Inspection on 30/01/07 for Fairways Retirement Home

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 Excellent. 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 Retirement Home 17/10/05

Fairways Retirement Home 08/08/05

Fairways Retirement Home 11/11/04

Fairways Retirement Home 27/04/04

Fairways Retirement Home 29/04/02

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

CARE HOMES FOR OLDER PEOPLE Fairways Retirement Home Madeira Road Littlestone New Romney Kent TN28 8QX Lead Inspector Paul Stibbons Key Unannounced Inspection 30th January 2007 11:45 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 Fairways Retirement Home DS0000023423.V328867.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. Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairways Retirement Home Address Madeira Road Littlestone New Romney Kent TN28 8QX 01797 362336 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) Mr David James Mrs Alison Jane Yarnley Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability (1) of places Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) person under 65 years whose date of birth is 28.11.1942 Date of last inspection 17th October 2005 Brief Description of the Service: Fairways is registered to provide personal care, support and accommodation to a maximum of 28 older people. Situated close to the beach at Littlestone-onSea, and backing onto a busy golf course, this large, late Victorian, detached property is set in its own secluded grounds. A reasonably regular bus route is accessible approximately 10 minutes walk away. The home is owned by Mr David James. It is managed, on a day-to-day basis, by Mrs Alison Yarnley. The property has had several extensions to the original building, and offers 7 bedrooms with en-suite facilities (toilet and hand-wash basin), one of which is a double bedroom. The sharing of bedrooms only takes place by individual consent and as a positive choice. Two of the five communal bathrooms have fitted hoists, and seven communal toilets are well placed throughout the home. Several ground floor bedrooms have patio doors opening onto the garden. Interesting views are available from every window in the home. The offices are on the top floor, and a training room with separate wc is available. A range of in-house activities is provided each week, usually daily, for residents to access if they wish. Residents are encouraged to suggest events and activities though semi-regular meetings. The fees for this service range between £398 and £430 per week with additional charges for newspapers, chiropody and hairdressing. Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of 6 hours. The registered provider was present and assisted with the process. A variety of records and documents were examined and a tour of the building carried out. Several service users and members of staff were spoken with about their experiences of living and working in the home. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 6 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 Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 7 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): 1,3,4,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information about the service is provided to prospective service users to enable informed choices to be made. A full assessment of needs is carried out prior to admission. Prospective service users benefit from a trial period at the home. EVIDENCE: The statement of purpose and service user guide is available to residents and is clear about the range of facilities the home provides. Care plans examined evidence comprehensive assessments of service user needs have been carried out and reviewed. Some of the plans could do with a tidy up due to constant Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 8 use but all the information needed is present. The home does not offer intermediate or rehabilitative care. Fairways Retirement Home DS0000023423.V328867.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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users healthcare needs are met. They are protected by the homes policies and procedures for dealing with medication. Their right to privacy is upheld. EVIDENCE: Care plans viewed are comprehensive in detailing the requirements of individuals with evidence of referral to other relevant healthcare professionals where necessary. The home has its own training facilities and staff receive training to ensure they have the appropriate knowledge and skills to give the right level of care and recognise when external professional input is required. The home has addressed the requirements of the last inspection and Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 10 medication procedures now comply with current legislation and guidelines. Confidential records when not in use are securely stored and locks on service users rooms gives them privacy. A good rapport was observed between staff and service users with mutual respect and dignity. Fairways Retirement Home DS0000023423.V328867.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): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a range of activities to satisfy the social and recreational needs of service users. Service users are supported in making choices in their lives. They receive a wholesome and balanced diet. EVIDENCE: Service users spoken with were happy with the activities on offer and were observed doing crosswords etc supported by staff. The home brings in external entertainers on a regular basis and this is very much enjoyed by the residents. Photographs displayed in the home confirm there are opportunities for residents to follow their interests within the community. The kitchen has recently been refurbished and is well stocked with good quality food and fresh vegetables. A discussion with the cook demonstrated an excellent knowledge of residents likes and dislikes and confirmed the food budget enabled her to Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 12 provide best quality. A mealtime observed showed residents enjoyed their food and were complimentary about it. Fairways Retirement Home DS0000023423.V328867.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service takes all complaints seriously and acts to resolve them. Service users are protected from abuse. EVIDENCE: There have been no complaints to the commission and discussions with the management and staff team confirm that any issues would be taken seriously and resolved. Staff records indicate that all staff have received training around adult protection and reporting procedures and this was confirmed by the registered provider. Fairways Retirement Home DS0000023423.V328867.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): 19,20,21,22,23,24,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a safe well-maintained environment with adequate personal and communal areas. Specialist equipment is provided to maximise service users independence. EVIDENCE: There has been significant capital investment by the registered provider to improve the home and its surroundings. Exterior maintenance has been extensive with all new double glazing and each service users bedroom has a door giving access to the gardens. There has been new carpeting laid and some new beds and mattresses. Door closers have been fitted to all doors and a new fire detection system fitted. Each room is now fitted with a call system Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 15 for emergencies. Specialist equipment (hoists) are provided when required and one bathroom has been converted into a walk-in shower room. The kitchen has been refurbished with wipe clean walls, new cooker, extractor and crockery. There is a good standard of furnishing throughout the home and residents bedrooms reflect their interests and lifestyles through personal possessions. The home is clean and tidy and void of any unpleasant odours. Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 16 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by sufficient numbers of competent staff. Robust recruitment practices are in place. EVIDENCE: Staffing numbers on duty are sufficient to meet the needs of service users. Staff files evidence robust recruitment procedures involving references, and CRB checks. All staff undergo induction and statutory training and NVQ training is ongoing. Fairways Retirement Home DS0000023423.V328867.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): 31,32,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home and their health, safety and welfare is promoted and protected. EVIDENCE: The home has a good standard of record keeping and service users are protected by the policies and procedures that are in place. There are robust procedures in place for dealing with service users finances. The registered provider is commended not only for the financial input but also the personal interest in raising standards of the service. Service users spoken with commented positively about the care given by staff and staff were equally complimentary about the leadership and management of the home. Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 18 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 3 X 3 3 3 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 3 4 4 4 4 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 4 4 4 4 4 X X 4 Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 19 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 Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Extracts may not be used or reproduced without the express permission of CSCI Fairways Retirement Home DS0000023423.V328867.R01.S.doc Version 5.2 Page 21 - 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. 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