Latest Inspection
This is the latest available inspection report for this service, carried out on 15th February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Fairview House.
Annual service review
Name of Service: Fairview House The quality rating for this care home is: The rating was made on: two star good service 3 0 0 1 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Alyson Fairweather Date of this annual service review: 1 2 0 1 2 0 1 0 Annual Service Review Page 1 of 5 Information about the service
Address of service: Gypsy Lane Warminster Wiltshire BA12 9AR 01985847680 F/P01985847680 fairviewhouse@rethink.org www.rethink.org Rethink Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Number of places (if applicable): Under 65 Over 65 10 0 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Fairview House is registered to provide care for ten adults with mental health problems. It is located in a residential area in the town of Warminster, Wiltshire, and has a local shop within walking distance. The home is domestic in character and offers comfortable single room accommodation. All furnishings are of good quality, and a separate room is provided for people who wish to smoke. There is a large, secluded garden at the back of the house, with far reaching views over the local countryside and several seating areas as well as a paved patio. There are car parking spaces at the front of the house. The fee range in January 2009 was £750 - £1650 pounds a week, depending on peoples assessed need. Peoples care is mainly funded for them. 3 0 0 1 2 0 0 9 Annual Service Review Page 2 of 5 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We last inspected this home in January 2009, and we did an Annual Service Review in June 2008. We looked at all the information that we have received, or asked for, since then. This included: a) The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. b) Surveys returned to us by people using the service and from other people with an interest in the service. c) Information we have about how the service has managed any complaints or safeguarding referrals. d) What the service has told us about things that have happened in the home. These are called notifications and are a legal requirement. e) The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. f) Relevant information from other organisations. g) What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. One of the important factors at Fairview House is that it has no registered manager. This has been the case for some time, as there have been a series of managers who have either left or been asked to leave. Although there has been a manager in post since November 2008, the person appointed has failed to submit an application to CQC, and letters have been sent to both them and to the registered Responsible Individual to remind them of the urgent need to do this. One staff member told us that they were surprised to note that over the years some managers had no qualifications in care or man-management. The home told us in their AQAA that they try to ensure the views of all the people who live in the home are listened to. They said they give them the time they need to articulate themselves in their chosen method of communication, which could be verbal or written. They said that often residents discuss ways of improving their care, home or activities in an informal discussion. They also told us that they conduct an annual Service Satisfaction Survey and compile work plans from the findings. Residents also have house meetings, which gives everyone the opportunity to discuss all aspects of maintaining a comfortable lifestyle, arrange individual or group activities and share information. Annual Service Review Page 3 of 5 Two people living in the home wrote to us, and said that they were happy living there, that staff treated them well, they knew who to talk to if they had a problem, and they felt that staff listened to them. We received comments from three members of staff. One person said that staff work well as a team, generally. We all have different skills that are useful when supporting others. Another person told us that they empower people and ensure they know their rights. Staff also commented on the fact that the building could use some refurbishment, and that it felt dark a lot of the time. The home also told us in their AQAA about areas that have impeded them in the last 12 months, Two full time members of the staff team have been on leave since spring 2009, and neither return to their positions until early 2010. Also, Rethink has undertaken a national job evaluation and restructuring procedure. They told us how they tried to manage the situation, by mostly using regular Bank Workers to enable a consistent approach for residents. They said that where at times this has not been possible, they use the services of an agency on the understanding that they have the same five workers available to them. They also said that through the last 12 months of their Job Evaluation process, they have continued to work in a professional manner and have received clear lines of management and HR support, information and instruction. This was said to have reduced the teams anxieties during uncertainties with employment security. Two of the staff members who wrote to us said there were Sometimes enough staff to meet the needs of the residents, but one person said Never. What are we going to do as a result of this annual service review? Subject to any changes in registration practice following implementation of the Health and Social Care Act 2008,our current plan is to do a key inspection by 15th January 2011. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 4 of 5 Reader Information
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