Inspection on 06/04/05 for Fairways

This inspection was carried out on 6th April 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

Fairways 22/05/07

Fairways 09/11/05

Fairways 14/10/04

Fairways 09/07/04

Fairways 15/03/04

Fairways 16/09/03

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

Heather House Nursing Home

REACH Upton Court Road

The Cotswold Home

Treloar College

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

CARE HOME ADULTS 18-65 Fairways 7 Elvetham Road Fleet Hampshire GU51 4QL Lead Inspector Sue Maynard Unannounced 6th April 2006, 9:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Fairways Version 1.10 Page 3 SERVICE INFORMATION Name of service Fairways Address 7 Elvetham Road, Fleet, Hampshire, GU51 4QL 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) 01256 815256 j.deeley@seeability.org SeeAbility Care Home 7 Category(ies) of Learning disability (7), Physical disability (7), registration, with number Sensory impairment (7) of places Fairways Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 October 2004 Brief Description of the Service: Fairways” is a large family home located in a quiet residential area. Previously part of the School For The Blind, it is now Registered by SeeAbility. It is close to shops and local amenities. Accommodation is provided in single rooms, the majority of which have en suite facilities. There is a communal lounge, kitchen and dining room on the ground floor and a large enclosed garden and patio area to the rear of the property. The aims and objectives of the home are to provide care for service users aged 18 to 65 with visual impairments and learning disabilities. The home is also registered to provide care for service users with visual impairments and physical disabilities. Fairways Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over five and three quarter hours and was carried out as the first of two statutory unannounced inspections. One inspector carried out the inspection. A full tour of the building took place and the inspector was able to speak in private with five of the seven service users in the home and both of the staff members who were on duty. Care records were inspected and the information obtained by the inspector formed the basis for the evidence in this report. What the service does well: What has improved since the last inspection? The laundry area has been improved and washing powders and cleaning materials have been securely stored. Fairways Version 1.10 Page 6 Following the removal of a disused conservatory from outside of the dining room, the surface of the area has been made safe and the garden tidied and new plants supplied. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fairways Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Fairways Version 1.10 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 standard(s) 2, 3, 4 The arrangements for the assessing of service user prior to admission take into account their needs and aspirations and involve the service users throughout the process ensuring their needs are met. EVIDENCE: A very comprehensive pre-admission assessment format is available. For a service user who wishes to enter the home this assessment is undertaken by the manager for the home and all aspects of the prospective service users care needs are considered. Documentary evidence in a service user file showed the assessment includes: Information from family members and carers with regard to the daily care of the service user. All personal details and contact details for next of kin. Medical reports from GP’s and hospital consultants. Reports from rehabilitation services and Day services that are provided. Any nursing care needs. On admission to the home further assessments are made at one week and six weeks intervals. The service user has the opportunity during these assessments to speak freely and offer their opinions about the services provided, if their care needs are being met and how they are adapting to residence in the home. Fairways Version 1.10 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 standard(s) 6,7,9. All aspects of care for service users are addressed in comprehensive care plans and service reviews, ensuring that all the care needs of the service users are fully met. Service users are encouraged and supported by staff and other health care professionals, to make decisions that affect their daily lives. The risk assessment process is applied thoroughly and inclusively maximising service user independence. EVIDENCE: The inspector saw samples of three service user files. These provided evidence that both the physical and psychological needs of the service users had been addressed. Documentary evidence was seen that confirmed regular reviews of the care plans had been undertaken and that the service user had been fully involved in these reviews. The opinions of the service users were recorded and action plans made to address any issues that were raised either by the service user or the manager of the home. The individual plans of care were detailed but concise and comprehensive. Fairways Version 1.10 Page 10 An annual review is also undertaken to which the service user may invite family, staff and volunteer members of staff. The care manager for the service user’s funding authority is present together with any rehabilitation support teams, GP and the manager for the home. Again the outcome of this meeting is documented and possible action plans formulated. Comprehensive risk assessments were seen by the inspector, which provided evidence that all aspects of possible risks in the service user’s daily life are addressed. Records showed that these risks are fully discussed with the service user and that they are involved in formulating an action plan to minimise or eliminate the risk. One service user had recently undergone major surgery at a local hospital. Evidence showed that staff had provided support to the service user from the time of the first consultation with the GP, right through to admission to hospital and discharge back to the home. The acting manager for the home told the inspector that staff were able to be with the service user during the pre-operative period and were present on the service user’s return to the hospital ward. The nurse from the GP surgery attended the service user to monitor the wound and re-new the dressings as required. The inspector was not able to speak with the service user to confirm the information given. Other service users spoke to the inspector and confirmed that their care is regularly reviewed and that their opinions are always taken into consideration. One explained to the inspector that he was keen to undertake more training to enhance his computer skills and that this had been discussed at his recent review. He is very pleased that this need is being addressed and he awaiting confirmation that the training in being arranged. Fairways Version 1.10 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 standard(s) 12,13,16. Staff support service users to take part in social activities of their choice. These activities are varied and often and within the local community. The staff in the home fully respects the rights of the service users to take full responsibility to lead as full an independent life as possible. EVIDENCE: All aspects of the service users daily lives are discussed and their hopes and aspirations are documented in the regular reviews undertaken between the service user and the manager for the home. The service users are encouraged to live a very full life within the limitations of their visual disability. Speaking individually with the service users, the inspector was able to confirm that the staff in the home offer constant encouragement and make arrangements for their aspirations to be met. Many of the activities undertaken by the service users take place outside of the home. Visits to places of interest are arranged. Recently some of the service user had attended a performance at a local theatre. One service user was very keen to tell the inspector about a recent holiday he had been on and was looking forward to arranging the next one. Fairways Version 1.10 Page 12 Local events are well attended and members of the local community make the service users welcome. Evidence in the service users reviews showed that as some of the service users are ageing, their needs and wishes are changing. These needs are being addressed and the service users are being encouraged to undertake new hobbies and pastimes that are within the scope of ongoing limitations. All the service users spoken to by the inspector confirmed that they well supported to lead a full and active life. Fairways Version 1.10 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 standard(s) 18,19. Processes in the home support the staff and management to be fully aware of all the needs of the service users and take every opportunity to meet the needs and wishes of the service users. EVIDENCE: All the service users are given many opportunities to discuss aspects of their daily lives with staff members. Each service user has a key worker who builds up a rapport with the service user. The service users were very keen to tell the inspector how their key worker is involved in their daily life and the support that they provide, enabling them to go shopping, visit local amenities such as the library and keep appointments at the dentist or doctor. Service users are also able to discuss their needs with the acting manager of the home during reviews of care. Regular service user’s meetings are held which enables all the service users to discuss issues as a group and make joint decisions about the outcomes or changes to be put in place. Minutes of these meetings are kept. As part of meeting the needs of the service users, health care professionals such as physiotherapists and occupational therapists are consulted and provide support as required. Some of the service user attend local day centres where they are able undertake rehabilitation to improve aspects of their daily lives. Fairways Version 1.10 Page 14 Service users spoke to the inspector and told her well they were supported by the staff, which enabled them fulfil their wishes on a daily basis. They also said how much they enjoyed the meetings with other members of the home and the staff which enabled them to plan special events and to openly discuss any issues that caused concern. Fairways Version 1.10 Page 15 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 standard(s) 22 and 23 Complaints are handled objectively and service users and staff are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: Policies and procedures are in place to protect service users from potential abuse. Service user surveys and service reviews seen by the inspector provided evidence that the service user’s opinions and comments are acted a upon. The inspector spoke to service users who confirmed that the surveys are undertaken regularly and that are able to voice their opinions and criticise anything in the home that they dislike and areas where improvements can be made. The documented comments in the surveys confirmed this. Monthly meetings are held which enables service users to discuss issues as a group and make unanimous decisions about issues that affect their daily lives. Advocacy is provided for all service users, either by a member of their family or a care manager from their funding authority. The home has policies and procedures to ensure that service users are protected from abuse, neglect and self-harm. Staff are made aware of these policies and the reporting procedure during their induction training. A staff member spoken to by the inspector seemed a little unsure of the full procedure. At the time of the inspection recent training with regard to abuse had not been undertaken. The inspector was informed that this training, for all staff, was to take place the following week. The home has a robust complaints procedure and records of complaints are kept. These records show that all complaints are acted upon promptly. Service users spoken to confirmed that staff listen to their concerns and take any complaint seriously. They all confirmed that they have always been satisfied with the outcome of their complaint. Fairways Version 1.10 Page 16 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 standard(s) 24,29 and 30 The ongoing programme of maintenance ensures that the home provides a safe and comfortable environment for the service users. Specialist equipment installed within the home maximises the independence of the service users who have a degree of visual impairment. Attention to the daily cleaning of the home ensures that a high standard of cleanliness and hygiene is maintained at all times. EVIDENCE: The home has an ongoing programme of maintenance and redecoration. Since the last inspection new furniture has been provided in the lounge. More space has been created enabling a more suitable armchair to be placed in the lounge for one service user who was unable to use the previous seating due to an arthritic condition. A new washing machine has been installed in the laundry room. The inspector was informed at a previous inspection that the service users are always consulted when any refurbishment of the home is to be undertaken, speaking with service users confirmed that this consultation continues. Fairways Version 1.10 Page 17 On the day of the inspection all areas of the home were found to be clean and tidy. Some of the domestic appliances in the home are adapted for the service users and provide auditory guidance for use, for example the microwave oven. Fairways Version 1.10 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed at this inspection. EVIDENCE: Fairways Version 1.10 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 The use of regular reviews of care and the process of seeking the views of the service users ensures that all areas of the daily lives of the service users are at a consistently high standard. Practices in the home promote and safeguard the health and welfare of both service users and staff. EVIDENCE: In the absence of the acting manager leadership and guidance and direction to the staff was being undertaken by the senior support worker to ensure that the service users continue to receive a consistent quality of care. On the day of the inspection the acting manager for the home was on annual leave. The senior support worker was in charge of the home during her absence and was ensuring that the home continued to be managed in an appropriate way and that standards were maintained. The inspector was informed that the manager had resigned from her post and would be leaving at the end of April 2005. Until a new manager is appointed the senior support worker will continue to be in charge of the home. Fairways Version 1.10 Page 20 Residents have been made aware that the manager is leaving and two of them were quite concerned that changes would be taking place and this made them “feel a bit frightened”. The staff on duty explained that everything possible would be done to reassure all the service users and that any changes would be kept to a minimum and that they would ensure the service users are kept up to date with what is happening. This went someway to ease their fears. Service users spoken to confirmed that regular meetings are held with the staff and management for the home during which there is an open forum for discussion between those present. Individual review meetings also take place. Records of all these meetings are made. Service users confirmed that they are always informed of the outcomes of issues that are raised and require action to be taken. The overall comments made were that the service users feel that they are well supported by the staff and made to feel in control of their lives Comprehensive risk assessments are undertaken that address every aspects of the service users daily lives. Records seen by the inspector showed that regular checks and maintenance is carried out on all equipment and services in the home to safeguard the well being of the service users. Both staff and service users confirmed that fire safety equipment is tested regularly and that the emergency evacuation procedure is undertaken regularly. Service users told the inspector that they were confident to know what to do in the event of a fire. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Fairways Version 1.10 Page 21 CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x Fairways Version 1.10 Page 22 NO 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. 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. Refer to Standard Good Practice Recommendations Fairways Version 1.10 Page 23 Commission for Social Care Inspection Hampshire Area Office 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Fairways Version 1.10 Page 24 - 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!