Inspection on 09/11/05 for Fairways

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairways 22/05/07

Fairways 06/04/05

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 Pat Trim Unannounced Inspection 9th November 2005 10:00 Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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 Fairways DS0000039631.V260023.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 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. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairways Address 7 Elvetham Road Fleet Hampshire GU51 4QL 01252 815256 01252 815579 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) SeeAbility Care Home 7 Category(ies) of Learning disability (7), Physical disability (7), registration, with number Sensory impairment (7) of places Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the PD category must not be wheelchair users as the home is not able to meet their needs. 6th April 2005 Date of last inspection 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 DS0000039631.V260023.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection for the year 2005/2006 and both reports should be read for an overview of how the home is meeting the standards. The inspection was unannounced and completed by one inspector in 3 hours. Information was gathered by talking to 4 of the 7 residents and 2 of the 3 staff on duty. A range of records were inspected and a partial tour of the home carried out. The people who lived in the home were asked how they would like to be referred to in the report. They chose the name ‘resident’ and this term is used throughout this report. What the service does well: What has improved since the last inspection? What they could do better: Residents spoke of recent staff shortages and felt that this had had an impact on their opportunities to go out. Staff said there had been some problems, Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 6 due to holidays and sickness, but said every effort was being made to limit the effect on residents. The registered manager must assess the competence of staff in the safe handling of medication before permitting them to administer it unsupervised. The home had a system for doing this but it had not been completed in respect of the member of staff who was giving out medication on the day of the inspection. There must be written evidence that this assessment has been completed. 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. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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 Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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): Standard 2 was assessed on the last inspection. EVIDENCE: Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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): The core standards were assessed on the last inspection. EVIDENCE: Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 10 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): 15 and 17 The support offered by staff means that residents may be confident they will be able to maintain contact with family and friends. The way in which the menu is chosen means that residents have a choice of well balanced meals. EVIDENCE: Residents spoken with said they were supported to maintain contact with family and friends. Some said they were helped to make telephone calls, or to write letters. Family and friends were able to visit the home at any time. Residents said they saw their visitors in the lounge or dining room, but could see them in their rooms if they wanted to be more private. Staff confirmed that part of their role was to support residents to maintain contact with family and friends. This was achieved through helping them with telephone calls or writing letters. During the inspection staff were observed taking the portable telephone to residents in their rooms, or the lounge to receive calls. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 11 There was an ample supply of fresh and tinned foods in the kitchen. Residents said they were very satisfied with the food provided. It is the policy of the home that each resident may choose the main meal for one day of the week. Residents said on Tuesdays everyone made their choices and the food for the week was then ordered. Those spoken with told the inspector what meal they had chosen for the week and the menu plan confirmed these were provided on the day requested. Staff confirmed that the menu is monitored to ensure that although residents choose the main meal, a well balanced menu plan is followed. One resident wanted to move from Fairways to live more independently. To achieve this objective, one of his identified needs was to be able to shop and cook independently. Staff were supporting him to achieve this by helping him choose, buy and prepare his own meals. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 12 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): 20 Procedures are in place that ensure medication is managed safely. However, this safety may be compromised if the procedure for monitoring staff competence is not followed correctly. EVIDENCE: Each resident’s medication was supplied by the pharmacist in a monitored dosage system. A few medicines were stored separately as they could not be put into this system. Medication was stored appropriately in a locked cupboard. A written record was kept of medication received into the home and any unused tablets returned to the pharmacist A member of staff was observed giving out the morning medication. Each person’s medication was put into an individual pot and given to him/her with a drink. Four residents’ records were seen. In each case the medication administration record had been signed to confirm the medication had been given. Residents spoken with knew what medication they took and what it was for. One person liked to have her tablets put into black pots as these were easier for her to find. An elastic band round one pot enabled her to identify which of the two tablets was which. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 13 The residents spoken with during the inspection did not feel able to manage their own medication and were happy for staff to look after it. Two staff spoken with during the inspection confirmed they had both received in house training in the administration of medication. One member of staff had worked in the home for five years. She confirmed her practice was regularly monitored and reviewed. Her training record could not be seen as the manager was not in the home on the day of the inspection. The second member of staff had worked in the home for three months. She confirmed she had received in house training in the administration of medication and was able to show the inspector questionnaire about medication she had completed. However, the training record and competence assessment in her file had not been completed, signed and dated. She confirmed she was responsible for giving out medication. Staff should not be permitted to give out medication until the manager is satisfied that they are competent to do so. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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): Core standards were assessed on the last inspection EVIDENCE: Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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): Core standards were assessed on the last inspection EVIDENCE: Fairways DS0000039631.V260023.R01.S.doc Version 5.0 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 and 34 Residents can be confident their needs will be met by a well-trained, motivated staff team. The robust recruitment policy and procedure ensure that residents are protected. EVIDENCE: Due to the absence of the manager, it was not possible to look at a selection of staff training files. Information about this standard was obtained from talking to residents and staff. Residents felt staff were well trained and had an understanding of their individual needs. Comments were made such as “they only do what I can’t” and “ they help when I want them to”. Two staff were asked about their training. One had worked in the home for five years and was completing her NVQ2. The second one had worked in the home for three months and was completing her induction programme. She had a named mentor to support her. She confirmed she would be expected to undertake an NVQ2 when her six months’ probationary period had ended. Information in the staff handbook confirmed that all new staff had to agree to undertake NVQ2 training. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 17 Both staff were able to list the wide range of training on offer. One had completed specialist training such as visual impairment 1 and 2 and dual sensory loss, as well as core training such as moving and handling, first aid and food hygiene. The new member of staff had already completed moving and handling and risk assessment training. The new member of staff said that prior to her employment she had completed an application form, attended an interview, supplied two references, both of which were taken up and had a criminal records bureau (CRB) check done. She said that staff were expected to have two interviews. The first was done by the manager and senior carer. She and two other prospective employees had then been invited back to be interviewed by the residents and other staff. The recruitment policy and procedure stated that staff would only be employed after applicant had completed the employment process. It confirmed that new staff would be employed on a six month probationary period, during which time they would complete a six week induction programme. This included a three day supervised introduction to the home. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 18 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): 37 EVIDENCE: A new manager had recently been appointed to work in the home. An application to register her was being processed by the commission. She had worked as a manager in the learning disability sector since 1996 and had been involved in caring for people with a learning disability for 18 years. She had completed her NVQ 4 in care and registered manager’ award. In addition she continued her professional development by attending relevant training courses. Residents said they liked the new manager and thought the home was well run. They felt there had been too many changes lately and hoped that with the appointment of the new manager, things would settle down. Staff confirmed the new manager had taken control of the day to day running of the home. Filing systems were being updated and simplified. Staff were receiving regular supervision and support from the manager and senior care staff. Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 19 Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairways Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000039631.V260023.R01.S.doc Version 5.0 Page 21 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 YA20 Regulation 13(2) Requirement No member of staff may administer medication before they have been assessed by the registered manager as competent to do so. A written record of this assessment must be kept. Timescale for action 01/12/05 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 Fairways DS0000039631.V260023.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire 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 DS0000039631.V260023.R01.S.doc Version 5.0 Page 23 - 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. 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