Inspection on 13/07/05 for Fairhaven

This inspection was carried out on 13th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairhaven 06/06/06

Fairhaven 16/01/06

Fairhaven 07/12/04

Fairhaven 30/06/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Fairhaven 5 Alexandra Terrace, Clarence Road Bognor Regis West Sussex PO21 1LA Lead Inspector Jo Hartley Announced 13 July 2005, 10:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fairhaven Address 5 Alexandra Terrace, Clarence Road, Bognor Regis, West Sussex, PO21 1LA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 829956 Allied Care (Mental Health) Ltd Mrs Zoe Rutter Care Home (CRH) 13 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia (MD),(13) of places Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 One named service user in the category of mental disorder (MD(E)) over the age of 65 years may be accommodated. Date of last inspection 7 December 2004 Brief Description of the Service: Fairhaven is a three-storey terraced house situated in the centre of Bognor Regis. It is a short walk from the sea front and main shopping area. Fairhaven offers accommodation to thirteen service users from eighteen to sixty-five years of age with a mental disorder. There are seven single bedrooms and three double bedrooms, two lounges, (one of which is designated for nonsmokers), and a separate dining room. There are two bathrooms and two separate toilets, all with wash basins. The responsible individual is Mr Aslam Dahya, (who represents Allied Care (Mental Health) Ltd.), has other established care homes. The Registered Manager is Mrs Zoe Rutter who is responsible for the day-to-day running of the home. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over a period of four and a half hours. The inspector read information held on the service file since the last inspection in December 2004, and read the previous two inspection reports. Comment cards were received from five relatives/visitors. During the inspection the inspector spoke to four service users, and two members of staff. The inspector undertook a tour of the premises and looked at three care plans and three staff files. Various record books, policies and procedures were also examined. What the service does well: What has improved since the last inspection? What they could do better: Some redecoration is needed on the top floor of the home. This is already scheduled in the home’s maintenance programme for this year. Fairhaven should maintain and continue with the improvement of the good standards they have achieved. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 6 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. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5 Thorough pre-admission assessments are undertaken before admission to the home. Every service user has a statement of terms and conditions. EVIDENCE: All of the service users’ files examined held comprehensive pre-admission assessments of needs undertaken by people competent to do so. It was observed that each service user has a placement agreement and statement of terms and condition within the home that has been signed by individual residents. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 Service users’ assessed and changing needs and personal goals are set out clearly in individual plans of care. Service users are supported to take risks; risk assessments are drawn up in consultation with the individuals concerned. Service users are supported in making decisions about their lives. EVIDENCE: Three service users files were examined during the inspection. Care plans set out how current and anticipated requirements will be met. Specialist health care needs are met by community health services. Restrictions on choice and freedom are clearly recorded and agreed with service users. A service user said that he has two key workers who help him to make decisions about his life. Care plans showed evidence of regular reviews. Care plans were seen to include Health and Safety Risk Assessments for individual service users, and had been reviewed regularly. Risk assessments were of a high standard. Clear policies and procedures were seen regarding missing persons. The missing persons forms include a photograph of the individual service user and important medication details amongst other essential information. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 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 standard(s) 13, 16, 17 Service users are able to engage in appropriate leisure activities and take part in the local community. Their rights and responsibilities are recognised in their daily lives. Service users say they enjoy the meals provided at Fairhaven. EVIDENCE: Residents said that the home provides a variety of activities for them to take part in if they choose. An activity planner was seen on the wall of the hall listing activities taking place each day. Activities included cinema, bowling, going out for meals and visits to the shop. Staff was seen interacting with service users and calling them by their preferred name, which is recorded, in their individual plans. Bedroom doors have locks on them and residents hold their own keys if they wish. Residents said they are able to take responsibility for certain housekeeping tasks including laying the table for meals. Residents said that they enjoy the food at Fairhaven. They said that they are involved in planning the menu and are able to have an alternative if they don’t like the day’s menu. A menu was seen on the wall by the kitchen, the home Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 11 also keeps a record of alternative meals provided to anyone who has not eaten the main choice. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Service users physical and emotional health needs are met. EVIDENCE: Evidence was seen in care plans that service users’ physical and mental health care needs have been assessed and monitored. One service user said that staff helps him to manage his tablet-controlled diabetes, another service user said that he sees a counsellor every week, as part of his care plan, to help him address personal issues. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Service users feel that their views are listened to and acted on. Policies and procedures are in place to help protect service users from abuse, neglect or self-harm. EVIDENCE: During the inspection the home’s complaints procedure and complaints book were examined. One complaint had been made since the last inspection. This had been dealt with appropriately and within the required time scale. Residents said that they are able to talk to staff and anyone in the management team about any complaints or concerns they may have. Policies and procedures were inspected regarding adult protection and abuse, including whistle blowing. Staff spoken to had a clear understanding of these policies. Staff training records showed that staff has received training in Adult Protection and Conflict Management. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 Fairhaven provides a homely, comfortable and safe environment for service users’ that is also clean and hygienic. EVIDENCE: On the day of the inspection the majority of the home was found to be well decorated. Some areas on the top floor were seen to be showing signs of wear and tear. These areas were listed in the maintenance book for re-decoration throughout the coming year. Communal rooms were comfortable and homely. Service users who had recently had their bedrooms re-decorated said they were able to choose their own décor. The home has two communal lounges, one of which is a designated smoking room. No smoking is allowed in the rest of the house. The home was found to be clean, tidy and free from offensive odours. Policies and procedures for the control of infection were seen. The home has a designated COSHH cupboard that is kept locked. Laundry facilities are sited away from areas where food is prepared or cooked. Laundry floor finishes are impermeable and easy to clean. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The staff is trained appropriately to meet the needs of the service users. EVIDENCE: Staff files and the home’s training and development plan were inspected. The company provides a comprehensive training program for staff. Mandatory training includes induction, foundation, Adult Protection, Health and Safety and Conflict Management. Staff is also able to access training specific to the needs of the residents within the home. Recent training has included Alcohol and Drug Misuse, Asperger’s and Sexuality Awareness. A newly employed member of staff said that she is currently doing her induction training and is booked to do all the compulsory courses that the company provides. A senior support worker said that the home has recently introduced induction training specifically for new senior support workers. Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion. EVIDENCE: Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x 3 4 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairhaven Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Fairhaven H60-H11 S48418 Fairhaven V229874 130705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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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