Inspection on 27/09/06 for Fairhaven Care Home

This inspection was carried out on 27th September 2006.

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

Fairhaven Care Home 28/09/07

Fairhaven Care Home 17/01/06

Fairhaven Care Home 27/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Fairhaven Nursing Home 43/44 Laidleys Walk Fleetwood Lancashire FY7 7JL Lead Inspector Jane Craig Key Unannounced Inspection 27th September 2006 09:30 X10015.doc Version 1.40 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 Fairhaven Nursing Home DS0000062791.V308354.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 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. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairhaven Nursing Home Address 43/44 Laidleys Walk Fleetwood Lancashire FY7 7JL 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) 01253 772341 01253 772018 North Fylde Care Ltd Mrs Toni Ann Davidson Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 24 in the category OP. A full inspection of the electrical wiring system must be carried out and an electrical certificate must be obtained by 1 February 2005. A full inspection of the gas appliances and boilers must be carried out and a gas safety certificate must be obtained by 31 December 2004. A fire risk assessment must be carried out and appropriate consultation with the fire department be arranged by 1 February 2005. Mattresses must be assessed and where necessary replaced by 1 June 2005. Lounge chairs must be assessed and where necessary replaced by 1 June 2005. Bed linen that contains an old health authority monogram must be replaced by 1 June 2005. A programme for replacing carpets and decorating service users accommodation should be worked towards as per action plan submitted. Windows that are in need of replacing should be replaced within the timescales set out in the action plan provided. 17th January 2006 2. 3. 4. 5. 6. 7. 8. 9. 10. Date of last inspection Brief Description of the Service: The Fairhaven Nursing Home is registered to provide nursing and personal care to twenty four older people. It is situated on the promenade at Fleetwood and overlooks the boating lake and sea. Fleetwood town centre is approximately five minutes away by car. Accommodation is provided on three floors which are accessed by a passenger lift. The majority of rooms are single and are all above 10sq metres. There are a number of bathrooms with aids, and there are a number of communal areas for resident to choose. Information about the home is sent out to prospective residents following an enquiry about admission. The latest CSCI inspection report was on display in the entrance hall of the home and residents can request a copy. From information provided on 27th September 2006 the fees ranged between £367.50 and £475 per week. There were additional charges for newspapers, Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 5 hairdressing and chiropody. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over two days. At the time of the visit there were 19 residents accommodated. The inspector met with a number of residents and spent time observing interactions between staff and residents. Wherever possible residents were asked about their views and experiences of living in the home and some of their comments are quoted in this report. Nine residents completed comment cards before the inspection and their opinions have been taken into consideration. Discussions were held with the registered manager and staff. A tour of the premises took place and a number of resident and staff records were viewed. This report also includes information submitted by the home prior to the inspection visit. What the service does well: The manager made sure that prospective residents had enough information to help them to make a choice about whether the home was right for them. Residents were assessed before admission. This meant that staff understood what care the person might need and whether it could be provided at the home. Residents and staff said there were enough staff on duty to make sure that residents received attention when they needed it. One resident said that staff always answered her buzzer straight away. There were good relationships between staff and residents. Residents said the staff were very good and cared for them well. One wrote, “all the staff are friendly and helpful, nothing is too much trouble.” A relative wrote that the staff looked after her mother “extremely well,” and a resident said that when she had been poorly the staff had given her excellent care. Over half of the care staff held a nationally recognised qualification in care. Residents said they were able to make choices about their daily routines, for example when to get up and go to bed. They were able to receive visitors at any time. Residents had a varied menu and most comments about the meals were positive. Residents have opportunities to make their views known and make suggestions for improvements to the service. They said they felt comfortable going to the manager if they had any complaints or concerns and felt confident they would be dealt with. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 7 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. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process ensured that residents had sufficient information to help them to make a decision about moving in and staff had enough information to understand the new resident’s care needs. EVIDENCE: The service user’s handbook, which incorporated the service user’s guide and terms and conditions of residency, was sent out to residents enquiring about admission. The document had recently been updated and a new copy sent out to all existing residents or their relatives. Prospective residents were assessed before they were offered a place at the home. The files of recently admitted residents showed that the information on the pre-admission assessment was used to draw up initial care plans. Fairhaven nursing home does not provide intermediate care. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care was provided in such a way as to protect residents’ privacy and dignity. The lack of adequate risk assessments and care plans meant that care may not be provided in a consistent way or residents’ needs may remain unmet. Some medication practices were unsafe and may place residents at risk. EVIDENCE: The care records for three residents were inspected and two others were viewed in less detail. The manager had introduced a new format for residents’ care records and as a consequence not all residents files were complete at the time of the inspection. The clarity and detail of the new care plans differed greatly. Some of the plans seen gave staff very good directions for providing individual care but others were inaccurate or out of date. Only one of the plans inspected showed evidence that they had been discussed with the resident. The manager stated that others would be discussed with relatives. There were sometimes gaps of several months between care plan reviews and plans were not always updated in accordance with changes in need or care Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 11 given. Plans for personal care supported the residents to maintain their independence. Not all of the plans seen had assessments in respect of moving and handling, nutrition and risk of developing pressure sores. A resident assessed as being at risk of falls did not have an adequate plan. Residents were not weighed regularly. Despite these shortfalls, residents said they were well cared for. One said, “it’s nice to be looked after as well as we are.” Another wrote, “In recent days I have been quite poorly and received excellent care.” Residents said that staff respected their privacy. They talked about staff treating them respectfully, and during the course of the inspection staff spoke politely and treated residents in a dignified manner. Staff talked about the importance of treating residents how they would wish to be treated themselves. Registered nurses took responsibility for managing medication for all residents. Medication was stored securely but the room temperature was not monitored to ensure that medicines were stored in accordance with the manufacturers instructions. Records of medicines received mid-month were not complete, therefore there was not a full audit trail. There were appropriate procedures for recording and disposing of unwanted medicines and there was no excess stock in the areas seen. There were unexplained gaps on some Medicine Administration Record (MAR) charts. Others had inaccurate codes to indicate that medicines had not been administered or were ticked instead of signed. Handwritten additions and amendments were not always signed and witnessed. The handwritten MAR charts for one resident did not accurately reflect the instructions on the medicine labels. Controlled drugs were recorded, stored and administered appropriately. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had choice and control over their daily lives and they were satisfied with the meals. Not all residents’ social and recreational needs were currently met, but this was being addressed. EVIDENCE: Two of the residents’ assessments included information about their social, cultural and religious needs and they had care plans that included their preferred daily routines and interests. Residents said they were able to choose what time they got up and went to bed and how they spent their day. One resident said she preferred to stay in her room and was particularly happy that the staff did not try to encourage her to socialise when she did not want to. Several residents were able to occupy themselves. Four said they were happy reading and watching TV. Residents’ comments about activities organised by the home were mixed. Some said there were enough, others said there was nothing suitable and one said they were bored. An activity organiser post had been created since the last inspection. The job was very new and the organiser said she was still testing out to see what activities the residents enjoyed. The manager said that residents would be involved in drawing up a formal programme of activities. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 13 Staff said that most residents were able to make their own choices but if not they made sure they had enough background knowledge about the resident’s likes and dislikes before making decisions for them. Care plans were also in place to support residents to make choices. There was an open visiting policy and residents said that they could have visitors at any time. There were many ‘thank you’ cards on display in the home, a number of which mentioned that relatives had been made to feel welcome. The daily notes for one resident indicated that staff took her out. Other residents said they went out regularly with their relatives and sometimes with staff. Most comments about the meals were favourable. One resident said, “meals are very good, plenty of them.” Another commented that they really enjoyed all the meals. Residents confirmed there was a variety and records showed that the meals were nutritionally balanced. There was no choice menu but residents confirmed that if they did not like what was on the menu they would be offered something else. A list of residents’ food preferences was available in the kitchen. The lunchtime meals on the day of the inspection looked appetising and plentiful. Places were set at the dining tables and staff provided assistance discreetly. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for safeguarding residents were understood by some staff but a lack of training may result in allegations of abuse being mishandled by others. Residents were confident that complaints would be dealt with appropriately. EVIDENCE: There was a complaints procedure on display and the manager said that residents received a copy in their service user’s handbook. The procedure was clear and stated timescales for action, which ensured that the complainant would be kept informed of progress. Most of the residents who completed comment cards and those spoken with said they could go to the manager if they had any complaints or concerns. One resident said she was sure that the manager would try her best to help. The home had not received any complaints in the past year. Staff had access to written guidance on the protection of vulnerable adults. Some had received training but this was not up to date for all staff. The staff spoken with during the inspection were aware of their roles and responsibilities in reporting any allegations to their line manager, and outside the home if necessary. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered person was actively working towards improving the environment to ensure that residents had a comfortable and homely place to live. EVIDENCE: Improvements to the environment have continued since the last inspection. A relative commented that the owners had made several improvements to the appearance of the home in the past year. Communal rooms and some bedrooms had been re-decorated and some new carpets laid since the last inspection. Improvements had also been made to the fabric of the building, including repairs to the roof. There were still several areas of the home that needed bringing up to date. The manager was well aware of this and said the overall plan for redecoration and refurbishment was not yet complete but was on target. The manager also stated that the other issues identified during the inspection, such as a hole in one of the bedroom doors and ill fitting locks on one of the bathrooms, would be included on the general maintenance plan and attended to. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 16 Residents said they were satisfied with their rooms. One resident said the manager had asked if she wanted to move to a newly decorated room because she spent a lot of time in her bedroom. Another resident, who was confined to bed, had been offered a room with a lovely view, which her relative said was very much appreciated. There were various aids and adaptations around the home to assist residents to remain independently mobile. Residents were not routinely asked whether they wanted locks on their doors. At the time of the inspection the home was clean and free from offensive odours. Residents who filled in surveys indicated this was almost always the case. One resident wrote, “There is a high standard of cleanliness and no smell.” Staff had written guidance on disposal of laundry and clinical waste. There were infection control procedures available and staff were seen to wear protective clothing during the course of the inspection. There were no complaints about the laundry service. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were sufficient staff and the majority held a relevant qualification. Staff recruitment practices and health and safety training did not completely safeguard residents. EVIDENCE: There were some mixed views about staffing levels from those residents who completed surveys. However, residents spoken with at the time of the inspection said there were enough staff around and they received attention when they needed it. One said they only had to press the buzzer and staff came to them. Staff were in evidence in the communal areas throughout the inspection and a resident who spent all the time in her room said that staff popped in often. The manager said that staffing needs were assessed on a daily basis depending on the needs of the residents. The files of three recently employed staff were inspected. All three staff commenced work before a full CRB disclosure. There was no evidence of POVAfirst checks for two staff. The third member of staff had a POVAfirst check dated three weeks after they started work. One member of staff had two verbal references that were not backed up by written references. None of the staff had provided a health statement. None of the new employees needed to undertake a full induction programme but there was no evidence of an initial induction orientating the staff to the Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 18 home and emergency procedures. One member of staff said they remembered having an induction and thought it sufficient to enable them to take charge of the home. The manager was aware that care staff without an NVQ would need a training programme that met the common induction standards. Some training had been provided for existing staff. Five staff had received moving and handling training and protection of vulnerable adults training. Fire safety and dementia care training was booked for other staff. Refresher training for safe working practice topics was not up to date. The manager had identified a training provider but there were no dates or staff allocated at the time of the inspection. The manager stated that nine out of the ten care staff were trained to NVQ level 2 or above. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has effective quality monitoring systems, developed by an experienced and competent manager. EVIDENCE: The registered manager is a first level nurse with several post registration qualifications in care and management. She discussed how she keeps her practice up to date by attending short courses. Staff and residents said the manager was approachable and the home was well run. One resident said the home was 100 better since the manager took over. The home held the Investors in People award. Questionnaires were sent out to residents and relatives every few months asking for their opinions about the service provided. The results of the last survey showed mainly positive Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 20 feedback. Most of the residents who filled in CSCI surveys indicated that staff listened and acted upon what they said and a resident at the time of the inspection said they felt able to speak to the manager and make suggestions for changes if necessary. Their families generally managed residents’ finances. The manager acted as appointee for two residents. There were records of money received on behalf of residents and all transactions were recorded and receipted. The home held small amounts of money for other residents. Each resident had an individual record and money was kept in individual envelopes. The records were regularly audited. Servicing and testing of the fire system, equipment and alarms was up to date. Most staff had been involved in practice drills and records showed that these were all successful. There were COSHH risk assessments and data sheets in place and potentially hazardous items were stored safely. The manager stated that servicing and maintenance of the electrical and gas installations and equipment was up to date but the certificates were not available. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15(1)(2) Requirement Care plans must accurately address residents’ needs. They must be reviewed and updated as and when changes occur. Residents or their representatives must be consulted during the preparation and review of care plans. Care plans must include risk assessments and adequate management strategies. These should include assessments of falls, moving and handling, nutrition, pressure sore risk and risks associated with the use of bed rails. The registered person must ensure that complete and accurate records are kept of medicines received and administered. Directions on handwritten MAR charts must be identical to those on the medicine labels. Timescale for action 31/01/07 2. OP7 15(1)(2) 31/01/07 3. OP8 13(4) 31/01/07 4. OP9 13(2) 29/09/06 5. OP9 13(2) 29/09/06 Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 23 6. OP29 19(4) Schedule 2 The registered person must ensure that all pre-employment checks are carried out and that staff files contain the information required in Schedule 2. Staff must receive training appropriate to the work they perform. This must include: • Updated training in safe working practice topics. • Training in the protection of vulnerable adults. 31/10/06 7. OP30 18 31/03/07 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 OP9 Good Practice Recommendations The temperature of the medicines room should be monitored. Any handwritten amendments to MAR charts should be signed and witnessed. Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Fairhaven Nursing Home DS0000062791.V308354.R01.S.doc Version 5.2 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. 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