Inspection on 20/02/07 for Fairland House

This inspection was carried out on 20th February 2007.

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

The inspector 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

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Fairland House Station Road Attleborough Norfolk NR17 2AS Lead Inspector Ruth Hannent Key Unannounced 20th February 2007 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 Fairland House DS0000068931.V331275.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. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairland House Address Station Road Attleborough Norfolk NR17 2AS 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) 01953 452161 Hewitt-Hill Limited Mrs Lesley Eastoll Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12/01/06 Brief Description of the Service: Fairland House provides residential care for a maximum of 34 older people. The home is located in the market town of Attleborough, equidistant from Norwich, Thetford and Diss in a largely agricultural area. It is within easy walking distance of the town centre, which has all the usual amenities. The home is in a large detached building, set in substantial gardens and has been extended to provide additional purpose-built accommodation. There is a large garden with landscaped features and paved areas, accessible to service users at the rear of the home. Service users rooms are located on both the ground and first floor, with a lift and a number of aids and adaptations around the building to allow residents to move about more independently. There are 31 single rooms all en-suite and 2 double rooms, both en-suite. There are 2 sitting rooms, a main dining room and 2 conservatories, all located on the ground floor. The home is accessible by road and rail, with the station nearby. Car parking is available in the car park at the front of the house. Fees £359 - £450 per week Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written following a visit to the Home and information gathered has been used that has been collated from comment cards, the pre inspection questionnaire and reports sent to the Commission since the last inspection of January 2006. In total sixteen comment cards were received at the Commission. (Many of them were reflecting on the high quality of care delivered to residents). Especially mentioned is the dignity, respect and kindness offered by the staff team. The pre inspection questionnaire was completed and details from this document were used for discussion and evidence asked for to complete the report. Two staff members were spoken to about their job roles, five residents shared information about their life at Fairland House and the Care Manager assisted throughout the day with evidence, questions and answers. A meal was taken with the residents with much of the information gathered around the meal table. Documents were looked at that included care plans, medication records, risk assessments, accident records, staff rota’s, training records, personnel information and service records. What the service does well: The Home has a happy feel about it with lots of positive comments from residents and relatives about the caring staff who promote the well being for each resident. The Home tries hard to ensure each resident is occupied in something that pleases them and that there is plenty of variety to meet all tastes. The staff team are encouraged at all times to develop and gain qualifications regardless of the job role. The team have a good working relationship with the community health team for continuity of care. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents do not move into the Home until their needs have been assessed and assured that these needs can be met. Residents and families know the needs will be met. Interested people are encouraged to visit to check suitability of the Home. EVIDENCE: Three residents had a long conversation with the Inspector on how they came to live at Fairland House and the process they went through before actually moving in. One talked of the visit to the Home and the information leaflets she was offered to read. Another talked of how the family had visited and looked around and that she had signed the contract herself. (Contract seen in office file). The third person had family close by and relied on their judgement. The Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 9 Care Manager showed a copy of the paperwork offered to residents and discussed the changes to take place in the new Homes brochure due to the new ownership of the home. The previous Inspection report is hanging in the hallway along with the complaints procedure for all to read. In three files looked at it was noted that a pre admission assessment is carried out on each potential resident. The Home has a private file for each resident that holds their pre assessment, contract and any financial transactions. The Home does not offer intermediate care. Fairland House DS0000068931.V331275.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have an individual care plan. Resident’s health care needs are fully met. Some improvements on the procedures of medication administration needs to be in place to ensure they are carried out correctly and safely. The Home is to be commended on the amount of information that has been sent evidencing the respect and dignity offered to residents. EVIDENCE: The three care plans looked through were comprehensive and relevant to the individual person. The files only held information that were required for that person such as risk assessment for residents self medicating or support and care required for a person with mental health needs. The dates and signatures Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 11 of reviews are in place and carried out monthly. Talking to residents in the dining room it was clear how involved in their own care they are. ‘The staff always discuss our care needs with us’. The daily records are written on a format that has headings for staff to act as prompts to give details of the whole person. The records completed by the Manager are comprehensive with each section written in to. Some staff do not always fill in the document fully and many gaps were noted. (Recommendation) During the day the District Nurse visited and was able to reflect on the service offered at the Home and her comment was ‘if I was choosing a home for my Mother it would be this one’. All support is in place to ensure continuity of care is carried. The Home have a good relationship with the GP, with one resident talking highly of the surgery and support is offered by the Community Psychiatric Team as and when required. All this is recorded in the care plan or communication notes. The medication is all held in the locked medical room. This room and the fridge has the temperature recorded.(seen). The MAR charts were looked at. All the sheets had the residents photograph and all signatures were in place. The loose medication inside the locked cabinet door was checked and all medication was within date. The sheet on the wall is a record of the auditing process with all medication checked monthly. The Home does not have anyone on controlled drugs at this present time but has a suitable locked unit within a locked cupboard for when required. The administration process was observed at lunchtime with all residents asked if they required pain relief but the pills/liquids were left on the table and not observed by the staff member to ensure the medication was ingested. (Requirement). Quite a few residents are self-medicating with a risk assessment in place for each person. The risk is reviewed every month with one resident able to say she used to manage her own medication on arrival but was finding it difficult and is happy for the staff to now help. Each room has a lockable drawer with one resident saying how she understood the need to have a lock placed in her personal locker that she brought into the Home on arrival. Out of nine comment cards six had extra comments that talked of the dignity, respect and privacy. With comments such as ‘ dignity, privacy and choice are uppermost’, ‘dad is well cared for, respected and very well fed!!’ ‘ I have only ever seen staff treat the residents with respect and understanding’. Throughout the day the conversations overheard were courteous and respectful. All doors were knocked upon by staff and only entered on invitation from the resident. Fairland House DS0000068931.V331275.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. 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. Resident do find the lifestyle matches their expectations. Contact is maintained with anyone the resident wishes. Residents do exercise choice and control over their lives. Residents do receive a wholesome meal but to make it appealing they should have more choice in the way it is served. EVIDENCE: On walking the building it was noted that residents were occupied while they were sitting. They all appeared relaxed and conversations were happy with people smiling. Photos were being shared, magazines were being looked at, a jigsaw had been completed and one person was reading a letter. In the one lounge a wipe board displays the activities available and the Home has cupboards full of craft and items made in the past. In most communal areas photographs are on display of ‘special days’. The most recent display being Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 13 Valentines with hearts, chocolates and red bunting around the dining room. Theme nights are also in place with a recent Spanish evening enjoyed by all with staff dressing up and the cook preparing a Spanish menu. The comments that were received via the comment cards and those heard on the day were positive with all who spoke enjoying some part of the activities the Home provides. One comment did mention the trips and wished more outings were available. On discussing this with the Care Manager she said the Home is to address this shortly by purchasing a mini-bus to share with two other Homes, this was also clarified by the owner of the Home. One lady told of the Sunday trips to church and how she is collected in a car with another resident every week. Another lady who is Roman Catholic can have communion if she wishes. Unfortunately due to the lift recently being out of action and beyond repair the residents upstairs are slightly restricted in their contact with others but the staff are trying to compensate by taking the stimulation upstairs. One resident spoken to will be happy when the temporary stair lift is in place so people can once again be involved downstairs while awaiting the new lift. The visitors to the Home are made welcome as told by residents and relatives in the comment cards. On the day of the inspection visit two relatives arrived and were welcomed warmly by staff. The Care Manager stated that often, if families call at a mealtime they can have a meal with the resident if they wish. The visitors book in the entrance shows many visitors call and at various times of the day. The request to sign in is clear and where the signing in takes place, the latest inspection report and the complaints procedure is clearly displayed. Some of the residents manage their own finances or the family assist them. The Home at present provide the cost of the hairdresser and also the basic toiletries within the fees so each resident does not have to worry about running out of items. A local sweet shop calls in to the Home so residents can purchase what sweets they would like. Residents rooms are personalised and some have their own furniture and ornaments. A meal was taken with the residents in the downstairs conservatory. The meal was a pork chop or Cornish pasty, which the resident stated was chosen the day before. The vegetables were mashed potato, green beans and broccoli with (as it was pancake day) pancakes with a choice of fillings. The Manager stated there is always fish as an alternative and the kitchen always has yoghurts or fresh fruit for those who do not want a hot pudding. The residents spoken to and the comments received say the meals are good but they are sometimes put off by the amount on the plate. Although choice is available daily and the meals appear well balance it would be ideal if the vegetables were in vegetable dishes, the gravy in small jugs etc to allow those who have small or large appetites to serve themselves to the amount they like. (Recommendation) Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 14 Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 15 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. 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. Residents and relatives can be confident that their concerns/complaints will be listened to and taken seriously. Residents are protected from abuse. EVIDENCE: The pre inspection questionnaire showed the Home had received two complaints since the last inspection. The records of these complaints were seen on the inspection visit. All the records with dates and times, copies of letters were all in the file. The Homes Manager had dealt with the complaints appropriately and the concerns were resolved. The resident’s comments all stated they are happy to share concerns or complaints. Residents spoken to say the staff team are very approachable and listen to what they say. The Home has a whistle blowing policy, but as with all the other policies these need to be reviewed under the new owner as they have not been changed since 2004. The training on potential abuse is up to date with certificates seen and the dates planned are up in the office for the next training. The comments from relatives are so full of praises of the way their loved ones are treated that this shows the Home have a clear ethos on the way care should be offered. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 16 Staff spoken to say how well the team work together and that they would have no hesitation to talk to Management if they had any concerns at all. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents do live in a safe, well maintained building. Residents do have sufficient and suitable bathroom facilities. Residents live in comfortable surroundings. The Home is clean, pleasant and hygienic. EVIDENCE: A tour of the building found the Home comfortable with suitable communal areas and various sized bedrooms. The Home has recently been purchased with the new owner yet to produce a programme of replacing some furniture and areas to decorate. The ideas planned for the entrance hall sound suitable Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 18 and should improve the property further. The main concern has been the broken lift which is beyond repair with parts no longer available. The Home had to rethink how the problem could be resolved. A new shaft lift to be built on an outer wall will take at least three months so in the interim a stair lift has been ordered and should be installed on the 9th March. An observation that could be improved upon was the amount of notices stuck around the Home. Some typed, some hand written which appeared over the Home. It would be more suitable to place notices where only staff could see them such as the inside of cupboard doors or ensure if they were important notices that they were placed in an appropriate area and not any door. The Homely feel is slightly lost with lots of notices. The same applies to wipe boards in a living room and more thought needs to be in place as to what is suitable to display notices on that are more in keeping with someone’s home. (Recommendation) The fire records are all in place with the fire equipment checked on the 08/06/06 by Kidde Fire Prevention Service (seen). The alarms are checked weekly and the record is completed by the Home’s health and safety rep. The Home has not made any structural changes since the last inspection and although some bedrooms are an odd shape residents appear happy with their rooms and the Home have made them as comfortable as they wish. Each bedroom has an en-suite. Some of the newer rooms to the back of the property have the added bonus of a kitchenette area with a fridge and a microwave for making drinks or entertaining when they wish. The gardens are neat and tidy and although the inspection took part in February so little in flower the grounds still appeared attractive and inviting. The bathrooms have assisted facilities and all hot taps have thermostatic valves. The staff also place a floating thermometer in the water to ensure the temperature is correct and records are kept, by the health and safety rep, of all the temperatures to ensure the water is used at the correct and safe temperature. The Home has a suitable laundry with sluice cycles on the machine for soiled laundry. The area is easily cleaned with suitable flooring. There is a sink for hand washing and no unpleasant odours were detected. The Cleaners on duty that day were able to show how they work and keep the Home clean. The comment cards from residents and families stated the Home is clean. The Care Manager is also working with this team in getting an NVQ qualification in cleaning and support services. The one cleaner talked about the units completed and the support and encouragement she was receiving which all helped in ensuring the Home is hygienically clean. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the number and skill mix of staff. The Home works hard to ensure staff are qualified for residents to be cared for by safe hands. Residents are supported and protected by the recruitment policy of the Home. Staff are trained and competent to do their jobs. EVIDENCE: On the day of the inspection four care staff, one manager, one cook and two cleaners were caring for 28 residents. This appeared adequate on the day with some discussion held on the balance of hours between morning and afternoon/evening. The rota’s are to be looked at more in-depth by the new owner and Manager to ensure the balance of care and management tasks are not jeopardised. Resident’s and one relative comment do talk about the odd times when staff are short but feel their needs are still met even if sometimes it takes a little longer. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 20 The Home should be commended for the encouragement and numbers of staff who hold the NVQ qualification. The care manager has not only over the 50 of care staff qualified but also two cleaners on the way to a qualification and the cook about to start the NVQ in catering. Three personnel files were looked at with each one containing CRB, two references, contract, application and two forms of ID. The last inspection a requirement was made that all POVA first checks should be made prior to a person being employed and that all staff are supervised pending a clear CRB check. The Care Manager was able to state that this always applies now to ensure that the residents are cared for by staff who are suitable. The Home has a rolling programme of training. The certificates were seen in staff files of both induction through Skills For Care and signed off after completion. The two Managers have a date booked (seen) to develop their own knowledge on the up to date induction procedures. The dates of the past training and the planned future training were seen on the office notice board. A staff member spoken to felt the training and development offered by the home enables her to carry out her duties appropriately and feels well supported by the training available. (The Inspector had participated with the Home on a recent palliative training over three days, which showed a keen team of staff willing to learn). A comment from a relative said’ the palliative care my father received was excellent’. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 21 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. 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 is run and managed by a person fit to be in charge to be in charge. The home is working towards running the Home with the best interests of residents by completing quality checks. Resident’s finances are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 22 The Registered Manager has been in post for a few years and is qualified in Management. Both she and the Care Manager have the NVQ 4 certificate displayed in the office. All comments received reflect on the ethos and management style that is reflected throughout. In total 16 comment cards were received at the Commission with 10 all making extra comments about the excellent Home, caring staff, cosy feeling, privacy and dignity. These comments show a team led in an appropriate way to offer the care service that is person centred focussed. The Quality Assurance checks within the Home have started and the home is using a specialist company, ‘International Standards Organisation’ on how to carry the quality checks out. The questionnaires have been sent to residents and plans for resident’s families and friends are to follow. The Home also has received monthly checks with the new owner having completed the Regulation 26 visits and these were seen on file for the two months since the Home was purchased. The collating of the QA forms once returned and the monthly Regulation 26 visits will, from now on be sent to the Commission for the Inspector to review the quality within the service. Residents manage their own finances or have a family member who supports them The Manager has all the relevant training under health and safety either covered by staff last year or planned to do through 2007. The staff spoken to say they feel competent within health and safety. The cleaners are covering health and safety as part of their NVQ and on questioning understand the responsibility of each person regarding all aspects of this subject. The certificates of passed training are held in the office and noted was a new staff member who had completed her induction but had not attended any further training. The care Manager was able to show the Inspector the planned dates for this person to attend moving and handling and with further dates planned later recorded on the notice board. Service records were seen for the boilers, all lifting equipment and fire equipment servicing. The COSHH sheets for safety data are all held in a folder and all chemicals used for cleaning have a clear risk assessment. The accident forms were seen and discussed. These forms are gathered and collated by the Manager on a monthly basis the information is placed on a spreadsheet to check for any occurring falls or preventable incidents. The Regulation 37 forms have been sent as and when an incident or death has occurred and all recordings are appropriate in the detail. The Home carries out risk assessments and has a health and safety rep on the staff team to ensure all records are current, accurate and reviewed regularly. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 23 Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 24 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 3 x x x 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13.2 Requirement The Registered Manager must ensure that the administration of medication is carried out correctly and safely. Timescale for action 01/03/07 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 2 3 Refer to Standard OP7 OP15 OP19 Good Practice Recommendations The staff need some form of guidance/training on how to complete the daily records of residents. The Home could improve the meals provided by allowing residents to serve themselves to vegetables/gravy/custard etc. instead of all food on the plate. To improve the homely feel within Fairland House the posting of notices or wipe board information should be removed and placed on or in a suitable folder or more homely notice board. Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Fairland House DS0000068931.V331275.R01.S.doc Version 5.2 Page 27 - 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!