Care Home: Fairlawn

What the care home does well The acting manager and organisation have made good progress to improve the standard and quality of care provided at the home. They have worked cooperatively with both us and the local authority to make the improvements for the people living at the home. All of the requirements assessed at this inspection have been met. We will continue to monitor these key areas at the subsequent inspections. During the inspection we spent over an hour sitting in the lounge on the dementia care living unit. Whilst in this lounge we observed a relaxed and friendly atmosphere. There were positive interactions between staff and people living at the home. People were relaxed, calm and laughed with each other. Staff involved people who chose to in activities such as throwing a ball, singing, dancing or just talking. The staff observed interacted with people at a level that was appropriate to them. What the care home could do better: The record keeping has improved at the home and now reflects the personal care and support provided to people. However, the daily records do not reflect how people have been spending their time. Staff should record how people have been spending their time. This is so records give a more accurate reflection of people`s day to day lives and not just the care ad support provided to them. Care plans should be reviewed on a monthly basis and this information be recorded in the review record. This is to make sure that care plans and information for staff is up to date. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Fairlawn St Marys Road Ferndown Dorset BH22 9HB zero star poor service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jo Johnson Date: 2 4 0 4 2 0 0 9 Information about the care home Name of care home: Address: Fairlawn St Marys Road Ferndown Dorset BH22 9HB 01202877277 Telephone number: Fax number: Email address: Provider web address: fairlawn@care-south.co.uk;kim.harding@caresouth.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care South care home 60 Number of places (if applicable): Under 65 Over 65 20 40 dementia old age, not falling within any other category Conditions of registration: 0 0 One named person (as known to CSCI) under the age of 65 may be accommodated within the category DE (Dementia). This condition will not apply after the person`s 65th birthday. Date of last inspection Brief description of the care home Fairlawn is a residential care home registered with the Commission for Social Care Inspection to accommodate a maximum of 60 older people including up to 20 with dementia. The premises are operated by Care South, a not for profit organisation. The home is purpose built and was opened on the 9th June 2003. Service users are accommodated on the ground, first and second floors. The second floor provides specialist care for up to 20 people with dementia. All bedrooms are for single occupancy and have en suite facilities. Communal areas are provided on all the floors Care Homes for Older People Page 2 of 9 Brief description of the care home and include kitchen areas where snacks and drinks can be made. On the ground floor is a large area including a conservatory which is used for large group activities. There are three staircases and two passenger lifts. Outside the grounds are landscaped and one area provides a safe garden with varieties of sensory plants and other features. Fairlawn is located in the centre of Ferndown with shops and amenities available within a short walk. Care Homes for Older People Page 3 of 9 What we found: Since the last inspection there has been three private admissions into the home. We looked at the assessments for three people including the latest admission into the home and two people that we looked at during the last inspection. There was a comprehensive pre-admission assessment completed for the last person to move in. The assessment covered all of the individuals areas of need and has been used to develop the care plan. The assessments and care plans for the two people already living at the home had been updated and reviewed to reflect their current needs and how staff are to meet them. On the day of the inspection there were 43 people living at the home, this is ten less than at the key inspection. We looked at three peoples care plans including two of the people we case tracked at the key inspection. The care plans seen now include the information from peoples assessments and included descriptions of what staff need to do to care for people. The manager told us that care plans are now being reviewed on a monthly basis. However, one persons plan had not been formally reviewed for a three months. There was evidence in the records that all elements of the individuals needs and care had been updated but the monthly review process had not been recorded. Up to date risk assessments were seen for all three people whose records were looked at. The areas risk assessed were falls, pressures area, nutrition and moving and handling. For one person who was nutritionally at risk and presents some challenges they had fluid, nutrition, bowel and behavioural monitoring charts completed. The acting manager has identified that there are some gaps in the record keeping but that these have been identified and followed up at monthly reviews. Health professionals are now recording in peoples care records. This means that it is easier to see whether appropriate health care and advice is being sought for people living at the home. We looked at the medication records and medication storage. Two bottles of eye drops were dated when they were opened. The new deputy manager completes a medication audit on a monthly basis. The acting manager has informed us when there has been any medication errors. Actions have been taken to minimise any further errors and advice sought from the pharmacist. We found that prescribed medications were being administered only to the people who they were prescribed to. The environment has improved and there are now different areas of interest and things for people to pick up and do. For one person with complex needs they have a much more stimulating environment in their bedroom. They have a tactile apron and now have music playing if they choose. Staff told us they are still finding out what type Care Homes for Older People Page 4 of 9 of music the individual prefers. The acting manager has been informing us by both telephone and regulation 37 notifications about any incidents at the home. We made an immediate requirement at the key inspection to increase the staffing levels to ensure that peoples needs were met. This was actioned at the time. As the numbers of people living at the home has reduced by ten people we will fully assess whether the current staffing levels are suitable at the key inspection. During the inspection their appeared to be sufficient staff on duty. The requirement relating to staffing records will be assessed at the key inspection. What the care home does well: 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 12 12 People must be provided with 20/03/2009 suitable stimulation and have the opportunity to be occupied. This is to ensure that people have a good quality of life and well being. 2 27 12 Staffing levels provided at the home must be based upon the individual needs of the people who live there, and not based upon the number of people in residence. This is to make sure that there is sufficient staff to meet the personal, physical, social and psychological care and support needs of the people at the home. 06/02/2009 3 29 19 Two references must be 27/02/2009 obtained before staff start work at the home. This must include their last care sector employment. This is to ensure that staff are suitable to work with vulnerable people. 4 33 24 The overall management of 27/03/2009 the home must improve, and develop effective ways of assessing and monitoring the quality of the service. Page 6 of 9 Care Homes for Older People This is so that shortfalls are identified, are improved on and the quality of the service is kept under constant review. Care Homes for Older People Page 7 of 9 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 1 7 Care plans should be reviewed on a monthly basis and this information be recorded in the review record. This is to make sure that care plans and information for staff is up to date. Staff should record how people have been spending their time. This is so records give a more accurate reflection of peoples day to day lives and not just the care ad support provided to them. 2 7 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 or Textphone: 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. 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