Inspection on 08/12/05 for Fairlea

This inspection was carried out on 8th December 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

Fairlea 27/07/07

Fairlea 11/08/06

Fairlea 30/08/05

Fairlea 19/08/04

Fairlea 16/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Fairlea Chope Road Northam Bideford Devon EX39 3QE Lead Inspector Andy Towse Unannounced Inspection 8th December 2005 14:00 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 Fairlea DS0000039193.V264784.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. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairlea Address Chope Road Northam Bideford Devon EX39 3QE 01237 474554 01237 424354 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) Devon County Council Mrs Patricia Anne Lock Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (33), Physical disability of places over 65 years of age (33) Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named service user under the age of 65 years for respite care 30th August 2005 Date of last inspection Brief Description of the Service: Fairlea is a detached former Gentlemans Residence. It stands within its own grounds. It accommodated up to 33 elderly persons who may also have a physical disability. The accommodation is all in single occupancy bedrooms, although shared rooms would be made available on request. The accommodation also comprises a large dining area, a conservatory and several smaller lounge areas, most of which are situated on the ground floor. All areas of the home can be accessed by either stairs or a passenger lift. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. It was carried out over a period of four hours. The information contained in this report came from discussion with staff, the registered manager and residents combined with inspection of policies, procedures and documents, including care plans, which are held at the home. The majority of core standards which have to be inspected annually were inspected during the previous inspection of 30th. August 2005 and are contained within the report relating to that 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. Fairlea DS0000039193.V264784.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 Fairlea DS0000039193.V264784.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): 3 Residents only move into the home when the home is aware of their needs and that these can be met. EVIDENCE: As in the previous inspections the files of most recently admitted residents were inspected. Often people who have previously been in receipt of respite care become permanent residents. When this occurs staff have a knowledge of that resident’s needs prior to the person becoming a permanent resident. This was the case for one recently admitted resident. Despite this, the manager had telephone discussions with nursing staff at the hospital and with a relative of the prospective resident to ensure that this person’s needs remained the same as when he/she was receiving respite care. Another resident was admitted as an emergency admission. This person’s file contained assessments compiled by professionals. These included a nursing Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 8 referral form, information compiled by the person’s care manager and a care plan compiled by social services. A further resident, whose file contained a shared assessment compiled by various professionals, was visited by Fairlea’s assistant manager whilst in hospital. The prospective resident also visited Fairlea accompanied by her care manager and was shown the room she would be occupying. Fairlea DS0000039193.V264784.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): 10 Fairlea offers a homely environment where residents are treated with respect. EVIDENCE: Four residents were spoken to. All were content with the care they received at Fairlea and were looking forward to Christmas at the home. There is a relaxed atmosphere within the home. Residents were clearly at ease with the staff and the managers of the home. During the inspection several residents came into the office to speak with the manager or her senior staff. Residents are given respect and called by their preferred term of address, which is also recorded on their care plan. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 10 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 Standards contained in this section were inspected during the inspection of 30th. August 2005 and are contained in the report of that inspection. EVIDENCE: Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 11 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): The Standards contained in this section were inspected during the inspection of 30th. August 2005 and are contained in the report of that inspection. EVIDENCE: Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 12 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): 26 Fairlea has an appropriate standard of hygiene and cleanliness. EVIDENCE: The inspector walked around the home. He looked at the laundry, communal areas, and some bedrooms. The home was seen to have a good standard of hygiene and cleanliness. The home has sluicing facilities and appropriate laundry facilities. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 13 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): 29 Residents are protected by the home’s recruitment policy. EVIDENCE: The home operates a recruitment policy whereby no staff are allowed to work unsupervised until they have received police clearance. Two references are sought for each staff member. Whilst these records are kept in the Social Services central offices the home keeps a written record of these. At the last inspection, whilst the process of recruitment was seen to protect residents, the record of documentation received from staff to confirm this, was incomplete. At this inspection the documentation had been updated and currently confirms that the home’s policy protects residents. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 14 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): 35, 36, 38 The financial procedures at Fairlea protect the financial interests of residents. Staff training and the maintenance of equipment and the premises ensures that the health, safety and welfare of residents and staff is promoted. An effective supervision system has been devised but is not being carried out as frequently as the National Minimum Standards recommend. EVIDENCE: Although residents at the home can take responsibility for their monies most have their money held in a suspense account run by social services. The interest from this account is calculated on a daily basis for each resident. Residents can also take responsibility for their own finances. Evidence of this was a resident who maintained a building society account. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 15 The home has a safe in which it can hold valuables on behalf of residents. Few valuables are held but when they are a record is kept, which is signed by the resident concerned. To ensure the safety of residents staff receive appropriate training. There is a rolling programme of training which includes moving and handling, fire safety and the Protection of Vulnerable Adults. In order to keep staff up to date, they receive refresher courses on mandatory subjects. The home is well maintained and entries in the maintenance book showed that repairs, refurbishment and the servicing of equipment was carried out when required. Examples being the servicing of boilers, hoists and lifts. With regard to protection of staff and residents from products used in the home there is a file relating to these products, which shows that they are risk assessed. Information regarding the safety of new products is also obtained and kept on file. A record is kept of all accidents which occur at the home. The registered manager has undergone training regarding Legionella disease. The manager is preparing a new system of supervision. This will involve the senior staff being supervised by the manager and the managers supervising care staff. This will be formal supervision and will include discussion of key worker issues, team and individual issues and subjects such as risk assessments, moving and handling and health and safety and individual training needs. The supervision will be recorded with both supervisor and supervisee signing the record. As yet, this system has not attained the number of sessions per year recommended in the National Minimum Standards. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 16 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 2 X 3 Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 17 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. 1. Refer to Standard OP36 Good Practice Recommendations Care staff receive formal supervision at least 6 times a year. Fairlea DS0000039193.V264784.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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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