Inspection on 30/01/07 for Fairmount

This inspection was carried out on 30th January 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

Fairmount 11/02/08

Fairmount 08/08/06

Fairmount 23/11/05

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 Ann Wiseman Unannounced Inspection 30th January 2007 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.V329095.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. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 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 8402 7401 info@fairmount-of-mottingham.co.uk Mrs Jenny South Mr Harold South Mrs Maria Jacoba Wilhelmina Saward 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.V329095.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2006 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 a high standard. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was unannounced and facilitated by the Registered manager. The home was found to be clean, tidy and well decorated. Improvements are being made to some of the bathrooms, and en-suit facilities are being added to some of the existing bedrooms; building work has started to extend the home and increase the number of beds. The Manager has been monitoring and revising files, records and service user care plans and a new style of Care Plan has been introduced since the last Inspection. This is the second visit to the service during this inspection year and all of the Requirements made during the last Inspection have been met. The Inspector was able to talk with several of the service users and would like to thank everyone who helped her during this Inspection especially the Service Users. What the service does well: What has improved since the last inspection? What they could do better: Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 6 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. Fairmount DS0000006924.V329095.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 Fairmount DS0000006924.V329095.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): Standards 3 and 6 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users have their needs assessed prior to them moving into the home. Fairmount does not offer intermediate care. EVIDENCE: The Service User files that were examined contained assessments. They were completed by either a care manager or the home; prospective residents visit the home for half a day to see if they think it will be able to meet their needs and during the visit a senior care staff will carry out the assessment, they will also collect additional information for those with care management assessments. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Key standards 7,8,9 and 10 were examined during this Inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users have Care Plans that are reviewed and updated and receive health care as needed. People that are assessed as able to take responsibility for their own medication are encouraged to and the homes medication policies and procedures protect the Service Users from misuse. EVIDENCE: New care plans are detailed and are updated and reviewed as needed. All the Service Users have been registered with a doctor and receive appropriate treatment. Doctor’s visits are recorded and necessary actions are passed on at hand over sessions between shifts and recorded on the Service Users file. Evidence was also found that the Service User could expect for all his other health care needs to be met such as optician, dentist, psychiatry and other specialists. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 10 Medication was stored appropriately in a locked cupboard in a room that is kept locked when not in use. There were no blank spaces in the medication records and there is a list of names and signatures of all who have the responsibility of administering medication. Medication is checked in on its arrival. The Manager carries out spot checks and staff have received medication training since the last Inspection. The home is changing its supplier and the pharmacist who is going to take over will be giving in-house training about the new system. The homes medication policy and procedure has been reviewed and PRN guidelines have been added. All interaction observed between the Service Users and care staff was light hearted and genial. Staff approached the Service Users in a respectful way and spoke to them in a pleasant manner. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): All of the above standards have been examined during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Family and friends are encouraged to visit; visitors are accepted at any reasonable time and can sit with Service Users who are ill as long as they want to. Service Users are given opportunities to make choices and to control their lives. Food is well presented and looked appetising. EVIDENCE: Those asked said that the home was a good place to live and that they felt that they were able to make decisions for themselves and exercise choice. There is a calendar of events including craft and sing along sessions, live performances from local musicians, coffee mornings and visits from a local school with whom they have close contacts. The garden is a well-kept and attractive area although it has been reduced in size because of the extension that is being built. The remaining garden will still be large and the Proprietor intends to improve the pond area and replace the decking around the building. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 12 Service Users are encouraged to use the garden and if anyone wants to do some gardening they can. There are shops and pubs locally and Service Users are supported and enabled to go shopping or enjoy a pub trip. Religious services are held regularly in the home. Family and friends are made welcome and are invited to eat at the home if they arrive at a mealtime. Service Users chose between two meals for dinner and the cook will prepare alternatives on request. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 13 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): Key standards 16 and 18 were examined. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users and their families can feel confident that complaints will be taken seriously and acted on. The home’s recruitment process and training protects Service Users from abuse. EVIDENCE: The Commission had not received any complaints regarding this service and the home has had no complaints since the last Inspection. There is a complaints policy and procedure that is clear and open. The recording format has been changed recently and it is possible to track complaints from start to finish. Where Service Users lack capacity the home makes arrangements for someone to act on their behalf, either a family member or an independent advocate. This information was recorded in the Service User records. The Home’s recruitment process protects Service Users from abuse by only employing those that have no history of abuse and can produce a full service history and two references. Staff are given Protection of Vulnerable Adult and Whistle Blowing training. There have not been staffing changes since the last Inspection. The Home’s policies, procedures and staff hand book clearly say that any form of abuse will not be tolerated and staff found abusing Service Users will be disciplined. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 14 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): Key Standards 19 and 26 have been assessed during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Bedrooms are well appointed, nicely decorated and comfortable. The home is clean, pleasant and hygienic. EVIDENCE: Facilities in the Home are well maintained and comfortable, the communal rooms are pleasant and well decorated. There is an ongoing program of decoration and refurbishment and some redecoration has recently been completed. A new television has recently been provided in the main lounge, it is a good quality set, contemporary in style. The home is clean and hygienic. The home and entrance hall had a pleasant odour. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of the above standards were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient mix of skilled and qualified staff on duty to meet the needs of the Service Users. There is a varied list of training available and the recruitment process is robust. EVIDENCE: There are sufficient care and domestic staff on duty to meet the needs of the Service Users with five carers on duty during the early shift, four on the late shift and two waking night staff. The Home has met the minimum requirement of 50 of its staff having attained the NVQ2 qualification or above and it has a rolling program of NVQ training. The Home does not use agency staff as part time staff cover additional shifts. The Home are members of a training consortium. The training program includes core training such as First Aid, Fire, Infection Control, Manual Handling and Medication. There is also specialised training offered: Understanding Older People, Dementia, Depression in Older People and Report Writing. Staff interviewed appeared Knowledgeable and caring. The home’s recruitment policy follows the requirements and no staff are employed without first having a clear police check and obtaining two Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 16 references. There have been no changes to the staff team and files were examined in detail during the last Inspection, they were found to contain proof that the procedure had been followed and included CRB and POVA first checks, references, copies of applications, job descriptions, contracts and disciplinary actions taken. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 17 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): Standards 31, 33, 35, 36 and 38 were Inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recently registered Manager appears to be knowledgeable of the Service Users’ needs and is fit to be in control. The home is run in the best interests of the Service Users and the home is a safe place to be. EVIDENCE: The Registered Manager appears to have a good understanding of the needs of Older People and has recently undergone the registration process carried out by the Commission and has received her Registration Certificate. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 18 Service Users are given the opportunity to have their say in the running of the Home at User meetings, also they and their next of Kin are sent Quality of Care Assessment forms annually. This year’s survey has recently been sent out and the manager will be collating the information and will publish the details and outcomes in due course. The home does not deal with any of the Service Users’ monies; if a Service User is unable to manage her finances their next of kin is asked to take responsibility or an independent appointee is allocated. In the past it has been recommended that a supervision program be set up and that each staff member should have at least six sessions a year. The Manager is still improving on the number of supervision sessions that take place but has acknowledged that it is hard for her to attain the required number on her own so she has rotated the senior care staff to have some extra numerate hours so they will be able take on some of the responsibility to supervise staff. All other records examined during the Inspection were found to be up to date and in good order and were stored in a locked room. The manager reassured the Inspector that if a Service User asked to see their records they would be made available to them in accordance with the Data protection act 1998 and other statutory requirements. Health and Safety training is given such as moving and handling and Fire training. Records examined showed that Safety checks done, the fire equipment was checked on 8th June 06, the gas systems were checked on 24th April 06 and hoists were serviced on 22nd April 06. Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 19 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 3 X 3 Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 20 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. Refer to Standard Good Practice Recommendations Fairmount DS0000006924.V329095.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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