Inspection on 03/10/06 for Fairview Farm

This inspection was carried out on 3rd October 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 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

Fairview Farm 15/02/06

Fairview Farm 24/02/05

Fairview Farm 30/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Fairview Farm Gloucester Road Grantham Lincs NG31 8NR Lead Inspector Mr David Bacon Key Unannounced Inspection 3rd October 2006 09:00 Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 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 Fairview Farm DS0000002356.V314424.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 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. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairview Farm Address Gloucester Road Grantham Lincs NG31 8NR 01476 565660 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) lynn.pashley@granthammencap.co.uk Grantham & District Mencap Limited Mrs Lynn Pashley Care Home 25 Category(ies) of Learning disability (23), Learning disability over registration, with number 65 years of age (2) of places Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Fairview Farm is a converted farmhouse set in approximately 1.5 acres of land, overlooking countryside and is situated approximately 2 miles from Grantham town centre in a residential area. Accommodation is provided within five separate self-contained units in two main buildings and is partially based around group living models. There are seventeen single bedrooms and three double bedrooms; none of these have an en-suite facility. The home provides care and accommodation for individuals having a learning disability and two places are provided for older persons within this category. It is the homes philosophy for service users to choose how they spend their time, where possible and to make as many decisions regarding their day-today lives as appropriate for each individual. The range of fees is between £392 and £415 per week. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and the fieldwork visit took place over a four hour period. The main method of inspection used was called ‘case tracking’ which involved selecting two service users and tracking the care they receive through the checking of their records, discussion with their representatives (where possible), care staff and observation of care practices. A tour of the premises was conducted and documents connected with the running of the care home were also inspected. What the service does well: What has improved since the last inspection? Health and safety of the premises is now better managed as keypads have been fitted to store cupboards and areas that may present high levels of risks to service users. The recently created shower and toilet area is now fully operational. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 6 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. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 7 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 Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 8 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, 3, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service There are satisfactory procedures for assessing and introducing new residents to the home, ensuring that their needs can be met. EVIDENCE: The care records viewed evidenced that a comprehensive care assessment had been undertaken of service users care needs and that service users, where possible are involved in this. The representatives spoken with were satisfied with the homes admission procedures and confirmed that they were given sufficient information regarding the service and that staff were kind and helpful. The manager now writes to service users to confirm where the home is able to meet the individuals care needs and they are provided with a contract, which is maintained in the home. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 9 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, 7, 8, 9, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having a plan of care following an assessment, which is regularly reviewed and updated to reflect their changing needs and they are consulted with regarding the running of the home. EVIDENCE: The service users representatives spoken with said that service users are treated with respect and supported to make decisions regarding their day to day lives where this is possible, which was further evidenced within the care records and completed satisfaction surveys seen. Comments included: “I would soon know if our loved one was not happy”. “I’m sure they are supported to have a choice with everything they do”. “The residents choose how they spend their time and they are encouraged to learn new things”. “The home staff work hard to help all the residents and you can see it when you visit”. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 10 The care records viewed clearly identified the individual care needs of service users and how these were to be met along with any goals, preferred routines, aims and objectives, identified risks and how these were to be minimised. Records were reviewed regularly and documented where service users had been consulted with regarding their plan. Also, information regarding promoting service users rights, confidentiality and data protection is included within these. Staff members are initially made aware of the need to promote service users rights and choices as part of the induction process. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 11 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, 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users rights are respected and they are supported to follow their chosen lifestyle within the community and to develop any life skills or interests. Service users enjoy the homes provision of meals. EVIDENCE: The records viewed evidenced that service users are supported to develop any skills or interests, which was further confirmed with the representatives with whom the inspector spoke. Comments included: “The range of activities is fabulous, they are very well provided for”. “There is a regular range of things to do, they keep a record and we get to hear”. “There is the learning support and a good variety of activities, it seems to be whatever they like to do”. “We are very satisfied with what they do”. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 12 Service users attend day centres and college during the week where this is appropriate. Service users are notified of their rights and guidelines are in place for staff regarding this subject matter. The home has a range of vehicles to afford service users access the community and public transport is also utilised. Service users are able to attend a variety of clubs and leisure facilities and holidays are also available. Service users generally go on holiday in smaller groups, to a variety of locations. Pictorial records of some events and activities are maintained. Catering arrangements are domestic and informal, and service users can choose from a variety of foods each mealtime. Information regarding service users food preferences and any dietary requirements are clearly documented in individual care plans. A record of foods provided is maintained along with a cleaning rota and temperature records. The representatives spoken with made only positive comments regarding the homes meal provisions. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 13 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, 19, 20, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ physical and emotional needs, rights and preferences are taken seriously by the staff team. Appropriate medication guidelines and procedures are in place. EVIDENCE: Care records instruct staff as to individual service users care needs and preferences and service users are involved in the devising and updating of their own plans where this is possible, which was further evidenced by the representatives with whom the inspector spoke. Individual preferences or instructions regarding bereavement wishes are documented. Health and medical needs and input are clearly identified with the care plans. Policies and procedures regarding the administration of medicines and new storage cupboards are now in place. Staff attend a safe handling of medication course, and administration records are satisfactory. Service users can administer their own medicines if they are assessed as able. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained in how to safeguard service users from risk of abuse and systems are in place to ensure that service users views are listened to. EVIDENCE: There have been no formal complaints about the home since the last inspection. The service users representatives with whom the inspector spoke said they felt able to express any views to staff even if these were negative and that they would be appropriately acted upon. Service users are notified as to how to make a formal complaint. Staff have received training on how to safeguard vulnerable adults from abuse and further training is planned for newly recruited staff. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and comfortably furnished, providing a comfortable and homely environment for service users. EVIDENCE: The home was clean and tidy and odour free throughout. The service users representatives spoken with said that the environment was homely and comfortable and that service users are supported to personalise their own accommodation, which was further evidenced during a tour of the building being undertaken. Risks assessments of the premises are undertaken and action taken as necessary. Staff receive training regarding health and safety. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 16 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): 32, 33, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff overall to meet the needs of the service users, and staff overall have the skills and experience necessary to carry out their roles. EVIDENCE: The service users representatives spoken with said that there were sufficient numbers of staff overall, which was further evidenced through viewing the homes staffing rota. The staff members spoken with were satisfied with the homes induction and training provision. The staff files inspected evidenced that appropriate recruitment policies and procedures are undertaken prior to staff commencing work at the home. Newly recruited staff attend induction training upon commencing work at the home. A comprehensive training plan is in place and any outstanding training needs are identified and provided for. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 17 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): 38, 39, 42, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users rights are promoted and safeguarded. Some systems are in place to measure the quality and satisfaction levels of the services provided. Fire safety systems are fully maintained as per fire safety regulations. EVIDENCE: The service users representatives and staff spoken with were satisfied with the management of the home. Comments included: “It’s all run in a family, friendly manner”. “They are all approachable and its well run”. “I have no complaints, I’m very satisfied with the running of the home”. Policies and procedures have been devised to safeguard service users rights and information regarding this is provided to them. Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 18 Service users meetings are held and quality satisfaction questionnaires are used and the manager demonstrated that comments are actioned as appropriate. Systems are in place to promote health and safety within the home and staff attend training regarding this subject matter. Fairview Farm DS0000002356.V314424.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 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 3 4 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 X 3 3 X X 3 X Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 20 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. 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 Fairview Farm DS0000002356.V314424.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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