Inspection on 10/02/06 for Fairmead Lodge

This inspection was carried out on 10th February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairmead Lodge 17/12/07

Fairmead Lodge 24/01/07

Fairmead Lodge 21/03/05

Fairmead Lodge 23/11/04

Fairmead Lodge 11/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Fairmead Lodge 45 Fairmead Avenue Westcliff On Sea Essex SS0 9RY Lead Inspector Mr Ron Reeves Unannounced Inspection 10 February 2006 10:30 th Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 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 Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 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 Adults 18-65. 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. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fairmead Lodge Address 45 Fairmead Avenue Westcliff On Sea Essex SS0 9RY 01702 308197 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) Mr Mehmood Hassan Mrs Nusrat Hassan Mrs Nusrat Hassan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11th October 2005 Brief Description of the Service: Fairmead Lodge is registered to provide care and accommodation for three service users with a learning disability. Accommodation is offered in a family style house in keeping with other houses in the locality. There are two bedrooms, bathroom, toilet and office on the first floor. The ground floor consists of the third bedroom, small laundry, toilet, kitchen and lounge/diner. Two of the service users have lived at the home since it opened in 1999 and spend their weekdays independently at various day centres and have the opportunity to access facilities in the community. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine announced inspection that lasted for five hours. The inspection process included discussions with the manager, deputy manager, one resident, a tour of the building and examination of a sample of policies procedures and records. 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. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4, 5 The home operates a thorough responsible admission process which ensures the home can meet individual needs. EVIDENCE: Care plans evidenced that residents are carefully assessed and given ample opportunity to visit the home before making a decision. Two residents have been in the home since it opened in 1999 and the third resident admitted in September 2004. Each resident has a comprehensive terms and conditions of residence. However the home has still not received a contract from the sponsoring authority even though several representations have been made by the home. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-9 The home demonstrated that residents are involved in all aspects of their personal care and daily living activities. EVIDENCE: The deputy manager has completed Person Contract Planning (PCP) for two of the residents and is working with the remaining resident in completing their PCP. The deputy manager felt that the introduction of PCP’s have proved a positive experience for the residents. One resident’s PCP was examined in detail. It contained comprehensive details of how the resident wished to be cared for and their aspirations for living a full and active life. Each resident has an informative diary in which the care staff documented how residents had spent their day. Comprehensive risk assessments were in place which demonstrated each residents perception of the risk and how the risk could be reduced by the residents themselves and detailed any staff support required. The home is commended on its efforts to improve the home’s care planning system. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11-17 Residents are encouraged and supported to live a full and active life and to develop to their full potential. EVIDENCE: One of the strengths of the home is the encouragement and support given to residents to live a full and active life. Residents access a wide range of educational, social and leisure activities. Two residents attend work placements. Residents are encouraged and supported to improve their daily living skills. Residents’ personal relationships are encouraged and visitors are welcomed at any time. Two residents have been provided with key to the home’s front door and to their bedrooms. Residents are involved in choosing the home’s menus and are involved in the shopping and preparation of food. The home encourages a healthy eating diet. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-20 Residents’ personal and health care needs continue to be consistently met by the home. EVIDENCE: Residents are supported and encouraged to manage all aspects of their personal and health care needs. Only one resident is on medication which is administered by staff who have received training in the administration of medication. All residents are registered with a GP and are supported to access all the relevant community health facilities. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 The home has appropriate policies, procedures and staff training for responding to residents concerns and protecting them from abuse. EVIDENCE: The home has appropriate policies, procedures and practices in place to ensure residents concerns are appropriately responded to. All staff have received training in the protection of vulnerable adults. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The home provides a safe, well maintained homely environment which meets residents’ needs. EVIDENCE: Fairmead Lodge is an end of terraced house, which is in keeping with other houses in the locality. A small well maintained garden is located to the rear of the house. Residents have their own bedroom, which have been personalised to each resident’s taste. The resident who was in the home on the day of the inspection showed the inspector their room and expressed their satisfaction with their accommodation. He explained he was going out to buy a new television set at the weekend. There are toilets on the ground and toilets and a bathroom on the first floor. There is a small accessible laundry on the ground floor. Since the last inspection the home has been decorated throughout and new carpet fitted. Communal space consists of a large lounge/diner and a kitchen. The home is well furnished and maintained. It was clean, tidy and odour free. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-35 Staff levels and skills are appropriate to meet the needs of the service users. EVIDENCE: Staff rotas indicated that agreed staffing levels continue to be maintained. Staff records indicated a wide range of training undertaken by staff including, the deputy manager training at NVQ level 4, one staff undertaking a degree in Social work, one member of staff has achieved NVQ level 3. Staff induction programmes were seen to meet the Learning Disabilities Award Framework. The resident who was in the home during the inspection commented that the “staff are really good and helpful”. Examination of the latest member of staff recruited demonstrated that robust recruitment practices are in place. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-43 The home continues to be well managed by the proprietor/manager and the deputy manager. EVIDENCE: The proprietor/manager has managed the home since its opening in 1997. She holds City & Guilds 325/3 Advanced Management in Care and has extensive experience with the client groups. Residents are constantly involved in the day to day management of the home. The home continues to develop quality monitoring systems with questionnaires sent out to all residents and staff. Management is aware of the further developments required. A random sample of policies, procedures and records were found to be well maintained. Records are securely held in the homes’ office. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 15 All residents have bank accounts and staff escort residents to make withdrawals when necessary. Accurate records of residents expenditure are maintained. Current safety certificates for services and equipment were in place and records maintained for testing the homes fire precaution systems. There was no evidence to support that the home is not financially viable. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 3 3 3 3 Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? YES 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 YA39 Regulation 24 Requirement The Registered Person must implement and maintain an effective system for monitoring the quality of the service delivered at the home. A copy of these findings are to be sent to the CSCI regularly. This is a repeat requirement. Timescale for action 31/03/06 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. Refer to Standard YA32 YA37 Good Practice Recommendations 50 of care staff to achieve a care NVQ2 by 2005. The manager achieve qualification at NVQ level 4 by 2005. Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Fairmead Lodge DS0000015496.V278140.R01.S.doc Version 5.1 Page 19 - 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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