Care Home: Fairways Residential Home

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Annual service review Name of Service: Fairways Residential Home The quality rating for this care home is: The rating was made on: two star good service 2 3 1 0 2 0 0 7 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: Denise Upton Date of this annual service review: 2 0 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 20 Westmoor Grove Heysham Lancashire LA3 2TA 01524855222 Telephone number: Fax number: Email address: Provider web address:   elizabeth@miles1725.fsnet.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : dementia Conditions of registration: Mrs Elizabeth Ann Miles Number of places (if applicable): Under 65 Over 65 24 0 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: Dementia - Code DE. The maximum number of service users who can be accommodated is: 24 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 Fairways Care Home is situated in a quiet residential area of Heysham, accessible to local amenities and shops. Other community activities and facilities are accessed either with staff support or via the homes own mini-bus. The home is a large detached house, built over three floors, with a single storey extension to one side. The home is set within its own grounds which residents can access. There are communal areas, including a small conservatory. Although bedroom accommodation is not provided with an ensuite facility, there are sufficient toilets and bathrooms to meet the needs of people living at the home. Fairways Care Home has a no-smoking policy, although for the one person who does smoke the conservatory is the designated area for this. The 2 3 1 0 2 0 0 7 Annual Service Review Page 2 of 6 Home has produced a written Statement of Purpose and a Service User Guide. The Service User Guide is an important document that tells people living at the home about the services and facilities provided. The Statement of Purpose also gives information about the home but is aimed at a wider audience. On admission to the home each resident is provided with an individual copy of the Service User Guide and the Statement of Purpose is made available for anybody who wishes to read at it. Fairways Care Home is registered to accommodate up to 24 people either under or over the age of 65 years with a diagnoses of dementia. The current range of fees and what is included in those fees can be obtained from the homeowner or homes manager. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? - 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. - Information we have about how the service has managed any complaints. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. - Relevant information from other organisations. - What other people have told us about the service. - The last key inspection report. What has this told us about the service? We received the annual quality assurance assessment (AQAA) by the date we had asked for. Although the AQAA gave us some information, this should have been completed in greater detail. Care should be taken to make sure that the answers given, actually relate to the section heading and the national minimum standards identified within that section heading. It is also important to make sure that where a statement is made for example, we have implemented new care plans set up which can be done on computer, we are told how this has impacted either positively or negatively in the service provided to residents. We were told in the AQAA that feedback from relative meetings had been positive with those attending saying that there was a much more settled and happy atmosphere in the home and that clients were settled and happy. A number of residents are admitted to the home for a period of respite care and then return for further periods of respite care on a regular basis. This means that residents and their relatives are pleased with the care and support provided and feel confident that the home can continue to provide an appropriate service that meets the individual requirements of that person. The AQAA also told us that the number of shared bedrooms in the home has been reduced and there are plans to reduce this shared accommodation even further. This helps to ensure privacy and enables the occupant to have their own important things around them in their own individual private space. We were also told that a new carpet has been fitted to the lounge area and that a new lift has been installed. Security within the home has been tightened in order to make sure that residents are kept safe. Improvements have also been made to the way the home records prescribed medication that is returned to the pharmacist for disposal, medication that was not given to a resident for what ever reason or if a resident refused their medication. This helps to maintain a clear medication audit trail so that any recording mistakes can be more easily identified and action taken to prevent a similar occurrence. Staff training is considered important to make sure that the staff group are skilled and competent in order to provide a good quality of care. The AQAA told us that out of the Annual Service Review Page 4 of 6 seventeen members of the staff team, sixteen of these people had achieved at minimum a National Vocational Qualification Level 2. This is commendable and shows that the vast majority of staff working at the home have had their competency externally assessed and are deemed to be competent in their work role. Care is also taken to capture the views and opinions of residents, relatives and other interested people as to whether the service offered at Fairways Care Home is meeting the needs and expectation of the people living there. Because of their cognitive impairment, residents are in the main, unable to complete a formal survey to find out their views about living at the home. However there is regular daily interaction between residents and staff. Staff also get to know residents well and can spot any changes that may mean a resident is unhappy about something. Recently a suggestion box has been provided in a communal area of the home and focus group meetings are now taking place to provide relatives and staff with opportunity to discuss what is going on in the home and plans for further improvement. Plans for the future include submitting an application to the Care Quality Commission so that the current homes manager would be registered with the Commission as the registered manager at the home. This means that the registered manager would have day to day management responsibility. In order for this person to be registered with the Commission they will have to demonstrate that they have the training, experience, skills and abilities to run the care home in the best interest of the people that live there. The AQAA outlined a number of plans to improve the quality of life for people living at the home. These include, further training for staff, to monitor the effectiveness of how care is delivered to residents, to improve the outside space and to continue to upgrade rooms and redecorate public areas. The AQAA showed that no complaints had been made to the home in the last twelve months. However there was one issue that was raised under the local, multi disciplinary safeguarding protocols. The home fully cooperated in the investigation and took the necessary steps to prevent a similar incident occurring in order to protect residents and to keep them safe. The homeowner and manager at Fairways Care Home continue to let us know about anything that affects the health or welfare of people living at the home. The notifications show us that the management team manages issues well. We looked at the information in the AQAA and other information we have received over the last twelve months and our judgement is that the home is still providing a good service for the people who live there. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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