Inspection on 22/10/06 for Fairburn

This inspection was carried out on 22nd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairburn 11/02/06

Fairburn 10/09/05

Fairburn 20/03/05

Fairburn 05/01/05

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Fairburn 54 Kingsway Little Stoke South Glos BS34 6JW Lead Inspector Melanie Edwards Key Unannounced Inspection 22nd October 2006 10:30 Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairburn Address 54 Kingsway Little Stoke South Glos BS34 6JW 0117 9311069 0117 9311069 www.fairburn@respitecare.fsnet.co.uk admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Richard Neville Sanders Care Home 8 Category(ies) of Learning disability (8), Physical disability (3) registration, with number of places Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 8 persons aged 18 years and over with learning disabilities who are receiving nursing care and/or personal care only. Of the 8 persons accommodated up to 3 may also have specific nursing and/or personal care needs arising from physical disablility. Manager must be a RN on Part 5 or 14 of the NMC register Staffing notice dated 26/8/1999 applies Date of last inspection 11th February 2006 Brief Description of the Service: Fairburn is a care home operated by Aspects & Milestones Trust, to provide either respite nursing or residential care for up to eight adults aged between 18 - 64 years with learning difficulties. This can include up to 3 persons with physical disabilities. All service users admitted to the Home have differing levels of learning and physical disability and the provision of respite care varies according to individual need. The Home is situated in a residential location in Little Stoke and is close to local shops and amenities. It also has its own minibus to facilitate social and recreational activities. The Home is a converted GP surgery, providing accommodation on two floors. This consists of six single and one double bedroom. While none of the rooms have en-suite facilities, all have a wash hand basin. Communal areas include a lounge, dining room and conservatory, all of which are fully Utilised. Bathrooms and toilets have been fitted with adaptations to meet the care needs of service users in the home. There is appropriate provision of equipment to assist staff and service users. However, many service users bring their own equipment into the home for the duration of their stay. The Home is set in its own grounds and there is level access to the garden. Car parking is available, but this is limited within the homes own grounds. There is additional off road parking. The fees that are charged for staying at the Home are £187.55 a night. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on a Sunday, as service users who stay at the Home attend day care services during the week. This enabled the inspector to meet service users, and observe staff and service users together. Please note that due to their disabilities, some service users cannot express their views verbally about the Home. All service users stay at the Home for regular short breaks. One registered nurse, and two care assistants were consulted about their roles and responsibilities, training needs, and how they assist and support service users. A selection of records relating to the day-to-day running and management of the Home were inspected. A selection of service user’s care records and care plans were also reviewed. The environment was inspected throughout. The Home was operating within the required conditions of registration set down by the Commission for Social Care Inspection. The conditions of registration detail the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: What has improved since the last inspection? What they could do better: The dining room wall, and corridor wall must both be repaired in the areas where there is exposed plaster. This is to ensure the environment remains suitable and in a satisfactory state of repair for service users needs. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Overall quality in this outcome area is good. Service users’ needs are assessed and are met during their stay at the Home. Prospective service users’ and their representatives are given the necessary information to help them to make an informed choice about the Home. These judgments have been made using available evidence including a visit to the service. EVIDENCE: Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 9 A copy of the service user guide was requested to see what information is given to service users and their representatives about the Home. A copy of the service users guide could not be located at the time of the inspection. Copies of the guide need to be readily available in the Home for service users and their representatives. However at the last inspection of the Home in February 2006 a copy of the service users guide had been inspected. The guide had contained photographs of the outside and the inside of the Home and it had been written in a straightforward and easy to understand style. The aims and objectives, as well as the overall philosophy of the Home had also been included. There had also been information included about the staff employed at the Home as well as their relevant qualifications. There was also information stating how to make a complaint about the service included. A copy of the statement of purpose was available and was reviewed. This document contained a range of detailed information that set out how the Home and staff intend to meet service users needs during their stay at the Home. The statement of purpose had also been updated and included the name of the new registered manager, Mr Sanders. Service users are referred for the short breaks service that the Home provides via social workers from the `community learning disability’ management team. A care management assessment and care plan is always completed and forwarded to the Home prior to any admission to ensure that the Home is able to meet the care needs of the person. Two service users’ assessment records were reviewed in detail to find out how effectively their needs are assessed. The assessment records included information about important events in the service user’s life, and their general likes and dislikes, preferred social activities, and choice of diet. The assessments included a range of information, and detailed each service user’s range of care needs. Both of the assessment records looked at had been reviewed in the last six months by a registered nurse, demonstrating that staff monitor service users’ changing needs when they stay at the Home. Staff were observed talking with service users in a friendly and warm manner. It was apparent that staff have developed a good rapport with service users. Two service users who were consulted were both positive about the Home and the staff who help them during their stay. One service user said, `my key worker is very helpful,’ another service user commented on how relaxing it was staying at the Home. Two relatives were also consulted, and both of them were very positive about the Home, the staff, and how well their relative’s needs are met. There was also evidence in the staff training records (see also standard 35) that staff had been on recent relevant training and updating study days on topics that were relevant to service users varied range of needs. This evidence helps demonstrate service users assessed needs are being met by the Home. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Overall quality in this outcome area is good. Service users’ needs are assessed and their care plans reflect how needs are met. Service users are well supported to make decisions and to continue to take risks in their daily lives when they stay at the Home. These judgments have been made using available evidence including a visit to the service. EVIDENCE: Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 11 To find out how effectively service users care is planned and delivered, two care plans were reviewed. The plans of care aimed to address the physical, mental, and social needs of the person, and were written in an easy to follow format and aimed to promote the independence of the person in their activities of daily living. There was a profile, completed for each service user, which gave the personal preferences and family history of the person, as well as information about the their life history. The care plans had been reviewed and updated on a regular basis. This helps demonstrate service users changing needs are being monitored during their stay at the Home. Two risk assessment records were looked at in detail, to see how service users are supported to take risk in their daily lives when they stay at the Home. There was detailed information included about any potential risks the person face, and any risk behaviours they may exhibit. The assessments clearly stated the approaches staff should take to respond to the service user and minimize any risks to them or others. The assessments were detailed and easy to follow, as well as showing how to maintain the service user’s independence while ensuring their overall safety. In discussion with the staff on duty they conveyed that they understood that one key aim of the Home was to support service users with appropriate risk taking within the community, and to continue to attend their regular community based activities when they are not at home. Service users also go out to the local shops, as well as for day trips to areas of interest with the support of staff, when not attending their regular community activities. This helps to demonstrate how service users are able to continue to take risks in their lives as part of an independent lifestyle. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,17 Quality in this outcome area is good. Service users are supported and encouraged to live a fulfilling life. They are also provided with a varied, well balanced diet and are supported to receive their visits from family and friends, and to be part of the community if they so wish. These judgements have been made using available evidence including a visit to this service. EVIDENCE: There was information written in service users daily records, which showed service users go out into the community for social and therapeutic trips. As has been referred to previously in the report, one of the aims of the Home is to support service users when they are staying there, to continue to be as independent as possible and to attend all of their regular activities. Staff on duty talked with service users trying to encourage them to make choices in what social and therapeutic activities they wished to undertake. As already referred to in the report service users regularly go to the local shops, and coffee shops. One service user said that the staff were `helpful ’, and make sure that they get up in time to go to the College they regularly attend. Service users also have unrestricted access to the Home, which demonstrates Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 13 their freedom of movement is not restricted. Service users looked comfortable in their surroundings and also looked comfortable and relaxed with the staff on duty. The Home operates a relaxed policy to service users receiving visits from family and friends during their stay. There was also information recorded in two service users records that showed they receive occasional visits from their families during their time at the Home. Relatives were also observed arriving at the Home, and staff spent time with visitors and were friendly and welcoming to them. A copy of the menu record was inspected, to see if service users are offered a varied well balanced diet when staying at the Home. There was a choice of dishes recorded as being available for each day. Meal options included a range of nutritionally well-balanced options served with a range of cooked vegetables. A sample of the lunchtime meal was also tasted. This was a dish of roast chicken, roast potatoes, stuffing and three cooked vegetables. The meal was tasty, well cooked, and well presented. Two service users said that they liked the meals that were provided, and they said they could make choices of their preferred dishes. The kitchen area was checked thoroughly to see if food is stored and prepared in a safe environment. The kitchen was clean, tidy, and well organised. Food that required being covered and dated in the fridge was being stored and labelled correctly. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Overall quality in this outcome area is good. Service users are supported to meet their needs in the way preferred by them. Also the systems in place for the handling, administration, storage and disposal of service users medication are safe. These judgments have been made using available evidence including a visit to the service. EVIDENCE: As referred to in standard 6 of the report, there was written evidence in service users care records which detailed the preferred day to day routine of the service users and their particular likes and dislikes. The plans of care were also detailed and clearly stated the preferred manner in which to assist service users to meet their range of needs. The procedures for the administration, storage and disposal of medication were reviewed to check if there are safe systems in place for the handling administration and storage of medication. The medication administration charts of three service users were looked at in detail. There was a photograph of the service user kept with their record to ensure medication is dispensed to the correct person. The medication administration charts were legible, up to date, and contained the signature of the dispensing registered nurse, demonstrating service users’ medication is administered safely, the reasons for any omissions had also been written on the charts. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 15 Up to date records were also kept of medication being received into the Home, and medication sent back to pharmacy. This shows there are safe systems in place to monitor medication held in the Home. While service users stay at the Home they continue to be registered with their own GP, and dentist. Some of the service users who stay at the Home have complex physical needs. Registered nurses are able to assist service users with those needs during their stay. However their long term and major health care needs are met by medical support when they are at Home. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Overall quality in this outcome area is good. Complaints about the service will be listened to and acted upon wherever possible. Service users are also protected from abuse. These judgements have been made using available evidence including a visit to this service. EVIDENCE: A copy of the complaints procedure for service users’ and their representatives to make a complaint is on display in the hallway. This is a well-frequented part of the Home. The procedure includes contact details for the Trust and the area office of the Commission for Social Care Inspection, if someone is not happy with the outcome of a complaint investigated by the Home. The complaints logbook record was inspected to find out how effectively complaints are dealt with. There had been no new complaints recorded since before the last inspection. The record did include the details of how previous complaints had been dealt with, and written correspondence from the home to the person making a complaint. The Home has a copy of the Trusts `protection of vulnerable adults ’ procedure called ‘do the right thing’ in the office. All staff are required to read the procedure on an annual basis, to keep themselves up-to-date on the matter of `protection of vulnerable adults.’ There was also written information in the individual staff training records to show that staff had attended training on issues related to abuse within the last twelve months. This help to demonstrate how service users are protected from the risk of harm or abuse. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Overall quality in this outcome area is good. Service users live in a Home that is domestic in style and provides a comfortable environment and there are a range of adaptations and equipment in place that meet service users needs. These judgments have been made using available evidence including a visit to the service. EVIDENCE: The Home is a modern building set in a residential area. It is close to nearby shops and service users can access local amenities. There is a lift to the first floor and wheelchair access to the Home to assist service users and visitors with reduced mobility. The garden, front and rear, looked to be satisfactorily maintained and easily accessed, with a seating area for service users to use in warmer weather. There are two lounges provided, one of which does not contain a television. The domestic-style furnishing makes the home a comfortable place to live. Service users were sitting in both lounges and looking relaxed and settled in their environment. There are single bedrooms and one double bedroom. There was furniture and fittings provided, including a wardrobe a comfortable chairs a bedside cabinet and a chest of drawers in each bedroom. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 18 The standard of the decoration and the quality of the fixtures and fittings was generally satisfactory throughout the Home. However action needs to be taken to repair the dining room wall and the wall in the hall where there are small pieces of the wall exposed to the plaster underneath. There are toilets and a shower room located on the first floor of the Home. There is also an assisted bathroom, with toilet on the ground floor to assist service users who have disabilities. There is also a walk in shower room located within close proximity of bedrooms. The environment was satisfactorily clean and tidy in all areas viewed. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36, Overall quality in this outcome area is good. Service users are supported to meet their care needs by competent staff. Staff are provided with regular support and supervision of their work, and have undertaken training in matters related to service users ’ needs. The staff recruitment procedures could not be inspected at the Home. These judgments have been made using available evidence including a visit to the service. EVIDENCE: The recruitment procedures could not be checked on this inspection. Aspects and Milestones Trust are in the process of transferring staff recruitment records across to all of their care homes. However staff records have not yet been transferred into the Home. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 20 The staff duty record for shifts worked for October 2006 were checked to find out the number of staff on duty to support residents with their needs. There is a minimum of one registered nurse on duty at all times. There are between two and three staff on duty during core hours, and during weekends and evenings to support them both in and out of the Home. Staff are flexible in their working hours, as the number of staff on duty varies depending on how many service users are staying at the Home. On the day of the inspection there was three care assistants and one registered nurse on duty. Based on observations of residents needs, from reading care records, and from discussion with residents and staff the staffing levels are sufficient to meet residents’ needs. The care staff on duty said that they are provided with regular supervision from one of the registered nurses .The registered nurse said that Mr Sanders supervises and supports qualified staff. A copy of the staff supervision format was looked at, and discussed with the registered nurse on duty. The registered nurse explained that they regularly provide one to one support and supervision to a small group of care staff. They also reported that Mr Sanders provides them with regular one to one supervision of their work and practise. It is beneficial for service users if staff are well supervised and supported. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Overall quality in this outcome area is good. Service users benefit from a well run Home and they can be confident their views will be listened to and represented. The residents’ and staff health and safety is being protected. These judgments have been made using available evidence including a visit to the service. EVIDENCE: Mr Sanders is a qualified nurse specialising in caring for people who have learning disabilities. His career record showed that he has many years of experience working with service users who have learning disabilities, in a range of settings including care homes. He is registered with us as the manager of the Home. This demonstrates he is suitable and `fit’ to be the manager of the Home. The monthly monitoring visits of the Home by a representative of the Trust are being carried out as is legally required. There were detailed and informative records of these visits, and copies are sent to the Commission for Social Care Inspection each month. The records demonstrate that the designated Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 22 individual responsible carrying out the visits spends time consulting with staff and observes service users being assisted by staff. The staff reported that regular staff meetings are held on a monthly basis. There are also regular registered nurses meetings to discuss clinical and managerial matters. The staff consulted said they were encouraged to be involved in a range of day to day matters within the Home and to express their views about service users needs, and the general running of the Home. It was reported by the registered nurse on duty that the Home undertakes a process of quality monitoring and review of the care and service. Survey forms are sent to service users and their families on an annual basis, these records were not available for inspection. However it was also reported that the results from the surveys are collated at the Trust head office, and action is taken based on the findings of the survey. The environment was mostly satisfactorily maintained throughout, (see previous reference in the environment section of the report.) There is health and safety training provided for all staff to help them keep up to date in health and safety knowledge, and to ensure the safety of residents and staff is maintained. The fire logbook record was checked and showed the required fire tests and checks were being carried out and were kept up to date, helping to maintain the safety of everyone inside the building. A maintenance worker is employed who visits the Home on a regular basis, to carry out routine repairs. This helps demonstrate the health and safety of residents’ staff and visitors is being maintained. Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23.2(b) Requirement Action must be taken to repair the dining room wall, and the corridor wall. Timescale for action 22/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fairburn DS0000020350.V308976.R01.S.doc Version 5.2 Page 26 - 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. 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