Care Home: Farehaven Lodge

Similar services:

• Flint House
• St Vincents
• The Cotswold Home
• Fairways
• Winton House
• Treloar College
• Rush Court

What the care home does well Good preadmssion assessment process ensures that people move into the home confident that their needs can be met. Effective care panning processes ensure that service user`s individual social, personal and health care needs are met and that they retain choices in their daily lives. A range of recreational activities are provided for people living at the home to join in with if they wish. People living at the home benefit from a varied menu that takes into account their wishes. People living at the home and their representatives are confident to raise complaints and are confident that complaints will be taken seriously and responded to by the home. Staff have a good understanding about safe guarding adults which protects people living at the home from the effects of abuse. A well-trained and competent staff team promote the wellbeing of those living at the home. Robust recruitment practices protect the welfare of people living at the home. people live in a pleasant and well maintained home. Good maintenance of the home allows service users to live in a pleasant and clean environment. Effective management that includes seeking the views of people living at the home means that people living at the home are able to influence the running of the home. What has improved since the last inspection? Improvements have been made to the environment with the provision of a dedicated hairdressing salon and improvements in the patio and seating areas of the garden. Improvements have been made to the laundry service with the provision of new equipment and the employment of an extra member of laundry staff. This means there is a more efficient laundry service resulting in less laundry being lost. What the care home could do better: No requirements have been made as a result of this inspection. However the home has identified areas for improvement. This includes the implementation of new care planning systems, the use of new pharmacy supplier and the refurbishment of bathrooms. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Farehaven Lodge 8 Nashe Close Hill Park Fareham Hampshire PO15 6LT     The quality rating for this care home is:   two star good service 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. Lead inspector: Gina Pickering     Date: 2 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Farehaven Lodge 8 Nashe Close Hill Park Fareham Hampshire PO15 6LT 01329846765 01329844229 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Theresa Thompson Type of registration: Number of places registered: Fareham Court Limited care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Farehaven is a long stay residential home for older people, including those with dementia; and is also registered to accommodate up to five older people with mental disorder and up to five older people with physical disability. One room is dedicated to respite care. There is a large lounge, a dining room, a quiet lounge and a conservatory. The home is situated in a quiet residential area on the outskirts of Fareham. The garden has seating areas and is accessible for service users. There are shops and a doctors surgery within easy walking distance of the home. Fees for the service range Care Homes for Older People Page 4 of 28 0 0 0 0 Over 65 40 5 40 5 Brief description of the care home from four hundred and sixty British pounds to five hundred and sixty British pounds per wek. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection considered information received by the Commission about the home since the last key inspection in January 2007. This includes information provided to the Commission in the form of the home’s Annual Quality Assurance Assessment in which the registered provider or manager tells the Commission how the service has developed over the past twelve months and how they propose to continue to improve the service. The Commission surveyed service users, health professionals and staff; eight service users, three health professionals and eight staff survey forms were returned to the Commission. The information in these was used to inform the inspection. An unannounced visit was made to the home on 27th November 2008. We looked at Care Homes for Older People Page 6 of 28 documentation relating to four people using the service. We had conversations with the registered manager, five staff members, five people who live at the home and two visitors as well as looking at various documentation as part of the inspection process. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Effective assessment processes that include the provision of good information mean that people move into the home confident that the home can meet their needs and with some understanding about the running of the hone. Evidence: The AQAA told us that information is provided to people expressing an interest in living at the home in the form of a glossy brochure that details the service provided. People can also access information about the home on the homes website. Further detail is provided in the form of the homes statement of purpose which the home told us can be provided in alternative formats such as large print, braille and alternative languages if required. We looked at the brochure and the statement of purpose identifying that details such as the managerial structure of the home, qualifications of staff, a description of the accommodation including bedrooms and communal areas, the processes for developing and reviewing care plans and information about health and Care Homes for Older People Page 10 of 28 Evidence: safety aspects of the home are included within this document. The AQAA in formed us that the manager or a senior member of staff assess all people expressing an interest in living at the home prior to making the decision as to whether the home will be able to met that persons needs. We looked at four files belonging to people living at the home evidencing that an assessment of their needs had been completed before they moved into the home. The assessment covered aspects of personal, physical, mental and social health needs of the person wishing to move in to the home. Two visitors that we spoke with during the course of our visit to the home confirmed that their relative had been visited by a member of the homes staff to asses their needs prior to moving into the home. They also told us they had recieved information about the home and had been able to visit the home which had helped them to make a decision about the suitability of the home for their relative. Because of the diminished mental capacity and memory of people living at the home they were unable to remember the processes that took place before they moved into Farehaven Lodge. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Effective care planning systems means people living at the home receive care and support in the manner they like. Prompt and appropriate referral to health care professionals means people living at the home have their health care needs met. Good medication practices mean people have their welfare protected. Good care practices and provision of equipment means the privacy and dignity of people living at the home is protected. Evidence: The AQAA detailed that the wishes of people living at the home about their daily life and support with personal care is included within the care planning processes. We looked at the care plans for four people living at the home. The plans are based around the action that needs to be taken to meet the assessed need of the person living at the home. For example details in care plans describe the action to be taken to meet the mobility, breathing, elimination, hygiene, comfort and personal care needs of people living at the home. Comprehensive details are included about what support a Care Homes for Older People Page 12 of 28 Evidence: person needs with regard to their mobility for example what aids a persons needs to mobilise, if a hoist is used, what type of hoist, what slings and how many care staff to support the person using the hoist, how someone manages stairs and how they are able to move in bed. Care plans detail the individuals preferences about personal care, how they like support to be given, what aspects of personal care they can do themselves and when they like a bath or shower. Details in the care planning documents evidence that plans are reviewed on a monthly basis and changes made according to the needs of the individual. All care staff are involved in the completion of care plans. Each person living at the home has a team of staff who have responsibility for the compilation and review of care plans. The manager discussed with us the home is about to implement a slightly changed version of care planning and showed us the new documentation. The new system will allow for all information to be kept in one file. At present the care plan, the persons information about next of kin contacts and daily notes are kept in separate files. The new system will make it easier for staff to access information about people living at the home as well as allowing for a greater detail of the actions need to meet or maintain a persons needs. The manager also told us she is encouraging staff to concentrate on what people living at the home they can do for themselves so to encourage and support them to maintain present skills and abilities they have. Care staff told us care plans are regularly updated and easy to follow including personal habits and all residents care needs are always met and any new care need is always recorded in the residents documents and care plan. The home has relevant polices and procedure about the safe management of medications. We looked at the medication administration record sheets for four people living at the home evidencing that these are completed detailing the amount and time that medication is administered. The manager explained the process for ordering and receiving medication this includes seeing the actual prescription which means that people living at the home are confident that they are receiving the medictiaon that health professional have prescribed them. There is a clear audit trail for medications recieved into the home returned to pharmacy. The manager told us she is always seeking ways to improve the service and is considering using a new supplier for medications that she believes will further reduce any risk of mistakes being made with administration of medications. Throughout the inspection information was obtained evidencing the privacy and dignity of people at the home is promoted and respected. Examples include the fact that care plans detail individual wishes and preferences with regard to personal care, observation of staff speaking respectfully to people living at the home, staff knocking on bedroom doors prior to entering a persons bedroom. A health care professional told us that staff always accompany health care professionals when they are visiting a person living at the home, indicating that staff support people living at the home when Care Homes for Older People Page 13 of 28 Evidence: being seen by health care professionals. We were also told by a health care professional that staff at the home are always respectful to the residents. All personal care is provided in a persons bedroom or in one of the assisted bathrooms. Screening is provided in shared rooms to promote the privacy and dignity of people when receiving personal care. The care planning documents detail contacts people living at the home have with health care professionals including GPs, speech and language therapists, district nurses, opticians, community psychiatric nurses, dentist and at outpatient clinics such diabetic clinic and memory clinic. Individual documents detail changes made to their medical care in response to these contacts such as changes of medications. Visitors that we had conversations with spoke highly of the care and support their relatives receive at the home, they told us they are always contacted if their relative becomes unwell and confirmed that the home seeks advice fomr health care professional promptly if a person is unwell. They also confirmed that staff discuss the care and support their relative needs and their relatives wishes are always are considered when planning care. Responses we had from service user surveys indicate that people living at the home feel they receive the medical care they need. Surveys we received from health care professionals detail that the rest home always seek advice when unsure about care interventions and are always willing to take on board new ideas/information, and that the home seek training about health care issues from health care professionals. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are able to take part in a variety of activities and maintain contact with their families and friends. People living at the home are supported to exercise choices about their daily life. People living at the home enjoy a varied diet. Evidence: The AQAA told us that improvements have been made in the past year in the provision of social activities for people living at Farehaven Lodge. The improvements are mainly concerned with the environment in which social activities can take place. This includes the provision a a new hairdressing salon, to which people living at the home feel as though they are going for a trip out to the hairdressers, and improvements being made to the patio areas of the gardens so people can use these for social gatherings in the warmer months. The care planing process includes information about a persons hobbies and interests and a life history for that person if possible to be provided by the persons family members. Both the manager and her deputy share responsibility for arranging activities and social events at the home. A plan of activities is exhibited on a notice Care Homes for Older People Page 15 of 28 Evidence: board in the hall way outside one of the lounges. Activities arranged include exercises to music, arts and crafts sing a longs, games and various visiting entertainers. On the day we visited the home there was a visiting musician who encouraged people living at the home to join in with the music making with the use of various percussion instruments. Details are kept of all activities that people take part in. The home utilises local speciality transport services for people at the home to access the community such as outings to garden centres and local theatres. The home was in the process of arranging for a group of people living at the home to go to a tea party arranged by the local senior school in December. They also told us the local primary school visits the home at intervals throughout the year to provide entertainment. Surveys that we received from people living at the home indicated a good level of satisfaction the provision of activities at the home stating they could chose whether to join in with activities or not. Conversations we had with people living at the home confirmed it is their choice whether to join in with activities. There are sufficient communal areas in the home so that if an activity is taking part in one of the lounges there are another two lounges that people can use if they do not want to join in with an activity. Spiritual needs are met by the provision of visits by representatives of the local churches. On the day of our visit several people living at the home were receiving holy communion from one of the local church visitors. The AQAA told us there are no restrictions about the time when people living at the home can receive visitors. This was confirmed in conversations we had with visitors to the home. The visitors log book detailed that people receive visitors at varying times of the day. The AQAA told us meal times are considered a social occasion at the home. There is a large dining room that people can take their meals in, but we told told it is their choice where they take their meals. We observed that at lunch time people were sat in small groups at a variety of tables in the dining room and that assistance was given to those that required in it a sensitive manner. All people that spoke with us told us they enjoy the meals provided at the home though they were unable to remember what they had that day for lunch because of their memory problems. A four week rotating menu is planned by the cooks at the home and records are kept of food provided to people at the home. The menu detailed people can have a choice at meal times and people living at the home did tell us they are able to have a choice at meal times. The cook told us they review the menus at frequent periods over the year and take into account the wishes of people living at the home in the planning of the menu. It was evident from the information we recieved and observation over the course of the visit that people living at the home are encouraged to make decisions about their Care Homes for Older People Page 16 of 28 Evidence: daily lives. Examples of this include details in care plans about peoples wishes about the support they wish for, people telling us they can make choices whether to join in with activities or not and from the general observation of how staff encouraged and supported people to make their own decisions. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are confident that complaints will be taken seriously and responded to promptly. People who use the service are protected from the effects of abuse by a staff team that has a good understanding about safeguarding procedures. Evidence: The AQAA told us that there is a complaints procedure in place. Details about the complaint process are included in the brochure that is provided to all people expressing an interest in living at the home and in the more detailed statement of purpose. The AQAA also informed us that the home has received no complaints in the last twelve months. We looked at the complaints log book which detailed that no complaints had been received in the last twelve months. However for complaints that had been received prior to this there are clear details about the complaint, action taken to resolve the complaint and details about the response provided to the complainant. People living at the home told us in surveys and during our visit that they would express any concerns to staff at the home and they believe that staff would deal with any concerns or complaints promptly. One person living at the home told us there is always a member of staff to speak to if you are not happy, I know how to complain but have never had to. Visitors to the home at the time of our visit told us they could express any concerns to any staff members or to the manager and that the concern would be dealt with promptly. Visitors told us that by the manager having an Care Homes for Older People Page 18 of 28 Evidence: open door policy and being easily accessible any concerns or queries are dealt with prior to them necessitating a formal complaint. Conversations with staff evidenced they would deal with any concerns or complains as per the complaints procedure and would ensure the manager is made aware of any complaints recieved. Policies and procedures are in place about the protection of vulnerable adults that include the local authorities procedures for safeguarding. Staff records detail that training about adult protection has been provided and staff in conversations demonstrated a good understanding about safeguarding procedures. They were confident about the actions they would need to take if they had concerns that abusive actions had occurred. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, well maintained and clean home. Evidence: As part of the inspection a tour was made of the environment looking at a sample of bedrooms, bathing facilities, communal areas, the kitchen and the laundry. Bedrooms are to varying degrees personalised with the person’s own belongings such as ornaments, pictures and small items of furniture. Screens are available in shared bedrooms to promote the privacy and dignity of people whilst receiving personal care. People living at the home have a choice of three lounges to use. The large lounge has the use of a television and the interest of a bird cage with two birds . Two people living at the home that we had conversations with spoke of how they enjoy watching and listening to the birds. There is another smaller lounge that was being used by people to listen to music and a third larger lounge know as the conservatory lounge because prior to building work this room had previously been a conservatory. The manager told us that the conservatory had been made into a proper lounge because people had found the original conservatory uncomfortable to use, but staff were still having to encourage people living at the home to make use of the new lounge. Group activities take part in the conservatory lounge to assist people living at the home to make more use of this lounge. When not being used for activities this lounge is a quiet area and is Care Homes for Older People Page 20 of 28 Evidence: an alternative area where people can receive larger groups of visitors rather than having to use their bedrooms or the busier communal areas. We observed people who live at the home moving freely between the communal areas and their bedrooms making the choice about where to sit and how to occupy themselves. The home has a pleasant garden for people to use; the AQAA informed us that improvements have been made ot the patio areas and seating arrangements in the garden in the past year. A shaft lift enables people to access both floors of the home. There are sufficient bathing and toileting facilities for people who live at the home. The AQAA and manager told us that the home plans to update some of the bathing facilities in the near future. Policies and procedures are in place about hygiene practices and the control of infection. A team of housekeepers are responsible for the cleaning of the home. During our visit the home was observed to be clean and tidy with no offensive odours. People who live at the home told is in surveys that the home is always clean and fresh. The homes laundering facilities are on the ground floor. The AQAA told us that improvements have been made to the laundry in the past year with the provision of new equipment and the employment of an extra member of staff in the laundry department. This has meant that people have their laundry returned to them more quickly and there has been less incidents of items of clothing being misplaced. The position of laundry and good laundry practices reduce the risks of cross infection from dirty laundry. The laundry floors and walls are easily cleanable and were clean and tidy on the day our visit. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good training provision ensure that people living at the home are cared and supported by a skilled and knowledgeable work force in suitable numbers. Robust recruitment procedures mean that people living at Farehaven Lodge are supported and cared for by staff suitable to work in the caring profession. Evidence: A staff rota displayed in the home details who and in what capacity, such housekeeping, kitchen or care staff, is on duty at any one time. Surveys from staff and relatives told us that there is usually enough staff on duty at any one time to meet the needs of people living the home. Observation during our visit to the home showed that staff members have time to sit and talk with people living at the home and call bells were answered promptly indicating that there were sufficient numbers of staff on duty at that time. We were told there is always a member of staff available when needed. We looked at a sample of staff records. These evidence that good recruitment practices are followed ensuring that no one commences employment at the home prior to two written references being received and checks against the Criminal Records Bureau and the Protection of Vulnerable Adults List being received. These processes protect the welfare of those living at the home. Staff surveys confirmed that checks such as references and CRB were obtained prior to them commencing employment at Care Homes for Older People Page 22 of 28 Evidence: the home. Staff records also contained copies of certificates for courses attended and qualifications obtained by staff members. The manager maintains a training matrix that clearly identifies the training staff have had and what training they need to update. Examples of training that staff have undertaken include moving an handling, fire safety, food hygiene, first aid, dementia, abuse awareness, infection control and managing challenging behaviour. Due to turnover of staff the home is at the moment running under the required 50 of all care staff having NVQ level 2 in care or above, but this is being addressed with 10 members of care staff in the process of completing NVQ level 2 in care. Non-care staff such as housekeepers and kitchen staff have had the opportunity to achieve NVQ qualifications in their field of work. Staff told us in surveys that the home supports them to attend training sessions and will even arrange transport for them to attend the training if needed. Staff told us in surveys that their induction programme covered what they needed to know to begin supporting and caring for people at the home. The manager confirmed that induction programmes follow Skills for Care common induction standards. We saw a copy of the induction programme used by the home to confirm this. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is effectively managed and seeks the views of those using the service to influence the development of the home. Robust procedures ensure that the finances of people using the service are protected. Good health and safety practices protect all people at the home. Evidence: The manager has been employed at the home for many years and has been the registered manager of the home since October 2004. Staff, visitors and people who live at the home spoke highly of the manager saying they can approach her at any time with any concerns and that she is very supportive. Staff told us we have good support from the management and my manager is always very good praising you for the work you do and tells you when something is not right or if you need to improve on anything. The manager spoke of her working relationship with the registered providers evidencing that they work together to improve the service at the home and consequently outcomes for those living at the home. The manager was able to Care Homes for Older People Page 24 of 28 Evidence: demonstrate her commitment to improving the service at the home to improve outcomes for people living at Farehaven Lodge. Examples of this include the implementation of an improved care planning system that will allow for greater detail about the actions needed to meet the needs of people living at the home and improvements in the environment for people living at the home. The AQAA told us people who use the service, their relatives and visiting professionals are surveyed about the service provided at the home. Information from these is used to influence the running and development of the home. Examples of this include the improvements made to the environment such as improved patios and seating areas in the garden, the provision of a dedicated hairdressing salon, improvements in the laundry equipment and the employment of an extra member of laundry to staff to improve the return of clean laundry for people living at the home. The provider’s monthly reports about the quality of the service provided by the home contribute to quality assurance processes at the home. These reports are available at the home and include views of the people who live at the home as well as audits of documentation and the environment and views of staff at the home. The results of surveys and details of the action taken as a result of the surveys is displayed in the entrance hall of the home for staff, visitors and people living at the home to view if they wish. Procedures are in place about the handling of money for people who live at the home. People can make use of a safekeeping facility if they wish. Records are kept of monies held for people including details of income and expenditure. The AQAA told us the home has a health and safety policy. Records indicted that staff receive training about health and safety issues. Suitable moving and handling equipment is available. The fire logbook indicates that fire safety checks are carried out in accordance with the Fire and Rescue Services guidelines. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items are securely stored in locked cupboards. All kitchen staff and many of the care staff have undertaken training about food hygiene. A food hygiene inspection was carried out by the local authoritys environmental health department in May 2008 which highlighted 2 areas that needed improving. The manager confirmed that these improvements have been made. We looked at a sample of service certificates evidencing that services and equipment are maintained at manufacturers recommended intervals. This protects the wellbeing of all at the home. Care Homes for Older People Page 25 of 28 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 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 Care Homes for Older People Page 27 of 28 Helpline: 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 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - 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!