Inspection on 20/10/05 for Fairfield

This inspection was carried out on 20th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairfield 12/06/06

Fairfield 17/05/05

Fairfield 05/10/04

Fairfield 24/05/04

Fairfield 18/06/02

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Fairfield 40 Grainger Park Road Newcastle upon Tyne NE4 8RY Lead Inspector Glynis Gaffney Announced 20 October & 09 November 2005 09:30am 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 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 Stationary 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. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fairfield Address 40 Grainger Park Road Newcastle upon Tyne NE4 8RY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 273 4614 0191 273 4614 derekon6@aol.com Mental Health Matters Mr Derek Malcolm CRH 11 Category(ies) of MD Mental Disorder - 11 registration, with number of places Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: That the Provider make application for the Homes Acting Manager to apply for registration. Date of last inspection 17/05/05 Brief Description of the Service: Fairfield is set in a residential street in the Grainger Park area of Newcastle. It consists of a large older style detached house which has been adapted to meet the needs of 11 adults with mental health care needs. Nursing care is not provided. A bus route, pub and local shops are within easy walking distance. Residents are able to access all parts of the premises, including attractive garden areas. The Home has a kitchen, laundry, lounge, dining room and a resdents kitchen area. There are 11 single bedrooms. En-suite facilities are not provided. Off street parking is available. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over eight hours. A sample of care records were inspected as were a selection of other records. Two of the staff on duty and four residents were spoken to. The Home’s Acting Manager was also interviewed. The Inspector also met with the Deputy Director for Housing at Mental Health Matters. (MHMs) The views of residents, their relatives and professionals visiting the Home were sought as part of the inspection process. A very positive letter in support of the Home was received from a person accommodated at Fairfield House. Of the four resident survey questionnaires returned, all said that they felt well cared for. Of the six relative questionnaires returned, all said that they were satisfied with the overall care provided. Specific comments were also made as follows: ‘My sister continues to receive the excellent care I have come to expect from staff at Fairfield House.’ One survey return completed by a professional visiting the Home stated that: ‘Staff are very welcoming, approachable and supportive of their clients and myself working at this home. Excellent joint working. Good communication. Clients feel happy and well cared for whilst having opportunities to promote their independence skills. Support is given where necessary for inappropriate behaviours and actions.’ What the service does well: A detailed Business Plan was in place and set out the ways in which Fairfield House aims to improve the care and support it provides to people living at the Home. The Plan places particular emphasis on the need to ensure that residents and their families are given opportunities to influence the way in which the Home is run and managed. The Plan also describes the systems and processes that are in place to support and develop the Home’s staff team. MHMs conducts detailed monitoring visits to ensure that care and support provided in the Home are in line with the National Minimum Standards and its internal policies and procedures. Most of the residents spoken with expressed satisfaction with the care and support received at the Home. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 6 The Key Worker system has been reviewed to ensure that it enables staff to build positive working relationships with residents. MHMs provides residents with a well maintained environment within which to live. The Acting Manager has put arrangements in place that allow residents to develop their independent living skills in areas such as food shopping and meal preparation. The Acting Manager is willing to work with the inspection process in a very positive manner. What has improved since the last inspection? What they could do better: 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. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3 and 5. The Home provides existing and prospective residents with good information about the services provided at Fairfield House. Residents have been provided with an opportunity to read and sign the Home’s Licence Agreement. Staff have the skills and experience needed to provide residents with a good standard of care. Satisfactory arrangements are in place to ensure that staff receive the information they need to safely care for newly admitted residents. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 9 EVIDENCE: The Resident Handbook, which includes the Service User Guide, and the Home’s Statement of Purpose, contained the required information with the exception of residents’ views of the Home. MHMs has developed a checklist which prompts staff to provide prospective residents with key information regarding the functioning of the Home. The information available to residents is well written and easy to understand. A copy of the Home’s Complaints Procedure and most recent inspection report were available as part of the Resident Handbook. Prospective residents are only considered for admission following receipt of a Care Management Assessment/Care Plan/Risk Assessment and a completed application form. Prospective residents are invited to attend an interview and an in-house assessment is conducted to ensure that the Home is able to meet identified needs. Residents are supported by community based mental health professionals during their admission into the Home. The first six weeks following admission are used to complete a more in-depth assessment and to familiarise the resident with the Home. Policies and procedures were in place and provided staff with guidance about the approach to be adopted when considering new admissions into the Home. However, in one of the care records examined, a Care Management (Care Co-ordination) Care Plan and Risk Assessment were not available. Arrangements are in place to enable staff to receive the specialist training required to meet residents’ assessed care needs. For example, during the last 12 months, staff have undertaken training in the following areas: NVQ Level 3 in Promoting Independence; Introduction to Mental Health and Management Development; Risk Assessment; Physical Intervention. Staff were observed communicating with residents in a positive manner. Completed Licence Agreements were available in residents’ care records. Residents confirmed that they had been provided with a copy of their Licence Agreement. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9. Generally, residents’ care plans cover all aspects of health, personal and social care and ensure that staff are provided with the information they need to satisfactorily meet residents’ needs. However, one resident’s care plan was not fully adequate in that it did not address all of the person’s assessed needs at the point of admission. Residents receive good support allowing them to develop confidence in making decisions about their lives. Generally, satisfactory arrangements are in place to support residents to take risks as part of an independent lifestyle. However, one person’s risk assessments were not fully adequate in that they did not cover all of the potential risks identified prior to admission. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 11 EVIDENCE: Care plans were in place for each resident and generally covered assessed areas of need. However, in respect of a newly admitted resident, although initial care plans had been put in place to address this person’s needs at the point of admission, some of the mental health care needs identified in the Care Management Assessment had not been fully addressed. Care plans in another resident’s care file had been reviewed on a regular basis. No restrictions have been placed upon the rights of existing residents to make lifestyle choices and decisions. The Manager advised that if any restrictions were to be applied to protect a resident’s well-being, reference to this would be included in their care plans. Individualised care plans and risk assessments are devised in response to the presentation of challenging behaviours. However, one person’s care records did not contain a care plan providing staff with guidance on how to handle this individual’s challenging behaviours. Residents said that their care plans had been drawn up in conjunction with them and confirmed that they had been asked to sign them. Each resident had been allocated a Key Worker. Mrs Milton confirmed that Key Workers are allocated on the basis of their knowledge, skills and experience. Residents interviewed were happy with the current arrangements. Staff were able to describe how they provide residents with the support and information they need to make informed decisions about their daily lives. Residents said that they were free to: • • • • • • Choose what time to get up and go to bed; Come and go within the house; Spend time in their bedroom if they wished; Choose who to spend time with; Choose to spend time alone; Manage their finances with staff support if necessary. The Manager confirmed that House Rules have been devised to enable the resident group to live together in a more harmonious manner. The rules also set out expected standards of resident behaviour. Mrs Milton advised that the current House Rules were in need of updating and that this would be done at the next resident Meeting. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 12 Residents are provided with opportunities to participate in the day-to-day running of the Home. For example, one resident said that: • • • Residents’ Meetings take place on a regular basis. This person also said that residents can use this meeting to voice any concerns or complaints; They are always made aware of what is going on within the Home; Residents are encouraged to take responsibility for shopping, cooking and cleaning. Residents are encouraged to take responsible risks as they go about their daily lives. Risks undertaken are carefully assessed and monitored by staff. Care Management information, and details of any risk assessments conducted, are obtained before an admission into the Home can take place. The MHMs preadmission interview is used to establish how identified risks will be managed within and outside of the Home. Risk assessment information obtained at the point of admission is integrated into a resident’s care plan. However, completed risk assessment information was only available in one of the two care records examined. Risk assessments had not been conducted in respect of a recently admitted resident. There was evidence in this person’s care record that initial risk assessments should have been put in place to address their mental health needs. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 13 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 standard(s) 11, 12, 13, 15, 16 and 17. Residents are development. provided with satisfactory opportunities for personal Residents are well supported by staff to become part of, and participate in, their local community. Opportunities to join in age and culturally appropriate community and leisure activities are provided. Although residents are encouraged to form relationships with staff and other people living at the Home, the right to privacy is recognised and respected. Residents are offered a healthy diet and enjoy the meals served at the Home. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 14 EVIDENCE: The Home’s Statement of Purpose stresses the importance of residents developing independence skills and making informed choices. House rules are discussed in residents’ meetings and the household chores rota is negotiated between residents and staff. The household duties rota has given residents responsibilities for cleaning the small kitchen area, setting the tables for the tea-time mean and then sweeping the dining room floor afterwards. If residents cook their own meals they are expected to wash their own dishes. Residents are provided with opportunities to maintain and develop social, emotional, communication and independent living skills. For example: residents said that: • • • They are responsible for keeping their own bedrooms clean; They are responsible for personal shopping and can help out with the Home’s main shop if they wish to do so; They have the opportunity to participate in group meals or eat alone. The care records examined confirmed that residents are: • Provided with assistance to access specialist support services as and when required. It was confirmed that most residents have a Consultant Psychiatrist who regularly reviews their mental health and current medication; Encouraged and supported to access local facilities and amenities in accordance with their personal preferences; Encouraged to think about how they spend their time. Mrs Milton confirmed that residents are encouraged, in so far as they wish to do so, to: seek employment opportunities; attend self-development classes; engage in everyday leisure activities; to spend their time constructively, if not employed. • • Staff work with residents to access whatever employment opportunities are available. MHMs provides staff and residents with opportunities to access its Employment Advice Service. One resident attends a local day care centre. Key Workers also support residents to plan their leisure time in the absence of paid or sheltered employment. This focuses upon encouraging greater community involvement and more participation in the Home’s social life. Residents are supported to become part of, and participate in, the local community. The Manager stated that over the years, individual members of staff have acquired considerable knowledge about events and activities taking place within the local community. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 15 Residents are registered with local GPs and staff will, upon request, attend GP or hospital appointments. The Home has no stigmatising signs publicising its status as a care home. Residents have developed everyday neighbourly relationships with people living close by. Information regarding how to access local advocacy services was available in the main reception area. Family and friends are made to feel welcome and can be seen in private if this reflects the wishes of the resident. Opportunities are available for residents to meet with non-residents and they are free to form personal friendships and relationships with people of their choice. Residents are also supported and encouraged to build relationships, wherever possible, with other people living at the Home. Residents said that staff respected their privacy and always knocked on bedroom doors before entering. One resident said that staff were polite and very helpful. Residents are offered the opportunity to hold bedroom and front door keys. A resident interviewed said that staff took note of the types of food she liked and disliked. This person also said that she was consulted about meals served at the Home. Copies of the Home’s menus were displayed in the main and resident kitchens and set out the main meal choices for each day. Alternative choices are made available where requested by residents. The kitchen facilities were found to be clean, tidy and hygienic. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 16 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 standard(s) 18, 19 and 20. Staff provided personal support in such a way as to promote and protect residents’ privacy, dignity and independence. Residents’ emotional health care needs are met which encourages, and empowers them, to lead fulfilling and valued lives. The systems in place to support the safe administration, storage and disposal of medication were considered satisfactory and promoted residents’ good health. EVIDENCE: Two residents said that they were provided with personal and emotional support in a manner which made them feel valued. They also said that staff would meet with them in private if confidential matters needed to be discussed. Another resident said that Mrs Milton and her team: • • Listened to his opinions about how he liked things to be done for him; Encouraged him to do more things for himself. He also said that this was done ‘in a very nice way’. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 17 Another resident that it was nice to have both male and female staff to assist and support her. This person also commented that there was always a member of staff around to listen and support her when she felt anxious and upset. She said that this helped her cope with her life. A Medication Policy was available and had been recently revised. The new policy had been shared at recent staff and resident meetings. A sample of Medication Administration Records (MARs) were examined and found to be satisfactorily completed, with the exception that staff had not always signed MARs to confirm that an item of medication had been administered. Clear guidance setting out the circumstances which might lead to a member of staff administering an ‘as and when required’ medicine, was not in place in one of the MARs examined. Resident identification photos were in place. A detailed record of medicines received into the Home was in place. A secure facility was available to ensure that medicines were safely locked away. There were no residents taking controlled drugs at the time of the inspection. Some residents had been assessed as being competent to administer their own medicines in line with the Home’s Medication Policy. Lockable facilities were available for these individuals to safely store their medication. All staff had received accredited training in the handling of medicines, although some staff were in need of refresher training. Hand wash facilities were not available in the area in which medications were stored. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 18 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 standard(s) Key Standards assessed as part of the 2005 Announced Inspection. EVIDENCE: Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 19 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 standard(s) Key Standards assessed as part of 2005 Announced Inspection. EVIDENCE: Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35. Residents are supported and protected by the MHMs Recruitment Policy. However, it was not possible to reach a judgement as to whether the required pre-employment checks had been carried out, as staff files were not available within the Home. Staff have received training which enables them to meet residents’ individual need for care and support. Arrangements are in place to provide staff with opportunities to develop the skills and knowledge required to effectively meet residents’ care needs. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The MHMs Recruitment Policy clearly sets out the approach that must be taken when recruiting staff to its care homes. However, staff personnel files were not available on site and as a consequences, it was not possible to confirm that the required pre-employment checks had been carried out. Staff have obtained, or are in the process of obtaining, vocational qualifications which will provide them with the skills and knowledge required to meet residents’ care needs. More than half of the staff team have already obtained a vocational qualification. However, there was evidence that some staff had not received refresher statutory training within the last 12 months as follows: • • Staff members A and C: there was no evidence of certificated medication, moving and handling, health and safety and fire prevention training; Staff member B: there was no evidence of certificated medication, moving and handling, protection of vulnerable adults, and fire prevention training. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39. Although arrangements are in place to review and improve the Home’s performance, this does not at present, include seeking the views of staff, relatives and residents by way of survey questionnaires. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 23 EVIDENCE: Arrangements are in place to review the Home’s performance. For example: • • A MHMs senior manager visits the Home on a monthly basis to review the Home’s day to day practice and performance again the National Minimum Standards; Mrs Milton has recently revised and updated the Home’s Business Plan. This document contains targets aimed at developing residents’ involvement in the running of the Home and within MHMs. Mrs Milton advised that MHMs is in the process of reviewing all resident, staff and professional survey questionnaires and that once this task has been completed, relevant people will be issued with the new questionnaires. Returned questionnaires will then be used to inform the Home’s Business and Annual Development Plans. Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairfield Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x x x B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 25 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 1 Regulation 5 Requirement Ensure that the Service User Guide includes the following information: residents views of the quality of care provided at the Home. Ensure that a Care Management (Care Co-ordination) Care Plan is obtained for each resident prior to admission. Ensure that needs identified at the point of a residents admission into the Home are addressed in any initial plans of care prepared. Ensure that risks identified at the point of a residents admission into Fairfield House are included in the Homes initial risk assessment. Ensure that: * Staff receive refresher training on a regular basis; * A Community Pharmacist visits the Home on a regular basis to review its medication practices and related records; * Handwash facilities are provided in the area in which medicines are kept; * A supportive care plan is put in place where residents are Timescale for action 01/04/06 2. 2 14 16/01/06 3. 6 15 16/01/06 4. 9 15 16/01/06 5. 20 13(2) 01/04/06 Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 26 6. 34 7. 35 7, 9 and 19 Schedule 2 18(1) prescribed as and when required medicines; * All staff sign the Homes medication policy to confirm that they have read and understood it; * Staff sign each residents MAR immediately after administering an item of medication. Ensure that the required staffing 01/04/06 information as set out in Schedule 2 is maintained at the Home. Ensure that staff receive 01/04/06 refresher training in the following areas: medication; moving and handling; fire prevention; infection control. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington NE23 6UR 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 Fairfield B53 B03 S444 Fairfield V240995 201005 Stage 4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!