Random inspection report
Care homes for adults (18-65 years)
Name: Address: Fairways The Fairways Fuller`s Field, Swan Lane Westerfield Ipswich Suffolk IP6 9AX zero star poor service 24/07/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Claire Hutton Date: 0 5 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Fairways The Fairways Fuller`s Field, Swan Lane Westerfield Ipswich Suffolk IP6 9AX 01473214966 01473214997 manager-fairways@careaspirations.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care Aspirations Limited care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 The maximum number of service users who can be accommodated is 8 The registered person may provide the following categories of service only: Care Home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Fairways Residential Home is situated in a residential area of the village of Westerfield on the outskirts of the town of Ipswich. The home was first registered in April 2004 and offers care and accommodation for up to eight service users who have a learning disability coupled with challenging behaviour. Fairways is owned and administered by Care Aspirations, a specialist independent healthcare provider, established in 1986,
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home who provide residential care and private hospital services for adults within this service user group. During the visit the inspector was informed that the fees for the home range from £1283 to £2607 per week dependent on the care that each resident required. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The purpose of this inspection was to follow up on the requirements that had been made at the last last key inspection completed on 23rd and 24th July 2009, when we gave the home a poor rating. We decided that as a requirement had been made around medication and concerns expressed by a Social Worker around medication regimes within the home we would have a Pharmacy Inspector on the team. The Pharmacy Inspector spent all his time looking at the management of medication within the home. We have concerns about how medication is currently managed. We gave detailed feedback about these matters directly to the manager on the day. A separate detailed report with short timescales for compliance has been prepared and sent separately to the care home. Since our last visit to the home a new manager has been appointed. He has the relevant qualifications and experience to manage this home. Staff tell us that they feel very supported by the manager and welcome his knowledge and sharing approach to managing and developing the care home. We found that the new manager has ensured that significant progress has been made on the requirements we had made. The outcome of which will be an improved experience of care and support for the resident group at Fairways. What the care home does well:
At the last visit we told the care home to ensure assessed needs of residents are kept under review. This was to ensure the service is appropriate and able to meet all residents needs. We found that the majority of residents had been reviewed with their placing authority. We were concerned about one individual whos needs had changed considerably. On this visit we found that an assessment had been completed and that there were plans to refer the individual for a further assessment with a clinical psychologist and involve the intensive support team at Walker Close. (This is a specialist health team for adults with a learning disability) We believe this to be an appropriate plan and will monitor these developments at future inspections. At the last visit to the home we were particularly concerned that care plans written to instruct staff were not clear how to meet individual needs. On this inspection we found the one care plan we had concerns with did reflect good, clear instructions to staff. The plan was respectful to the individual and it ensured that others as well as the individual were protected.The plan explained the use of basic Makaton to aid communication and contained appropriate risk assessments around inappropriate sexual behaviour and gave a consistent message to staff on how best to deal with matters when they arise, but also how to prevent such occurrences. Since our last visit to the home all staff have received a 2 day intensive refresher training. This included first aid training and how to complete incident and accident report forms. We looked at the recording in place and found that records kept were in order and a system of logging and tracing a form was able to be used with ease. The records we saw were good and no serious incidents or accidents have occurred since our last visit to
Care Homes for Adults (18-65 years) Page 4 of 9 the home. Since our last visit to this care home, knowledge and understanding of the local policy and procedure for dealing with safeguarding of adults from abuse has developed. We have seen the management of this service take matters very seriously and they have attended and participated in joint working processes to protect vulnerable people. Measures have been put in place within the home to ensure the ongoing safety and welfare of all the residents. This has included reviewing of care plans and risk assessments and changes in staffing levels to provide one to one support for one resident currently who needs the support. Staff have attended training on recognising and responding to abuse. On the staff room wall we saw current high profile policies and procedures that staff had signed to say they had read. This included the Suffolk Policy on responding to Adult Safeguarding in Residential Care Homes, Whistle Blowing, Accident and Emergency, Emergency On Call and The Mental Capacity Act - 5 Key principles. The manager told us that 2 senior staff had also attended the local authority safeguarding training. We spoke to them about any differences between their organisations training and that provided by the local authority. We were pleased to hear it was very similar and gave the same messages to staff. The manager told us he was confident that staff know the local policy and procedures and would follow them should the need arise for a safeguarding referral to be made. We were pleased to see that all staff had received training in infection control, fire safety awareness, Emergency First Aid, Moving and Handling, Food Hygiene, Health and safety at Work, Using Chemicals ( CoSHH) and Equality and Diversity, Safeguarding Vulnerable Adults, and and introduction to Mental Health Acts. Some staff had training on The Mental Capacity Act. In addition to this formal training the manager had introduced micro teaching sessions. these were short session with staff based around either a procedure or a practice session e.g. Makaton. The manager kept note of each session with who had attended. The manager agreed to finding training on epilepsy and autism, both of which are relevant with this resident group. All staff vacancies within the home have now been filled. Fairways was light, airy and clean. This is because the home has undergone a deep cleaning process and the tints on windows have been removed. Natural day light is now able to come directly into the home. One bedroom was awaiting new curtains to be delivered, but material had been placed at the window to ensure privacy when needed. This window was not overlooked in any way. What they could do better:
We were given a copy of the revised Statement of Purpose. The Statement of Purpose has been revised and now contains some useful and relevant information. However, the document claims that the new manger is registered and this is not correct. In our last report we also said about the service users guide using incorrect language and calling the people who live at the home patients. This is because material from other
Care Homes for Adults (18-65 years) Page 5 of 9 facilities within Care Aspirations that are hospital type settings is being used. This information is misleading and needs to be corrected. We will look at this aspect once again on our next visit to the care home. This will be sufficient time to correct the matter. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 1 Written documents about Fairways should be accurate to ensure that information is not misleading and for people to make an informed choice of where to live. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
