Latest Inspection
This is the latest available inspection report for this service, carried out on 28th June 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Fairmont.
What the care home does well Prior to the site visit surveys were provided to the persons cared for in the home and staff; their views and comments have been taken into account. Seven surveys were returned from the people being supported in the home and six were returned from staff. Comments from the people supported about what the home does well included: `Make a real effort to help the residents.` `Looking after me.` With regard to how the home could do better, the following comments were received from the people supported: `Would like a games room.` `Everything ok but the food, more variation required.` Staff comments about what the home does well included: `Maintains individual health checks.` `It does well for caring for people and making sure they are safe.` `Cares well, understands the residents needs.` `Supports and encourages residents to live a healthy life.` `Updates staff training needs regularly.` `Gives service users the dignity, respect, privacy and independence they need.` There were also comments about how the home could do better: `More outings.` `Have more staff on in a morning because it is very busy at that time of the day.` `Employ more staff.` Staff have indicated that they appreciate the care, training and support received and are confident in their role. Staff are able to see the people cared for settle down, begin to improve and and meet their potential. One person cared for in the home who was spoken with commented about how happy she was and how supportive staff have been to help her see more of her daughter.The people cared for in the home are encouraged to be part of the decision making in how the home is run. It is very much seen as their home and staff are there to support them. Residents meetings are held on a regular basis and one was being held at the time of the site visit. Questionnaires are sent out every six months to the people cared for, their friends and relatives. Training is good, there are currently 17 staff and 8 have an National Vocational Qualification (NVQ) in Care at level 2 or above; a further 3 staff are in the process of obtaining the qualification. The NVQ in Care is the nationally recognised qualification required for staff working in social care. Overall the people spoken with during the visit were happy and enjoying the relaxed atmosphere within the home. Staff spoken with felt well supported and enjoyed their role. What the care home could do better: There were no requirements or recommendations found at this inspection. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and continue to show that they provide a service that achieves positive outcomes for the people who live there. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Fairmont 30 Watling St Road Fulwood Preston Lancashire PR2 8DY two star good 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Susan Dale Date: 2 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Fairmont 30 Watling St Road Fulwood Preston Lancashire PR2 8DY 01772715228 01772713768 jtcare@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maria Elizabeth Martin Type of registration: Number of places registered: Conditions of registration: Category(ies) : J.T. Care Homes Limited care home 28 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 28 The registered person may provide the following category of service only: Care Home only- Code PC To Service Users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical Disability - Code PD The maximum number of Service Users who can be acommodated is: 28 Date of last inspection Brief description of the care home Fairmont is a residential care home for twenty-eight adults both male and female with a physical disability. The home is situated in Fulwood, Preston close to local shops and several other amenities. The home is a purpose built three-storey building with a passenger lift that facilitates access to all parts of the building. A large lounge is situated on the ground floor and a smokers lounge on the lower ground floor. The
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home front door of the home is automatic providing easy access for all wheelchair users. Information about the home and the services provided is contained within a Statement of Purpose and Service Users Guide further information about how to obtain the documents can be obtained from the home. The current fees are £650:00 per week rising to £750:00 per week and additional extras would include Chiropody and Aromatherapy. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
The site visit was unannounced and focused on key standards with regard to Health and Personal Care and Protection. Various documents were examined belonging to the people cared for and staff. The registered manager completed the Annual Quality Assurance Assessment prior to the site visit that provides some statistical information at how well the home is meeting standards of care. The manager has recently been registered with the Care Quality Commission and has made a number of improvements since commencing her employment. The care plans are well organised and covered physical requirements and personal activities for daily living. Other areas are welfare benefits and personal finance skills, occupational, vocational and educational needs, interpersonal and communication skills, social networks, substance abuse, mental health and medication. All aspects of need had been looked at including spiritual needs and any cultural requirements. The care is provided according to the individuals wishes and choices. A new pro-forma has been devised for the care plan and includes individual goals and how they were to be met safely. A named staff member is identified for ensuring goals are met and when they should be reviewed. Each person has a key member of staff to assist them and the key worker has to spend some time each week with the person assigned to them and keep a record of what has taken place that week. The key worker helps with personal care and also social outings, trips out and possible short break holidays. There was good evidence within the care records where a staff member had explained their role to the individual concerned and had discussed likes and dislikes, interests and relationships. The staff member had contacted a local club on the persons behalf and helped write a letter to their family. A new document is in place called, The Journey of my Life which helps to build up a rounded picture of the person concerned. Photos, poems and messages can be included and friends and family are invited to contribute. Risk assessments had been undertaken and recorded to reduce any element of potential risk and staff had received training in manual handling, health and safety and medication. The manager has received training in the Mental Capacity Act (MCA) and the Deprivation of Liberty Safeguards (DOLS). The Mental capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. Any person who lacks capacity can be confident that any decisions made on their behalf will be made in their best interests. All staff are to receive training on the Mental Capacity Act. The medication administration records (MAR) were up to date with no gaps in the record. A new storage system for medication is in operation called Biodose that has the name
Care Homes for Adults (18-65 years) Page 4 of 10 and dosage already recorded on individual boxes. The medication is split into four areas breakfast, lunch, tea and bed within a specialised medication trolley. The manager ensures that the details on the boxes of medication are correct and that they match the medication administration record. There is a suitable complaints procedure for raising any concerns and the details had been recorded together with the investigation and outcome. Staff had received training in the protection of vulnerable adults from abuse (POVA) and staff spoken with confirmed that they were aware of the procedures and what to do in the event of any abuse being recognised. An activities co-ordinator attends the home two afternoons a week and a Nintendo Wii has been purchased to encourage more activity. Facilities include the services of an aromatherapist who visits the home twice a week. A number of the people supported are able to go out in the local community and staff assist others with regard to shopping and social activities. Staffing levels do effect how many activities and outings do take place and according to the manager recruitment is taking place with every effort being made to attract male carers as preferred by some of the people cared for in the home. The manager is hoping to increase the staffing levels in between 8:00 am and 5:00 pm. Currently there is the manager, one senior and two carers on duty during the day Monday to Friday and this is to be increased to the manager, one senior and three carers. Consideration is being given to additional staff at 7:00 am to assist people getting up and dressed. The recruitment procedures were examined and found to be suitable with employment checks undertaken to protect the interests of vulnerable people. There was evidence of appropriate written references and security checks with the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults register (POVA). New dining room tables and chairs have been purchased for the dining room and they now have tablecloths providing an attractive environment. A noticeboard has been purchased and placed in the dining room to provide information about events taking place. A new Parker Bath has been installed to assist with bathing with coloured lights in the ceiling of the bathroom to encourage relaxation. A new covered seating area has been provided to the rear of the building overlooking the tennis courts. A new web site has been created for the home which is informative and user friendly and the people cared for are encouraged to make use of the internet and any on line learning and development programmes. Staff are also able to access training materials and company policies. There are plans to relocate the managers office to be closer to the entrance and communal areas to provide more security and a better use of the space. The manager discussed some of the issues occurring with regard to the ageing of people who have resided at the home for a number of years. Every effort is being made to
Care Homes for Adults (18-65 years) Page 5 of 10 continue caring and supporting them with the assistance of district nurses as necessary. What the care home does well:
Prior to the site visit surveys were provided to the persons cared for in the home and staff; their views and comments have been taken into account. Seven surveys were returned from the people being supported in the home and six were returned from staff. Comments from the people supported about what the home does well included: Make a real effort to help the residents. Looking after me. With regard to how the home could do better, the following comments were received from the people supported: Would like a games room. Everything ok but the food, more variation required. Staff comments about what the home does well included: Maintains individual health checks. It does well for caring for people and making sure they are safe. Cares well, understands the residents needs. Supports and encourages residents to live a healthy life. Updates staff training needs regularly. Gives service users the dignity, respect, privacy and independence they need. There were also comments about how the home could do better: More outings. Have more staff on in a morning because it is very busy at that time of the day. Employ more staff. Staff have indicated that they appreciate the care, training and support received and are confident in their role. Staff are able to see the people cared for settle down, begin to improve and and meet their potential. One person cared for in the home who was spoken with commented about how happy she was and how supportive staff have been to help her see more of her daughter. Care Homes for Adults (18-65 years) Page 6 of 10 The people cared for in the home are encouraged to be part of the decision making in how the home is run. It is very much seen as their home and staff are there to support them. Residents meetings are held on a regular basis and one was being held at the time of the site visit. Questionnaires are sent out every six months to the people cared for, their friends and relatives. Training is good, there are currently 17 staff and 8 have an National Vocational Qualification (NVQ) in Care at level 2 or above; a further 3 staff are in the process of obtaining the qualification. The NVQ in Care is the nationally recognised qualification required for staff working in social care. Overall the people spoken with during the visit were happy and enjoying the relaxed atmosphere within the home. Staff spoken with felt well supported and enjoyed their role. 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 Adults (18-65 years) Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 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, 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 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Adults (18-65 years) 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
