Inspection on 10/11/05 for Fairholme House

This inspection was carried out on 10th November 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

Fairholme House 30/06/08

Fairholme House 21/06/07

Fairholme House 23/08/06

Fairholme House 05/07/05

Fairholme House 09/11/04

Fairholme House 06/05/04

Fairholme House 06/02/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Fairholme House Church Street Bodicote Banbury Oxfordshire OX15 4DW Lead Inspector Andy McGuckin Unannounced Inspection 10th November 2005 01:30 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 Fairholme House DS0000013085.V265859.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. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairholme House Address Church Street Bodicote Banbury Oxfordshire OX15 4DW 01295 266852 01295 266954 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) Oxford Care Homes Limited Ms Jacqueline Moss Care Home 22 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (22), of places Physical disability over 65 years of age (2) Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 22. 5th July 2005 Date of last inspection Brief Description of the Service: Fairholme House is a residential home registered to take 22 elderly residents. On the day of the inspection 1 resident was in hospital and the home had three vacancies. The home is situated in a village location on the outskirts of Banbury. The village has the facility of a post office, church and a public house. The market town of Banbury is able to offer a wide range of shops, restaurants, pubs and transport connections to other parts of the country. The home is privately owned with the owner being very much in evidence. The proprietor assists and supports the manager and staff to provide a quality service. The home is managed and staffed by competent trained staff. Twenty rooms are available for single occupation. The home is able to offer one room for a married couple or those wishing to share. The home has appropriate rooms to enable residents to socialise or have quiet time if they so wish. The home has sufficient toilet and bathing facilities to meet the needs of its residents. Residents are encouraged to be as independent as possible. The home provides entertainments and activities within the home for those wishing to partake. Residents are encouraged to maintain contacts with relatives and friends outside of the home. The local church is very active within the home and is able to provide services within the home, counselling, and befriending. Residents wishing to attend other denominations are assisted to do so where possible or practical. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is the second inspection of this home this year and was unannounced. The inspection took place on a midweek afternoon. The inspector toured the building, had informal conversations with the residents and staff, and read core documentation relating to the care of the residents. The inspector spent some time talking to the Manager and the Proprietor. On the day of the inspection the electrical system had failed in part and engineers arrived before the end of the inspection. There was no disruption or discomfort to the residents during this period. Staff files were inspected against the regulations. No serious concerns were found at this inspection. What the service does well: What has improved since the last inspection? 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. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 6 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 Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 7 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): The home has robust assessment processes. Prospective residents are given comprehensive information about the service. Prospective residents visit the home prior to moving. EVIDENCE: As the above standards were inspected and found to be satisfactory at the last inspection and no changes have been made since the last inspection these standards were not inspected on this occasion. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 8 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): 7,8,9,10,11 The home is meeting the health and social care needs of its residents. EVIDENCE: The inspector spoke informally to three residents all of whom expressed satisfaction with the home and the level of care it provides. Six residents files were examined which provided evidence that resident’s individual health, personal and social care needs are being met. The home has appropriate policies and procedures to manage the storage, recording and distribution of medication. A random selection of resident’s medication was inspected and found to be satisfactory. The home has introduced a system of monitoring the medication room which is now satisfactory. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 9 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): The home provides an appropriate range of social activities and promotes involvement in daily life. EVIDENCE: As the above standards were inspected and found to be satisfactory at the last inspection and no changes have been made since the last inspection these standards were not inspected on this occasion. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 10 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): 16,17,18. The home has a formal complaints procedure which is known to residents and their family. EVIDENCE: The home has not had any recorded complaints since the last inspection. Due to the size and nature of the home any concerns are dealt with at source and informally. The inspector found this method of dealing with complaints acceptable. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 11 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): 19,20,21,22,23,24,25,26, The home is well maintained and fit for its purpose. EVIDENCE: A tour of the premises informed the inspector that the home is being maintained and that a rolling programme of redecoration and upgrade is ongoing. The inspector was shown a vacant room that had been newly decorated awaiting a new resident. The room was presented as very warm and welcoming. Residents are encouraged to personalise their own rooms and this is much in evidence. All rooms are comfortably furnished with good quality fixtures and fittings. The home is upgrading the laundry facilities. The kitchen will be fitted with new work surfaces, which will improve the overall look. On the day of the inspection the home was clean and smelt fresh. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 12 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): 27,28,29,30. The home provides staff in sufficient numbers and skills to meet the needs of its residents. EVIDENCE: The inspector examined a random selection of staff files, which evidenced that the home is recruiting in an equal opportunities framework. The home is taking the appropriate measures to ensure that staff are police checked and that references are taken up. Supervision is now being provided on a regular basis. Evidence was found that staff are having regular reviews and an annual performance review. The home continues to provide a high level of training opportunities for its staff with many having gained N.V.Q 2 or above. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 13 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): The home is being run and managed in a professional manner. EVIDENCE: As the above standards were inspected and found to be satisfactory at the last inspection and no changes have been made since the last inspection these standards were not inspected on this occasion. Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 14 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 X X X X X X 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 X 13 X 14 X 15 X 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 X X X X X X X X Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 15 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. 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 Fairholme House DS0000013085.V265859.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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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