Inspection on 11/11/08 for Fairwinds

This inspection was carried out on 11th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairwinds 07/05/08

Fairwinds 10/05/07

Fairwinds 12/12/05

Fairwinds 16/06/05

Fairwinds 03/03/05

Fairwinds 19/10/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fairwinds Ferham House Kimberworth Road Masbrough Rotherham South Yorkshire S61 1AJ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Powell     Date: 1 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Fairwinds Kimberworth Road Ferham House Masbrough Rotherham South Yorkshire S61 1AJ 01709565800 01709565829 krowley@exemplarhc.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Nazimuddin Abdool-Raheem Type of registration: Number of places registered: Ferham Healthcare Ltd care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Fairwinds is a registered home for 20 people with a mental health diagnosis. The accommodation is on two floors with lift access. Bedrooms and communal rooms are situated on both levels and there are designated smoking areas. All the bedrooms are single occupancy there are ample bathing and toileting facilities for the people living at the home. The home is attached to the main offices of the company and is within walking distance of Rotherham town centre and on a bus route. The fees at Fairwinds Care Home are different for each person as it is calculated by the number of care hours required for each person. It is therefore necessary to contact the home for further information. 20 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 26 Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced visit, which took place on 11th November at 9.45am and finished at 15.45pm. Care Homes for Adults (18-65 years) Page 6 of 26 An expert by experience , Pam Quick also attended the home from 11.00am until 3.00pm. Pam had experience and knowledge of people with mental health problems and physical disabilities. Her role during the site visit was to talk to people and observe the daily routines. This included peoples choices, activities, privacy and dignity, meals and the environment. Pams feedback is included in this report. The visit included talking with people living at the home, their relatives, the new acting manager, the care manager, unit managers and eight staff. We also walked round the building to gain an overview of the facilities and we checked some records. Some surveys forms were sent to people who live at the home and their relatives. At the time of this visit two were completed and returned to the Commission. The comments received were very positive. The acting manager completed an annual quality assurance assessment (AQAA) and returned this prior to the visit. This focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. Feedback was given at the end of the visit to the acting manager, regional director and managing director. What the care home does well: What has improved since the last inspection? What they could do better: We identified a number of medication errors, these were discussed with the acting manager and regional manager. Since the visit these have been addressed, we have received written confirmation and copies of a full audit undertaken. An external audit was carried out on 19th November and a trainer is booked to carry out training for all Care Homes for Adults (18-65 years) Page 8 of 26 qualified staff on the 9th December. The acting manager has also introduced more robust recording methods to reduce the risk of an error occurring and protect people. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples individual aspirations and needs were assessed prior to moving into Fairwinds. Evidence: We saw detailed assessment in peoples plans of care. They clearly identified if there needs could be met at Fairwinds. Placing authority assessments were also in plans of care, this ensured the needs of people moving into the home could be met. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person had a plan of care with clearly identified needs, these were met. People were treated with respect, were able to make decisions about their lives and take risks as part of an independent lifestyle. Evidence: We looked at a number of care plans in detail. The plans had identified the needs of the people with good recordings of the measures to take to met their needs. We saw that the plans were regularly reviewed and people and their relatives were involved in the process. This ensured their views were listened to and their needs met. People we spoke to told us. I know about my care plans and records and can get involved in these if I want. Staff also told us that the care plans were much improved, they were easy to follow and complete. This ensured all information was documented to meet peoples needs. Person centered plans and health action plans were also being developed in a format that people were able to understand. We looked at some person centered plans and Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: health action plans, they were very detailed and there was clearly input from people and their relatives, ensuring their needs and choices were taken into consideration and met. Pam Quick spoke to one person who told her, I told staff that I liked music and a music room is being set up. He already played his guitar and harmonica in his own room and had jam sessions with members of staff and residents, the music room would enable him to play music at any time without disturbing other people. This was something that had been identified in his person centered plan. People were supported to make decisions about their lives and take risks as part of an independent lifestyle. Assistance was given if required. Pam Quick observed people and staff during the visit she saw good interaction, laughter, joking and good comments passing between staff and residents showing staff understood peoples needs and how to meet them. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People exercised choice and control over their daily lives and activities ensuring their needs were met. Evidence: Four activity coordinators were employed at Fairwinds, they were allocated two to each unit, the new acting manager had changed this and it seemed to be working well. The coordinators were very knowledgeable about the people and understood their needs, they told us they preferred being based on one unit it enabled them to better understand people and meet their needs. Pam Quick observed a member of staff doing an activity with a resident there was good interaction, laughter and joking. It was thoroughly enjoyed by both the staff member and the resident. Activities had continued to improve with more outings arranged and holidays. The Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: manager told us that in the new year all residents will be given the opportunity to choose and plan a Holiday as part of the person centered plan. Family links were well maintained, people and visitors all told us that visitors were welcome at any time, private areas were available in the home as well as communal areas, people could choose where they wanted to see their visitors. Good quality food was provided that was nutritious, varied and balanced with a large choice at every meal. Times of meals were also very flexible to meet peoples needs. The catering manager told us that she had further improved the menu, by providing pictures of the food to enable people easier choice. She had also provided training to staff to understand a balanced healthy diet to enable staff to advise and encourage people to eat a healthy diet. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health care needs were met and they were supported in the way they preferred. Medication procedures did not always protect people, however the manager and provider actioned this immidiately to safeguard people. Evidence: During the visit we saw staff providing sensitive and flexible personal support and peoples privacy and dignity was maintained. All health care needs of people were met and regular input from health care professionals was obtained. Their advice was followed and well documented in the plans ensuring the wellbeing of the people who lived in the home. We looked at medication polices and procedures, two peoples medication administration records were looked at in detail. There were errors seen on both charts, medication not accounted for, medication totals did not tally and medication was given but not signed for. Similar errors had been identified at previous visits, therefore this was discussed in detail with the acting manager and area manager. They agreed to action this immediately and confirm in writing the outcomes. This has been received, a full audit was undertaken and new policies put in place to avoid this error occurring Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: again, and all staff who administer medication trained in new procedures. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were listened to and protected. Evidence: There was a comprehensive complaints procedure and details were displayed in the entrance area and in the service users guide. The relatives and people we spoke to were aware of how to raise a concern or complaint if the need arose, and felt confident approaching staff and the manager with concerns. No concerns or complaints had been received since the new acting manager had been in post, however she told us she understood the importance of following the procedures and documenting all findings and outcomes. She also told us the complainant would be informed of these. This would ensure people knew their views were listened to and acted on. Safeguarding procedures had much improved all staff had received training. All staff were knowledgeable when we spoke to them and understood the importance of safeguarding procedures. Three safeguarding referrals had been made, correct procedures had been followed on each occasion ensuring people were safeguarded and protected. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well maintained clean, pleasant and comfortable ensuring people lived in a safe environment. Evidence: As part of the visit we looked around the building, Pam Quick did a more detailed assessment, which highlighted some areas that could be improved. The environmental standards were being improved at the time of the visit the lounges on both units were being redecorated. The colour, wallpaper and accessories had been chosen in consultation with the people to ensure their needs were met. Many bedrooms had also been decorated one person told us, My room is my favorite colour, it is the best. They did it while I was away, and it was done when I came back. I told them I liked red, I think my room looks better than anyone elses. The acting manager showed us the order confirmation for furniture arriving on 17 November 2008 this included lounge and bedroom furniture, which would further improve the environment for the people. Two new assisted baths had been installed and were commissioned during our visit people told us they were looking forward to having a bath in the new bathroom as the home had been without a bath for some considerable time. The baths would ensure peoples needs could be met. Care Homes for Adults (18-65 years) Page 19 of 26 Evidence: Pam Quick identified that the shower room had a call bell next to the door, if someone is sitting in the shower they are unable to reach the call bell. She also identified that the hand towels were too high to reach for wheelchair users and suggested a full length mirror would be a good idea to ensure everyone would be able to see no matter what height they were. The doors would also benefit from a D handle on the inside so a wheelchair user would be able to close the door without relying on someone else to do it. The standard of cleanliness observed throughout the home was to a high standard. Laundry facilities were provided and policies and procedures were in place for control of infection providing a clean hygienic environment for people. Care Homes for Adults (18-65 years) Page 20 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were appropriately trained, the recruitment procedures were robust ensuring people were in safe hands at all times, had their needs met and were protected. Evidence: Care staff numbers were determined by the needs of the people and appropriate levels were maintained on the day we visited ensuring peoples needs were met. since the last visit the new acting manager had ensured all mandatory training was updated for all staff, the company had robust systems in place to ensure this remained up to date for all staff ensuring people were in safe hands at all times. A thorough recruitment procedure was in place, staff files had been completely reorganised since the last visit. We looked at two staff files and both contained all the required information. Protecting people who lived there. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and administration safeguards people, good health and safety policies and procedures were in place ensuring the safety of people in the home. Evidence: Since the last visit a new acting manager had been appointed, she has previously worked for the company at another home as registered manager. She has the necessary experience and qualifications to run the home and had made significant improvements since her appointment in June 2008, which had improved quality outcomes for the people who live at Fairwinds. Quality monitoring was carried out, the acting manager did regular audits and the provider carried out regulation 26 visits, these are visits to gain feedback from staff, people living at the home and relatives. The provider would also look at the environment and care plans and other documentation, which may be relevant. The home had a comprehensive health and safety policy. We were able to evidence Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Care Homes for Adults (18-65 years) Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 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, Care Homes 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 1 20 13 Effective arrangements must 01/01/2009 be in place for the recording, safekeeping and safe administration of medication. to ensure people are protected and their needs met. 2 29 23 suitable adaptations must be 01/02/2009 provided that meet peoples needs. provide a call system that is accessible to people when in the shower. 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 29 It is recommended that a full length mirror is provided in shower rooms and a D handle is fitted to the door to enable it to be closed easily by wheelchair users. It would also help if the paper towel dispenser was lowered to ensure everyone could access the towels. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!