Inspection on 22/09/05 for Fairlawn

This inspection was carried out on 22nd September 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

Fairlawn 11/12/08

Fairlawn 30/04/08

Fairlawn 09/04/05

Fairlawn 24/01/05

Fairlawn 07/05/04

Fairlawn 09/12/03

Fairlawn 01/09/03

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

CARE HOMES FOR OLDER PEOPLE Fairlawn St Marys Road Ferndown Dorset BH22 9HB Lead Inspector Trevor Julian Unannounced Inspection 22nd September 2005 10:30 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 Fairlawn DS0000046732.V252366.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. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairlawn Address St Marys Road Ferndown Dorset BH22 9HB 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) 01202 877277 www.care-south.co.uk Care South Mrs Kim Marie Harding Care Home 60 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (40) of places Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to CSCI) under the age of 65 may be accommodated within the category DE (Dementia). This condition will not apply after the person`s 65th birthday. 9th April 2005 Date of last inspection Brief Description of the Service: Fairlawn is a residential care home registered with the Commission for Social Care Inspection to accommodate a maximum of 60 older people including up to 20 with dementia. The premises are operated by Care South, a not for profit organisation, it is managed by Mrs K Harding. The home is purpose built and was opened on the 9th June 2003. Service users are accommodated on the ground, first and second floors. The second floor provides specialist care for up to 20 people with dementia. All bedrooms are for single occupancy and have en suite facilities. Communal areas are provided on all the floors and include kitchen areas where snacks and drinks can be made. On the ground floor is a large area including a conservatory which is used for large group activities. There are three staircases and two passenger lifts. Outside the grounds are landscaped and one area provides a safe garden with varieties of sensory plants and other features. Fairlawn is located in the centre of Ferndown with shops and amenities available within a short walk. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 22nd September 2005 between 10:30 – 16:00. The total time taken for the preparation, inspection and report writing was 14 hours. Information was gathered through discussion with residents and visitors, staff and management. Prior to the visit comment cards had been returned giving resident and visitors’ views of the home. Those views were reflected within the report. Further information was gained during a tour of the premises and the examination on records and policies. This was the second of two inspections carried out during the year. The previous inspection report should be referred to for standards not assessed during this visit. For the purpose of this report the terms resident and service user are interchangeable. What the service does well: The residents were very positive about the staff they described them as kind and caring. They all said they were treated with respect. These views were reflected in the comment cards received. People were able to take their meals in the dining areas on each floor or in their own rooms. Fresh fruit was supplied to residents directly from the kitchen or from the sweet trolley. The organisation had a system for responding to adult protection concerns. The staff were aware of the procedure and their responsibilities. Staff recruitment procedures continued to be robust with all relevant checks completed before new staff started work. The home helped most people with their personal allowances. The monies were securely held and there were regular checks of the transaction records to verify they matched the balances. The home did not assist any resident with financial management. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 6 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. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 the following standard(s): Not assessed during this visit please refer to the previous inspection report. EVIDENCE: Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 the following standard(s): 7, 9, 10 Care plans were in place to inform staff how assessed needs were to be met. Medication systems in the home helped ensure that medication was safely stored and administered. The residents were treated with dignity and respect in accordance with individuals’ basic rights. EVIDENCE: A sample of care plans showed appropriate level of detail recorded. There was evidence of the risk assessment and weight checks. Information on special equipment was included in the care plans seen. There were records showing that the staff check that residents were wearing their dentures and glasses if needed. A check of medication showed that items were safely stored. The records showed that items were checked into the home by the senior staff although handwritten revisions were not always checked by a second person to reduce Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 10 the risk of errors. Details of medicine allergies, or “none known” where applicable, were not included on some of the medication charts. A group of residents said the medication was well managed in the home and that only senior staff were involved in the handling and administration of medication. Several residents and visitors commented that the home’s laundry service had improved and that there were fewer items mislaid. The member of staff responsible for laundry said that the items which were labelled were correctly returned, items without or missing labels were held waiting for people to reclaim. People felt the staff were courteous and respectful. This was reflected in the responses from the comment cards. During the visit the home’s hairdressers said they had worked in the home for several years and found the staff very caring supportive of the residents. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 the following standard(s): 15 Meals were provided in suitable surroundings, the menu offered good levels of choice and the food was appetising to encourage a healthy nutritional intake. EVIDENCE: The residents said that the standard of food had continued to improve. There were good levels of choice. One resident said that the staff regularly replenished the fruit in her room. Fresh fruit was also supplied on the sweet trolley and the chef said some people came to the kitchen for their fruit. The chef said that there were summer and winter menus and the winter menu was being revised to take account of the ideas raised at the residents’ meeting held in August. Some residents said they would appreciate an option of sardines on toast for their evening meal, the chef said that the option had been added to the new menu. Meals were seen served, to suit the individual, either in the dining areas or in the residents own rooms. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 the following standard(s): 18 The organisations procedures help to protect the residents from the risk of abuse. EVIDENCE: The organisation had procedures for responding to adult protection matters. The topic was covered during the staff induction training and then during staff meetings. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 the following standard(s): 19 The premises generally provide the residents and staff with a safe environment. There were aspects of the premises, which needed attention. EVIDENCE: Some comments received before and during the visit showed that some residents and visitors felt the décor on the second floor was less than homely. Whilst the décor in the specialist unit can look quite stark, the principle is based on recommended practice in dementia care based on research into suitable environments for the benefit of people with high levels of confusion and disorientation. During the previous visit the side lighting in the conservatory was not working and the bulbs were replaced while on site. During this visit the same problem was noted. The manager said there had been problems with the electrical circuits in the room and repairs carried out. Following the visit further checks Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 14 would take place and regular tests of the lighting put in place to ensure the lights remain in working order. Standard lamps were available as additional lighting. A check of windows on the second floor revealed problems with the restrictor on top hung windows failing under certain conditions. As a precaution the manager locked the affected windows until repairs could be made. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 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 Staffing levels were appropriate to the levels of care required although there was continued reliance on agency staff to cover vacant shifts. The organisation’s recruitment practices provide safeguards to protect the residents. EVIDENCE: Comment cards continued to express concerns about the homes reliance on agency staff. A sample of staffing rosters showed that the home had reduced its dependence from 20 , in December 2004, to 15 . The home was continuing with efforts to recruit permanent staff. They tended to use their own bank staff and agencies that could send staff regularly in order to aid continuity of care. During the morning of the visit one agency carer was on duty. The care staff roster showed the staffing patterns for Sunday 18th September as follows: 07:15-14:45 10 carers (inc 1 senior and 1 bank) 1 Care Team Manager 07:00-15:00 14:30-22:00 10 carers (inc 1 senior and 5 agency) 1 Care Team Manager 14:00-22:00 Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 16 21:45-07:15 3 carers (inc 2 bank) 1 Care Team Manager 21:30-07:30 The above sample excluded kitchen and domestic staff. Residents said the staff responded promptly to call bells although there could be delays at certain times of the day. At the time of the visit to the second floor it was noted that during a brief sample the alarms were answered within two minutes. A check of new staff files showed the home had followed appropriate recruitment practices. There was evidence of completed Criminal Records and Protection of Vulnerable Adults checks. Copies of valid work permits were held for those staff who required them. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 35 The communication systems within the home allow residents to express their opinions. Procedures were in place to protect the residents from the risk of financial abuse within the home. EVIDENCE: Residents said they had held a meeting since the last inspection and they felt their views were respected. There were minutes of the meeting and the chef confirmed that he had been advised of areas discussed at the meeting. There had also been a suggestions box provided to allow another route for residents and visitors to express their opinions. None of the residents had used the box although some had ideas of issues they might raise. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 18 The home did not manage the finances for any of the residents. Most of the residents deposited monies with the staff for personal expenditure e.g. hairdressing etc. A sample of four personal allowances showed good record keeping and the registers matched the balances held. Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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. 2 Standard OP19 Regulation 23(2) Requirement The registered provider must ensure that equipment provided must be in good order: • the window restraints operate correctly • lighting in the conservatory must operate correctly. Timescale for action 30/11/05 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 Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. Extracts may not be used or reproduced without the express permission of CSCI Fairlawn DS0000046732.V252366.R01.S.doc Version 5.0 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. 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