Inspection on 11/12/05 for The Fairways Residential Care Home

This inspection was carried out on 11th December 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

The Fairways Residential Care... 18/06/07

The Fairways Residential Care... 07/07/05

The Fairways Residential Care... 03/12/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Fairways Residential Care Home 269 Church Road Urmston Manchester M41 6EP Lead Inspector Kathleen Mcall Unannounced Inspection 11th December 2005 10:40 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 The Fairways Residential Care Home DS0000061019.V267038.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 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. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Fairways Residential Care Home Address 269 Church Road Urmston Manchester M41 6EP 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) 0161 746 8160 The Knoll Care Partnership Ltd Mrs Amanda Jayne Callaghan Care Home 20 Category(ies) of Dementia - over 65 years of age (0), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (0), Old age, not falling within any other category (0) The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 20 service users to include: up to 20 service users in the category of OP (Old age, not falling within any other category) up to 20 service users in the category of DE(E) (Dementia - over 65 years of age). up to 20 service users in the category of MD(E) (Mental Disorder, excluding learning disability or dementia - over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th July 2005 2. Date of last inspection Brief Description of the Service: The Fairways is a residential care home that is registered to provide care for up to twenty residents whose care needs are due their old age, or due to them having a diagnosed mental disorder or a diagnosis of dementia. The Fairways is one of two care homes owned by the Knoll Care Partnership Limited, the other being The Knoll. Mrs Jayne Callaghan is the registered manager at the home. Accommodation comprises of twenty single bedrooms, eleven of which have ensuite facilities. There are eleven bedrooms on the first floor and nine on the ground floor. There are separate lounge and dining room areas on the ground floor and first floor areas of the home. There is an assisted bathroom on the first floor. There is passenger lift access to the first floor. The home is suitable for wheelchair users and there is ramped access to the rear of the building. The Fairways is a large property set in pleasant grounds. To the rear of the property is the local golf course. The grounds are enclosed and offer residents ample external space to sit out, weather permitting. There are designated car parking spaces to the front of the building. The home is situated in the Flixton area of Manchester and is within easy reach of local shops, public transport and the motorway network. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over the course of half a day on a Sunday morning and early afternoon. The registered manager accompanied the inspector throughout the inspection process. Care plans, assessment documentation, medicines and their storage were examined. The inspector spoke with several residents who were in the home at the time of the inspection and spoke with members of staff who were on duty. The inspector met two relatives who were visiting the home and a minister from the local church who had brought communion to several residents. Residents told the inspector they were happy with the care they received. One resident told the inspector, “we are very well looked after” and another resident said that the staff were “such a kind lot of helpers.” One resident said “I love it here, I have no complaints- they are wonderful here.” The inspector met five care workers who were on duty during the course of the inspection and observed that care staffs approach towards service users was observed to be sensitive and caring at all times. The inspector met with Mr Mathew Callaghan the responsible individual for the home and had a discussion regarding the fire safety practices within the home. What the service does well: The Fairways is a large spacious home that offers comfortable and homely accommodation. A number of residents told the inspector that they liked living at the home and that they felt well cared for. Relatives with whom the inspector spoke said that they were very happy with the care provided. The atmosphere of the home is relaxed and friendly. It offers a flexible routine based around the needs of the residents. Residents spoke positively about the food and were pleased with the choice and variety on offer. Care staff are able to incorporate time to sit and talk with residents during their working day and several residents told the inspector that they appreciated this. Residents appeared to be well cared for and were supported by a trained and competent staff group. There have been no complaints at the home since the last inspection and one resident told the inspector that she had no need to complain. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 6 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 Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 7 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 The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4. Service users’ care needs were fully assessed before admission and they satisfied with the care provided. EVIDENCE: As part of the inspection a selection of service user files were examined. These contained a sufficient amount of assessment information in respect of each service user. Service users recently admitted to the home had been assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the admission. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 9 Service users recently admitted to the home told the inspector that they were happy with the way in which the home was meeting their needs. Care staff demonstrated a good understanding of service users care needs. One relative told the inspector that she felt care staff had a good understanding of her mother’s care needs and that she was very satisfied with the standard of care provided. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Service users’ health and personal care needs were identified and met. EVIDENCE: Each service user had a care plan. Care plans seen were individualised to each service user’s care needs and all information was stored in one accessible document. Care plans included health needs, personal care needs, mobility, social interests, and risk assessments and were reviewed on a monthly basis and any changes needed were included. The Fairways had specialist equipment in place to meet the needs of service users. Service users confirmed that they had access to GP support, district nursing services, optician and chiropody services when required. Medication was provided in the monitored dose system. The administration of medication to service users and the storage of medication at the home were satisfactory. On examination of medication records it was found several incidences where medication details had been handwritten. All handwritten medication details and their instructions must be validated by an additional member of staff. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 11 Staff with responsibility for medication administration had updated their training. The registered manager had provided written information for care staff on how different medicines interact with each other and how these may affect a service users health. In addition to this she had put in place a medication profile for each service user, which enabled staff to back track and review medication previously prescribed to a service user. None of the service users managed their own medication. Service users told the inspector that staff treated them well and they were very satisfied with the care they received. Care staffs approach towards service users was observed to be respectful, sensitive and caring at all times. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. The day-to-day routine of the home including mealtimes was relaxed and informal and met service users’ needs. EVIDENCE: The day-to-day routine of the home was relaxed and flexible with some service users preferring to spend time in their rooms and others using the lounge areas. Service users said they could get up and go to bed at times that suited them and that the day was theirs to spend how they choose too. The home did not have a formal activities programme. However activities were sometimes planned in conjunction with service users from The Knoll Private Residential Care Home. Care staff told the inspector that they liked to try and spend time with service users in the afternoon and that the majority of service users enjoyed music and sing long sessions. A number of service users had recently been out for a pub lunch and several told the inspector that they enjoyed this. The home had regular entertainers who visited the home including a music therapist. Christmas carols were being played at the time of the inspection and the home had a very festive feel about it. An ecumenical minister from a local Catholic church was in the home serving communion to a number of service users. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 13 Meals were served at regular intervals and were usually taken in the dining room areas. The lunchtime meal was the main meal of the day and the teatime meal was lighter with a hot and cold option. Service users told the inspector that they had enjoyed their lunch and that the meals provided were very good and, that a wide choice was available. All the food provided was home made. The home does not employ cooking staff and it was the responsibility of care staff on duty to prepare all meals. At a previous inspection, it was recommended that the home kept records of food choices offered to service users at meal times. This was not yet in place. Visitors were made welcome at the home and service users kept in touch with family and friends. Service users confirmed that they could have visitors at all times. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17. Service users felt confident that their complaints would be taken seriously and acted upon. Staff had undertaken appropriate training in adult protection. EVIDENCE: The home had a detailed complaints policy and procedure; there had been no complaints since the last inspection. Service users told the inspector that they knew who to complain to and felt that their complaint would be dealt with in a suitable manner. One service user told the inspector that she had no reason to complain and that she was quite satisfied with the care provided. The home had a procedure for responding to allegations of abuse. Staff on duty at the time of the inspection demonstrated a good understanding of issues around adult protection and of their duties to respond to such allegations. Care staff confirmed that they had undertaken training in adult protection and were familiar with the homes policies and procedures. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: The home was well maintained throughout and provided comfortable accommodation. The grounds of the home were well kept and attractive. The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. A number of service users’ rooms were seen. These were also furnished and equipped to a comfortable standard, many had been personalised by the occupants, with many of the service users being quite self contained in there own rooms. Service users were offered a key to their bedroom so they can lock their rooms. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 16 The home did not comply with the requirements of the local fire authority. A large proportion of service users choose to remain in their rooms and liked to have their bedroom doors wedged open. In addition to these, other doors around the building and in corridor areas were also observed to be wedged open. The registered manager and the responsible individual were reminded that this practice presented a serious risk in the event of a fire. Since the last inspection the registered manager had monitored and evaluated this practice and as a consequence of this had reviewed the homes fire risk assessment and had taken advice from the fire service. Despite this a significant number of doors including fire doors were wedged open. Previously it was recommended by the fire service that the home seek further advice regarding the provision and location of additional fire route signing in the home. At the time of the inspection the home had not put in place additional fire signage as advised. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. The home was sufficiently staffed with a staff group that was trained to undertake their duties. It was not possible to say that the home had followed safe recruitment procedures. EVIDENCE: At the time of the inspection the home was sufficiently staffed. A staff rota showing, which staff were on duty and in what capacity, was kept at the home. No ancillary staff were employed at the home, care staff were responsible for all catering and domestic arrangements at the home. This arrangement had been in place since the home was initially registered. The night hours were covered by two staff on waking duty, one of who was designated as a senior member of staff. Care staff on duty at the time of the inspection confirmed that they had undertaken further training to assist them in their role as carers. Care staff’s certificates of qualification for various training courses were displayed in the home. Care staff had undertaken training in abuse awareness, diabetes, and were in the process of completing a long distance training course in dementia. Evidence of training will be inspected on the next visit. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 18 Since the last inspection a number of new staff had been employed at the home. However, the home’s recruitment procedure was not assessed on the visit as staff personnel files are kept at The Knoll Private Residential Care Home which is also owned by The Knoll Care Partnership Limited. Staff files will be inspected on the next inspection of the service. New staff on duty at the time of the inspection confirmed that they had undertaken an induction period at the commencement of their employment. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35, 36 and 38. Staff were supported and supervised in their work. The registered manager did not maintain fire safety records to an acceptable standard. EVIDENCE: Staff confirmed that they received regular supervision to support them in their work and records of such meetings were made available at the time of the inspection. The home did not have any involvement with service user finances; these remained the responsibility of service users or their relatives. The home did access services such as hairdressing, service users were then invoiced for the cost. Staff had updated their training in fire safety, safe handling and moving procedures, food hygiene and health and safety. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 20 The home recorded information in respect of falls and accidents by service users. Records of weekly checks to the fire alarm system were undertaken and these were made available at the time of the inspection. The home failed to maintain records held in respect of fire safety. Weekly examinations of the means of escape within the home were not undertaken and monthly tests of the emergency lighting systems were not undertaken. The registered manager was informed that these routine examinations must be undertaken on a regular basis. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 21 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 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 2 The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 22 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. 1. Standard OP9 Regulation 13(2) & 17 (1) a Requirement The registered provider must ensure that an additional member of staff validates handwritten medication details on the medication administration records. 11/12/05 The registered provider must take adequate precautions against the risk of fire and ensure that the practice of wedging fire doors open in the home ceases immediately and that advice is sought from the Greater Manchester County Fire Service. (Timescale of 13/09/05 not met.) 3. OP38 23(4) The registered provider must ensure that records held in respect of fire safety are maintained on a regular basis. 11/12/05 Timescale for action 11/12/05 2. OP19 23 (4) The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 23 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. 2. Refer to Standard OP14 OP19 Good Practice Recommendations The registered provider should retain evidence of choices offered to residents at meal times. The registered provider should seek further advice from the fire service regarding the provision and location of additional fire route signage in the home. The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 The Fairways Residential Care Home DS0000061019.V267038.R01.S.doc Version 5.0 Page 25 - 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!