Inspection on 23/11/05 for Fairmount

This inspection was carried out on 23rd November 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 11/05/05

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 Inspection 23rd November 2005 10:00 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 Fairmount DS0000006924.V259779.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. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairmount Address Mottingham Lane Mottingham London SE9 4RT 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) 020 8857 1064 020 8295 0641 Mrs Jenny South Mr Harold South Mrs Jenny South Care Home 35 Category(ies) of Dementia - over 65 years of age (8), Learning registration, with number disability (1), Old age, not falling within any of places other category (27) Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2005 Brief Description of the Service: Fairmount is a large detached house set in its own landscaped grounds. It is a Grade 2 listed building, having been the home of W.G.Grace the noted cricket player. The home provides care and accommodation for older persons. The service users accommodation is on all three floors accessed by two passenger lifts. There are various 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, showers and bathrooms. Specialised bathing and toilet equipment and lifting aids are available. All toilets, showers, bathrooms and bedrooms have lockable doors, which can be accessed from the outside, in case of an emergency. The home has been extended with furnishings and facilities to very high standards. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over a period of four and a half hours as part of the statutory inspection programme. The inspection included a tour of the premises and an inspection of some of the records, care-plans and safety systems. Some residents and staff were also spoken with and the inspector also had time to see the interaction between residents and staff. The inspector would like to thank all those who participated with the 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. Fairmount DS0000006924.V259779.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 Fairmount DS0000006924.V259779.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): 1,2,3,4,5. Prospective residents and /or their relatives are given all the information required to make a decision as to whether the home will meet their needs. EVIDENCE: The home has a Statement of Purpose and Service Users Guide, which sets out the aims, objectives, philosophy of care, services and facilities. Residents are also given the home’s Service User Guide, which sets out the physical environmental standards of the home. All prospective residents have a full assessment of their needs which is undertaken by their care managers and/or the home’s staff. All care staff are trained to enable them to meet the care needs of the residents unless specialist care is required. The prospective residents are invited to view the home and meet other residents and the staff before making a decision to live in the home. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 8 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): 7,8,9,10,11. Residents are provided with high standards of care by suitably trained staff. EVIDENCE: All service users have a comprehensive assessment of care before an individual care plan is formulated. This plan sets out in detail the action, which care staff need to take to ensure all aspects of the health, personal an social care needs of the service users. This care plan is reviewed on a monthly basis to reflect the changing need of the resident. Staff receiving training in the home and also take courses at Orpington College to help them meet the needs of the residents. The home is very proud of their record of having no incidents of pressure sores within the home. Residents have the opportunity to take part in activities arranged for them in the home, these include music and movement and entertainers visiting the home. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 9 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 relatives, residents and their friends confirm the home provides a very high standard of care. EVIDENCE: This standard was not inspected as the last inspection fully covered all the standards, which were well met. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 10 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): 16,17,18. The home continues to value the legal rights and protection of all residents. EVIDENCE: The owner stated the complaints policy of the home was being developed further to include timescales for dealing with any complaints. All residents have a postal vote to enable them to vote at all elections whether they are local or general elections. The home has robust procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of residents. All staff receive training in understanding and prevention of abuse. The home has not received any complaints since the last inspection. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 11 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): 19,20,21,22,23,24,25,26, The home provides a safe environment for residents and staff and it also has all the necessary equipment to meet the assessed needs of the residents. The home was clean and tidy at the time of the inspection. EVIDENCE: The home is well maintained, clean and tidy and is suitable for its stated purpose. The carpet on the stairs was beginning to show some wear at the last inspection and has been replaced. The grounds of the home were well maintained, although due to the inclement weather none of the residents were outside. The home complies with the requirements of the Environmental Health and the Health and Safety Department. Residents have access to all parts of the home by the provision of ramps and passenger lifts. The laundry was clean and tidy at the time of the inspection and is sited so soiled articles are not carried through food preparation areas. Hand washing notices were seen in all appropriate sites so the home meets all the infection control requirements. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 12 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): 27,28,29,30. The registered owner/manger is committed to having a well-trained workforce for the protection and well being of the residents. All new staff has to pass a rigorous recruitment and selection process before being appointed. EVIDENCE: All new members of staff are given induction training before working with the residents including Adult Abuse training, personal care of residents and administration of medication. The home very rarely has to use agency staff, because staff cover for their colleagues. Most of the care staff have obtained NVQ level 2 qualifications and some are taking NVQ level 3 standards. All staff are given a copy of the General Social Care Council’s Code of Practice. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 13 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): 31,32,33,34,35,36,37,38. The home is well managed by the present owner/manager and everything is undertaken to make sure this will be continued. EVIDENCE: The present registered Owner/ Manager is retiring in the near future and a new manager has been appointed and is already in situ to learn all about the home, residents and staff. The present owner/ manager is helping the new manager to get to know all about the home and the residents and staff. The home has an effective quality assurance system and an annual development plan. Policies and procedures are regularly reviewed and any updating of policies is carried out e.g. complaints policy and procedure. The home has an insurance policy, which can be seen by everyone as it is displayed by the front entrance. There is a financial and business plan for the home, which is open to inspection and reviewed annually. The home does not deal with any residents’ monies. This role is undertaken by their families and/or representative. The staff now receive formal, one-to-one supervision sessions, which is recorded and signed Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 14 by the participants and the manager is working towards them having six sessions per year. The records of the home required by regulation for the protection of residents are maintained. Individual records and home records are secure, up to date and in good order in accordance with the Data Protection Act 1998. All records kept on computer are password coded. The health, safety and welfare of residents are ensured and the inspector saw all the renewal certificates for equipment had been completed. Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 15 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 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 3 3 2 3 3 Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 16 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. 2 Refer to Standard OP36 OP16 Good Practice Recommendations The registered manager shall develop supervision sessions for staff at least six times a year The registered manager must achieve six individual supervision sessions annually Fairmount DS0000006924.V259779.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup 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 DS0000006924.V259779.R01.S.doc Version 5.0 Page 18 - 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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