Inspection on 11/05/05 for Fairmount

This inspection was carried out on 11th May 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

Fairmount 11/02/08

Fairmount 30/01/07

Fairmount 08/08/06

Fairmount 23/11/05

Fairmount 13/01/05

Fairmount 05/07/04

Fairmount 12/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Henry Nihill House

Birchwood

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

The Infirmary

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

CARE HOMES FOR OLDER PEOPLE Fairmount Mottingham Lane Mottingham London SE9 4RT Lead Inspector Monica Hanscomb Unannounced 11 May 2005 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. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Fairmount Address Mottingham Lane, Mottingham, London SE9 4RT 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) 020-8857-1064 020-8295-0641 Mrs Jenny South and Mr Harold South Mrs Jenny South Care Home 35 Category(ies) of Dementia - over 65 yeas of age (8), Learning registration, with number disability (1), Old age, not falling within any of places other category (27) Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12 March 2004 Brief Description of the Service: Fairmount is a large detached house set in its own landscaped grounds.It is a Grade two listed building, having been the home of W.G.Grace the noted cricket player. The home provides care and accommadation for older persons. Theservice users accommodated is on all three floors accessed by two passenger lifts. there are varios lounges and sitting areas,and all public areas of the home are accessible to all of the service users. There are grab and handrails in the passageways, stairs,toilets,shosers and bathrooms.Specialised bathing and toilet equipment and lifting aids are available. All toilets,showers,bathrooms and bedrooms are accessible from the outside in case of an emergency.The home has been extended with furnishings and facilities to very high standards. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours as part of the statutory inspection programme. The inspection included a tour of the premises, inspection of some of the records, care plans and safety systems. Six members of staff to the inspector and the inspector was able to observe staff interactions with ten of the residents present during the day. The inspector would like to thank all who participated with the inspection. What the service does well: What has improved since the last inspection? What they could do better: Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 6 The home must develop a quality assurance feedback procedure to allow the service users to be told the outcomes of the quality assurance survey. The registered person must develop the present supervision system to allow staff to receive supervision at least six times a year. The registered person must risk assess any use of equipment which the resident may need 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. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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 Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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) 2,3,4,6(N/A). Staff in the home meet all the assessed care and personal needs of the residents, except for those requiring nursing or specialist care. Residents are given all the information required to make a decision as to whether the home will meet their needs. EVIDENCE: All the service users are provided with a statement of terms and conditions/ contract when they move into the home and a copy is placed in their personal file. The statement of terms /contract contains all the required information including the fees payable and terms and conditions of occupancy and the period of notice. All service users have a full assessment of their needs, which is undertaken by care managers and /or the homes staff. The homes staff regularly reviews care plans. The district nurses undertake all nursing inputs required by service users and specialist professionals are always asked to visit if a resident needs their services. All care staff are given training to enable them to meet the care needs of the service unless specialist care is required. Staff are given induction training including adult abuse, infection control and NVQ qualifications etc. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 9 The inspector saw no evidence of a risk assessment being undertaken for a resident who used cot sides on her bed, the manager stated this would be carried out after the inspection. Requirement 1 Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The home provides high standards of care to all residents. EVIDENCE: This standard was not inspected as the last inspection fully inspected all the standards which were well met the residents and relatives spoken with were very happy with the care given by staff and the home. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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) 12,13,14,15. The residents, relatives and their friends confirm the home provides a very high standard of care and residents spoken with state they feel they have control of their lives. EVIDENCE: The home displays an activity programme, which provides an opportunity for residents to partake. Residents relatives were spoken with and all stated they were very happy with the care the home gave to the relatives/friends and they are always feel welcome in the home when they visit. The majority of residents have nominated their families to manage their financial matters. All the residents spoken with told the inspector how much they enjoyed their food at the home. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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) The home continues to value the legal rights and protection of all residents. EVIDENCE: These standards were not inspected at this inspection but the home reported it has not received any complaints since the last inspection and residents spoken with confirmed they know how to make a complaint. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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) 19,22,26. The home provides a safe environment for residents and staff and all the equipment to meet the residents assessed needs. The home was clean and tidy at the time of the unannounced inspection EVIDENCE: The home is well maintained, clean and tidy and is suitable for it’s stated purpose. There is a programme of routine maintenance and renewal of fabric and redecoration. The carpet on the main staircase to the first floor was beginning to show signs of wear and the manager stated the new carpet had all ready been ordered and would be fitted in the next few weeks. The grounds are well maintained and residents were seen to be walking in the garden and sitting on the chairs on the decking. The building complies with the requirements of the Environmental Health Department and the Health and Safety department. Residents have access to all parts of the residents’ communal space by the provision of ramps and passenger lifts. Residents are provided with all the necessary equipment to meet their assessed needs. The laundry is sited so that soiled articles are not carried through food preparation Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 14 areas. Hand washing notices were seen in all appropriate sites the home meets all the infection control requirements. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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) 29,30 The registered person is committed to having a well- trained workforce for the protection of the residents. All new staff have to pass a rigorous recruitment and selection process before being appointed. EVIDENCE: The registered person operates a thorough recruitment policy to ensure the safety and protection of residents. New staff are only appointed on completion of a satisfactory police and the Protection of Vulnerable Adults list check. Once appointed staff are given induction training before caring for residents. Staff are given a copy of the General Social Care Councils Code of Practice. The registered person ensures all staff are given a training and development programme. During the inspection a number of staff were having a meeting with the NVQ assessor before commencing the level 2 training. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 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) 32,33,34,36 The home is managed by the currant registered manager and co-owner Mrs Jenny South to a very high standard. The home was running effectively and the welfare of the service users was not an issue. The manager is to develop a format to inform residents and families the outcomes of the quality assurance survey and the development of the supervision system to given staff supervision sessions at least six times a year. Requirements 2 and recommendation 1 EVIDENCE: The registered manager communicates a clear sense of direction and leadership. The residents have regular meetings with the manager and staff to enable them to have a voice about the running of the home and the manner, in which they live. Staff, also have their own meetings, where they discuss any issues which might affect the residents and themselves The home asks residents and families to complete a quality assurance survey about the quality of care and support they receive. This covers areas such as accommodation, Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 17 food and the quality of care and accommodation received. The manager is developing a format to inform residents of the outcomes of the survey. The home has all the required insurance cover including Public Liabilities. All financial records are audited and the home has a business and financial plan, which, is open to inspection and reviewed annually. Staff receive one to one supervision four times a year and the registered manager is further developing the supervision system to allow staff to receive supervision at least six time a year, Supervision sessions are recorded on supervision sheets and kept in employees personnel files. Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 18 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 x 3 2 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x 3 2 3 x 2 x x Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 19 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. 2. 3. Standard 3 33.2 Regulation 14 24 Requirement The needs of theservice user have been assessed the registered person shall review the quality of care given Timescale for action 3months 3months 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 36 Good Practice Recommendations The registered manager shall develop supervision sessions for staff at least six times a year Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Sidcup Area Office River House 1 Maidstone Road, Sidcup Kent DA14 5RH 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 Fairmount G51-G01 S6924 Fairmount V224970 11-05-05 Stage 4.doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!