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Care Home: The Fourways Residential Home

  • Glen Road Fourways Sidmouth Devon EX10 8RW
  • Tel: 01395513932
  • Fax: 01395513932
  • Planned feature Advertise here!

Fourways is owned and managed as a family business and provides accommodation and personal care for up to 19 older people, 5 of whom may also have a physical disability. Any nursing needs are met by the district nursing service. The building is a large detached house situated near the town centre and within walking distance of the beach. Bedrooms are all single occupancy and situated on the ground and first floors. Access to the first floor can be made by a stair lift. 0 0 5

  • Latitude: 50.679000854492
    Longitude: -3.2469999790192
  • Manager: Mrs Rachel Evans White
  • Price p/w: -
  • UK
  • Total Capacity: 19
  • Type: Care home only
  • Provider: Fourways [Sidmouth] Limited
  • Ownership: Private
  • Care Home ID: 15790
Residents Needs:
Old age, not falling within any other category, Physical disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 15th April 2010. CQC found this care home to be providing an Excellent 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 The Fourways Residential Home.

What the care home does well People receive a high standard of care, that is personalized to meet their individual needs and recorded in detail so that staff have the information they need to care for people s changing needs. People are protected from harm by good care practices, good medication administration and robust health and safety policies and procedures. Peoples needs are met by skilled caring staff, who have been subject to rigorous recruitment checks and receive ongoing training in all aspects of care. People live in an environment that is well managed, maintained to a high standard and provides a welcoming homely atmosphere, that people enjoyed living in. What has improved since the last inspection? The manager and deputy manager have a philosophy of ongoing improvement and development in all aspects of care and service in the home. They achieve this through consultation with outside agencies and in house quality monitoring and review. This means that they continue to seek the views of the people using the service to continually improve all aspects of care. What the care home could do better: There were no requirements or recommendations made at this inspection. Key inspection report Care homes for older people Name: Address: The Fourways Residential Home Fourways Glen Road Sidmouth Devon EX10 8RW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Andrea East     Date: 1 5 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. 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: The Fourways Residential Home Fourways Glen Road Sidmouth Devon EX10 8RW 01395513932 01395513932 white@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Fourways [Sidmouth] Limited Name of registered manager (if applicable) Mrs Rachel Evans White Type of registration: Number of places registered: care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Fourways is owned and managed as a family business and provides accommodation and personal care for up to 19 older people, 5 of whom may also have a physical disability. Any nursing needs are met by the district nursing service. The building is a large detached house situated near the town centre and within walking distance of the beach. Bedrooms are all single occupancy and situated on the ground and first floors. Access to the first floor can be made by a stair lift. 0 0 Over 65 19 5 Care Homes for Older People Page 4 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: three star excellent 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: This inspection site visit was unannounced. The owner who is also the manager and the deputy manager was present throughout the site visit. A range of documentation, including peoples care records, staff records and quality monitoring records were examined. People using the service, staff and visitors to the home were spoken with in private rooms and in communal areas. Survey s about the service and the homes Annual Quality Assurance Assessment record were also considered when completing this report. Care Homes for Older People Page 5 of 24 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 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 6 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 7 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality in this outcome area is excellent Clear detailed information was provided to people who were considering moving into the home. So that, People were confident that they would receive the care and support they needed. Evidence: The manager and deputy manager confirmed that they continued to provide detailed information about the home and the services provided before people moved in. They said that people were given an opportunity to visit the home and that an assessment of peoples needs was fully completed. So that staff were fully aware of peoples needs right from the start of peoples stay at the home. Initial Assessment and Care Records were completed either prior to people moving in Care Homes for Older People Page 8 of 24 Evidence: or on arrival at the home. The manager and deputy manager said that the initial assessment and care record systems were under review and had been updated as part of their overall review of all care records systems. This meant that, up to date information on peoples needs were made clear to staff, through modern easy to read care records, that gave staff the information they needed to care for people on an individual basis. The service did not provide intermediate care. Care Homes for Older People Page 9 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. Peoples health, personal and social care needs were fully met in a way that promoted and supported people to be as independent as possible. Peoples needs were set out in care plans and assessments so that staff had access to good recorded information about how best to meet peoples needs. Medications were well recorded, administered and stored safely. Evidence: The manager and deputy manager said that as part of reviewing and updating care plan and assessment records a new computer system had been newly introduced to staff. Sample care plans and assessments records were examined on the new computer system and from the previous system of paper records and files. Plans and assessments were completed with the people living at the service, their Care Homes for Older People Page 10 of 24 Evidence: relatives and a range of health and social care professionals. Plans focused on what people could do well and how to maintain or promote peoples well being. Care assessments and plans were detailed, specific and up to date, with ongoing daily records reflecting how people had been supported to meet their individual personal needs. The manager and deputy manager also said that work had been carried out to review how events were recorded and that this meant routine recording had improved. People consistently said that they received excellent care, nothing was too much trouble and that they received the best possible care. People said that they had regular opportunity to talk with staff on a daily basis on how to meet their individual and specific needs and requests. Surveys received from the people using the service returned to us and to the home also consistently said that people were well cared for. Medication administration, storage and recording was well managed. So that people are supported to maintain medications in their own rooms safely and people received medications to promote their health, as prescribed by their health professional . Care Homes for Older People Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. People were supported in making a range of choices throughout all aspects of their daily living including social activities. Social activities, were focused on individuals needs and wishes and all efforts were made to offer everyone the opportunity to participate in something they enjoyed. Meals, snacks and drinks were provided throughout the day and evening and provided people with the choice of a variety of nutritious, well-balanced menus. Evidence: The manager and deputy manager confirmed that the aim of the home was to make sure that the people who live there were able to enjoy a full and stimulating lifestyle with a variety of lifestyle options available. Care plans and assessments included details of peoples personal routines, such as getting up, going to bed, social activities, contact with the community and following interests and hobbies. Care Homes for Older People Page 12 of 24 Evidence: Plans were regularly reviewed and details were made on how best to meet peoples changing needs, choices and wishes. Records were kept of the range of activities everyone was supported in participating in. Activities included the use of a mini bus, free of charge to assist people to attend events such as theater trips, days out, appointments. So that people took an active part in the local community. People said that there was always plenty to do if they wanted to and described several ways that they had enjoyed spending time in the home. On the day of the inspection site visit people were going out in the minibus, playing board and card games and looking forward to the next planned event. Relatives visiting the home said that they were always made welcome and staff were observed welcoming people into the home. People said that they enjoyed the meals snacks and drinks made available throughout the day and on request at night. People preferences and special dietary requirements were discussed with them and recorded. So that people received varied foods they enjoy ,at times that suited them. The manager and deputy manager also said that the meals provided were regularly reviewed. Were part of their own quality assurance systems and detailed in residents meetings, so that the meals provided were constantly being changed to accommodate peoples wishes. Care Homes for Older People Page 13 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. Quality in this outcome area is good. People were listened to and concerns and complaints were taken seriously and addressed. People were protected from abuse. Evidence: The manager and deputy manager confirmed that the complaints procedure continued to be available to all staff, people living at the home and visitors. The manager said that complaints procedures included recording complaints and how they were resolved, so that the manager and deputy manager could monitor and review complaints and concerns. There was no recorded incidents or complaints in the current record book for complaints. Complaints concerns and worries were also addressed through resident meetings, one to one discussions and through quality questionnaires that asked for feedback about the home. People living at the home said that they felt listened to and was sure that any concerns raised with any of the staff would be taken seriously and acted upon. Staff training records showed that staff had received training in a range of topics Care Homes for Older People Page 14 of 24 Evidence: including protection of vulnerable adults. Staff said that they felt confident in raising any concerns about peoples care and safety, which would be fully addressed with the homes manager and deputy manager . Staff were aware of complaints and whistle blowing policies. This meant people were protected from abuse. Care Homes for Older People Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality outcome in this area was excellent. The premises was maintained and furnished to a high standard. Personalised to suit peoples individual preferences and was a safe, welcoming and pleasant place that people enjoyed living in. Evidence: The premises, including the grounds were presented and maintained to a high standard, so that people lived in a clean , bright welcoming environment. Peoples rooms and communal areas were furnished with personal items and made more welcoming with fresh flowers and attention to peoples personal styles and preferences. Decoration, fitting and fixtures such as furniture, curtains , carpets throughout the home were of a high quality. There was a choice of lounge and dining areas, all bedrooms were en suite and the gardens were well maintained. So that people enjoyed spending time in and outside of the home. Care Homes for Older People Page 16 of 24 Evidence: The people living at the home consistently said that the home was always clean and tidy and that they enjoyed the personal touches such as fresh flowerers, choices in background music and the books and ornaments on display. The manager and deputy manager confirmed that risk assessments for the premises were completed and updated on a regular basis. Risk assessments include consideration for further development of the premises which will included changes to the laundry and provided more communal space for people to enjoy. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area was excellent People received services from well-trained skilled staff who had the information they needed to care for peoples individuals needs, in a positive and supportive way. Evidence: The manager and deputy manager described the procedures in place for the recruitment and supervision of staff. They described how the procedures had been developed and continued to be reviewed and updated to ensure that only good quality carers, were recruited and retained. Two staff files were examined which included details of past employment, application forms, training record, identity checks, police checks and references. As part of the homes updating of all recording systems the manager and deputy manager were continuing to review and extend these records in line with good recruitment practices. Individual staff files included confirmation of all training undertaken and planned. Including a range of ongoing training such as manual handling, infection control and first aid. Newly employed staff all under went a period of induction training. This introduced Care Homes for Older People Page 18 of 24 Evidence: them to the homes policies and procedures, the layout of the home,health and safety and employment issues. Staff said that they felt well supported by the homes manager and deputy manager. People living at the home commented on how skilled staff were, how nothing was too much trouble and how staff always helped or would always find out the best way to help. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. People received a service that was well managed and ensured that peoples best interests were always considered and that people were protected by good health and safety practices. Evidence: The owner is also the registered manager of the home, who works alongside a deputy manager and the staff team. Both the manager and deputy manager hold a Registered Managers award in Care management at level 4 and above. The manager and deputy manager demonstrated a commitment to continuing to provide excellent care through ongoing consultation with the people who use the service and ongoing quality monitoring and improvement. People living at the home are consulted with and details of peoples personal Care Homes for Older People Page 20 of 24 Evidence: preferences and wishes are fully recorded and listened to. Surveys on peoples opinion of the home are collated and action is taken to address any concerns, hints for improvements or suggestions. The results of the surveys are also made public. Peoples finances are not managed by the homes staff. There were invoicing systems in place to make purchases and acquire any additional services (such as hairdressing ) . Good management systems, including monitoring and review of the quality of all aspects of the home, from care to recruitment to maintaining the premises, were in place. A range of training, and policies and procedures on health and safety in the home and outside environment were also in place. People praised the management of the home describing the home as a well run ship, a lovely well run home and the best in the area. Care Homes for Older People Page 21 of 24 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 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 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 23 of 24 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 non-commercial 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 Older People Page 24 of 24 - 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!

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The Fourways Residential Home 11/06/07

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