Inspection on 01/07/05 for Fairlawn

This inspection was carried out on 1st July 2005.

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

Fairlawn 12/10/09

Fairlawn 21/10/08

Fairlawn 22/10/07

Fairlawn 14/03/07

Fairlawn 20/12/05

Fairlawn 08/12/04

Fairlawn 19/08/04

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 Fairlawn 327 Queens Road Maidstone Kent ME16 0ET Lead Inspector Maria Tucker Unannounced 1 July 2005 10:00 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 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. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fairlawn Address 327 Queens Road Maidstone Kent ME16 0ET 01622 751620 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) Mrs Mary Alexandra Lawrence Mrs Mary Alexandra Lawrence CRH Care Home 26 Category(ies) of OP Old Age (26) registration, with number of places Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2004 Brief Description of the Service: Fairlawn’s is a detached property with accommodation on two floors. There are 25 single rooms and one double room all having en-suite facilities with call bell system. There is a television point in each of the bedrooms. Each room has accessibility to having their own telephone line installed and personal phone bill from supplying company direct. Fairlawn provides care for Older Persons. The home is located close to Maidstone with both rail and bus links. There is a garden area surrounding the property, which is well maintained with a summerhouse for service user use, including a call bell. There is a drive way to the front of the property allowing visitors car parking. A varied range of social activities is planned and involvement with local the community is well maintained.The Home has undergone major refurbishment of the kitchen and ground floor facilities building a further two bedrooms with en-suite. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The inspection lasted from 10.45am until 2.10pm. Maria Tucker and Marion Weller conducted the inspection. Time was spent meeting the team leader, deputy and responsible individual and going through various records and documentation. About thirty minutes was spent meeting service users. A partial tour of the premises and garden was undertaken. Comments made by service users during the inspection include: • “It is marvellous here, I would not want to be anywhere else” • “Food is very good” What the service does well: What has improved since the last inspection? The garden area at the back of the home has had renovation work, which is still in progress to enable service users to access fully and enjoy the plants, flowers and wildlife. There has been a new washing machine and tumble dryer purchased which complies with health and safety. The home has put in place new procedures and systems for laundry providing very good infection control measures. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 6 There is a new laundry person and handyman as well as extra staffing during peak times i.e. 8am till midday and 6.30pm to 8pm. Service users have more choice of food, the quality and range of the meals available is more to the taste of the service users. 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. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 6. Service users can feel confident that they will only be admitted following a full assessment of their needs. EVIDENCE: A revised Service user Guide and Statement of Purpose was given to the inspectors, both documents require minor adjustments. The home has a contract for each service user that is informative and includes all items required. Comprehensive assessments prior to service users moving in are conducted which form part of the care planning system. A service user spoke of how their relative had chosen the home for them and they had moved in from another home. The home does not provide intermediate care. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10. Service users can expect a high quality service, which promotes their health and welfare. EVIDENCE: Service users have very comprehensive and informative care plans that the home have continually developed and built upon. Service users spoken with were clear with the support they received one stating staff “support me with a shower” and “I help myself a lot”. Staff were very familiar with the support this particular service user had and their aspirations to be as fully independent as possible. A service user spoke of their medical appointments, including physiotherapy. There was written guidance and advice in their room from the physiotherapist and staff had moved around their bedroom furniture to take into consideration their specific needs. A visiting health professional commented that they “had no qualms with the girls here” that “they are quite good with the diabetics here” and “they will ask our advice on our visits and will phone”. Service users are seen in their own room for appointments. During the inspection staff were seen and heard to be very respectful towards the service users, which was reciprocal from service users. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 10 The home has good systems in place for medication, which they have improved upon for safe good practice. This includes fixings provided around the home for the medication trolley; photographs for identification purposes in the medication recording. There are no service users currently receiving PRN medication, it was discussed that the home may look into having homely remedies. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15. Service users have a good standard of living, with plenty of home cooked food and some structured organised activities. EVIDENCE: The home has a programme of activities on offer. Service users spoke of the strawberry tea; the Easter bonnets made and that a “woman comes into play the piano”. There is visiting pat the dog service and local links with the community such as visiting school children, who have made a picture and decorated the wall. Visitors are made welcome. Service users spoke of how their relatives visited them frequently. There is a lot of choice for meals and service users spoke of how good the food was and that they had plenty to eat. The home has a new cook who prepares meals from scratch, using fresh meat and vegetables. The staff spoke of how since the new cook has been in place they have had no complaints about the food. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16, 18. Service users receive a good service, which the home are proactive in ensuring so that they have little if anything to complain about. EVIDENCE: The home has a policy for dealing with complaints. A record of complaints is kept. The CSCI has received a complaint that was made to the home following discussions with the manager and a relative, which was not recorded. The mater was resolved. Without exception all service users were happy with the service and had no complaints. A visiting professional confirmed that they had never heard any service user complain nor did they receive any complaints. The CSCI was made aware by the social service of an adult protection alert that was raised, although in discussions there was no role for the CSCI. The home did not notify the CSCI of this until the unannounced inspection. A copy of the Regulation 37 notifications was left in the home. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 19, 20, 22, 23, 24, 25, 26. Service users can enjoy living in a very clean and comfortable, well-maintained environment, that is homely and individual to their needs. EVIDENCE: The home is very well maintained and has attractive gardens for the service users to enjoy. There is a new handyman who was building a wall to the back of the home for a raised flowerbed for service users to enjoy out of their bay windows. The part of the garden area at the back of the home is now accessible for service users. The front garden was immaculate. The service users rooms that were seen were very homely and had plenty of personal effects. One service user spoken with said, “I’ve got a lovely room”. A service users room had been moved around and an extra grab rail fitted to meet their individual need. The lounges and dinning areas were very attractive with little extras such as fresh cut flowers, which a service user commented to the inspector “aren’t they beautiful”. All parts of the home are accessible to service users. The home has exceptionally high standards and practices in place for infection control, including laundry sorted for temperature washes and specialist Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 14 equipment i.e. industrial washing machine and hand disinfection dispensers around the home. Staff spoken with had a very good understanding into infection control and the measures taken to minimise risk. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. Service users can expect the best from staff who have designated roles and responsibilities in sufficient numbers to meet their needs at all times. EVIDENCE: The home has a high level of staff to support the service users including extra staffing at peek times. There are extra staffs for catering; gardening; maintenance and cleaning. During the inspection all of the service users spoken with were complementary about the staff and had nothing but praise for them and the service they received. Staff spoken with were positive about working in the home one stated “they are good people to work for” another said the staff were “a good team”. The rota did not contain a list of all persons working in the home or record the actual times worked. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 37, 38. Service users health and welfare is promoted. EVIDENCE: The home has never had a Regulation 26 visit conducted. It is recommended that the home review their terms and conditions and service users contract documentation in light of the office of fair trading, guidance on unfair terms in care homes, which would enhance good practice for reviewing policies and procedures. 33.9. The office has had a punch key locking system fitted so that service users records and documentation is kept secure. The service users files were, as far as it is reasonably practicable to ascertain, accurate and up to date. Overall the home has a good understanding into issues relating to health and safety. The accident book was filled out appropriately and recorded minor accidents. The toilet frames are still not fixed or replaced as identified and discussed during the last inspection. This must now be addressed as a priority. Fairlawn H56-H06 S23939 Fairlawn V228067 010705 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 2 4 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x x 1 x x x 3 2 Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 18 Yes 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 OP 1 Regulation 4 (1) (b) Requirement The registered person shall compile in relation to the care home a written statement referred to as a statement of purpose which shall consist of all items in schedule 1. The registered person shall keep a copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked. A person is not fit to manage a care home unless; he has the qualifications necessary for managing the care home, in that the Registered Managers award and level 4 in care are completed by 2005. This was not inspected on this occasion. Where the registered provider is an organisation or partnership, the care home shall be visited in accordance with this regulation by the responsible individual and shall take place at least once a month and shall be unannounced. Timescale for action To be forwarded to CSCI by October 2005. 1st July 2005. 2. OP 27.2 17 (2) Schedule 4 9 (2) (i) 3. OP 31 To continue with current course if not already completed. To conduct visits from July 2005. 4. OP 33 26 (2) (a) (3) Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 19 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. 3. 4. Refer to Standard OP 16.3 OP 18.2 OP 25.5 OP 33.9 Good Practice Recommendations It is recommended that records be made of all complaints. It is very stronlgy recommended that the home follows the adult protection procedures in that the CSCI is notified. It is recommended that the radiators are guarded or have guaranteed low temperature surfaces. It is recommended that the home review their terms and conditions and service users contract documentation in light of the office of fair trading, guidance on unfair terms in care homes, which would enhance good practice for reviewing policies and procedures. The home provides freestanding support frames that go over the toilet seat; it is recommended that these be fixed to the floor or alternative support provided. 5. OP 38 Fairlawn H56-H06 S23939 Fairlawn V228067 010705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Oast, Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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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