Inspection on 20/01/06 for Fairfield Manor

This inspection was carried out on 20th 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 but made no statutory requirements on the home.

Other inspections for this house

Fairfield Manor 10/02/10

Fairfield Manor 16/02/09

Fairfield Manor 25/09/07

Fairfield Manor 20/02/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Fairfield Manor Fairfield Road Broadstairs Kent CT10 2JU Lead Inspector Brenda Pears Unannounced Inspection 20th January 2006 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 Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairfield Manor Address Fairfield Road Broadstairs Kent CT10 2JU 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) 01843 860715 01843 868516 Ashbourne (Eton) Limited Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age (3) of places Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Of the 40 beds 23 are registered for nursing patients and 14 for residential clients. All residential clients must be aged 65 years and over. Date of last inspection Brief Description of the Service: Fairfield Manor Care Home is a four-storied detached building adjacent to Fairfield Court Care Centre. Fairfield Manor is located in a residential area on the outskirts of Broadstairs, approximately one mile from the nearest shops and other amenities. The home stands in three acres of grounds with trees and gardens. There are areas where service users can sit out in fine weather and ample car parking facilities are available. There is a shaft lift and ramp areas are available for wheelchair users. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken with a focus on the well being, safety and quality of life of service users living in the home. The methods of inspecting the home included speaking to service users, visitors, members of staff, management plus sampling records and observations of the building. This report reflects the findings at this and at the previously announced inspection. While Fairfield Manor is currently registered for 40 beds providing nursing and personal care to older people, the details of the registration certificate are not currently accurate and require a variation to the current registration. The acting manager was not on duty at this time and the senior carer on duty assisted with this inspection in a very professional and competent manner, expressing a good knowledge of service user needs and procedures in the home. What the service does well: Families and advocates are included in all events that are undertaken and service users and families are kept informed and up to date with developments in the home. A newsletter that is regularly developed provides information about events and changes in the home for service users and families. Regular meetings and consultation are undertaken with service users to ensure choices are constantly available. The home encourages and supports independence by the provision of 2 mobility chairs to be used by service users in the grounds of the home. Visitors spoken to at this time confirmed that staff are caring and always ready to assist and support service users. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Ensure all appropriate telephone numbers and full details on the complaints procedure are displayed in the entrance hall. To apply for an appropriate variation of registration to reflect the correct amount of rooms provided in the home. A review of the Statement of Purpose and Service User Guide is required to accurately reflect the rooms available in the home. While activities and entertainment are provided in the home, the inspector was informed that service users are not asked what films they would like to watch or what favourite music could be enjoyed. The provision of activities is only beneficial if the preferences of service users are being acquired and met. Set routines regarding putting on a film or music chosen at random and without consultation is not supporting service user autonomy, needs or providing beneficial past times. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 7 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 Manor DS0000065787.V273659.R01.S.doc Version 5.0 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 Manor DS0000065787.V273659.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 6 Prospective service users are given appropriate information to support a decision about moving into the home, however, the Service User Guide and Statement of Purpose must reflect the correct numbers of rooms and all appropriate telephone numbers to fully inform and support service users. Intermediate care is undertaken with appropriate support to maximise independence and return home. EVIDENCE: The Service User Guide and Statement of Purpose have been completed to provide appropriate and current information for any person wishing to move into the home. There is a copy of the Service User Guide in every room of the home. However, numbers of rooms available in the home and appropriate telephone numbers must be accurately detailed in this document and on the registration certificate. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 10 All intermediate care and rehabilitation is undertaking using appropriate equipment and support from care staff and healthcare professionals. All care is to enable a full recovery and a return to independence is also achieved. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 10 Staff regularly review care plans and all health care needs are met appropriately, providing appropriate care and support. Service users are treated with respect and the right to privacy is upheld. EVIDENCE: Visits by healthcare professionals are recorded on each care plan and contain full information of care given Records are clearly completed with full information and are signed and dated when reviewed. This supports appropriate service user care and good practice. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Service users and visitors stated they spend the day as they wish and staff are supportive, ensuring choice and independence. Individuals are not consulted when entertainment is provided by the activities person. This is not encouraging service user participation or fulfilling all interests and needs. EVIDENCE: Service users and visitors confirmed days are undertaken as each person wishes, that staff do support and care for service users. Trips are undertaken outside the home twice a month during which time a meal is enjoyed out or a visit to a pub. During discussions with the activities organiser, the inspector was informed that service users are not asked what films they prefer to watch or what music they enjoy listening to. Activities are on a programme on display that has music and reading on quite a few days. This time is spent with music being Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 13 chosen for service users and newspapers being read by each individual who wishes to do so. One service user stated that some people do fall asleep quite often. While this may be the case in any circumstances, obviously the lack of consultation about activities and films does not encourage participation, or indeed, enjoyment of some activities being presented. Discussions with individual service users on a one to one basis and/or with family members about past activities that have been enjoyed, or films that could reflect the interests of individuals, would help towards getting to know each service user. This would also ensure the provision of activities is appropriate and welcomed. Outings are undertaken on two days each month and service users expressed their pleasure at having these regular outings. One person was reminiscing about her family, their occupations and special events from some years before, memories that had been brought to mind during her recent trip out around the Kent countryside. Again, these memories and events could be drawn together to support discussion groups or any other appropriate past time that may be enjoyed by one, or a group, of service users. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 While not directly inspected at this times, discussions with service users and visitors confirm that staff listen to any concerns and take appropriate action. The complaints procedure on display is not currently up to date, therefore, accurate and appropriate information is not readily accessed. EVIDENCE: The home continues to enjoy a good relationship with visitors and families, with regular meetings being undertaken in the home. Family members, friends and/or advocates attend service user meetings and this forum has ensured that any areas of concern are discussed and addressed quickly and appropriately. Service users benefit from a safe environment and well run home and the systems of consultation are good. The complaints procedure on display is not currently up to date and does not identify appropriate addresses and telephone numbers of Kent County Council and Commission for Social Care Inspection, should these be required by visitors or service users. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The home was clean, warm and had a welcoming and relaxed atmosphere at the time of this inspection, providing a comfortable environment for those living in the home. EVIDENCE: The fabric of the building continues to be improved through redecoration and refurbishment. The smaller lounge area on the first floor now has a new roof and is currently being redecorated to provide an alternative lounge area for those on the first floor wishing to be a quieter area away from the main entrance area on the ground floor. The continued upgrading of the home ensures service users are provided with the best possible environment in which to live. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 16 Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 There is a training matrix in place to ensure refresher and core training is up to date at all times, staff are therefore provided with appropriate skills to support service users and meet individual needs. EVIDENCE: Training is monitored throughout the year and all training is approved and appropriate. Mandatory training is clearly shown on a spreadsheet that is reviewed and maintained, clearly identifying training that needs to be booked. Staff on duty at this time consisted of the senior carer, 5 care staff, 1 nurse, 1 administration person, 2 domestic staff, 1 chef and a kitchen assistant. No agency staff are used as the current staff cover any available shifts, supporting service users at all times. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 38 Staff are supported by senior staff, management and regional manager, providing clear leadership throughout the home, supporting both staff and service users. Service users also benefit from a safe environment and well run home and systems of consultation are good. EVIDENCE: The acting manager was not on duty at the time of this unannounced inspection, therefore, the senior carer on duty assisted with this inspection in a very professional and competent manner, expressing a good knowledge of service user needs and procedures in the home. Staff stated they feel Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 19 supported by their organisation and senior staff and the home has clear lines of management structure. Fairfield Manor provides a safe, relaxed and welcoming environment. Service users and visitors stated they feel happy and well cared for and were seen to be comfortable while enjoying chatting with staff and the inspector. Staff demonstrated a good awareness of their roles and responsibilities, plus the needs of service users. Visitors confirmed they are kept informed of any changes with regard to family/friends in the home and they are also comfortable discussing all matters with staff. The home considers the safety of service users in the home. There are clear signs for emergency and fire exits, fire extinguishers are appropriately placed, clearly signed and serviced. There were no COSHH items in evidence, and cupboards/areas posing a risk were appropriately locked at this time. Decoration and maintenance is undertaken in areas that do not pose any risk to service users and safety is ensured when any maintenance work is undertaken. Adjustments to the lounge on the first floor are currently being undertaken to provide an alternative area to be used while the main lounge is redecorated. This then ensures the safety and comfort of service users and visitors. Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 20 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 2 X X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 x X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X X X 3 Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? yes 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 OP1 Regulation 4&5 Requirement To review the Statement of Purpose and Service User Guide to accurately reflect the rooms available in the home. To ensure all information regarding complaints has telephone details of all appropriate supporting agencies and is reflected in the Statement of Purpose, Service User Guide and all complaints documents. (A copy of these updated documents to CSCI by the stated date) That a new programme of activities be developed following discussions with service users. That the activities available reflect the choices and interests of service users. (A plan of action to be with CSCI by the stated date) To apply for a variation to accurately reflect the number of beds and categories currently available in the home. DS0000065787.V273659.R01.S.doc Timescale for action 24/02/06 2 OP16 22 24/02/06 3 OP12 16 24/02/06 4 OP37 39 (h) 24/02/06 Fairfield Manor Version 5.0 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fairfield Manor DS0000065787.V273659.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 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