Care Home: Fairlight Nursing Home

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What the care home does well The home has excellent systems in place to ensure that the health needs of people living in the home are monitored and appropriate advice and treatment is sought and given. The accommodation provided is of a high standard and provides a comfortable and homely environment. The atmosphere in the home was relaxed and members of staff were cheerful and very helpful. There is a thorough recruitment process and a very good training programme for staff. Staff said that they are well supported and that the manager and the providers are available and encouraging. The food is of a high standard providing lots of choice for people living in the home and the dining room is attractively laid out so that people have a pleasant place to eat. All documentation in the home was well organised and up to date. What has improved since the last inspection? The Providers have had a continual improvement and refurbishment programme in place over the past few years. Since the last inspection the dining room had been extended, the rear garden landscaped, they have introduced a more varied entertainment programme and care records and care plans have been reviewed and updated. A second Registered Nurse has been place on duty in the mornings to assist with medication and providing induction to new carers. What the care home could do better: The service meets the all of the key national minimum standards and six key standards have been considered as having excellent outcomes. CARE HOMES FOR OLDER PEOPLE Fairlight Nursing Home 121 Worthing Road Rustington West Sussex BN16 3LX Lead Inspector Jan Aston Unannounced Inspection 09:20 11 March 2008 th 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 Fairlight Nursing Home DS0000067678.V356993.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. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairlight Nursing Home Address 121 Worthing Road Rustington West Sussex BN16 3LX 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) 01903 786213 01903 786213 fairlight.nursinghome@virgin.net Forever Care Ltd Mrs Paula Louise Hamat Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44), Physical disability (10), Physical disability of places over 65 years of age (10) Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A total of forty four service users in the category older persons not falling within any other category may be accommodated. 10 service users in the category physical disability will be from 40-65 years of age. 6th March 2007 Date of last inspection Brief Description of the Service: Fairlight Nursing Home is a care home registered to provide nursing care for forty-four older people. A condition of registration has been agreed to enable to home to admit ten service users over the age of 40 years who have a physical disability. The home has recently been re registered following an extension to the original home and refurbishment. The home is located in a residential area in Rustington, West Sussex. Forever Care Ltd owns the service and the Directors are Mr RJ and Mrs CS Wootton. Mrs Paula Hamat is the Registered Manager and is responsible for the day-today running of the home. Fees range from £331 to £693 per week. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 Star. This means that people who use this service experience excellent quality outcomes. The Annual Quality Assurance Assessment form (AQAA) that was completed by the manager of the service was used in the preparation and planning of this inspection. A visit to the home was made on Tuesday 11th March 2008 and just over six hours were spent in the home. The Inspector looked around the home, examined a sample of records in relation to care plans, training, staff, complaints, accidents and Health and safety checks. Four members of staff and five people living in the home were spoken to privately during the visit. The Registered Manager was not in the home at the time of the visit but the inspection was facilitated well by a trained nurse and the Registered Providers. What the service does well: The home has excellent systems in place to ensure that the health needs of people living in the home are monitored and appropriate advice and treatment is sought and given. The accommodation provided is of a high standard and provides a comfortable and homely environment. The atmosphere in the home was relaxed and members of staff were cheerful and very helpful. There is a thorough recruitment process and a very good training programme for staff. Staff said that they are well supported and that the manager and the providers are available and encouraging. The food is of a high standard providing lots of choice for people living in the home and the dining room is attractively laid out so that people have a pleasant place to eat. All documentation in the home was well organised and up to date. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information that they need to make an informed choice about where to live. People have their needs assessed before a decision is made about them moving to the home. People have the opportunity to visit the home before they make a decision to move in. Intermediate care is not provided in the home. EVIDENCE: The home has a Statement of Purpose and a service user guide that is specific to the home and includes all the information about the service that a prospective resident or their relatives would need before they came to stay in the home. A copy of both of these documents and other policies and procedures are provided in a folder in each room. People living in the home confirmed that they were given a copy of the service user guide. The Inspector also saw these in empty rooms ready for a new person to be admitted. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 9 In the entrance to the home there is also a lot of information available for example training undertaken by staff, the staff rota, the complaints book, last inspection report, a compliment book and an advocacy leaflet. There is also a website for the home that provides further information and a sample of menus and forthcoming activities can be downloaded. A sample of care records was examined. This included the records of a person recently admitted to the home. It was demonstrated that an assessment of the person’s needs had been undertaken prior to their admission to the home. This included obtaining information from the person’s representative, previous placement and from professionals. On admission to the home a further assessment is undertaken with the person and a care plan is compiled that states the person’s needs and wishes and how the service will meet those needs. The home operates a planned admission procedure that is dependent upon the needs of the person and the reason for the admission. The procedure includes a person making a visit to the home where they are able. The person who had been admitted recently to the home told the Inspector that he was not able to visit the home himself but he knew the home well and he confirmed that he had received written information about the home. There was evidence from the sample of records examined that contracts and terms and conditions are agreed and signed by the person or their representative. The contract will be specific to the individual funding agreement and the type of placement. From the contract seen it was noted that they provided clear information, noted the room number and the fees payable. Intermediate care is not provided in this setting. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A person’s health, personal and social care needs are set out in an individual plan of care that demonstrates the health and personal care that people receive is based on their individual needs and met well. There are safe systems for the storage and administration of medication. The principles of respect, dignity and privacy are put into practice. EVIDENCE: A requirement was made at the last inspection for the care records of residents to be updated regularly to ensure that members of staff are aware of residents changing needs. At this inspection a sample of five care plans was examined to ensure that this requirement had been met. Each person has an individual file that contains comprehensive information to ensure that all of his or her needs are being met. The file is organised into different sections a front sheet that records basic information for example relatives contact details, GP, an assessment that Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 11 covers personal care needs, health needs, dietary needs, interests and leisure, risks and providing a safe environment, a care plan that provides details on how each person should be supported to achieve short term and long-term goals, risk assessment that records potential risks of falling, choking, moving and handling, skin condition and falling out of bed. The care plan provides information for example on how to maintain the person’s standard of hygiene, their body temperature, good sleeping patterns, being pain free, being comfortable with their appearance, good communication with the person, a balanced diet and a safe environment. The person’s wishes after death re funeral arrangements had also been recorded. All documentation in the care records was organised, clear and had been reviewed regularly on a monthly basis. The content of each file provides members of staff with clear information about how to support each person and an effective way of monitoring a person’s needs. The requirement had therefore been met. The training provided and available for new members of staff ensures that they receive a good induction that covers all aspects of supporting a person with personal care. Members of staff respect a person’s wishes about whether they have female or male carers assisting with personal care. A person living in the home said that she always wants female carers to assist her with personal care and this is always respected. Members of staff told the Inspector that they had worked through an induction programme and worked alongside another more experienced member of staff. They confirmed that they found this useful and helped them to feel confident about working alone. There was evidence to demonstrate that in practice members of staff monitor a person’s health needs on a daily basis and involve professionals as and when necessary. Where possible people living in the home are encouraged to visit a Chiropodist, Dentist, and Optician of their choice. However for those people who cannot access their own arrangements have been made for those Health Professionals to visit the home. The home also has a physiotherapist who visits regularly. The Inspector examined a care plan where a person had been seen at least monthly by the physiotherapist. The care plans examined recorded that a person’s G.P. had been called when necessary and people had received flu vaccinations from a district nurse. A person’s weight, blood pressure, pulse and skin integrity is also monitored and recorded. Where a person is at risk of developing pressure areas this is assessed, recorded, monitored and prevention equipment put in place. A person’s continence is assessed and monitored and continence aids obtained. Where a person has fallen a review of the person’s health and well being is undertaken after twenty-four hours and again after forty-eight hours. There is Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 12 clear documentation for staff to record their findings and these were seen to be in use. Observations of the practice of members of staff during the visit confirmed that people were moved safely, spoken to appropriately and there were sufficient staff on duty to undertake the work required of them and to meet the needs of individuals. The combination of very good information on care plans, that they were clear and well organised, had been reviewed regularly, good information about risks for people, the monitoring of people’s health, monitoring of a person’s health after a fall, the recognition of the need to increase staffing to meet the needs of individuals, observation of practice and comments received from people living in the home has demonstrated that there are excellent systems in place to ensure the health needs of people living in the home are met. Trained nurses administer people’s medication. A training session in medication was held in the home on the 4th May 2007. A monitored dosage system is used and all medication is dispensed by the chemist into blister packs. The storage of medication was examined and was organised and kept according to Royal Pharmaceutical Guidelines. Creams and liquids are individual to the person and kept separately. Where medication is taken as required for example painkillers an individual supply is held. The administration of medication in the mornings has been reviewed since the last inspection, as this is the busiest time of day with the largest amount of medication to administer. During the visit to the home it was seen that two trained nurses were on duty in the morning and there were two medication trolleys available for use. This now means that people living in the home receive their medication in good time. The records relating to the administration of medication were examined. Each person has a recording sheet that includes a photograph of the person. The records had been completed appropriately indicating where medication had been taken or refused. A record of medication given as required is also recorded separately. There is a system in place for the administration of controlled drugs and this was examined and was in good order. People living in the home said that members of staff were polite, caring, friendly and respectful. They confirmed that members of staff assisted them to have a wash, bath or shower and they assisted them with patience and respecting their dignity. It was noted that some people living in the home had mobile telephones in their rooms and another person had a large numbered telephone in order to keep in touch with family and friends. A person told the Inspector that the laundry system is good and clothes are washed and returned the same day. Where there are sharing rooms it was noted that screens are provided to respect a person’s privacy and dignity. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 13 Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life style. A varied programme of activities ensures that people have opportunities to satisfy their social, cultural, religious and recreational interests and needs. The nutritional needs and choices of people living in the home are catered for well. EVIDENCE: People living in the home told the Inspector that they are able to exercise choice over times for getting up and going to bed, where they spend their time, where they eat their meals, what food they would like to eat and whether they wished to participate in the arranged activities. There is a daily activity programme that is displayed in the entrance to the home. This provides a variety of activities over the course of the week. This includes games, quizzes, in house entertainment, arts and crafts and a weekly exercise group. From the sample of care plans examined it could be seen that a person or their relative have been asked about their interests, likes and dislikes and these are recorded. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 15 People who were spoken with said that they enjoyed the activities and were able to choose which ones that interested them. On the day of the visit to the home people played bingo in the afternoon with the assistance of people outside of the home. Members of staff told the Inspector that they can join in with the activities and that they have time to sit and talk with people. People confirmed that they are able to receive visitors and there is no restriction about the times and they can be seen in private. A relative told the Inspector that she likes to visit at lunch time so she can assist her relative with eating a meal and as they cannot communicate this make it a much more meaningful visit. It was noted that some people living in the home have mobile telephones or phones with larger numbers so they can call their friends or relatives when they wish and talk with them in private. There is a phone available for those who do not have them in their rooms. The Provider and people living in the home confirmed that the home does not manage their financial affairs and the person, their relatives or a representative such as a Solicitor either undertakes this. It was noted that people have brought in personal possessions and belongings and this has made each room very individual. People living in the home said they liked the food. There is a planned menu that provides a variety of food with many choices at breakfast, two choices at lunch and three at tea. People said they always knew what was available to eat as a member of staff tells them the day before and asks them what they would like to eat. If they do not like the choices available they can have an alternative. The Inspector observed the lunch time period. This was well organised, calm and unrushed. The meal of chicken casserole or shepherds pie looked cooked and presented well. Where a person required a liquidized meal this had been prepared well with each food item placed separately on the plate. Special diets are catered for that currently are diabetics and vegetarian; there are no people living in the home that require a different diet due to religious or cultural beliefs. People ate in the dining room, the lounge or in the upstairs lounge or in their rooms. It was observed that there were sufficient numbers of staff in all areas to assist people with eating their meal. Where people ate in their rooms they received their meals in good time and members of staff had sufficient time to assist them where necessary. It was noted that jugs of water or squash were available around the home and in people’s rooms to encourage people to drink plenty. Where a person has a poor appetite due to disability or illness and this has been assessed through a nutritional assessment they are provided with resource drinks to supplement their diet. Fairlight Nursing Home DS0000067678.V356993.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home and their relatives can be confident that their concerns and complaints will be listened to and acted upon. There are measures in place to ensure that people are protected from abuse. EVIDENCE: The complaints policy and procedure is given to people living in the home prior to admission and there is a copy in the entrance hall of the home. There is a system for recording complaints to show the detail of the complaint, the timescales of the response and the outcome. The Annual Quality Assurance Assessment form that was completed by the Manager prior to the inspection recorded that no complaints had been received. The Commission has not received any complaints about this service. Members of staff and people living in the home said that the Manager and Providers are very approachable and they felt they would be listened to. The AQAA stated that there have been no safeguarding adult allegations in respect of the service. The Commission has not received any information about safeguarding adult allegations for this service. The Manager stated in the AQAA that the policy and procedure for reporting allegations has been reviewed and now reflects the West Sussex Social and Caring Services Safeguarding Adults Procedures. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 17 All newly appointed members of staff receive information about safeguarding procedures as part of their induction and there is an ongoing programme of training in recognising and reporting signs of abuse. Members of staff spoken with during the visit to the home confirmed that they have received training in safeguarding adult procedures. Fairlight Nursing Home DS0000067678.V356993.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): Standards 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Fairlight Nursing Home provides a high standard of accommodation that is safe, well-maintained clean and hygienic. EVIDENCE: A tour of the premises was undertaken. A complete refurbishment of the property has been undertaken. There is easy access to the landscaped garden and provides an attractive and safe area for people to sit in. All areas of the home now look very attractive, clean, bright and well maintained. The quality of the fittings and furniture is of a high standard. The entrance to the home looks attractive and is full of information for visitors. There are automatic doors that gives easy access to the home for people with a disability. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 19 Communal areas within the home have been improved and now there is a large dining/lounge area overlooking the garden on the ground floor, with easy access to the garden and another large lounge on the first floor. Three mobile air conditioning units have been purchased since the last inspection to be used in communal areas or peoples rooms to help the home keep cool during the summer months. There are single rooms, single rooms with en-suite facilities and a small number of twin rooms within the home. The Inspector was informed that televisions and DVDs are provided in each room. The bedrooms that were seen looked clean and comfortable and had been personalised with the person’s belongings. People can leave their doors open but still be safe in the event of a fire as door guards have been fitted that are linked to the fire alarm. Any necessary equipment is provided such as hoists, moving and handling equipment, pressure relieving mattresses and cushions. The AQAA records that Health and safety checks and inspections have been undertaken on gas, electricity, portable appliances, the lift, hoists, emergency call system, heating and the fire detection system and equipment. A fire risk assessment is in place that covers all areas of the home and evacuation plan. Hot water outlets have been fitted with thermostatic valves to regulate the temperature to prevent scalding. It was seen that two types of thermometers are in place in all bathrooms and shower rooms one that staff can use manually and another digital thermometer that is attached to the end of the bath. A book is in each bathroom to record the hot water temperature. Radiators and pipe work throughout the home are covered to minimise the risk of burns. A full time maintenance person is employed so that any repair is undertaken quickly. A maintenance book is kept in the entrance hall for anyone to write any need for repair or change of light bulb etc. All areas of the home were clean and hygienic. There are good sluicing and laundry facilities and good systems in place for washing soiled linen and clothes. There are sufficient numbers of domestic staff to keep the home clean. All members of staff receive training in the prevention of infection and understand the need for good hand washing and the use of protective clothing and gloves. Fairlight Nursing Home DS0000067678.V356993.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): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets the needs of people living in the home. People are supported by the home’s recruitment policy and practices. Members of staff are trained and competent to do their jobs. EVIDENCE: The Annual Quality Assurance Assessment form that was completed by the Provider confirmed the number, ages, gender and ethnicity of staff employed to work in the home. In relating this information to the number, gender and ethnicity of people living in the home the mix of people in the staff team is appropriate to meet their needs. The staffing levels on the day of the inspection were appropriate and members of staff spoken with confirmed that the staffing levels allowed them to provide support at a resident’s own pace and to have time to talk with them. The amount of training that has been undertaken by the staff team and the amount of training that is made available by the Manager ensures that the staff team have the skills and experience to meet the needs of people well. Members of staff spoken with confirmed that they have received a good level of training from induction that meets Skills for Care standards through to working through National Vocational Qualifications (NVQ). Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 21 Currently eight members of staff have achieved NVQ 2 and eight members of staff are working towards NVQ 2. Trained nurses are provided with information about training that is available to ensure they keep their training updated. Topics covered in training are very relevant to the work members of staff are expected to perform and covers all areas of mandatory training and other topics such as safeguarding adults, dementia, infection control and other illnesses or disabilities. Training records confirm the amount of training undertaken and that a training programme is in place for the coming year. Two new members of staff told the Inspector about the recruitment process that confirmed that an application form is completed, an interview is undertaken and all the necessary checks such as references are taken up. A check against the protection of vulnerable adults register is also undertaken prior to the criminal record check coming through. All staff spoken with said they were not allowed to work in the home until a satisfactory Criminal Record Check had been received. The sample of recruitment records showed that the home operates a robust recruitment process and all the required checks are carried out prior to new staff starting in post. Members of staff are supervised on a daily basis and have received formal individual supervision from the manager or trained nurse on a regular basis. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 22 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): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a person with the knowledge and experience to do so. The quality monitoring systems ensure that all areas of the home are run in the best interests of people living there. People’s financial interests are safeguarded. The health, safety and welfare of people living in the home and staff are promoted and protected. EVIDENCE: The Registered Manager was not present during the inspection. A trained nurse facilitated the inspection and the Providers Mr & Mrs Wootton were available in the home to assist with the inspection. The Registered Manager Mrs Hamat is an experienced nurse and manager and has undertaken the Registered Managers Award. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 23 Members of staff told the Inspector that they find the Providers and the Manager approachable and had confidence that they would be listened to. The Manager holds regular staff meetings where members of staff said they feel they can raise any issue. The Providers confirmed that they are in the home on a daily basis so are available for people living in the home and to ensure that the home is running smoothly and providing care to a good standard. Questionnaires had been developed as part of a quality assurance exercise to find out people’s views of the service. These were seen in the entrance to the home for people living in the home to complete and for visitors. The complaints book is kept in the entrance along with the compliment book. The compliment book was looked at and most recent comments noted, “My aunt was happy and well looked after, thank you for all the wonderful care.” “Staff were always kind and polite to patients and visitors and I always felt at home when I was with you all.” “He always looked so fresh and comfortable. It gave us all comfort to know he was well cared for.” There is a continual monitoring of the service through reviews of care plans, staff meetings, staff supervision, questionnaires being available for relatives or visitors to complete and the Providers are in the home on a daily basis. The Manager arranges monthly cream teas with the residents where they are invited to discuss all areas of the home and service. The Provider informed the Inspector that they are in the home on a daily basis and therefore felt that they do not have to complete the Regulation 26 unannounced visit on a monthly basis and keep a record in the form of a report, that is required as part of the evidence of quality assurance in the home being met. The provider has been reminded of its obligation to achieve this separately to this visit report. People living in the home are encouraged to manage their own finances and where they lack capacity to do this relatives or legal advisors assist with financial matters. The Provider and Manager do not act as Appointee’s or hold Power of Attorney for anyone living in the home. The Manager assists people with small amounts of money for additional services and personal expensed; all transactions are recorded and moneys accounted for. The documentation relating to the Health and Safety of the premises was in good order and up to date. Members of staff receive ongoing training in the health and safety topics such as first aid, moving and handling, infection control, fire and health and safety to ensure that the welfare and safety of staff and people living in the home is maintained. Training records provided evidence that this training is regularly available. Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 24 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 4 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Fairlight Nursing Home DS0000067678.V356993.R01.S.doc Version 5.2 Page 27 - 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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