Inspection on 14/03/07 for Fairlawn

This inspection was carried out on 14th March 2007.

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

Fairlawn 12/10/09

Fairlawn 21/10/08

Fairlawn 22/10/07

Fairlawn 20/12/05

Fairlawn 01/07/05

Fairlawn 08/12/04

Fairlawn 19/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Fairlawn 327 Queens Road Maidstone Kent ME16 0ET Lead Inspector Justine Williams Key Unannounced Inspection 14th March 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 Fairlawn DS0000023939.V331290.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. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairlawn Address 327 Queens Road Maidstone Kent ME16 0ET 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) 01622 751620 Mrs Mary Alexandra Lawrence Mr Michael Andrew Lawrence Mrs Mary Alexandra Lawrence Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2007 Brief Description of the Service: Fairlawn provides care and for older people, requiring some level of support 24 hours a day. The home is a detached property with accommodation on two floors . There are 25 single rooms and one double room, the majority of which have en-suite facilities, the remainder have hand basins and each room has a call bell system, with 2 call points. There is a television point in each of the bedrooms. Each room has the potential for individual telephone lines to be installed at the request of the service user and personal phone bills from a service supply company sent direct. The home is in a quiet residential area located close to Maidstone town centre, with both rail and bus links. There is a well-maintained garden area surrounding the property, with summerhouse for service users use, which includes a call bell. There is a large driveway to the front of the property allowing visitors to park and also on street parking available. The current fees range from £300.00 to £481.00 per week, depending on the room occupied, this information was given to the inspector verbally by the manager at the end of the site visit. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on 14th March 2007 between 09.30 am and 4.00 pm by regulatory inspector Justine Williams. During that time the inspector spoke with residents individually and with relatives and friends of the residents, and also with staff. The registered manager was on the premises throughout the inspection and feedback was given to the manager, deputy manager and proprietor during and at the end of the inspection. This was the first visit to the home by the inspector. All of the key standards and some additional standards were inspected on this occasion. Comment cards were received in respect of the service from residents, relatives and healthcare professionals. The comment cards from healthcare professionals indicated they were very satisfied with the home. Some emerging themes in the comment cards from residents and relatives received indicated that activities and that staffing levels could be improved. There was good satisfaction at the cleanliness and décor of the home and the standards of food and cooking. Some specific comments made were; “staff always seem to be in a rush” My (relative) gets confused as there always seems to be a new face, just as he’s getting to know the staff” “when my (relative) speaks up, they get a frosty reception from the manager and owner” “I cannot fault Fairlawn in any way” “the owners can be difficult at times” “Fairlawn is always spotlessly clean” “more activities for the residents would benefit them” “we find the top level of management not easy to approach, or get satisfaction from” “I am very happy here” What the service does well: Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 6 Fairlawn continues to be an attractive, pleasantly furnished and comfortable home. Residents spoke highly of the food, with most enjoying their meals in the pleasant dining area of the home. The garden is well kept with an attractive summer house which resident enjoy using year round. Residents benefit from the efforts to facilitate trial visits to the home. Residents enjoy being cared for by the caring and friendly staff. What has improved since the last inspection? What they could do better: Care plans must be written as soon as possible as they provide the plan of how care needs are to be met, and greater detail is needed, in particular with regard to personal care needs. Risk assessment s must be expanded upon particularly with regard to falls prevention and self-medicating. The activity programme should be expanded upon, to provide greater choice for residents. All complaints and investigations and outcomes must be recorded and should then feed into the quality assurance programme. The adult protection policy required urgent review and staff awareness and knowledge must be improved by training or other means. Lidded bins should be provided in toilets and clean linen must not be stored on shelves in bathrooms, as these both present an infection control hazard. Recruitment checks must be more robust and all the information required by regulation must be held in the personnel files, to better protect residents from potential risk of abuse. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 7 The quality assurance systems must be developed in line with changes in regulation, and to ensure residents can affect the way the service is run. Residents monies should be held separately, and not pooled, although separate balance sheets are kept for residents. Regular fire drills must be conducted in line with fire regulations to protect residents. 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. Fairlawn DS0000023939.V331290.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 Fairlawn DS0000023939.V331290.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their needs assessed and are assured these can be met prior to moving into the home. EVIDENCE: Residents are encouraged to visit the home and spend a few hours meeting staff and other residents and have lunch at the home prior to making the decision to move in. During the trial visit an assessment is carried out which includes all the areas included in the standard. If a residents does not visit the home they are visited by a senior member of staff to carry out the assessment. It is recommended that the paperwork be clearly marked as the assessment and not the care plan so as to minimise potential confusion. Intermediate care is not provided. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 10 Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who live in the home can be confident that their care needs will be met however their privacy and dignity is not always promoted. EVIDENCE: All but 1 of the residents had a care plan, this resident had moved in, was at the home for 5 days, went into hospital and had returned the previous day to the home. The manager and deputy said the care plan was written within 1 month of moving in. The care plan contains the instructions for how care is to be delivered safely and to the residents likes and needs and must be written within a reasonable time, the timescales for which were discussed with the manager and deputy. The plans need to contain more detail about how the resident’s needs are to be met specifically with regard to personal care. The resident’s files contained risk assessments for a variety of activities, however the falls risk assessments were very brief and contained no information about how risk was to be minimised. Regular reviews of the care plans had been carried out and in addition a review Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 12 meeting takes place with the residents involvement periodically. not all of the care plans had been signed as agreed by the resident. The residents have access to their GP, whenever they asked for or required it. The visits by healthcare professionals are marked with a coloured dot in the daily record then transcribed periodically onto a health record sheet, this enables easy tracking of visits. The deputy or team leader complete waterlow assessments forms for the potential development of pressure sores for all residents and these are reviewed monthly. The actions taken when the waterlow indicates a residents is at high risk of the development of pressure sores must be recorded, as the responsibility to act on the outcome of the assessment rests with the person doing the assessment, the home has purchased 2 pressure relieving mattresses and 1 cushion for residents use. The home does not currently risk assess those who are nutritionally vulnerable, the inspector and manager and deputy discussed the various tools available. Professional advice about continence is accessed through the district nursing service. Medication was stored in a locked trolley, which is tethered to the wall, in line with guidance, the home has a medication policy. Lockable storage must be provided for residents who manage their own medication. Risk assessments for residents who are self medicating must be expanded upon in scope to include storage, dexterity of the residents, responsibility for re ordering, and monitoring. Competency based medication training is needed for all staff administering medication, particularly night staff, who appear to not to have received any medication training. Residents spoken with said care staff helped them with their personal care needs in a manner which respected their privacy and dignity. Residents are addressed by the name they prefer and receive their mail unopened. Residents said that the care staff were very helpful and caring. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents would benefit from more planned activities. Routines of daily living are flexible and residents maintain contact with relatives and the local community as they wish. Resident’s benefit from a well cooked, well presented, and varied menu. EVIDENCE: Some for the residents were satisfied with the number and variety of activities, however these tended to be the residents who chose not to participate very much. Others said the activities were somewhat limited. Each resident had the monthly plan in their rooms, and some weeks contained only 2 activities one of which was a visit by the hair-dresser. Many of the residents are very able bodied and or have relatives living nearby and are able to access the community. There are no restrictions on visiting and residents chose whom they see and when. Some friends and relatives of a resident said they are always offered tea and biscuits and they had attended many of the parties and special meals which had been held in the past. The home’s administrator runs the activities and the manager was aware that residents were requesting more Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 14 craft based activities and said they had just purchased some board games and a new bingo machine. Residents rooms were personalised by their bringing in personal possessions and items of furniture. Residents are able to manage their own finances for as long as they are able. All the residents spoken with said the food was very good, well cooked and presented. Many of the residents eat in the dining room and enjoy a chat over lunch. Fresh fruit is available and there is a water cooler in the dining room for residents and visitors use. Hot meals are served from a Baine Marie to ensure they remain at a suitable temperature for residents. Fairlawn DS0000023939.V331290.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): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements and amendments to the policies and working practices will better ensure residents protection. EVIDENCE: The complaints policy must be amended to change the name of the Commission and to indicate that the Commission can be contacted at any point, not just when the home’s procedure has been exhausted. It is recommended that the manager sign off complaints to indicate she is aware of them, and that they are examined for trends, and patterns, this information should then feed into the quality assurance process. The review for 1 resident indicated that she complained of night staff being rude to her, this had not been recorded as a complaint, and whilst the manager said the matter had been looked into and dealt with, there was no recorded evidence of this. The home has an adult protection policy in place which requires urgent review. The manager must obtain a copy of the Kent and Medway adult protection policy to ensure their policy complements it and that all references to the manager investigating be removed as this is not within the home’s remit. Adult protection is included in the induction but this is to make staff aware of the policy which is requires amendment. Staff have not received any adult Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 16 protection training and it is recommended that training be sought as soon as possible. As stated in the staffing standards the home must operate robust recruitment and selection procedures in order to better protect residents. Fairlawn DS0000023939.V331290.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well maintained environment. EVIDENCE: The home is in very good decorative order, clean and free from unpleasant odours. Gardens are well maintained. Residents’ rooms seen were homely, very comfortable and had plenty of personal effects. All bedroom fire doors have door guards fitted which allows service users to keep their doors open for ease of access or to suit their individual wishes whilst maintaining fire safety. Lounge and dining areas are very attractive, comfortable and homely. Radiator covers have been fitted to most areas of the home to which service users have access, however there are a number which have still not been covered. The sink in one residents room, has no hot water and staff are bringing jugs of hot water when the resident wishes to wash; this must be Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 18 include in the risk assessment whilst the manager is waiting for the plumber to put the problem right. The environmental risk assessment was being reviewed following the random inspection to include staff ironing in the lounge area. lidded bins need to be provided for all the toilets. The storing of clean towels on open shelves in bathroom/toilet areas should be reviewed. One resident’s en-suite bathroom has an increasing problem with a lime scale like substance on the sink and tiles which must be addressed urgently as this presents an infection control issue. The same resident has a shower en-suite, which cannot be used as it flood the bathroom. Liquid soap and disposable hand towels are provided in all communal bathrooms. Fairlawn DS0000023939.V331290.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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being met by the number of staff, though they would benefit from being cared for by staff who have received up to date training to enable them to do their jobs better. Residents are left potentially vulnerable by the home’s recruitment practices. EVIDENCE: The home generally has 3 staff on duty in the morning, 2 in the afternoon and 2 at night, providing hands on care to residents. On the morning of the site visit there were 2 staff on duty to provide care to residents as 1 member of staff had phoned in sick, in addition the manager and deputy manager were on duty, whilst the numbers seemed scant residents said they did not have to wait long for assistance and staff said they had coped with their workload but had not managed to give all the residents a bath that were expecting one. An additional member of staff came in to help with lunches. The rota shows the staff members on duty and in what capacity they are employed, with the exception of the manager, who should also be included on the rota. Approximately 30 of staff have attained NVQ qualifications and none of the staff are studying NVQ’s at present, due to some staff having left. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 20 The home does not use agency staff at present but relies on existing staff to provide cover for sickness, those spoken with were happy to provide this cover. The manager must ensure that the home complies with the amended regulations regarding recruitment of staff. 3 staff files were seen 1 showed a 3 month gap in employment which must be verified and explored by the manager, any additional checks made by the employer regarding whether a work permit was required should also be recorded and included on the file. 1 file contained only 1 written reference, the reference indicated that the individual had received a verbal warning for performance issues. The last file looked at again had a poor reference from the last employer, where the individual was said to have confrontational issues. Neither had been explored by the manager, other information required by regulation was seen in the files. The inspector was concerned that there have been 4 staff members sacked since June 2006, and questions whether had more thorough and robust recruitment procedures been in place if the sacking of staff would have been necessary. All staff had been POVA checked and CRB checks had been completed or requested in line with regulation. The deputy manager provided evidence of training undergone by staff, from the information given to the inspector many staff are overdue updates in core training, this must be addressed as soon as possible. Staff have received training in other subjects such as infection control and MRSA. Residents said that staff working with them know what they are meant to do, and that they are generally able to meet their needs. Fairlawn DS0000023939.V331290.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): 31,32,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents would benefit from the home developing its quality assurance systems and to ensure the approach of the management team is open and inclusive. The health and safety of residents will be better protected when the fire regulations are fully adhered to and the environmental risk assessment are in place. EVIDENCE: The manager has achieved the Registered Managers Award and has experience of working with an older client group. The manager has run the home for many years. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 22 The home holds regular residents meetings usually chaired by the coordinator and attended by the manager. It is recommended that attempts be made to facilitate residents to run and chair their own meetings, inviting staff to attend when they choose. Many residents and their relatives and friends spoken with were very happy with the home and residents found the lifestyle they experienced matched their expectations, others were reluctant to express views which could be seen as critical of the home as they had experienced a negative response in the past from the management. The home needs to develop the quality assurance systems of the home, surveys are distributed annually to residents, relatives and other stakeholders, auditing of documentation and systems are needed. The home holds money on behalf of many residents and whilst there is a limit to the amount of money held this is frequently breached with larger sums being held at the home. Monies of residents are pooled together though good practice indicates that money should be kept separately. Separate account sheets are kept for each resident. There are policies in place with regard to health and safety and the environmental risk assessment is in the process of being completed. As mentioned previously in the report training in core areas needs to be addressed, in particular with regard to fire training, fire drills must be conducted in line with fire regulations. Work to complete the provision of radiator guards must be completed as soon as possible. The pre inspection questionnaire indicates that check and servicing of equipment at the home are carried out regularly and in line with regulation. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 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 2 17 X 18 1 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X 2 X X 2 Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 (1) Requirement The registered manager shall after consultation with the service user prepare a written plan as to how the service users needs are to be met, In that; There must be sufficient detail for any care staff to be able to provide care for the resident, and all residents should be asked to sign their care plan wherever possible. Timescale for action 30/05/07 2 OP12 16 (2)(n) 3 Fairlawn OP18 13 (6) 30/05/07 The registered person shall having regard to the size of the care home and the number and needs of service users consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, fitness and training. In that residents should have opportunity to choose from a weekly programme of activities. The registered person shall make 30/05/07 arrangements by training staff or DS0000023939.V331290.R01.S.doc Version 5.2 Page 25 4 OP26 13 (3) 5 OP29 19 (1) 6 OP38 23 (4)(e) by other measures, to prevent service users being harmed or suffering abuse, or being placed at risk of harm or abuse. The registered person shall make 30/05/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home, in that the storing of clean towels on open shelves in bathroom/toilet areas should be reviewed. The registered person shall not 30/05/07 employ a person to work at the care home unless he has obtained all the documents specified from schedule 2 The registered person shall make 30/05/07 arrangements for persons working at the home to have suitable fire prevention training and conduct regular drills and practices in line with fire legislation. 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 OP7 OP16 Good Practice Recommendations The risk assessments should contain more details as to the management strategies for reducing risk, particularly with respect to falls. It is recommended that a concise record is kept of all concerns and complaints and includes details of investigations and actions taken by the home to resolve the issues raised. It is strongly recommended that the manager fulfil the stated intention of ensuring all radiators in service user access areas are guarded. DS0000023939.V331290.R01.S.doc Version 5.2 Page 26 3. OP25 Fairlawn 4 5 6 OP28 OP33 OP35 Work should continue to bring the number of staff having attained NVQ qualification to 50 or more. The quality assurance systems must be developed in line with recent changes in regulation. Residents monies should be kept separate, and not pooled. Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Fairlawn DS0000023939.V331290.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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