Care Home: Fair View

What the care home does well The home has lots of space and a nice garden.The owners help the person living in the home to do things he likes, for example to go shopping. What has improved since the last inspection? An assessment has been written about the risk of a fire.One of the owners has had training in protecting people`s rights. What the care home could do better: The person living in the home is well cared for and we found nothing that needed to be improved. Key inspection report Care homes for adults (18-65 years) Name: Address: Fair View Croft Mitchell Troon Camborne Cornwall TR14 9JH The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jane Gurnell Date: 0 1 0 6 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. They reflect the things that people have said are important to them: 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 Care Homes for Adults (18-65 years) Page 2 of 29 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 mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Fair View Croft Mitchell Troon Camborne Cornwall TR14 9JH 01209831662 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Elaine Muriel Stuart Kearney care home 2 Number of places (if applicable): Under 65 Over 65 2 0 learning disability Additional conditions: Date of last inspection 1 8 0 6 2 0 0 7 A bit about the care home Fairview is a family home for two people who have a learning disabilities, although only one person Care Homes for Adults (18-65 years) Page 4 of 29 lives there at the moment. The home is in the countryside near the village of Troon. The resident has his own bedroom, lounge and bathroom. Care Homes for Adults (18-65 years) Page 5 of 29 There are large gardens with a vegetable plot, the owners have two dogs Care Homes for Adults (18-65 years) Page 6 of 29 and four horses. The weekly fees are around 346 pounds per week and are determined by the individual needs of each resident. Care Homes for Adults (18-65 years) Page 7 of 29 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 Care Homes for Adults (18-65 years) Page 8 of 29 How we did our inspection: This is what the inspector did when they were at the care home This inspection was undertaken by one inspector who visited the home without telling anyone she was coming. We looked around the home and spoke with the person living in the home and the owners. Care Homes for Adults (18-65 years) Page 9 of 29 We looked at the care records for the person living in the home as well as other documents about the running of the home. What the care home does well The home has lots of space and a nice garden. Care Homes for Adults (18-65 years) Page 10 of 29 The owners help the person living in the home to do things he likes, for example to go shopping. What has got better from the last inspection An assessment has been written about the risk of a fire. One of the owners has had training in protecting peoples rights. Care Homes for Adults (18-65 years) Page 11 of 29 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 12 of 29 If you want to speak to the inspector please contact Jane Gurnell Colston 33 33 Colston Avenue Bristol Avon BS1 4UA 01179307110 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 13 of 29 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 14 of 29 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. Satisfactory arrangements are in place to assess the needs of prospective residents. This makes sure the care home is able to provide the care and support required. Evidence: No new residents have been admitted to the care home for sometime. The providers currently have one vacancy and have suitable arrangements in place to assess any prospective residents needs, preferences and choices. The assessment will take account of the views of relatives or representatives and any professionals involved with the prospective resident. When completed it will assist the providers to satisfy themselves they are able to meet the needs of the person concerned. The providers are committed to making sure that any prospective resident would be compatible with the current resident. Care Homes for Adults (18-65 years) Page 15 of 29 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. The care and support provided reflects the residents needs and suitable arrangements are in place to manage risks positively. Evidence: The resident has a care plan that details their needs and summarises the care and support required. The style of care planning reflects the family style of care provided and the care plan is regularly reviewed. This makes sure the residents needs, preferences and choices are met. The resident indicated he was very satisfied with the care and support provided. The providers have also established reliable arrangements to assess risk and put any measures that are required to safeguard the residents in place. The risk assessments and risk management measures are also regularly reviewed and monitored. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: The providers are keen to support and enable residents to make their own decisions and have control over their lives as far as possible. Care Homes for Adults (18-65 years) Page 17 of 29 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. A range of activities is in place at the home and in the local community that reflects the residents interests and hobbies. Good meals are provided that give a balanced diet and meet the preference and choice of residents. Evidence: A range of activities is provided at the home and in the local community. The opportunities reflect the residents choice and interests and the resident indicated they are satisfied with the arrangements. The resident attends a local day centre 5 days a week and has the opportunity to socialise with other people with and without a learning disability. It is evident the resident is treated with dignity and respect and appreciates the family style care provided. The providers are also keenly committed to promoting residents rights. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: A balanced and nutritional menu is in place that reflects the residents preferences and choices and is seasonally varied, with many of the vegetables and salad being home grown. Where appropriate the providers will accommodate specialist diets and if necessary will access specialist guidance and advice. Care Homes for Adults (18-65 years) Page 19 of 29 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. Positive care and support is provided in a manner that reflects the residents needs and choice and promotes independence. Health needs are well met and medicines are safely managed and in a way that also promotes the residents health. Evidence: The indications are the resident is settled at the care home and benefits from the style and type of care and support they receive. It is evident that a positive, trusting relationship has been established between the providers and resident and it is clear the providers have a good understanding of the residents needs and preferences. Health needs are well managed and health services are promptly accessed when required. The evidence indicates the providers will make representations to make sure the resident receives the service they require. Where assistance is required with medication the providers are suitably trained and the Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: medicines are safely managed. Records are also maintained and the person administering the medicines initials the record. Care Homes for Adults (18-65 years) Page 21 of 29 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. Suitable arrangements are in place to deal with any complaints or concerns and to safeguard residents from abuse. Evidence: No complaints have been made to the providers or the Commission following the last inspection. The providers have established a satisfactory policy and procedure for dealing with complaints. The resident has contact with people outside of the home with whom he can indicate any distress to. The providers were able to give an example of when they and the day centre staff had successfully worked together to identify the cause of the residents agitation. Satisfactory arrangements are also in place to protect residents against abuse as far as possible. Any allegations are reported to the statutory authorities and formally investigated where required. The providers were aware not to investigate the matter themselves but to report their suspicions to social services and police if necessary. Care Homes for Adults (18-65 years) Page 22 of 29 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. A homely environment is provided and satisfactory standards of cleanliness and hygiene are in place to promote good health. Evidence: The home is maintained to a good standard and provides a homely family environment. Furniture and fittings are replaced when required and the appropriate standard of cleanliness and hygiene are maintained. The resident has his own lounge room, bedroom and bathroom. He shares the owners lounge with them if he wishes. The evidence confirms the resident is involved in the planning about redecoration or the replacement of any furniture. The gardens are safe and pleasant, with beautiful views over the countryside. The owners have two dogs and four horses and the resident enjoys being involved with them. Care Homes for Adults (18-65 years) Page 23 of 29 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. The providers are the principle carers and are appropriately qualified to provide the care and support required. No staff are directly employed at the home. Evidence: Mr and Mrs Kearney are the owners and principle carers and no staff are employed at the care home. The indications are the resident is very satisfied with the care and support provided and appeared to have a close relationship with them both. Both providers are well trained and hold NVQ qualifications in Care at level 4 and 3. In addition the providers have undertaken core skills training to make sure they have the appropriate knowledge and skills. Mrs Kearney has recently undertaken training in the Mental Health Act and deprivation of liberty and is looking to update her first aid course. Care Homes for Adults (18-65 years) Page 24 of 29 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. The facilities and services are well managed and in a manner that promotes the residents best interests. Evidence: The home is well run and managed by the providers in a manner that benefits the resident and promotes his independence and choice. The providers run the home in an open manner, very much as a family home, and make every effort to involve the resident in all aspects of daily living. The providers have experience of social care and are appropriately trained. Mrs Kearney has a range of qualifications that include the Registered Managers Award, for which she had to demonstrate her knowledge and skills in running a care home. It is evident the resident has established a positive and trusting relationship has been established with the providers. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The providers make every reasonable effort to monitor and review the services and facilities in consultation with the resident. Given the size and nature of the care home this is an ongoing process that is part of the day-to-day operation of the home. Appropriate arrangements are also in place to promote the health and safety of the resident. Equipment and services at the home are regularly serviced and maintained and satisfactory arrangements are generally in place regarding fire safety. No accidents or incidents have occurred since the last inspection but suitable arrangements are in place to record and manage any unreasonable risks that may occur. An up to date and suitable insurance policy is also in place. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes  No  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 27 of 29 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 Description 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 Description Timescale for action 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 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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