Inspection on 06/03/07 for Fairlight Nursing Home

This inspection was carried out on 6th March 2007.

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

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Fairlight Nursing Home 121 Worthing Road Rustington West Sussex BN16 3LX Lead Inspector Mrs A Peace Unannounced Inspection 08:45 6 March 2007 th 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 Fairlight Nursing Home DS0000067678.V327398.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. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairlight Nursing Home Address 121 Worthing Road Rustington West Sussex BN16 3LX 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) 01903 786213 01903 786213 Forever Care Ltd Mrs Paula Louise Hamat Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (10), Physical disability of places over 65 years of age (10) Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A total of forty-four service users in the category older persons not falling within any other category may be accommodated. 10 service users in the category physical disability will be from 40-65 years of age. 16th February 2006. Date of last inspection Brief Description of the Service: Fairlight Nursing Home is a care home registered to provide nursing care for forty-four older people. Forever Care Ltd owns the service and the Directors are Mr RJ and Mrs CS Wootton. The home has recently been re registered following an extension to the original home and refurbishment. The home is located in a residential area in Rustington, West Sussex. A condition of registration has been agreed to enable to home to admit ten service users over the age of 40 years who have a physical disability. Fees range between £500 - £750 per week. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector carried out this unannounced fieldwork inspection on 6th March 2007. This is the first inspection for the year 2006-2007. It is called a key inspection and will determine the frequency of visits/inspections hereafter. Prior to the inspection, records and information held on file were reviewed. The Matron Mrs P Hamat was present for the inspection and Mr and Mrs Wootton were in the home for part of the inspection. Mrs Hamat had completed a pre inspection questionnaire and sent it back to the Commission in good time for the inspection. The home has recently been re registered following a new build extension and refurbishment of the original home. During the inspection the Inspector toured the building, visited the majority of rooms, and joined the residents in the lounges/dining areas. A case tracking exercise was undertaken for a number of residents. The tracking exercise looked at records and tracked the records to the care given for individual needs identified and any equipment supplied. Staff recruitment and training records were also examined and found to be well maintained and confirmed that staff are receiving the training they need to care for the people in their care. Through observation and by speaking to staff and residents the Inspector formed the opinion that staff give a very good standard of care, and communication between staff and management is good. The inspector spoke to many of the residents, they were all complimentary about the staff, the food provided and the home in general. What the service does well: The home under Mrs Hamat’s management and leadership provides a safe, comfortable, homely and friendly atmosphere. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 6 The home is clean and well maintained and has been refurbished to a good standard. Staff work hard to meet the needs of the residents in a caring and professional manner. Staff are trained to look after residents individual needs and are friendly, approachable, helpful and show respect for residents. A variety of very good home cooked meals are served. 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. The summary of this inspection report can be made available in other formats on request. Fairlight Nursing Home DS0000067678.V327398.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 Fairlight Nursing Home DS0000067678.V327398.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): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about the home. Each resident has a written contract/statement of terms and conditions with the home. All residents have their needs assessed before being admitted to the home to ensure the home can meet their needs. Intermediate care is not provided at the home. EVIDENCE: There is an up to date statement of purpose available in the home and a welcome to Fairlight booklet in each room. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 9 This tells the reader about the home, its aims and objectives and how to make a complaint. The booklet also includes information about the owners, the staff and daily routines of the home. There is a home’s satisfaction survey in the booklet and there were also the Commission’s surveys available in the foyer of the home. The complaint procedure is on display in the foyer of the home along with other useful information including a copy of the last inspection report for the home. Three residents told the Inspector that they had enough information before being admitted to be able to make a decision and another two residents said that their relatives had seen the information and helped them decide. Completed surveys all said that they had enough information to be able to make a decision. All residents had contracts/terms and conditions. Pre assessment records showed that no resident had moved into the home without having his or her needs assessed to ensure the home could meet those needs. Full assessments and risk assessments had been carried out once residents were admitted and care plans compiled although a number of these had not been updated as they should have been. The Inspector was told that prospective residents could come in for a short stay to see if they like the home. Intermediate care is not provided. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 10 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.Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Not all residents had up to date care plans or risk assessments however care staff do look after residents to a good standard. Policies and procedures are in place for medication administration and staff were noted to adhere to safe practice. Staff respect residents privacy and dignity. EVIDENCE: All residents had relevant risk assessments from their main assessment including those for: falls, pressure area care, manual handling, continence and nutrition although not all of these had been updated, so did not show if, or how the residents needs had changed. Care plans had been completed based on activities daily living, again some had not been updated regularly. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 11 All residents have an allocated primary nurse and a key worker to provide continuity of care and specialist equipment is provided throughout the home. Part of the medication round was observed and seen to be safe. Policies and procedures are in place to safeguard residents although one medication policy does need a slight amendment. Chiropodists visiting on day of inspection and was very complimentary about the home and the staff, they said whenever they have been at the home “residents always look well looked after and communication is very good between the home and visiting health professionals”. Four satisfaction surveys were returned to the Commission and were complimentary about the care given, residents spoken with were all very positive about the way they are looked after. Care staff were seen to have a friendly caring and professional manner when with residents and they were noted to knock on doors and speak to residents with respect. Some of the windows do overlook other premises and may not protect the privacy of residents, however net curtains had been put up on some windows and the Inspector was told this was being reviewed and that more curtains were being ordered. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 12 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. The routines of daily living are flexible within care needs. Residents are entertained and stimulated through the activities programme. Visitors are welcomed into the home. Residents are encouraged to make decisions about their welfare and are entitled to bring personal possessions into the home. The statement of purpose tells residents about their rights in accordance with their records and data protection. Residents are served high quality, varied, appealing, wholesome and nutritious food. EVIDENCE: Through speaking with the residents and staff the Inspector concluded that daily routines in the home are flexible within care needs. One lady said she likes her breakfast early and kitchen staff always oblige. Residents were seen to be encouraged to make decisions and these were respected. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 13 Residents said that Matron Mrs Hamat comes to speak to them every day to make sure they are ok, they all said they would have no problem in speaking up if something was wrong. The surveys returned all said that they there were always enough activities in the home. Regular events are posted on the notice board: activities provided are exercise, art and crafts, reminiscence, music therapy, visiting entertainers such as a magician, musicians and singers. Outings are arranged occasionally. There are two floors in the home and the more frail residents tend to be on the first floor, the residents on the ground floor are more able. It was discussed with the Matron that it was important to ensure that there was equality in provision although it was acknowledged that the residents upstairs were very frail and some were poorly and may not be interested in taking part in activities. There is a nice patio area outside the rear of the home but the garden has not yet been landscaped. The Inspector was told that this would be done as soon as possible, hopefully in time for the better weather. The kitchen was visited and was well organised, the chef carries out daily audits to ensure the practices in the kitchen are safe. The mail meal of the day was lunch, which was beef goulash, or there were pork sausages in gravy followed by soft fresh fruit salad. The main meal had been liquidised for those on soft diets this was nicely presented. The chef had also liquidised some soft fruit with fresh cream to make it more appetising for those on liquidised food. Alternatives were available these included salads, omelettes, and baked potatoes. One resident and her husband decided they wanted something different and the chef accommodated them, another lady said she just wanted a cheese and onion sandwich and she was able to have one. Residents can have a cooked breakfast every day if they want. The Inspector tasted the beef goulash and found it to be delicious. There were good quality provisions stored. Staff were observed to help residents who could not manage themselves sensitively. There was fresh fruit available in the lounges for residents, staff were noted to ask residents if they wanted any and to help those who needed help. Visitors were seen to be welcomed into the home and residents said that visitors can join them for meals and do get invited to parties. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 14 Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 15 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): 16,18.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear accessible complaints procedure which indicates that complaints would be taken seriously and investigated. Staff are trained to ensure residents are safeguarded against abuse. EVIDENCE: No complaints have been received by CSCI. The complaints procedure is in the Statement of Purpose, and on display in the home. A couple of those in rooms did have the old address of the Commission in and Matron said she would amend these. Residents spoken with said they would know who to complain to and the returned surveys also confirmed this. Training in provided for all staff in safeguarding adults, when the Inspector asked staff about recognising abuse and the procedure they responded directly and were clear about the correct way of reporting. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 16 The home’s policy for safeguarding adults is not clear and could be misleading about who initially investigates. This should be amended to highlight that Social Services Department are the first point of contact if abuse is suspected and the home should not start investigating themselves. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 17 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. Residents live in a safe, clean, hygienic, comfortable, homely and wellmaintained environment. They have access to safe indoor communal facilities and the gardens are due to be landscaped in the near future. There are sufficient well-equipped toilet and washing facilities for residents and the home provides specialist equipment to meet resident’s needs. EVIDENCE: The home has been extended and refurbished to a good standard and all areas were clean and hygienic. The location and layout is suitable for the stated purpose and is safe and well maintained. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 18 There is a car park to the front of the premises and automatic doors to the entrance foyer with opening access for people in wheelchairs. The entrance foyer is welcoming and there is lots of relevant information for residents and visitors. There is a large garden to the rear of the home with a nice patio area. The gardens are due to be landscaped in the near future. Part of the home overlooks allotments and residents did say they liked to see people working out there. There are well-equipped bathrooms and showers for residents to use and there are en-suite facilities available throughout the home. There is a lounge on the ground floor overlooking the gardens and a lounge on the first floor, a dining area is off the lounge on the ground floor and seats 10 people at present, the Inspector was told that other tables are available if more residents wish to sit at tables. The lounge on the first floor had a small table seating for 4 residents but on the day of the inspection all of the residents on that floor were sitting in their chairs eating off their individual tables. There is a new laundry and kitchen, both were clean and are well equipped. There is a call bell system in all rooms and the communal accommodation and residents who were staying in their rooms had them to hand. The door to the kitchen was not shutting properly however the Inspector could evidence that new hinges had been ordered and was due to be repaired as soon as they arrived. A fire risk assessment was in place. Some of the windows do overlook other premises and some had net curtains hung. The Inspector was told this was being reviewed and that more curtains were going to be ordered. Bedrooms were clean, nicely decorated and had been personalised with resident’s furniture and belongings. All doors had a lock on if the residents wanted to and were able to use it. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 19 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 the staff on duty 24 hours a day meet the needs of residents. The home has a robust recruitment procedure which protects residents. Staff are trained well to look after residents in their care. EVIDENCE: Duty rotas were sent with pre inspection questionnaire. These evidenced that the home is well staffed throughout 24 hours for the twenty-six residents presently accommodated. There is a Matron Mrs Hamat on duty, a deputy matron together with other trained nurses and carers. Carers are supported by ancillary staff. Residents said they are well looked after and all of the staff are kind. They said Matron always speaks to them every day to make sure they are ok. Staff training recently recorded included: Fire safety, medication administration, dementia, first aid, manual handling, health and safety, COSHH, food hygiene and safeguarding vulnerable adults. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 20 New staff confirmed to the Inspector that they had received induction related to their roles. Staff meeting are held and minutes seen, staff said they would not be afraid to raise issues. A staff supervision and appraisal system is operated in the home. Recruitment files were looked at new staff, they were clear and all contained relevant and required information. There is no separate accommodation for staff to take a rest or get changed however they do have lockers to store personal belongings in. This was discussed with Mr and Mrs Wootton at the conclusion of the inspection. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 21 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): 31,32,33,35,36,37,38.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable home and benefit from the leadership and management of the home. A quality assurance system has been started. Staff are well trained and supervised and the majority of the records are in good order. The health safety and welfare of residents and staff are promoted and protected. EVIDENCE: Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 22 The Matron Mrs Paula Hamat was on duty during the inspection, Mrs Wootton was in the home for the majority of the inspection and Mr Wootton for part of the inspection. They were all very helpful. Mrs Hamat is an experienced nurse and manager and could evidence that she undertakes regular relevant training. By speaking to staff and residents the inspector concluded that the residents and staff benefit from her leadership and that there are clear lines of responsibility in the home. Residents said that Matron goes around to them every day to speak to them, surveys said that relatives always knew who to go to and that communication was very good in the home. The Inspector was told that a quality assurance system has been started in the home with satisfaction surveys, the need to expand this internal audits to complete an audit cycle was discussed with Mrs Hamat. Copies of the Commission’s satisfaction surveys were available in the foyer of the home but only four had been returned, all of these were positive about the home and the staff. Residents look after their own finances with the help of relatives or representatives. A staff supervision and appraisal system is operated in the home and records were available. Apart from some of the care records the rest of records kept in the home are maintained to a good standard. The health and safety of residents and staff are promoted with up to date policies and procedures and regular staff training. The home is safe and well maintained, records are kept to indicate safety checks are carried out throughout the home. All accidents are recorded and new staff inducted in safe procedures. Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 23 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 “ ” 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 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 3 3 3 x 3 3 3 3 Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP7 Regulation 14 &15 Requirement The care records of residents must be updated regularly to ensure staff are aware of residents changing needs. Timescale for action 31/03/07 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 Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Fairlight Nursing Home DS0000067678.V327398.R01.S.doc Version 5.2 Page 26 - 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. 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