Care Home: Faygate House

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What the care home does well The number of care staff who have the NVQ2 qualification exceed the 50% of staff required to have this qualification by the minimum standards. This ensures a well qualified workforce. An immediate response to a minor maintenance concern was demonstrated at previous inspections. Staff training includes training in the National Minimum Standards. This promotes a better trained workforce. What has improved since the last inspection? Cloth hand towels in the communal toilets and bathrooms have been replaced with hand drying equipment that will protect better from cross infection. To ensure that all needs are known, care plans now include a reference to religious and cultural needs and are reviewed monthly. To promote dignity, people should now always receive medical treatment in private and staff no longer allow outside medical professionals to make the decision on location for treatment on behalf of the resident. Staff receive induction and foundation training that meets National Training Organisation Standards to ensure that they are fully inducted. At the last inspection it was identified that one hand basins in a bedroom was not fitted with thermostatic mixer valves. All hand basins in bedrooms are now fitted with thermostatic mixer valves to protect from scalding. To ensure the safety of electrical equipment, the fan in the conservatory that was missed at the last portable appliance testing was re- tested for safety. To ensure staff are appropriately supervised, staff now receive a minimum of 6 supervision sessions in every 12 month period. What the care home could do better: There is a quality assurance system that involves the residents, but this needs to be developed to provide feedback to them, to allow them to be involved in improvements and measure improvements in the home for themselves. To achieve this an annual development plan is needed. To ensure a safer environment the home must provide evidence, that any suspected asbestos products within the home have been professionally identified, then labelled, sealed and left, or safely removed as risk assessment indicates, and under Health and Safety regulations. Weight charts should also record action required in the event of a significant weight change. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Faygate House 17 Mayfield Road Sutton Surrey SM2 5DU     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: Barry Khabbazi     Date: 0 7 0 7 2 0 0 9 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. that people have said are important to them: They reflect the things 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 24 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Faygate House 17 Mayfield Road Sutton Surrey SM2 5DU 02086429782/8762 02086433104 cooppencare@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Maleenee Cooppen,Mr Soondressen Cooppen care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Additional conditions: 0 That bedroom 14 is registered but with an undertaking that no new residents are admitted and it is de-registered upon the departure of the current res That bedroom 14 is registered but with an undertaking that no new residents are admitted and it is deregistered upon the departure of the current resident from that room. Date of last inspection Brief description of the care home Faygate House is a converted and extended residence situated in a quiet residential road in Sutton. It is currently registered by the Commission for Social Care Inspection to provide personal care for up to twenty-three adults over the age of sixty-five. Accommodation is arranged over three floors; all bedrooms are single occupancy, twelve have en-suite facilities and there is a passenger lift and a stair lift. On the ground floor there are two pleasant lounges overlooking the garden and a dining room. The home is close to local amenities and there is limited off street parking to the front of the property. At the time of writing this report the fees ranged from #426 to #450 per week. Care Homes for Older People Page 4 of 24 Care Homes for Older People Page 5 of 24 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 overall quality rating of the service is 2 star. This means the people who use this service generally experience good outcomes. All the key Standards identified throughout this report were re assessed at this inspection. This inspection also focussed on following up on any previous requirements and recommendations, and any new issues arising. This inspection was unannounced. At this inspection the manager was interviewed, time was spent with the people who use the service, re plans, and the building were also examined. People who use this service referred to themselves as residents. The people who use this service made positive e comments which included I like it here, Its Care Homes for Older People Page 6 of 24 okay, I like the food. What the care home does well: What has improved since the last inspection? What they could do better: There is a quality assurance system that involves the residents, but this needs to be developed to provide feedback to them, to allow them to be involved in improvements and measure improvements in the home for themselves. To achieve this an annual development plan is needed. To ensure a safer environment the home must provide evidence, that any suspected asbestos products within the home have been professionally identified, then labelled, sealed and left, or safely removed as risk assessment indicates, and under Health and Safety regulations. Weight charts should also record action required in the event of a significant weight change. Care Homes for Older People Page 8 of 24 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 24 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 10 of 24 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. Standards 3 and 6 People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Evidence: Prospective residents needs are assessed before they start at the home to ensure that all needs are known by the staff. Standard 6 does not apply to this home as it does not provide a rehabilitation service with an aim of return to the community. Care Homes for Older People Page 11 of 24 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. Standards 7,8,9, and 10. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Evidence: Peoples needs are set out in a plan of care so that the residents can be confident that all their needs are known, and will be met. Personal care needs and physical and emotional health needs are generally met This ensures that the residents physical and emotional health is well maintained and therefore the quality of life experienced can be maximised. Medication is well managed to ensure maximised good health. People can expect to be treated with respect and have their privacy upheld except Care Homes for Older People Page 12 of 24 Evidence: where visiting medical professionals are concerned. Care Homes for Older People Page 13 of 24 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. Standards 12, 13, 14, and 15. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Evidence: People who use this servcie experience a lifestyle in the home that generally matches their expectations. People who use the servcie are provided with opportunities to remain part of the local community and are able to take part in appropriate activities. The daily routines and the homes policies promote choice and rights, to ensure equality and that all rights are enjoyed by all . Dietary needs are catered for and a balanced diet is provided, to ensure health and enjoyment of food. Care Homes for Older People Page 14 of 24 Care Homes for Older People Page 15 of 24 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. Standards 16, and 18. People who use this service experience good quality outcomes in these areas This judgement has been made using available evidence including a visit to this service. Evidence: Complaints are managed well which should ensure that people who use this service and relatives concerns are listened to. The homes policies and procedures help protect people from abuse and help staff if they need to tell someone about any bad care practice they may see. Care Homes for Older People Page 16 of 24 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. Standards: 19, 24, and 26. People who use this service experience Good quality outcomes in these areas This judgement has been made using available evidence including a visit to this service. Evidence: The home is in good condition externally and internally, and is decorated in a homely fashion. This creates a pleasant environment that promotes the dignity and emotional well-being. Rooms suit their needs but do not all contain all the equipment People are entitled to. The home is hygienic and clean, homely and comfortable; this environment therefore promotes a pleasant environment, health, and emotional well being. Care Homes for Older People Page 17 of 24 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. Standards 27, 28, 29, and 30. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Evidence: Staff numbers are of sufficient quantity to meet needs and provide consistency. The people who use this servcie are supported by a staff group where half or more have the required qualifications. This raises the quality of staff their knowledge and their practices. This Standard is exceeded. The current staff vetting procedure does protect residents from undesirable staff. Induction and foundation training to National Training Organisations specifications is in place. This ensures a well inducted staff group. Care Homes for Older People Page 18 of 24 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. Standards: 31, 33, 36, and 38. People who use this service experience good quality outcomes in these areas. This judgement has been made using available evidence including a visit to this service. Evidence: The residents benefit from a generally well run home. The home has implemented a quality assurance system and an annual development plan, with both involving people. This should ensure that the home is run in a way that involves peeople. The frequency of recorded staff supervision meets the minimum of six sessions required. This has a positive affect the quality of the work that staff do. The home promotes the health and safety of the residents, so that practices and the Care Homes for Older People Page 19 of 24 Evidence: environment do not place their health and safety at risk. Care Homes for Older People Page 20 of 24 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15 152b124b All care plans must all 15/08/2008 include a reference to religious and cultural needs and care plans must be reviewed monthly. This will ensure all a resident?s needs and changing needs are known. 18(1)c The manager must continue 15/09/2008 the implementation of a staff induction programme that meets National Training Organisation specifications and targets. To ensure staff are appropriately supervised, staff must receive a minimum of 6 supervision sessions in every 12 month period. 15/09/2008 2 30 3 36 182 4 38 1223(4)b Systems must be put in 15/08/2008 place to ensure that fire exits and fire escape stairwells are always kept free from obstructions Communal cloth hand towels 15/08/2008 in the communal toilets and bathrooms must be replaced with hand drying equipment that will protect better from Page 21 of 24 5 38 134 Care Homes for Older People cross infection. For example disposable paper towels or a hand blower. 6 38 12 The fan in the conservatory that was missed at the last portable appliance testing round must be tested for safety 15/09/2008 7 38 121a All hand basins in bedrooms 15/08/2008 must be fitted with thermostatic mixer valves to protect residents from scalding. 8 38 133 134a,b,c To protect the residents? 15/09/2008 health, the home must provide evidence, that any suspected asbestos products within the home have been professionally identified, then labelled, sealed and left, or safely removed as risk assessment indicates, and under Health and Safety regulations. Care Homes for Older People Page 22 of 24 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 1 38 13 The home must provide 05/11/2009 evidence, that any suspected asbestos products within the home has been professionally identified, then labelled, sealed and left, or safely removed as risk assessment indicates, and under Health and Safety regulations. To protect the residents health 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 1 8 Weight charts should also record action required in the event of a significant weight change. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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. 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. 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