Care Home: Fairhaven

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What the care home does well The care home provides good quality care to residents with mental illnesses. It offers a friendly and supportive environment for the people who live there. Residents physical and emotional health care needs have been provided for. They have also been provided with a wholesome, varied and nutritious diet. The staff team is provided with a range of training to ensure they have the necessary knowledge and skills to work effectively with the residents accommodated. They are also well supported and supervised by the manager. Staffing levels provided are sufficient to meet the varied needs of residents accommodated. Fairhaven has been well managed and in a manner which is in the best interests of residents. What has improved since the last inspection? A new care planning system has been implemented to ensure the information provided is easily accessible. Improvements have continued to be made to the environment. This has included redecoration and refurbishment to all parts of the premises ensuring residents live in pleasant and comfortable accommodation. What the care home could do better: Care plans need to include clear information for staff to follow so that they know the action they should take to provide the support each resident requires. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fairhaven 5 Alexandra Terrace Clarence Road Bognor Regis West Sussex PO21 1LA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: David Bannier     Date: 2 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Fairhaven 5 Alexandra Terrace Clarence Road Bognor Regis West Sussex PO21 1LA 01243829956 F/P01243829956 alliedfairhaven@aol.com 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) : Allied Care (Mental Health) Ltd care home 13 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 13 The maximum number of service users to be accommodated is 13. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD). Date of last inspection Brief description of the care home Fairhaven is a three-storey terraced house situated in the centre of Bognor Regis. It is a short walk from the sea front and main shopping area. Fairhaven offers accommodation to thirteen service users from eighteen to sixty-five years of age with a mental disorder. There are seven single bedrooms and three double bedrooms, two lounges, (one of which is designated for non-smokers), and a separate dining room. There are two bathrooms and two separate toilets, all with washbasins. Currently the fee levels range between 275GBP and 2,040GBP per week. This does not include personal items such as hairdressing and chiropody. The registered provider is Allied Care (Mental Health) Ltd, who have appointed Mr Aslam Dahya to be the Responsible Care Homes for Adults (18-65 years) Page 4 of 31 Brief description of the care home Individual and to supervise the management of the care home. The Registered Manager is Mr Sean Foord who is responsible for the day-to-day running of the home. Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assessment Form (AQAA) prior to the inspection. The information received from this document will be referred to in this report. Care Homes for Adults (18-65 years) Page 6 of 31 A visit to the care home was made on Wednesday 25th February 2009. This was an unannounced inspection. We spoke to some residents in order to form an opinion of how it is to live at the care home. We spoke to some staff on duty in order to gain a sense of how it was to work at the care home. We also viewed the accommodation and observed care practices. Some records were also examined. The visit lasted approximately seven hours. Mr Foord was unable to be present at the beginning of our visit as he was assessing the needs of a prospective resident. However, he was present later and we were able to inform him of our findings. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 31 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 9 of 31 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. The care and support needs of residents have been assessed before they are admitted. Evidence: When we arrived we were informed the manager was not present. We were advised that he was visiting a prospective resident in order to assess their needs. We identified the names of three residents whose care records will be examined. We looked through the paperwork used to assess their needs. The information they contained confirmed that their needs had been assessed before they were admitted to Fairhaven. Residents we spoke to confirmed that the decision to be admitted to the care home was taken by their social worker. However, residents also confirmed that social workers did consult with them as part of the decision making process. Residents also confirmed that the care home was meeting their needs. Care Homes for Adults (18-65 years) Page 10 of 31 Evidence: Information provided in the AQAA confirmed that, The potential service user is visited in their current setting by the personal developments manager, area manager and homes manager to be assessed. Full pre assessments are carried out before admission. Daily living and needs assessments forms are also completed. Visits to the home are arranged to suit service users needs, inviting family, friends, social worker and people of their choice. Care Homes for Adults (18-65 years) Page 11 of 31 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. Residents have been consulted when their care plans have been drawn up and reviewed. Care plans include residents own wishes and plans for the future. Residents have been encouraged to make choices about the lifestyle they wish to lead. Support has been provided where needed. Residents have been involved in the day to day running of the care home. Evidence: The care records we examined confirmed that a care plan had been drawn up for each resident. There was evidence that residents have been consulted during this process. The information they contained had been taken from the initial assessments of each residents needs. We noted that the care plans we saw do not routinely include clear Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: guidance for staff to follow to ensure they have taken appropriate action in providing the support needed. The manager informed us that he was in the process of reviewing care plans and would make sure such guidance is included. We also looked at the most recent report made by representatives of the registered provider following their monthly visits to monitor the service. This also identified that some amendments to care plans are needed. The manager confirmed that this is in line with our own findings. We spoke to a group of staff who were on duty. Following discussion they were able to demonstrate they had been made fully aware of the needs of each resident and how they should be met. We also observed interactions between residents and staff. They demonstrated that residents are encouraged to make choices on a daily basis with regard to what to eat and how to spend leisure time. However, in order to take account of residents safety and wellbeing there are occasions when choice has been limited. For example, some residents are unable to make use of the kitchen unless accompanied by a member of staff, whilst others are unable to go out on their own. The manager informed us risk assessments have been carried out with regard to such activities and clear guidelines have been drawn up for staff to follow to ensure residents are not placed at unnecessary risk. We advised the manager that, as with initial assessments, such guidance should also appear in residents care plans. Several residents spoke to us about their aspirations and goals for the future. This included plans to move back into the community and to live independently. Care plans seen included information regarding how staff need to support residents in acquiring skills, such as budgetting, so they may become more independent. We looked through the minutes of a recent resident meeting, that was on display on a notice board near to the front hallway. The subjects discussed included activities provided, improvements planned in the home, cleanliness of the home and new clients to be admitted in the home. We were also given information which demonstrated residents are consulted when menus and meals are being planned. Residents we spoke to confirmed that they are consulted with regard to the day to day running of the care home. Information provided in the AQAA confirmed that, All service users have pre assessment forms completed prior to admission. From this comprehensive individualised care and lifestyle plans have been developed. These document needs, goals and aspirations in all areas of life. Service user meetings are held monthly. For the coming year we have discussed with service users holiday options and are booking Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: holidays individually chosen. Some service users have stated they do not wish to go on holiday. Service users access and attend college courses of thier choice. Service users participate in menu planning and food shopping. Care Homes for Adults (18-65 years) Page 14 of 31 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. Residents have been provided with opportunities to take part in appropriate activities. Residents are encouraged, and supported where necessary, to be part of the local community. Where necessary, residents are supported in maintaining personal and family relationships. Residents are provided with a diet which is varied, healthy and appropriate. Evidence: Care records seen include details of the interests and hobbies of each resident. We were informed that each resident has been allocated a key worker who will meet with Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: the resident to discuss activities they wish to participate in or holidays they wish to plan. The keyworker will also help the resident where necessary to ensure any plans discussed do take place. Residents we spoke to confirmed that their key worker does provide the help and support they need. We noted that those residents we spoke to were independent and were able to access the community without support. We were advised by the staff that, where necessary residents are provided with support when engaging with activities of their choice. When we visited we were informed some residents had gone out to attend college courses. One resident told us they enjoyed creative writing and travelling. Another resident informed us of their interest in animals, including the keeping of birds and lizards. Residents also told us that they frequently visit pubs and clubs, cafes and restaurants in the local area. We also noted that, during our visit, residents came and went freely. Residents were also seen helping with the daily chores in the house including cleaning and helping to prepare the midday meal. We were informed that a resident was planning to go out later with a member of staff to do some communal shopping. The main cooked meal is provided in the evening. A snack meal is provided at lunchtime. At the time of our visit, the lunchtime meal consisted of either a selection of sandwiches or tomato soup. We sat with residents and staff for the meal. We noted that residents can access the kitchen when staff are present and can make their own sandwiches if they wish. There is also a facility for residents to make hot drinks in the dining room. They are able to access this at any time they choose. We were informed that the main meal for that evening would be fish and chips. A member of staff would be responsible for cooking the meal. We were provided with copies of the menus to examine. This information demonstrated residents have been provided with a varied, wholesome and nutritious diet appropriate to their needs. We were also informed that residents are consulted on a weekly basis when the menu is prepared, so that they can choose the food they want to eat. Residents spoken to confirmed that they enjoyed the food provided. They also told us they enjoyed being involved with shopping and preparing meals. Information provided in the AQAA confirmed that, Independence and daliy living skills are promoted. A service user has chosen to attendn Brinsbury College to do animal care. Some service users do their laundry independently, others who require support receive this as appropriate. Service users compile the weekly shopping list with staff support and are supported with the food shopping. Staff regularly accompany service Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: users on walks, shopping trips, meals out, visits to the library, pubs and bingo. Day trips have been organised to Portsmouth, London, the cinema and football matches. The home has purchased a table tennis table and pool table which are used frequently. Care Homes for Adults (18-65 years) Page 17 of 31 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. Support and personal care provided to residents takes into account their wishes and personal preferences. The physical and mental health care needs of residents have been met. Staff take care of prescribed medications in a way that protects and supports residents. Evidence: As we have already mentioned, care plans do not routinely include clear guidance for staff with regard to the the level of care and support each resident requires. Whilst we found no evidence of poor care, it is our view that such guidance will support staff in ensuring residents are provided with good quality care on a consistent and continuous basis, and in a manner which suits their needs. We found evidence that care plans have been reviewed to ensure they are up to date and reflect the current needs of each resident. Residents are encouraged to take an active part in reviews of care plans to ensure they include each residents own wishes and aspirations. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: Residents we spoke to informed us they felt well supported by staff. They also informed us that staff understood their needs and would support them in a manner which suited them. Our observations of care practices and interactions between residents and staff also supported this view. Records seen included a clear record of medical appointments made to health care services such as residents GPs, dentists and chiropody. This also includes a record of the outcome of the consultation and, where necessary, the treatment to be provided. We also noted that consultations regarding residents mental health have been recorded in the same way. Information provided in the AQAA confirmed that, We enable service users to have access to health care services and assist service users in exercising choice while doing this. All service users health is monitored and any potential complications or problems are identified and dealt with at an early stage. We noted that medication has been appropriately and securely stored. Records seen had been well maintained and were up to date. We were advised that only staff who have been appropriately trained are allowed to administer medication. Training records seen confirmed that staff have received in house training in the safe administration and dispensing of medication. Staff on duty were able to show us how medication is stored, administered and recorded. Information provided in the AQAA confirmed that, Records are kept of all medicines received, administered and leaving the home or disposed of to ensure there is no mishandling of medication. A record is maintained of current medication for each service user. All staff are trained in all principles behind all aspects of the homes policy and procedure on medicine handling and records. Care Homes for Adults (18-65 years) Page 19 of 31 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. Residents views and ideas are listened to. Residents are protected from abuse, neglect and self harm Evidence: We noted that a written complaint procedure was on display on a notice board near to the front door. We also noted that a copy of the minutes of a resident meeting, that took place on 30th January 2009, was also on display. We were informed that such meetings take place regularly. This demonstrated that residents are able to discuss issues related to the day to day routines of the home. They are able to express their opinions and provide ideas that would improve how the home is run. They have also been provided with an opportunity to discuss anything that is concerning them so that it can be resolved before it becomes a formal complaint. Discussions with residents confirmed they meet regularly and they do feel that their views and ideas are listened to. During our last visit to this care home we found evidence that complaints had been dealt with in a satisfactory way and outcomes had been recorded. The AQAA provided information which confirmed that no complaints had been received over the past 12 months. Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: Information provided in the AQAA also confirmed that, All service users are given the opportunity to raise concerns and complaints through a variety of forums. Service users meetings and keyworking sessions enable both a collective and individual environment to do this. A copy of the complaints procedure can be found in the office and on the ground floor service users notice board. A copy is also within service users files and the homes statement of purpose and service users guide. Staff on duty confirmed they know how to identify different types of abuse and also know what to do if they witness a resident being abused. Training records confirmed that staff are provided with training about safeguarding adults procedures and reporting abuse. The registered provider has provided information that confirms appropriate policies and procedures are in place that are designed to protect vulnerable adults from harm. Information provided in the AQAA also confirmed that, Safeguarding Vulnerable Adults training is provided and whistle blowing prociedures are in place for both staff and service users. This is in accordance with West Sussex County Council adult protection procedures. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accommodation provided to residents is homely, comfortable and safe. The home has been kept to a good standard of cleanliness and hygiene. Evidence: Residents are provided with keys to their own private accommodation. Access can, therefore, only be gained with the permission of residents. We visited the private accommodation of a resident who was happy for us to enter. We also visited the smoking lounge, the non smoking lounge and the dining room. Those areas of the home seen were presented in a homely and comfortable manner. We found no evidence that the accommodation is unsafe. The decoration and furnishings have been provided to a good standard and ensured residents live in a comfortable and safe environment. Residents are encouraged to individualise their rooms and bring any possessions they may wish to make it has homely as possible. Residents we spoke to told us they very satisfied with the accommodation provided. We also visited some bathrooms and toilets, the kitchen and the utility room. These areas of the premises were fresh, clean and hygienic. We were informed residents are involved with cleaning areas of the care home. Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: Information provided in the AQAA confirmed that, Fairhaven is safe, comfortable, bright, airy, clean and free from offensive odours. It has suitable lighting, heating and ventilation. Each service user has their own bedroom which is decorated and furnished to reflect the the individuals needs and preferences. An identified staff member has responsibility for overseeing that Fairhaven complies with Health and safety requirements through regular auditing. Allied Care employ a maintenance man within the area to undertake any general maintenance. Records of work needed and actioned are maintained in the maintenance file. Care Homes for Adults (18-65 years) Page 23 of 31 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. Residents are supported by competent and qualified staff. The homes recruitment practices and procedures protects vulnerable residents. Residents needs have been met by the staff team. Evidence: We looked through copies of staff rotas to find evidence of staffing levels provided at Fairhaven over the last few weeks. We noted that, from 8am to 8pm each day there are four support staff on duty. Each night there is one support staff on duty. Following discussions with residents and examining a selection of care records we concluded that staffing levels are sufficient to meet the current dependency levels of residents. We examined the recruitment records of three staff that had been appointed since our last visit. We found that all appropriate information and checks were in place to ensure vulnerable residents have been protected. This included two written references, proof of identity and criminal record checks. We looked at staff training records. They demonstrated that newly appointed staff Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: undertake structured induction training. This includes providing an understanding of the principles of good care practices and covers the promoting of residents rights, independence, choice and dignity. Training records also provided evidence that confirmed staff have been provided with mandatory training such as identifying and reporting abuse, fire safety, health and safety, first aid, infection control and food hygiene. Staff spoken to confirmed the training and induction training they had received. They also confirmed that they had received training in mental health awareness, understanding epilepsy and working with people who have challenging behaviours. There was also evidence that demonstrated they receive regular support and supervision from a senior member of staff. Staff also told us they found the management does provide staff with the training and the support they need. As we have mentioned previously, residents we spoke have told us they feel well supported. We were also informed that residents believe staff do understand their problems and what to do to provide the support they need. Following discussion, staff on duty were able demonstrate they understood the needs of residents and the support that they required. Information provided in the AQAA confirmed that, of the team of twelve permanent staff employed at Fairhaven, five support workers have obtained the National Vocational Qualification in Care at Level 2 or above. Currently six further support staff are working towards gaining the same qualification. Care Homes for Adults (18-65 years) Page 25 of 31 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. Fairhaven has been well managed, and in a manner which is in the best interests of residents accommodated. The views of residents are sought on a regular basis to ensure they underpin any self monitoring, review and development of the service. The health, wellbeing and safety of residents and staff have been protected and promoted. Evidence: Since our last visit Mr Sean Foord has been appointed as the manager. He has also registered with us as required by current legislation. As a result of this process he has demonstrated he has the knowledge and skills to manage Fairhaven. Residents we spoke to informed us they found the manager was approachable and Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: would listen to them if they had any concerns about the running of the care home. Information within the AQAA confirmed that, Allied Care have appointed a manager who is qualified and competent to meet the requirements of the home. He has worked at Fairhaven for six years. The registered provider has set up a quality assurance system to be used throughout their care homes. We saw evidence that this was in use at Fairhaven and included a recent audit report that indicated all policies and procedures used within the home had been examined and were considered to comply with best practice guidance and current legislation. We also saw that satisfaction questionniares had recently been returned by residents. We also saw evidence that the information they contained had been evaluated and drawn up into a report. This included details of any shortfalls identified and an action plan setting out what would be done to rectify them with agreed timescales. We were informed that the provider would be using visits to the home made by their representatives to monitor the action plan. We examined copies of the reports of visits made by representatives of the registered provider. They confirmed that they had been undertaken regularly and had been used to monitor the service provided. Information provided by the AQAA stated that, Quality assurance audits have been carried out. Regular Regualtion 26 visits identify service provision shortfalls and action plan to ensure rectification. The manager also showed us copies of meetings with staff and with residents. This denonstrated that meetings are carried out regularly and that the manager uses them as a means of communicating with staff and with residents with regard to the day to day running of the care home. We spoke to several residents who confirmed that meetings with the manager take place regularly. They also confirmed that they are consulted with regard to planned improvements at the care home, day to day routines, planned activities and outings, and new residents being admitted. We examined the minutes of a recent meeting which provided evidence that such topics are discussed. Information provided within the AQAA confirmed that, Service users benefit from a safe well run home which reflects their individual choices and preferences. We also spoke to staff on duty. They also confirmed they meet regularly with the manager as a group to discuss how care practices should be implemented to ensure Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: the needs of individual residents are met. They told us staff meetings are also used as a forum to discuss matters related to the day to day running of the care home. We examined minutes of a recent meeting which provided evidence to confirm that such matters are discussed. Staff also informed us that they are regularly supervised by the manager or a senior member of staff. They also confirmed they felt well supported. The manager and a senior member of staff gave us permission to look through records of recent supervision sessions. They provided evidence to confirm that such sessions are held regulary and provide support and guidance to staff as required. These sessions are also used to identify the training needs of each member of staff. The AQAA included information which confirmed that, Staff are receiving regular supervision, attend regular staff meetings and have good management support and guidance. Information supplied in the AQAA confirmed the registered provider has taken appropriate steps to ensure the premises and equipment within the care home is safe for use. For example, gas and electrical appliances have been checked and maintained regularly. We found evidence that a programme of training provided to all staff includes health and safety issues, fire prevention, manual handling and first aid. Information provided in the AQAA also confirmed, Health and safety and welfare of service users are promoted and protected. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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!