Inspection on 24/10/06 for Fairhaven

This inspection was carried out on 24th October 2006.

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 10/02/06

Fairhaven 04/07/05

Fairhaven 08/02/05

Fairhaven 08/10/04

Fairhaven 30/09/02

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Fairhaven 19 Park Avenue Watford Hertfordshire WD18 7HR Lead Inspector Yoke-Lan Jackson Key Unannounced Inspection 24th October 2006 13:00 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 Fairhaven DS0000019346.V317165.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. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairhaven Address 19 Park Avenue Watford Hertfordshire WD18 7HR 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) 01923 220811 01923 490585 Mrs C.C. Fletcher Mr C.G. Fletcher Mrs C.C. Fletcher Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability over 65 years of age of places (20) Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The large bedroom situated on the ground floor may be used to accommodate two service users providing they have consented to share and that the room will revert to single occupation should one of the couple permanently leave for any reason. 10th February 2006 Date of last inspection Brief Description of the Service: Fairhaven is a family-run residential care home. It is registered for 20 service users in the Old Age category. Some of the service users may have physical disability. It is situated in a residential area within walking distance of Watford town centre. The building is a large double-fronted house with a purpose-built extension to the side and to the rear of the home. There is a parking area in the front of the building. Security measures include a front electronic gate with an entry phone. The home has 16 en-suite bedrooms that are of single occupancy and 2 ensuite double bedrooms for couples. All bedrooms are furnished and each has a television and a telephone for incoming calls. Bedrooms are situated on both the ground floor and the first floor, which is serviced by a lift. The office, dining room, kitchen and laundry facilities are all on the ground floor. There is ample community space for the service users, including the extended lounge and the garden. There is a small patio leading into the garden with comfortable garden furniture. The garden is accessible to wheelchairs. The home charges £400 - £500 per week. Further information is found in the Statement of Purpose and the Service User Guide. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on 24/10/2006. Both proprietors were present. One of the proprietors is also the registered manager. The home has 19 service users and one vacancy. The inspection began by being introduced to the service users who were in the dining room having lunch. The registered manager conducted a tour of the premises. Several service users and staff were interviewed. Documents were examined. (See below for details of the inspection findings). What the service does well: What has improved since the last inspection? The building work to combine the two houses into one has been completed. The facilities provided in the en-suite and furnished bedrooms include a television and a telephone for incoming calls at no extra cost to the service users Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 7 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 Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 8 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, 2, 3, 4, 5. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The prospective service users have the information they need to make an informed choice. There is a pre-admission assessment to ensure that the home is able to meet their needs. A trial period is arranged. EVIDENCE: The care plan files examined indicated that the home manager carried out a pre-admission assessment. There was a trial period of at least 4 weeks. A service user who was admitted recently gave very positive feedback about the care and service provided. There is a revised statement of Purpose and each service user is given a Service User Guide. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 9 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, 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are treated with respect and dignity. Each has a written care plan that is comprehensive. Medication is administered in accordance with legislation. EVIDENCE: The care plans examined were comprehensive and reflected the care needs of the service users, including spiritual needs. All care plans are being reviewed and updated to reflect the changing care needs of the service users. Service users appeared well cared for. One service user (who was on Peg feeds when admitted) was observed to have purée food orally and was able to have her meal together with the other service users in the dining room. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 10 Service users have access to appropriate specialist treatment. One recent admission had a grade two pressure sore and the condition has since improved. A district nurse has been visiting the service user regularly to redress the wound. The Medication Administration Record charts examined were filled correctly. A trained member of staff administered the medication. Medicines are appropriately stored in the medicine trolley in the storage and treatment room. Currently there are no controlled drugs being prescribed. However, the registered manager assured the inspector that a Controlled Drug cupboard will be installed if necessary. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 11 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, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users find the lifestyle in the home matches their expectations and preferences. They are given choices and the daily routine and activities are flexible and varied. Service users have close links with their relatives and friends. The meals provided are nutritious and there is a choice of menu. EVIDENCE: The activity programme is varied and is planned to suit the individual interests of service users. The proprietor and registered manager arranged for three service users to have afternoon tea at The Grove, a five star hotel in Watford, when one of these service users expressed an interest visiting the site and she paid for all the expenses. They all had a good time together. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 12 Another service user said, “We went to Woburn Safari Park and we all had a good time”. The proprietor also funded this trip. On the day of the inspection, the activity included music, dancing and singing followed by afternoon tea in the lounge. Service users have close contact with their relatives who are encouraged to visit at any time. The meals provided are nutritious and balanced. Service users gave positive feedback about the meals provided. One remarked, “The meal is good and there is plenty to eat.” Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 13 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, 17, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust Complaints Policy and Procedure. Service users’ legal rights are protected. EVIDENCE: The home has not had a complaint since the last inspection. Staff have training on abuse and adult protection issues. The home follows Hertfordshire Adult Protection Procedure. The home is not involved in the financial affairs of the service users. However, the manager assists with their personal allowances. All transactions are appropriately recorded. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 14 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, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely and comfortable environment. They have the specialist equipment they need to maximise their independence. EVIDENCE: The recent building work has been completed, combining the two adjacent houses into one. All the rooms are clean and tidy and appropriately decorated. All the facilities are in good working order, including the lift. All equipment for the user of the service users is maintained and serviced regularly with records kept. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 15 The service users’ bedrooms appeared comfortable, and the en-suite facilities are hygienically clean. One service user said, “I am very pleased with my bedroom” and eagerly invited the inspector to look at it. There were personal items on display that reflected her preferences and lifestyle. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 16 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, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of care staff are appropriate to the care needs of the current group of service users. There is a structured training programme for all staff. Service users are protected by the home’s recruitment policy and practices. EVIDENCE: Staff were observed to interact well with the service users and team-working was evident. The home tends to employ staff from overseas through an employment agency. Appropriate references and Certificates of Good Conduct for the members of staff were seen. They were vetted further through the Criminal Record Bureau (CRB), once in this country. There is a rolling training programme for all staff. They have the required training to enhance their skills in the care of the service users. This was evident in the staff files examined. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 17 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, 32, 33, 34, 35, 36, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of administration and management of the home is well maintained. The health, safety and welfare of service users are promoted and protected. All records for their protection are maintained and kept in accordance with legislation. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home is very well managed by the two proprietors, one of whom is the registered manager. They are kind and caring to both service users and staff. One service user said, “The owners are good people. Mr Fletcher is always asking if there is anything else I need in my room. Mrs Fletcher usually checks on me to make sure I am all right.” There is a quality assurance and monitoring system. The registered manager hopes to improve on the format of the report for next year. All policies and procedures have been revised and updated. All records for the protection of service users and the servicing records are kept and maintained in accordance with the Data Protection Act 1998. Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 19 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 3 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 3 3 3 3 3 Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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. 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. Refer to Standard Good Practice Recommendations Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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. Extracts may not be used or reproduced without the express permission of CSCI Fairhaven DS0000019346.V317165.R01.S.doc Version 5.2 Page 22 - 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!