Inspection on 11/06/07 for The Fourways Residential Home

This inspection was carried out on 11th June 2007.

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

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE The Fourways Residential Home Fourways Glen Road Sidmouth Devon EX10 8RW Lead Inspector Michelle Oliver Unannounced Inspection 11th June 2007 09:45 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 The Fourways Residential Home DS0000066786.V331276.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. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Fourways Residential Home Address Fourways Glen Road Sidmouth Devon EX10 8RW 01395 513932 01395 513932 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) Fourways [Sidmouth] Limited Mrs Rachel Evans White Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability over 65 years of age (5) of places The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08/09/05 Brief Description of the Service: Fourways is owned and managed as a family business and provides accommodation and personal care for up to 19 older people, 5 of whom may also have a physical disability. Any nursing needs are met by the district nursing service. The building is a large detached house situated near the town centre and within walking distance of the beach. Bedrooms are all single occupancy and situated on the ground and first floors. Access to the first floor can be made by a stair lift. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on Wednesday 11th June 2007 over a period of 6 hours. The manager and her deputy were present throughout the inspection. During the inspection plans of care for 3 residents were looked at in detail. This helps us to understand the experiences of people using the service. A number of other residents were met and spoke with during the course of the day. The inspector also spent a considerable time observing the care and attention given to residents by staff. Several staff were spoken with during the day, including care staff, cook, the manager and her deputy. Prior to the inspection questionnaires were sent to 19 residents to obtain their views of the service provided; 4 were returned. Comments were in the main very positive. Surveys were sent to 16 staff in order to hear their confidential views; 4 were returned. Eight health and social care professionals were also contacted prior to the inspection 4 of who replied. We also received responses from two relatives. During the inspection we toured the premises and a sample number of records were inspected including care plans, medication records, staff recruitment files, fire safety records and a record of accidents. What the service does well: Prospective new residents and their relatives/representatives are given good information about the home before any decision to move in is made. Trial visits are encouraged. A representative from the home will also carry out a careful assessment before anyone is admitted to the home to ensure their needs can be met. Residents interviewed during the inspection talked about the process of choosing and moving into Fourways, and they all expressed complete satisfaction with the outcome. The home has drawn up detailed care plans covering all aspects of care needs. Risk assessments have also been drawn up on all aspects of health and The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 6 personal care and clearly show how the home identifies potential health risks and puts preventative measures in place. The home has good links with all relevant health professionals and treatment has been provided where needed. The care staff have completed daily reports showing that the care plan has been followed. These give a clear picture of daily events for each resident. Medications are stored safely and only experienced staff carry out the administration. Records of medicines administered have been well maintained. Evidence was obtained in various ways through this inspection to show that residents are treated in a dignified manner and their privacy is upheld at all times. Residents expressed complete satisfaction in the way they are treated by the staff. The staff were calm and unhurried and assisted residents in a friendly, caring and respectful manner. Care plans and daily reports showed that residents could exercise choice and control of all aspects of their lives. Residents talked about how they are able to lead their lives just as they want, without unnecessary rules or restrictions. The home provides a good range of activities to suit all interests. Excellent arrangements are in place to ensure family and friends are made welcome at all times and are kept informed and involved in the daily life of the home. Good access to the community is ensured through the provision of a minibus. Residents praised the standard of meals provided. Those who have specific likes and dislikes talked about how the cook makes sure they have exactly what they want. The menus are balanced, varied and nutritious meals and suit all individual dietary needs. The home has an excellent range of policies and procedures that have been regularly updated and staff have been given training and instruction on the policies to ensure they are followed correctly. Residents can feel confident that complaints and concerns will be addressed promptly and a satisfactory outcome reached. All areas of the home are clean, safe and hygienic. The home employs sufficient staff to meet the needs of the residents. Good recruitment practices ensure residents are safeguarded from abuse. Staff are competent and deliver high quality care in a safe manner. The home is well managed. There is an open and positive atmosphere throughout the home. Excellent quality assurance procedures are in place. Residents’ financial interests are safeguarded. Excellent systems are in place to safeguard the health and safety of residents and staff. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 7 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. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 8 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 Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 9 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): 3&6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides clear, detailed information to people considering moving in. People can be confident that they will receive the care and support they need if they do move into the home. EVIDENCE: During this inspection we looked at the admission records of three people, two of who have moved into the home within the last three months. We talked to them about how they chose the home, about the information that was shared, and about the discussions and agreements that were reached on the care they need. We found that the manager, and their deputy, had visited them to carry out an assessment of their health and social care needs and to give them information The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 10 about Fourways. The manager said that one of them would be on duty at the home when the person arrives so that someone who is familiar to them settles them in. We saw that information had also been gathered from other sources including health care professionals such as doctors and district nurses. The assessment records were excellent and showed that comprehensive information had been gathered to form the basis of a plan of care. The assessments highlighted people strengths and focused on them achieving positive outcomes that will maintain their independence and support them to lead their lives as they wish. This means that all care staff know how the person wants to be looked after. Copies of comprehensive assessment and plans of care for people who are not privately funded and are admitted through care management are obtained, although the manager and deputy will also visit these people to tell them about the home and to introduce themselves. All prospective residents and/or their family or representatives are encouraged to visit the home, meet other residents and have a meal if they choose before the decision is made to make it their home. Before agreeing admission to the home the manager and staff discuss the assessed needs of individuals to make sure the home is able, in relation to staffing, staff knowledge and environment, to meet these needs. A person who had recently moved to the home said that they, and a relative, had been included in the assessment, which was carried out well and with sensitivity and understanding. All residents spoken to confirm that the home had provided ample information about the home before they decided to make it their home and the home had lived up to their expectations. All of the people living at Fourways were sent questionnaires before this inspection to help gather information about their life at the home. Four were returned all of which confirmed they had received enough information about the home before they moved in. The home does not provide intermediate care. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 11 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. Care planning provides staff with the information they require to meet the needs of individuals in a safe and respectful manner, while promoting their dignity and independence. All medicines are stored securely and policies and systems provide for safe administration. EVIDENCE: Three peoples’ files were looked at in detail and all included detailed information to ensure that staff are aware of how to meet their daily health and social care needs. The plans are developed with the resident and these are based on an up to date assessment covering all aspects of their health, welfare and social care needs. Plans focus on individual’s strengths, abilities and wishes. This means The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 12 that staff have the information to encourage people to lead purposeful fulfilling lives as independently as possible. Plans of care were informative, detailed, well written, clear and easy to understand. All staff said that they refer to the plans daily and record information to keep them up to date. There are also daily notes written by care staff that show how people’s personal and social care needs are being met. Residents said that the standard of personal care provided was excellent and staff felt that good care was their main achievement. Residents’ benefit from regular opportunities to make their changing needs known. The home monitors peoples’ dental and optician checks and chiropodists are used according to people’s needs. Information relating to the involvement, and advice from health care professionals such as skin care specialists and nutritionists were included in peoples’ plans of care. This means that they benefit from the involvement of health care professionals to ensure that health care needs are met. People felt that their privacy was respected and staff were seen to knock on doors and wait to be invited in before doing so and were also seen offering personal care in a discreet manner. Medication is well managed at the home. People’s medicines are stored securely in locked cabinets in their own rooms. Records were accurate, up to date and indicated that it is appropriately administered. Details of any changes to a person’s medication are recorded in their plan of care. Included in one of the files looked at in detail we saw details of a doctor being consulted about a medicine a person was taking. The doctor visited, changed the medicine and was asked to sign to confirm this change. Details of the change were recorded in the plan and the medication record. Staff who handle medicines have received training in the safe handling of medication. This means that people are kept safe by the homes management, storage and administration of medicines at the home. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 13 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. Everyone living at the home is offered good choices in all aspects of daily living. Social activities are very well managed. They provide daily variation and interest for individuals and create opportunities for increasing their independence. Meals are nutritious and balanced and provide individuals with choice and variety. EVIDENCE: During this visit we spoke to twelve people who live at the home, all were very complimentary about the care and support they receive. We also spoke to the manager and deputy who confirmed that the aim of the home is to make sure that people who live there are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 14 Plans of care include details of individual preferences in relation to daily routines such as getting up, going to bed, social activities, contact with the community, interests and hobbies. Plans are regularly reviewed and details were made to meet peoples changing needs, choices and wishes. A record is kept of all activities people take part in, and photographs of outings, games, entertainments are kept and posted on a notice board in the hall for all to see and enjoy. Looking at photos of past activities also results in a good deal of reminiscing. The home provides a free mini bus to Sidmouth. The timetable for this is posted on a notice board in the hall. During this visit several people were waiting for the bus and were talking about what they were going to do in the town. One person was going shopping, another walking along the seafront and one going to a coffee shop. Fourways also has an in-house shop where people can buy toiletries, sweets chocolates and magazines if they wish. Once a month people are asked to choose a place they wish to visit and a “ special” outing is arranged. Several people choose to stay in their rooms watching television, reading or listening to music. Some people have an interest in gardening and enjoy going out in to the well kept garden. All residents said that there is always something going on at the home that they can take part in if they wish and that their individual interests are also met. Several people spoke about how their relatives/ visitors are made to feel welcome at the home. Visitors are offered drinks and “are made to feel part of the family”. We looked at the visitors’ book and it was clear that many people received visitors and they came at different times of the day. Staff said that they do not assume residents always wish to see visitors and that they ask before showing a visitor in. People moving into Fourways are encouraged to bring personal possessions and small items of furniture with them to make their rooms feel homely and this is agreed before admission. Most of the rooms seen during this inspection were personalised and people spoke about the pleasure having their own things around them gave them. We discussed with the manager how the interests of people who have no family or do not wish to involve them are met at the home. The manager was familiar with contacting outside agencies and was aware of the details of how these could be contacted if asked by a resident or relative. This helps to encourage people to exercise choice and control over their lives. Most of the people spoken to during this inspection said that the food served was very good. Some said that it was not an easy job cooking for a number of people and “ you can’t please all of them all the time”. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 15 In response to a questionnaire received before this inspection a resident stated “Meals are very repetitive, minced meat is served in many meals, I find the meals unappetising and have lost my appetite for the food provided as a result, I appreciate there are difficulties providing meals against a budget but feel that it could be more varied interesting and attractive.” This was discussed with the deputy manager who confirmed that the comment had also been made to them during a review of care plans and that action had been taken to rectify the matter. Details were seen in a care plan relating to the issue and steps taken to remedy it to the person’s satisfaction. Meals served at the home are generally well balanced, nutritious and varied. The home has a four weekly rotating menu and each day a vegetarian option is available. We spoke to one of the two cooks during this visit. They confirmed that they were well informed about people’s individual food likes and dislikes and were given information about people’s dietary needs and preferences when they moved into the home. The cook was able to discuss different diets such as sugar free and described a special diet currently being provided for a resident. This information had been detailed in the person’s plan of care, which means that they receive good care. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 16 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. There is a clear and simple complaints procedure that ensures complaints are responded to promptly with satisfactory outcomes. Staff have a good knowledge and understanding of the forms of abuse thereby ensuring that residents are protected at the home. EVIDENCE: The home has a detailed, clear and simple complaints procedure, which is prominently displayed for all residents and visitors to see. The home maintains a detailed record of complaints received. No complaints had been made to the home or to the CSCI since the last inspection. People living at the home said that they would not hesitate to raise any matter at any time and were sure that it would be dealt with to their satisfaction. Staff said that if anyone made a complaint they would report it to either the manager or deputy manager. If it was something that they were able to sort out themselves then they would. They were confident that no issue that was raised would ever be ignored. In response to a questionnaire a relative stated that they know how to make a complaint but has never needed to. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 17 Records were seen showing that staff have received training in Adult Protection issues. A procedure for responding to abuse is available and staff were aware of this. They were able to describe differing types of abuse and gave good details of what they would do if they suspected abuse was occurring. They were aware of the home’s ‘Whistle-blowing’ policy and that it would support them in reporting bad practice. They felt confident that they would be listened to if they raised concerns about bad practice. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 18 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 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is excellent providing a comfortable, clean and safe environment for those living in, working at and visiting the home. EVIDENCE: The home is extremely clean and well maintained both inside and outside the building and decorating has been ongoing since the last inspection. People have the choice of communal areas both inside and outside the home, this means that people have a choice of place to sit quietly, meet with family and friends or to be actively engaged with other people living at the home. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 19 It was noted that residents did not use the former dining room or lounge as they were less conveniently situated and that residents chose to spend more time in the entrance lobby. After full consultation with residents the lounge and dining room have been relocated since the last inspection. The original dining room has been extended making a large airy bright lounge where people now enjoy sitting and the original lounge has been refurbished to a high standard to create a very pleasant dining room. The improved lounge and dining rooms has resulted in people being more comfortable and socialising more with people who may choose to stay in their rooms apart from meal times. All people spoken to agree that they enjoyed the comfort and pleasure they get from this change. Fresh flowers and plants are placed around the home people also spoke of the pleasure these give. Decoration, fitting and fixtures such as furniture, curtains, carpets, pictures, lamps throughout the home are of a very high quality. All bedrooms have ensuite facilities, and all bedroom doors being fitted with locks promote peoples’ privacy. At the time of this inspection the home was extremely clean and fresh. People said the home was always like this. The home’s laundry was clean and well organised despite it not being ideal because of its position and structure. The home contracts the laundering of all bedding and towels to an outside contractor and staff are only responsible for people’s personal clothing. Staff described good infection control practice that ensures that people are protected from the risk of cross infection. The manager discussed plans for continued improvement of the home, which includes a new purpose built laundry. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 20 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 excellent. This judgement has been made using available evidence including a visit to this service. People benefit from having trained, skilled staff in sufficient numbers to support them, and the smooth running of the home. EVIDENCE: The manager discussed the recruitment procedure at the home and how it has been developed so that it considers the needs of people living at the home. She stressed the importance, and time taken, to make sure that only good quality carers are recruited so that a high standard of service is offered at the home. We looked at three recently employed staff files. All included evidence that the home had conducted a robust recruitment procedure. Files included details of past employment, application form, training, evidence of identity, police checks and references. This procedure means that people living at the home are protected by the home’s recruitment procedure. At the time of this inspection the manager, deputy manager, three carers and a cook were on duty. This level of care staff changed to two after 2pm and one The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 21 awake and one sleeping staff on duty throughout the night. Staff and residents felt that there was always enough staff on duty to meet their needs. The home does not employ a cleaner. Care staff are responsible for cleaning and tidying the rooms of people they assist during the day. In response to a questionnaire received from a relative before this inspection it was suggested that one way the home could improve was “ To have a cleaner in the home and not the carers doing the cleaning”. This was discussed with the manager and staff during this inspection. Staff said they would prefer to have more time to spend with residents; the manager said that by cleaning, tidying the rooms of the people they assist staff are actually spending more time with them. We spoke to 12 residents none of who complained about the level of care or cleanliness provided at the home. People who responded to questionnaires and those spoken to during this inspection said that staff responded to their needs promptly. This was confirmed during this visit when staff responded promptly to peoples needs in a kindly manner. Training is a priority at Fourways. Individual staff files include confirmation of all training undertaken and all planned. This means that all staff are kept up to date with current good practice. Newly employed staff all undertake a period of induction training. This introduces them to the home’s policies and procedures, the layout of the home, health and safety issues and conditions of employment. They also undertake a electronic induction course covering care specifically related to health and social care needs of the people they care for. Currently the home employs 13 care staff and 3 ancillary staff. Eight care staff currently holds a Nationally recognised qualification [NVQ] at level 2 or above qualification. During the last 12 months staff have undertaken training in the management heart attacks and strokes, dementia training over a course of 30 weeks, continence, safe handling of medicines, first aid update, oral hygiene, protection of vulnerable adults and infection control. Training planned for 2007 include Food, Nutrition & Health, dealing with abusive behaviour, infection control, risk assessment and manual handling. Staff who responded to questionnaires included comments such as “ high level of training available, also the management are constantly looking at ways of improving working practices”. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 22 This means that people living at Fourways benefit from being cared for by competent skilled staff. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 23 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, 33, 35, & 38. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is well managed, run in the best interest of residents, and their health and safety are properly attended to. EVIDENCE: The owner is also the registered manager of the home. Both the manager and deputy manager hold a Registered Manager’s Award. This means that people living at the home and staff benefit from good management and leadership to ensure the home runs smoothly. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 24 The manager told us “ We can never stand still, there is always something that can be improved or needs to be changed”. This did not refer only to environmental issues but to changes in recommended good practice and in the changing needs of people living at the home. People living at the home are consulted regularly about the running of the home and how they are being cared for. We saw detailed reviews of individual plans of care that included wishes and choices of people about all aspects of their life in the home and how these had been met. The home undertakes surveys annually asking relatives, visitors, and other interested people to give their views about the home. The results of the surveys are collated and action is taken to deal with any issues raised that could improve life at the home. Currently the result of the surveys are not made public to enable people who live at the home or those deciding whether to make it their home to be aware of the results. The home does not look after any resident’s finances but has a system of paying for outgoings for those who wish and invoicing them at the end of the month. All records were up to date, accurate and stored securely. Residents confirmed that they could look at their records whenever they like and are involved in regular reviews of them. Training records confirm that staff are up to date with manual handling, fire safety, safe handling of food, first aid and infection control. Staff meetings are held regularly, providing an opportunity for the manager to give and receive information about the home. This means that standards of health, social care and welfare needs will be maintained and a programme of continuing improvement developed at the home. Residents will benefit by being assured that the home is working towards delivering high standards of care. No residents’ finances are looked after by the home. Accounts for any items not covered in the weekly fee are calculated monthly and sent to the resident or their representative. Residents’ records are securely stored and would be made available to them, or their representative with their consent. Records show that staff undertake training in the prevention of fire, and fire alarms and emergency lighting tests have been carried out regularly. An assessment of identified hazards and associated risks relating to the environment, including fire hazards, has been undertaken. Information received before this inspection indicated that all equipment is well maintained The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 25 regularly, all of which contributes towards ensuring that Fourways is a safe place for people to live. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 26 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 27 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. 1 Refer to Standard OP33 Good Practice Recommendations Results of surveys undertaken by the home to make sure that the home is run in the best interests of residents should be made available to them and interested parties. The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 The Fourways Residential Home DS0000066786.V331276.R01.S.doc Version 5.2 Page 29 - 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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