Inspection on 09/06/05 for Fairfield Residential Care Home

This inspection was carried out on 9th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Fairfield Residential Care Home 09/02/09

Fairfield Residential Care Home 21/02/08

Fairfield Residential Care Home 30/08/07

Fairfield Residential Care Home 18/12/06

Fairfield Residential Care Home 28/07/06

Fairfield Residential Care Home 15/11/05

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

CARE HOMES FOR OLDER PEOPLE Fairfield Residential Care Home 27 Old Warwick Road Olton Solihull B92 7JQ Lead Inspector Debby Railton Unannounced 9 June 2005 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 Older People. 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. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Fairfield Residential Care Home Address 27 Old Warwick Road Olton Solihull West Midlands B92 7JQ 0121 706 2909 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) Mrs Santok Mayariya and Mr Dilip Mayariya Eileen Winters Care Home 18 Category(ies) of Older People registration, with number of places Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The current registered double room is to remain as a permanent single room for as long as the existing service user chooses to remain in that room. During this period the effective capacity of the Home will be seventeen service users. 2. Service users in the six upstairs bedrooms located in the original part of the house may continue to live there as long as their needs can be met. Until such time as the difficulty of split level floors is solved to the satisfaction of CSCI all future service users residing in this area must be ambulant. 3. In the event of the Registered Manager leaving, a fulltime care practice consultant must be retained until such time as a replacement manager is actually registered. This arrangement to exist for a period of two years and applies to any reoccurrence of a registered manager leaving within that period. 4. The current minimum staffing levels must be maintained until such time as agreement is reached with CSCI on the basis of service user needs, environmental factors and staff competency that these may be changed. Date of last inspection 18 February 2005 Brief Description of the Service: Fairfield is a large extended detatched house providing care for up to 18 older service users. The home is located in the Olton area of Solihull and is readily accessible to amenities such as shops, places of worship and public transport. The home comprises of 16 single bedrooms, thirteen of which have en-suite facilities and there is one double bedroom. Accomodation is provided on two floors. There are two lounges separated by glass doors, which when opened creates one large lounge area. A dining room and conservatory are also provided. There is a shaft lift to the upper floor. One small area of the home on the first floor is reached by a further small staircase and therefore is only accessible by those that are ambulant. The gardens to the rear of the property are accessed via a ramp from the conservatory enabling access for service users in wheelchairs or with a disability. Handrails are also provided. Limited parking facilites are available at the front of the building, however on-road parking is readily available outside the home. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 9th June and lasted for 9 hours. Service users and relatives views were sought during the inspection and four staff were interviewed in addition to the registered provider and manager. A meal was sampled during the inspection and a tour of the home and gardens was undertaken. The home has recently changed ownership within the last two months. What the service does well: What has improved since the last inspection? What they could do better: Liaison between the provider and the care staff must improve to maintain the quality of care the service users receive. Staffing levels must be addressed to enable care staff to care for the service users and not be pulled away for domestic duties. The management within the home is good but support must be offered by the provider to maintain services. Medicine management must improve and robust systems must be installed to check medication received into the home. Advice must be sought from the community pharmacist to improve practices within the home. Service users/relative forums and supervision and staff meetings currently do not take place to identify service user and staff needs to improve practice within the home. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 6 The food cooked is to a high standard but menus are not adhered to due to the unavailability of basic ingredients. This results in a poor choice or no choice of meals for the service users. 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 Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 Service users are able to make an informed choice using the service user guide. They are assessed prior to entry into the home and encouraged to take advantage of a trial period. Each service user has a clear concise contract with the provider. EVIDENCE: The service users guide was clear and concise. Each service user has a written contract/statement of terms and conditions. All service users are assessed by the manager prior to entry and can stay for a trial period of one month. The registered manager used the social services assessment in addition to her own assessments. It was found that the assessments were not always fully completed in all instances and discrepancies were evidenced. Care plans were not immediately written once the service users became a permanent resident. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 The staff provide care and support to the service users to the best of their ability and have a good understanding of their individual needs. This was not always reflected in the service users care plans, as these were not regularly reviewed. External healthcare professionals visit on a regular basis and advice given is implemented. The systems for medicine management need to be enhanced to ensure service users medication needs are met. EVIDENCE: Care plans inspected had been well written in the first instance. These were not updated on a regular basis to meet the service users changing needs. Staff support the service users well and understand their needs. External professional healthcare support is sought and advice implemented. The registered manager has not installed an adequate system to check the medication received into the home. Service users are encouraged and supported to self medicate their own medicines. However inadequate compliance checks are made on a regular basis. There is no Controlled Drug cabinet or register. Staff were seen crushing tablets to administer to one service user. Alternative preparations had not been sought or clarification that the tablets were suitable for crushing. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 10 The service users were seen to be treated with respect at all times during the inspection. Service users wishes upon death were documented in their needs assessment. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Visitors are made very welcome into the home and staff understand the individual service users preferences and needs. There is no longer a service user forum held on a regular basis to discuss life within the home. The food/menus had deteriorated since the last inspection, which was some cause for concern. EVIDENCE: Service users are able to participate in a weekly music or exercise class and a variety of board games, puzzles, and books are available for the service users to use. Staff felt that they did not have enough time to always interact with the service users as much as they would like. Service users had recently been on a trip to the Botanical Gardens, which was well received by both staff and service users. One service user receives Holy Communion on a weekly basis, but links with the Church of England minister had declined and need to be re-established. Visitors are able to visit at any time but a notice in the entrance hall recorded restricted visiting times, which contradicted this. Visitors and service users spoken to during the inspection praised the care staff for their hard work and dedication and were made very welcome. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 12 Since the change of ownership the home has not continued with the service user/relative forums to address any issues/concerns felt by them and this was a cause for concern for some service users and relatives. The quality of the food had deteriorated since the last inspection. The cook provided a menu rotated on a fortnightly basis. There was no breakfast menu documented. Service users spoke of a choice of breakfast offered. The cook could not always adhere to the menu due to lack of basic ingredients purchased by the new owners. Out of date food was observed. At the time of the inspection the dinner provided did not reflect the menu. However it was wholesome and tasty and well prepared and enjoyed by the service users. One service user interviewed during the inspection had observed that the “food had deteriorated, the fruit provided was tired and the menu monotonous”. The quantity of food provided as good and seconds were offered. Snacks and cold drinks were routinely offered but concern was expressed that the quantity and quality of snacks had reduced lately. Staff were ready to offer assistance and encouragement to service users and this was undertaken in a discreet way. Aids were provided to help the service users maintain their independence at meal times. Service users who did not wish to eat their meals in the dining room were able to choose an alternative venue. The cook catered for individual service users dietary needs if needed. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18, There was no advertised route to air complaints within the home. The registered manager protected the service users legal rights. EVIDENCE: No formal complaints had been received at the time of the inspection. One visitor did not know the Commission for Social Care Inspection was a body to complain to. There was no advertised system of how to complain. All service users who wished vote in the last general election had done so by postal vote. The manager meticulously handled the service users allowance/money when required. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 Staff maintain the home to a high standard. All rooms were clean and free from any offensive odour. Some areas required redecoration but there was no constructive plan to achieve this. The garden was pleasant and accessible to all service users. EVIDENCE: There was no maintenance programme. Some rooms required redecoration. The provider identified the need to redecorate the communal lounge. The maintenance man employed by the home had recently left and a replacement had been sought and awaited the necessary checks to start work within the home. West Midlands Fire Service had recently inspected the home in April 2005. Less than 50 of work had been completed to comply with the Regulations at the time of the inspection and this was some cause for concern. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 15 There was no liquid soap or paper towels in the communal toilets and the extractor fan did not work in many en suites and communal toilets at the time of the inspection. The bathroom recently had the obsolete shower cubicle removed and this has resulted in an enlarged area more accessible for staff and service users. The floor had yet to be replaced and the bare boards presented a tripping hazard. The shower room recently had a pre-set valve installed to prevent any risk from scalding. The basin was loose on the wall and needed to be secured. Service users are able to bring in their own furniture and all the rooms were individualised and homely. All the rooms observed were very clean and tidy and free from offensive odours. An en suite floor covering needed to be replaced in one service users bedroom. The plasterworks in two areas – a corridor and an en suite- were blistering and these need to be professionally addressed. There are no sluicing facilities and the current practice of emptying bedpans increases the risk of infection. The installation of a sluice was discussed. The kitchen was cleaned to the best of its capability. The cabinets are old, cracked and difficult to keep hygienically clean and will at some point will need replacing. The floor becomes a slipping hazard once wet and an alternative more suitable flooring should be explored. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29,30 Service users needs are met but staffing levels in the afternoon need to be reviewed. All the staff were competent in their roles, understood the service users needs and interacted well with all the service users at all times. EVIDENCE: Seventy five percent of the care staff have achieved NVQ level 2 or above and the remaining staff are currently working towards this level. Records inspected indicated that two written references had historically not been sought in all instances. Staff employed all have had current criminal record bureau checks. Staff files were not seen for one new member of staff employed at the home. It could not be demonstrated that the recruitment procedures had been followed in this instance. Staff had all received training in a variety of subjects relevant to care. There was no system in place to review the staff training needs in all instances. All staff interviewed expressed concern that their expectation to undertake general laundry duties removed them from the caring of the service users. One service user spoken to during the inspection felt the laundry duties took precedent over the needs of the service user. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,38 The provider does not adequately support the registered manager. The accounting and financial procedures did not adequately safeguard the service users within the home due to lack of payments of staff salaries. Staff would benefit from supervision to identify any problems and training needs. EVIDENCE: The registered manager has NVQ level 4 and is nearing completion of the registered manager award. She understands the service users needs and interacts well with all the staff. There appeared to be a breakdown of communication between the staff and the new registered provider resulting in a reduction of morale within the home. One service user had previously identified this. The registered manager’s role and the provider’s role must be clearly defined for the service to improve to its previous high standard. The appointment of a deputy would improve the service provided. At the time of the inspection some staff members had not received their monthly salary and this had resulted in tension. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 18 It was also a concern that staff had incurred bank charges from failed direct debits, standing orders etc. The provider reassured the inspector that staff would be reimbursed if they had encountered these problems with their banks. The staff at Fairfield are very committed to the service users care, however they did express to the inspector that failure to receive payment on time would instigate them looking for alternative employment. It was confirmed that all salaries had been made by the time the report was written and the bank accepted responsibility for payment errors. There were no effective quality assurance and quality monitoring systems. Relatives interviewed expressed concern about the lack of formal meetings as they felt the needs of the service users were not taken into consideration and there was no forum in which to express concerns. This was discussed during the inspection and the provider was keen to implement these forums again. Current insurance cover was evidenced and this is on display. The service users money was handled well by the registered manager and fully accountable. Records and receipts were available for inspection and these balanced. There was no formal supervision implemented and this was to be addressed by the provider and registered manager. There is current documentation for all services inspected as laid out in Standard 38.3. The provider has not complied with safe working practices to minimize the spread of infection and communicable diseases due to lack of adequate sluicing facilities. Six monthly fire drills or quarterly staff training on fire routines have not taken place. The provider has not fully implemented the requirements reported by West Midlands Fire Service. There is an accident report book but this does not comply with current legislation and needs to be replaced. Staff securely locked away the majority of their COSHH items but further items were found on a open shelf accessible to service users. Documentation was not current and did not reflect the COSHH items purchased. Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 1 3 3 3 3 2 1 3 1 x 2 Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 20 Yes 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 3.3 Regulation 14(2)(a)( b) Requirement Timescale for action one week and ongoing one week and ongoing one month and ongoing one week and ongoing one week and ongoing one month and ongoing 2. 3.4 3. 4.4 4. 7.1 5. 6. 7.4 9.4 7. 9.5 All service users must have their needs regularly assessed and care plans implemented to reflect their dynamic needs 15(2)(b) All service users care plans must be updated on a regular basis in additon to any change in the service users needs 18(1)(a) All care staff must receive training to deliver the service and care the home offers to provide 15(1) All care plans must be generated from a comprehensive assessment to provide the basis for the care to be delivered 15(2)(b)(c All service users care plans must ) be reviewed at least once a month 13(2) A system must be installed to check the prescription and the dispensed medication and Medicine Administration Record (MAR) chart upon receipt for accuracy. This was a requirement from the last inspection 13(2) The purchase of a Controlled Drug cabinet that complies with the misuse of Drugs (Safe Custody) Regulations 1973 is E54 S63831 Fairfield V232571 090605 Stage 4.doc one month and ongoing Page 21 Fairfield Residential Care Home Version 1.30 8. 9.8 13(2) 9. 9.10 12(1), 14(2) 10. 15.7 12(2)(3) 11. 16.4 22(7)(a)( b) 12. 19.2 23(2)(d) 13. 19.5 23(4) required. This was a requirement from the last inspection The purchase of a Controlled Drugs register is requried. This was a requriement from the last inspection Liaison with the pharmacist and doctor is required when service users can no longer take the prescribed medication and alternative formulations must be sought. The crushing of tablets must cease The registered person must ensure that the menu is adhered to and the service users are offered an alternative nutritionally balanced meal when the written menu cannot be served. The provider and staff must improve the current system of purchasing food to ensure the service users receive meals to the high standard they expect. All service users must be made aware that complaints may be made directly to the CSCI where necessary and this written information is provided within the home The registered persons must produce and implement a programme of routine maintenance and renewal of fabric and decoration. The floor in the bathroom must be replaced and the kitchen floor replaced with a more suitable covering to prevent the risk of falls when wet. The basin in the shower room must be secured to the wall. The Requirements from the local fire service in April 2005 must be implemented. one month and ongoing one day and ongoing one day and ongoing one week and ongoing one month and ongoing one week and ongoing Page 22 Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 14. 19.5 26.6 23(2)(k) 15. 26.3 13(3) 16. 27.3, 27.4, 27.7 18(1)(a) 17. 29.6 12(1)(a) 18. 33.1 24(1)(a)( b)(2)(3) 19. 34.1 25(1)(2)( a)(b)(3)(a )(b)(c) 20. 36.2, 36.3 18(2) 21. 38.2 23(4)(c )(iii)(d)(e) The environmental health department must be contacted for advice regarding the installation of sluicing facilities All communal hand washing facilities must have liquid soap and paper towels provided at all times to reduce the risk of microbial contamination and all extractor fans in the communal toilets and en suites must be in full working order at all times The registered manager must ensure that enough care staff are available to meet the assessed needs of the service user at all times and domestic staff are employed in sufficient numbers to ensure these needs are met. The recruitment and selection process for any volunteers involved in the home must be thorough, transparent and include police checks Effective quality assurance and quality monitoring systems must be installed and must be based on the views of the service users in the home The registered provider must ensure that all staff receive their salaries on the due date to ensure that consistent care to the service user is provided and maintained. Details of the financial viability of the business must be available for inspection upon request. All care staff must receive formal supervision at least six times a year. It must cover training needs and career development The registered persons must make adequate arrangements for the evacuation, in the event of a fire, all persons within the care homes. Staff must be one month and ongoing one day and ongoing one month and ongoing one day and ongoing one month and ongoing one hour and ongoing one month and ongoing one month and ongoing Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 23 22. 38.3 13(4)(6) trained in fire safety at least quarterly and practice fire drills at least twice a year as requried by West Midlands Fire Service The registered manager must ensure that all substances hazardous to health are correctly stored and there are current data sheets available advising action to be taken following an untoward event. one day and ongoing 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. 2. Refer to Standard 19.1 36 Good Practice Recommendations The installation of a new kitchen with cabinets that can be adequately cleaned must be included in the routine maintenance programme. Monthly staff meetings are advised to be held to address any staff issues within the home Fairfield Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham, B2 4UZ 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 Residential Care Home E54 S63831 Fairfield V232571 090605 Stage 4.doc Version 1.30 Page 25 - 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!