Inspection on 06/08/07 for Fairfield House

This inspection was carried out on 6th August 2007.

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 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

Fairfield House 28/11/06

Fairfield House 19/04/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Fairfield House Charmouth Road Lyme Regis Dorset DT7 3HH Lead Inspector Melanie Edwards Key Unannounced Inspection 6 and 7 August 2007 10:00 X10015.doc Version 1.40 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 DS0000066189.V346070.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 Older People. 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 DS0000066189.V346070.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairfield House Address Charmouth Road Lyme Regis Dorset DT7 3HH 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) 01297 443513 Fairfield House Healthcare Limited Vacant Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of four (4) bedrooms/suites measuring 15.5 square meters or more, may be used for double occupancy at any one time. 28th November 2006 Date of last inspection Brief Description of the Service: Fairfield House is a residential care home for older people. It is situated approximately ¼ mile from the seaside town of Lyme Regis. It was first registered as a care home for older persons in July 1986. The home is established in an early Victorian mansion set in its own grounds with panoramic views of Lyme Bay and Lyme Valley. The Home is on a bus route to the town centre. The home is currently registered to accommodate a maximum of 34 service users in single and double bedrooms, available at ground and first floor levels. The communal facilities include a spacious lounge, smaller quiet lounge, dining room and two conservatories. A passenger lift enables access to the first floor of the home. The front entrance to the home comprises a large parking area, while the side and back gardens are mainly set to lawn with mature trees and seasonal borders. In November 2005 Fairfield House was purchased by Fairfield House Healthcare Ltd and Mrs Sue Heybourne was registered as the Responsible Individual, representing the Directors of the Company. Mrs Heybourne is also the Director of Personnel Solutions, the Management Company that oversees the day-today running of the home. An acting manager is currently in post. The home has a Service User Guide, which is available to all prospective service users or their representative. A copy is ordinarily located in the front hall, together with a copy of the most recent inspection report. Fees range from £425 to £550 per week for a single room. This information was given on the 29th November 2006. Readers of this report may find it helpful if they have any queries about fees to contact the Office of Fair Trading WWW.oft.gov.uk. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted ten hours and was carried out over two days. The inspector spoke to thirteen of the twenty-nine residents living at the Home. A number of visitors were also consulted. The inspector joined a small group of residents for lunch. The new manager Mrs. Fenton, four care assistants and an agency cook were consulted about their roles, responsibilities, training needs, and how they assist and support residents. Residents were observed being assisted with their needs by staff. A selection of records relating to the day-to-day running and management of the Home were inspected. A range of resident’s care records and care plans were also reviewed. The majority of the environment was seen. The only areas that were not viewed were a small number of resident’s bedrooms. The ‘AQAA’ (an annual quality assessment document that all Homes are required to complete) has been used to help form the judgments in the report. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: Residents are supported with their needs by kind and caring staff. Staff were observed to treat residents with kindness and consideration. Staff took time to help residents meet their needs, and also supported them to do as much for themselves as they could. Residents care plans demonstrate needs are being monitored and updated. Care staff have a good understanding of residents range of needs. The environment is suited to the needs of the residents; it is tastefully decorated and furnished in a homely style. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: When staff write out medication administration charts by hand, two staff must sign them to confirm the chart is accurate. This is a checking procedure to confirm the chart has been written accurately. This is to ensure residents’ medication is administered correctly. Residents must be provided with a wholesome varied and nutritious diet at all meal times. There must be a record kept of all meals served to residents to demonstrate they receive a varied and wholesome diet. There must be evidence to demonstrate residents’ finances are being managed safely. Specifically if the Home looks after residents’ finances then accurate records must be maintained. There must be an up to date fire safety risk assessment in place for the Home. This is to set out how to minimise fire risks and maintain the safety of residents and staff. To maintain residents and staff health and safety the fire alarms must be checked on a consistently regular basis. This is to make sure the fire alarms are working in the event of an emergency. Dairy products, cooked meats, and cooked food stored in the fridge should be covered and dated. This is to ensure food is used within a safe timescale. There should be a daily record kept of the fridges and freezer temperatures. This is to demonstrate the fridges and freezers work properly and foods are being kept at a safe temperature. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 7 The temperature of all high-risk foods should be checked before serving to residents. This is to ensure the food has been cooked to a safe temperature. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6. Quality in this outcome area is good. Residents’ assessed needs are met by the Home. Prospective Residents and their representatives have the information they need to make an informed choice about living at the Home. Prospective residents can `test drive’ the Home before they move in to see if it is suitable for them. Residents are not provided with intermediate care at the Home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home a copy of the service users guide was reviewed. Residents’ representatives, or the residents themselves are given their own copy of the guide so they have access to helpful information about life in the Home. There is information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain about the service. There is also a brochure with photographs of the Home as well as a website that contains a range of helpful information about the service. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 10 Three residents assessment records were reviewed to find out how well residents’ needs are assessed. The assessment records were reasonably informative, and showed the residents range of physical, mental and social needs had been assessed. An assessment of resident’s levels had been carried out .The actions taken to support the person had also been recorded in the assessment records. The assessment records had been reviewed and updated on a regular basis. This demonstrates the Home make sure they can continue to meet residents needs. A number of residents said they had visited the Home before deciding to more in. One resident said they had `visited, visited and visited again’, to make sure they wanted to live at the Home. The service users guide says it is the Homes policy that prospective residents visit first to make sure the Home is what they want. This helps to confirm residents can visit and check out the service first to see if it is suitable for them. The Home does not provide intermediate care for residents. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 10. Quality in this outcome area is adequate. Residents’ care plans demonstrate how needs are met. Residents are treated with respect and their privacy is upheld. The practises and procedures for handling residents’ medication are only partly safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: To find out how residents are supported to meet their care needs three care plans were read. The care plans were reasonably informative and detailed how to meet the care needs of the person. The care plans stated what actions staff must follow to assist the resident, and included information showing how to support residents who have varying levels needs. The staff were familiar with the content of care plans and knew what actions they must take to meet residents needs. Care plans had been reviewed and updated regularly. This demonstrates residents’ needs are being monitored and kept under review. Residents are registered with local GP surgeries and are further supported with their health needs by community nurses who review residents’ health care needs in the Home on a regular basis. A community nurse came to the Home Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 12 during the inspection for an appointment with residents, to assist them with health care needs. There is a health record maintained for each resident. This records when residents see a doctor, optician, dentist and chiropodist and the reasons for the referral, and what treatment may be required. There was information in the daily records that demonstrated staff monitor and observe residents and call a doctor if concerned. Staff were observed knocking on residents bedroom doors before entering them and assisting residents in a polite and respectful manner. The procedures and systems in place for administration, storage and disposal of medication were checked to monitor if the systems are safe. Medicines are supplied by a local pharmacy and the staff said that they have good support from the pharmacy to help them manage medication. The manager provides training to staff to check that they are administering medication safely to residents. This helps ensure residents’ medication is administered by staff who are safe and competent to do so. The medication administration charts of three residents were inspected. There was a photograph of the person maintained with each record. This should ensure medication is administered correctly to the person named on the chart. The administration charts were up to date and in order. The staff had signed for medication administrated, or recorded the reasons for any omissions. There were several medication charts that had been handwritten by staff. However the staff member had not signed to confirm that charts had been written correctly. There need to be two members of staff signing all handwritten charts to make sure they are accurate. This must be done, as it is a checking procedure to confirm the chart has been written accurately. This makes sure residents’ medication is administered correctly. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15. Quality in this outcome area is adequate. Residents are supported to maintain contact with family and friends and be part of the community. This helps residents to feel valued and helps to stop them feeling isolated. Residents may not be being offered a consistently good choice of appealing, nutritional meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are able to take part in a timetable of social and therapeutic activities over four days each week. There is an activity organiser employed to organise social activities. These include scrabble, word games, exercise groups, musical afternoons, and one to one sessions. There are trips to areas of interest in the community. The trips out are clearly a very good opportunity for residents to visit the local community. However a number of residents said that recently the trips had not always been taking place due to a lack of staff. Several residents commented positively about social and therapeutic activities that take place. However there were comments made by residents that the social and therapeutic activities were not suitable for them due to their disabilities. These comments need to be looked at and responded to by the Home so that residents with differing needs are offered the opportunity to take part in social and therapeutic activities. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 14 There is a hairdresser who attends to residents in the Homes own salon. Residents were observed having their hair attended to during the inspection, and looking as if they were having an enjoyable time. Residents were observed walking around the Home, and approaching staff, and looking relaxed and settled in their environment. During the inspection a number of visitors came to see friends or family at the Home. Staff were warm and friendly in manner to visitors. Visitors said that staff are friendly and welcoming. One visitor had lunch with their friend who is a resident, which they said they very much enjoy. This is good evidence that the Home support and encourage residents to keep close contact with families and friends if they so wish. The residents menu was inspected to find out what sort of meals choices are provided. The Home operates a rotating flexible menu. The lunch menu choices were checked and were well balanced and traditional. Residents can make a choice at meal times of the meal they would like to have. However the menu only includes what meal choices residents are provided at lunchtimes. This makes it hard to check if residents are offered a wholesome varied and nutritious diet at all meal times. There must be a record kept of all meals served to residents to demonstrate they receive a varied and wholesome diet. There were also ten survey forms from residents who commented negatively about the `patchy’ and `variable ’ quality of the food served. The manager said that there is currently no full time cook although they are recruiting for one. The Home is relying on agency cooks, which may account for residents feeling the quality of meals lately has been very varied. A portion of the lunchtime meal was sampled; this consisted of a choice of roast chicken, roast potatoes, and three fresh-cooked vegetables or macaroni cheese. There was a choice of homemade rhubarb crumble with custard, or fresh fruit, or yoghurts for dessert. The meals were tasty, and well cooked. Staff helped residents who needed extra help with their meals in a sensitive way and this helped to maintain residents dignity. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. Residents and their representatives can be confident that complaints will be listened to and taken seriously. Residents are protected from abuse and the risk of harm by training and the Homes’ policies and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the complaints procedure is on display in the reception area, which includes the name of the Commission for Social Care Inspection, for anyone who wishes to contact us and make a complaint. The contact details of the owners are included in the service users guide, if residents or representatives wish to contact the owners directly to make a complaint. There had been several complaints made since the last inspection. The complaints referred to the quality of food served. The Home has been responding to the complaints promptly and thoroughly. Two staff were consulted and they demonstrated they had an understanding of the subject of the `protection of vulnerable adults’ and their responsibilities to protect the residents in their care . Three staff records were reviewed that showed staff had undertaken training in the topic of the ` protection of vulnerable adults ’. The Home have their own policy and procedure in relation to the `protection of vulnerable adults. This is kept in the staff office so that all staff are aware of it and what they need to do to protect residents from harm and abuse. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,25,26. Quality in this outcome area is good. Residents live in an environment that is satisfactorily clean and well maintained. The Home is suitable for residents to live in and has the necessary adaptations and equipment in place to meet residents’ needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Fairfield House Care Home is a large Victorian House built over three floors, which can be accessed by stairs or lift. The building is situated in the town of Lyme Regis in Dorset and is near local shops, a church and the sea front and beach. A number of residents commented that they liked the environment of the Home, and the views of the nearby seafront. Specialist equipment and adaptations are in place throughout the Home, to assist residents and visitors who may have reduced mobility. There is also a lift Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 17 giving access to all floors of the Home, as well as a stair lift, for people with reduced mobility. The majority of bedrooms and all the communal areas were viewed. The majority of bedrooms are for single occupancy, however there are two double rooms. Rooms were satisfactorily decorated and maintained. The environment was very clean and tidy throughout. Bedrooms have been personalised to reflect the tastes of residents with photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory. A number of bedrooms have en suite facilities. There are also bathrooms and toilets located within close proximity to rooms that do not have these facilities. There is also a washbasin in each bedroom. There is a dining room, a television lounge, and three conservatory areas. The main lounge has a grand piano in it that enhances the appearance of the room. There is also easy access to the gardens via patio doors. Residents were observed sitting in communal areas looking very relaxed and comfortable in the surroundings. The communal areas are decorated in light and cream colours. This enhances the living environment for residents. There are toilets located close to the dining rooms and lounges. Communal bathrooms were clean and well maintained and were free of any unpleasant odours. The Home is well ventilated and warm with plenty of natural light. Radiators are in the process of being fitted with guards where judged a risk, which helps maintain residents’ health and safety, so that they do not risk burning themselves. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29,30. Quality in this outcome area is good. Residents are supported by skilled staff. There are enough staff on duty at any time to meet residents needs. The Homes’ recruitment practices are robust and protect residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff records of three care staff on duty were reviewed to find out if the staff had attended recent training and updating of their knowledge and their understanding of the work that they do. The records demonstrated staff are well supported to attend training in areas such as infection control, health and safety, protection of vulnerable adults, and fire safety. A number of staff have also completed the National Vocational Qualification in care award. The staff duty record was reviewed to see if there is sufficient staff on duty at any time to meet residents needs. This included domestic support, maintenance staff and catering staff. Mrs. Fenton the manager works full time, and a full time deputy manager supports her. There is a minimum of five care staff on duty working during the day with extra staff available at busy periods. There is four staff on duty in the afternoon and two staff at night. There is also domestic staff working every day as well as (currently) an agency cook every day, a maintenance man, and a gardener. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 19 The staff on duty on both days of the inspection were assisting residents with their needs in a calm and patient manner. There were many very positive comments made by residents about the staff and how ` hardworking ’ and how very ` kind and helpful ’ they are. This demonstrates residents feel well supported by the staff. The staff recruitment records of the three care staff on duty were checked to see if the Home carry out the required employment safety checks on all staff before they start work .The staff records demonstrated the necessary checks before employing new staff are being carried out. Specifically there were two written references taken up for all new staff before they start work as well as Criminal Records Bureau Disclosures checks and Protection of Vulnerable Adult (POVA) first checks. This demonstrates residents are protected by the Homes recruitment procedures. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is adequate. Residents’ benefit from having experienced management of the Home. Residents and representatives are supported to raise issues with the management. Staff are supervised in the work they undertake. The system for managing residents’ financial arrangements is only partly safe. Residents’ health and safety is only partly protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs. Fenton is the newly recruited manager who has many years of experience caring for people with a range of care needs. She has been the manager of other Care Homes in different regions, and she has previously been registered with us. This helps to demonstrate fitness to be in charge of a Care Home. She has yet to be registered with the Commission, although an application is being Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 21 sent to us. Several residents said they had met Mrs. Fenton who has not been at the Home for more then a few weeks, and they said she was ` very nice ’. Mrs. Fenton. is providing the staff with regular structured supervision sessions to assist them in their work and to help them to understand residents needs. The records were not checked on this occasion, although they may be reviewed at the next inspection. The staff reported that staff meetings are held regularly, and the records that were looked demonstrated staff are able to express their views to the manager and to the owners (if necessary). A quality-monitoring audit of the Home and the overall service has been carried out. A survey has been sent to residents, and their representatives to find out their views of the service. This is a good way to check on the quality of care, the overall service, and the general standards in the Home. The Home will take responsibility for residents’ financial arrangements in exceptional circumstances. One resident’s financial records were checked. The records were not up to date. Cash had been taken out of the resident’s money on their behalf but their records had not been clearly recorded to show all the money that had been taken out and when. This information must be completed as evidence to demonstrate resident’s finances are being managed safely. Mrs. Fenton spent time checking through the resident’s receipts and was able to account for all money that had been spent. The environment looked safe and satisfactorily maintained throughout. The fire logbook records showed fire alarm tests are being carried out. However there were three gaps of time in 2007 of two weeks or more when no test had been carried out. There are also fire drills carried out on a regular basis to help protect the health and safety of residents and staff. However there needs to be an up to date fire safety risk assessment in place for the Home that sets out how to minimise fire risks an maintain the safety of residents staff and visitors. Mrs. Fenton said that the old fire safety assessment is going to be updated and rewritten. The kitchen was tidy and organised when viewed. However there were no up to date daily records being kept of the fridges and freezer temperatures. This information is necessary to demonstrate the fridges and freezer is working properly and foods are being kept at a safe temperature. Also the cooks have not been consistently checking the temperatures of all high-risk foods before serving the food to residents. This is necessary to ensure the food has been cooked to a safe temperature for residents to eat. There were also dairy products, cooked meats, and cooked food stored in the fridge that had not been dated. This is must be done for these foods so they are used within a safe timescale. Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 22 Staff are provided with training in health and safety matters including first aid, food hygiene training and moving and handling practices. This should help protect residents’ health and safety if staff are knowledgeable and well trained in these health and safety principles and practices. Fairfield House DS0000066189.V346070.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 Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 3 X 1 Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13.2 Requirement There must be two members of signing residents’ medication administration charts that have been handwritten. This is to confirm the chart have been written accurately and to ensure residents’ medication is administered correctly. Residents must be provided with a wholesome varied and nutritious diet at all meal times There must be a record kept of all meals served to residents to demonstrate they receive a varied and wholesome diet. There must be evidence to demonstrate resident’s finances are being managed safely. Specifically if the Home looks after residents’ finances up to date and accurate records must be maintained. There must be an up to date the fire safety risk assessment in place for the home that sets out how to minimise fire risks an maintain the safety of residents staff and visitors. To maintain residents and staff DS0000066189.V346070.R01.S.doc Timescale for action 09/08/07 2. OP15 Schedule4 .13 09/09/07 3. OP35 Schedule 4.9 09/08/07 4. OP38 23.4(a) 09/10/07 5. OP38 23.4c(v) 09/08/07 Page 25 Fairfield House Version 5.2 health and safety the Home must make sure that the fire alarms are checked on a consistently regular basis. This is to make sure the fire alarms are working in the event of an emergency. 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 OP38 OP38 Good Practice Recommendations Dairy products, cooked meats, and cooked food stored in the fridge should be covered and dated. This is to ensure food is used within a safe timescale. There should be a daily record kept of the fridges and freezer temperatures. This is to demonstrate the fridges and freezers are working properly and foods are being kept at a safe temperature. The temperature of all high-risk foods should be checked before serving to residents. This is to ensure the food has been cooked to a safe temperature. 3 OP38 Fairfield House DS0000066189.V346070.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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