that all but one check had been completed. The outstanding check was for a staff member employed in September 2005, and would need to be completed again. Frank Loft said he was considering becoming a CRB ‘umbrella’ company, which would mean the College could carry out there own checks thereby cutting the time it is taking for checks to be returned. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 16 The acting manager Pat Dingle is in the process of auditing the training needs of all staff. When the audit is complete he will produce a staff team training plan. Frank Loft demonstrated that records were already kept of staff training profiles; the acting manager said information needed to be collected about newer staff training needs and that once the audit was complete files would be kept of staff training certificates. Staff receive a range of mandatory and specialist training including equal opportunities training. The College has a member of staff who is an NVQ Assessor with dedicated hours to oversee staff progress. Many of the staff are now doing either NVQ 2, 3 or 4 dependent on their job description. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 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 & 42 Staff and students are protected by safe working practices. Although working for the benefit of students, the current management arrangements must be formalised with the Commission. EVIDENCE: The Owner of Oakwood College, and therefore Fairfield House is going to apply to the Commission to re-register the three establishments that make up Oakwood College as one establishment, and at the same time register the acting manager Pat Dingle. At present the Registered Provider of Fairfield House is also the Registered Manager, but his responsibilities as Chief Executive mean he is not able to manage the day-to-day running of Fairfield House. Staff said they receive a range of mandatory health and safety training including first aid, food hygiene, health and safety and manual handling. Staff demonstrated that they understood fire safety and there were records of regular checks on the alarm, safety lights, and fire evacuation took place. Regular maintenance of electrical, gas and central heating is carried out, and Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 18 records kept in Frank Loft’s office. The premises are secure at all times and risk assessments are in place. Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 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 Standard No Score 1 2 2 X 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 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X 2 X X X X 3 X Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 20 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 Standard YA1 Regulation 5 Requirement Students must be given a copy of a Service User Guide that contains all the required information (including their contract). A copy must also be sent to the Commission. (Previous timescales 11/01/05, 16/04/05 & 25/12/05 - not met) There must be no gaps in the records of medication administered by staff. There must be a written maintenace and renewal programme that details all the proposed, and on-going environmental improvements with timescales. Including those mentioned in this report. (Previous timescale 16/04/05 & 25/12/05 - not met) The Owner must apply to the Commission to re-register the College and register a manager. Timescale for action 31/03/06 2 3 YA20 YA24 13(2) 23 01/03/06 31/03/06 4 YA37 8 31/03/06 Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 21 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 YA5 YA9 Good Practice Recommendations Each student should have a signed contract that sets out clearly rights and responsibilities, as part of their Student Guide. The trainer providing staff training on restrictive physical interventions should be accredited by the British Institute of Learning Disabilities, and the Department of Health Guidance should be followed. There should be an up-to-date staff training and development plan for the whole staff team (when complete a copy should be sent to the Commission in this instance). Staff training records, including copies of certificates, should be kept in the Home. 4 YA40 At least 50 of care staff should have NVQ 2. All the Homes policies and procedures should be audited and revised where necessary. 3 YA35 Fairfield House DS0000003699.V270435.R01.S.doc Version 5.1 Page 22 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.V270435.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!