Inspection on 30/04/08 for Fairlawn

This inspection was carried out on 30th April 2008.

CSCI found this care home to be providing an Good service.

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 11/12/08

Fairlawn 22/09/05

Fairlawn 09/04/05

Fairlawn 24/01/05

Fairlawn 07/05/04

Fairlawn 09/12/03

Fairlawn 01/09/03

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Fairlawn St Marys Road Ferndown Dorset BH22 9HB Lead Inspector Trevor Julian Unannounced Inspection 30th April 2008 01:00 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 DS0000046732.V361647.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 DS0000046732.V361647.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairlawn Address St Marys Road Ferndown Dorset BH22 9HB 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) 01202 877277 fairlawn@care-south.co.uk www.care-south.co.uk Care South Mrs Kim Marie Harding Care Home 60 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (40) of places Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person (as known to CSCI) under the age of 65 may be accommodated within the category DE (Dementia). This condition will not apply after the person`s 65th birthday. 11th July 2006 Date of last inspection Brief Description of the Service: Fairlawn is a residential care home registered with the Commission for Social Care Inspection to accommodate a maximum of 60 older people including up to 20 with dementia. The premises are operated by Care South, a not for profit organisation, it is managed by Mrs K Harding. The home is purpose built and was opened on the 9th June 2003. Service users are accommodated on the ground, first and second floors. The second floor provides specialist care for up to 20 people with dementia. All bedrooms are for single occupancy and have en suite facilities. Communal areas are provided on all the floors and include kitchen areas where snacks and drinks can be made. On the ground floor is a large area including a conservatory which is used for large group activities. There are three staircases and two passenger lifts. Outside the grounds are landscaped and one area provides a safe garden with varieties of sensory plants and other features. Fairlawn is located in the centre of Ferndown with shops and amenities available within a short walk. In April 2008 the weekly fees ranged between £570-£735 dependent on level of care. The Office of Fair Trading has published a report highlighting important issues for many older people when choosing a care home, e.g., contracts and information about fees and services. The CSCI has responded to this report and further information can be obtained from the following website: http:/www.csci.org.uk/about_us/press_releases/better_advice_for_people_ch oos.aspx Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection commenced on 30th April 2008 at 13:00 and continued on 1st May 08. A total of 12 hours were spent on site. In November 2007, the home’s temporary manager completed an Annual Quality Assurance Assessment (AQAA) giving information about the general care needs of the residents, management and staffing arrangements. We used comment cards to invite residents and visitors to give their views of the home. We received responses from:Residents 5 Relatives 8 GPs and healthcare professionals 2 Staff 4 During the visit we concentrated on the experiences of 6 residents, we also spoke to visitors to the home and staff. We examined records and toured the premises. What the service does well: The comment cards show that people living in and visiting continue to have good levels of satisfaction with the services offered in the home:“I am happy and content, staff are very kind and helpful; the place is well run.” “I am supported on an ongoing basis and issues are dealt with immediately.” “The permanent staff know each resident well and are aware of the individual needs and give 100 . The present chef does a wonderful job as I know it is an important part of the day for each resident. I would like to add how appreciative I have been of the genuine care shown to my relative. Speaking for my relative, the staff keep her clean and tidy at all times and well fed.” The home’s pre admission assessments continue to ensure that placements are only offered to people whose needs can be met at the home. The staff were kept informed about the needs of new residents and changes to the needs of existing residents through the care plans and shift handovers. “Care plans are updated regularly and up to date information is added.” “Shift managers always give information about new residents.” Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 6 People living at Fairlawn said that the staff arrange for medical appointments and some people were able to get to the local surgery independently. The records seen showed that comprehensive assessments were used to develop the individual care plans and risk assessments. There was a system for reviewing the care plans, either monthly or as significant changes occurred. A visiting community healthcare professional commented. “The care provided to a frail and poorly resident is of an extremely high standard.” A small audit of medication showed that it was well managed, safely stored and administered. The home had systems for managing complaints and allegations or signs of abuse. The surveys showed that people were confident that issues raised would be sensitively handled. The premises provided comfortable accommodation. Each room was was well furnished and had en suite facilities. There were a variety of specialist baths and easy access showers. Staff recruitment for permanent and bank staff was very thorough with all the required information in place. Staff said that the organisation had a good training programme that was accessible to them through the staff supervision system. Several people commented that staffing levels were, on occasion, low and this created problems for the staff on duty. The home had a high reliance on bank and agency care workers to cover vacant shifts. The manager was actively recruiting to improve the ratio of permanent staff. The comment cards received show that Mrs Harding and her senior team were respected by residents, visitors and staff. Having returned from secondment Mrs Harding was preparing to handover management of the home to a new manager; at the same time her deputy had postponed her retirement to ensure a smooth handover. Some people expressed concern about the changes in the management team. The home had a good system for seeking the views of residents and visitors. The views were then used to develop the annual development plan for the service. Most people in the home had personal allowances managed by the home. A sample showed the balances matched the transaction records and there were internal checks to rectify any errors. Relatives confirmed that they signed the transaction records when adding cash to the account. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: No requirements or recommendations were made following this inspection as Mrs Harding and her deputy had taken action immediately to resolve the issues identified. It was found that the home could not confirm the identity of some agency staff they also did not have current information about Criminal Records Bureau checks and experience. This matter was corrected during the inspection and Mrs Harding was raising the matter with head office colleagues to ensure other homes retained current information. Medication was generally well managed although on one file the audit trail was not clear. This was important as the medication involved required regular review by the health service who then gave clear dosage instructions. One person had bedrails fitted to their bed as a precaution to prevent them falling. An assessment was in place but it did not fully consider the latest Department of Health guidance on the use of bedrails. The home had a published activity programme, during the visit the planned activities in the specialist care unit did not take place. One resident said that events in the unit were often cancelled. Elsewhere in the home people said Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 8 they enjoyed the activities although there was no compulsion to join in and people were able to stay in their own room. 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 DS0000046732.V361647.R01.S.doc Version 5.2 Page 9 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 DS0000046732.V361647.R01.S.doc Version 5.2 Page 10 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. Standard 6 is not applicable to Fairlawn. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs, wishes and preferences of people considering moving into Fairlawn are thoroughly assessed. This enables the home to make an informed decision about whether the home is able to meet assessed needs and supports residents to make a decision about moving into the home. EVIDENCE: One new resident recalled that the deputy manager had visited her to discuss her needs, her family were helping her to settle in, and they were pleased with the information provided and support given. The records seen showed that senior staff at the home carried out preadmission assessments for prospective residents helping to ensure that all needs can be met within the service. The format used for the assessment includes aspects of daily living and supports the writing of an individualised summary of needs, choices and preferences. The assessments had been Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 11 completed in considerable detail and included links to how the assessed needs might be met. This supports a smooth transition to the life of the home. Files seen showed that potential risks had been identified prior to admission and risk assessments completed on admission which had supported the home to minimise risks. Following the completion of the assessment a copy is provided to the resident and, or, their representative, ensuring that the details recorded are correct and signed and agreed. The manager said that she welcomes people to come and look around the home before making a decision about moving in. Either the manager or her deputy visits prospective residents to carry out the assessment. Upon admission, records seen showed that timely assessments and care plans are completed, to support staff members in the provision of care. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Care planning and provision in the home ensure that individual health and personal care needs are well met. Systems in place ensure that medication is well managed. EVIDENCE: The organisation was introducing a new system of care planning documentation into their homes. The process was starting with training for all staff. Since the last inspection the organisation had introduced a nutritional assessment tool to monitor the dietary and nutritional needs of vulnerable residents. There was also falls assessments and a tool used to identify those at risk of pressure ulceration. The files seen continued to show good levels of detail and there was evidence that the care plans were reviewed. Staff responding to the surveys said that the senior staff always ensured that they Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 13 explained care needs of new residents. When there were changes to care needs, a short term care plans was put in place to ensure those changed needs were correctly managed. In the case of one person, the home had installed bedrails to reduce the risk of falls from bed, however the risk assessment did not cover updated Department of Health guidance. Mrs Harding downloaded the guidance in order to complete a full assessment. There was evidence on the files to show that the home made appropriate referrals to healthcare professionals. Responses from GPs were positive about their relationship with the home and the staffs’ ability to manage health needs. One community nurse added that “… the care provided to a frail and poorly resident was of an extremely high standard.” There were also cards to the staff and management from grateful families showing appreciation of the palliative care provided. Medication was well managed in the home. The medication was safely stored and there was separate storage and recording for controlled medication. A lockable fridge was provided for the safe keeping of temperature sensitive medication; there were records showing the operating temperature of the fridge. The recording of medication administered to the residents was up to date. The monthly deliveries were checked in, to create a clear audit trail; in the case of on person’s medication the audit trail was not easy to follow. Handwritten entries in the medication records were checked by a second person to avoid the risk of transcription errors. During the visit, the staff were seen treating the residents respectfully. People said that the staff were kind and caring. Most of the surveys did not express any issues with dignity; however one person cited a practice which did compromise residents’ dignity. The matter was known to the management team and they were addressing the issue with the staff. Some people said they used the call bell at night and they reported that the staff were quick to respond and the residents were never made to feel that they should not have called. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 14 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. The home promotes good levels of choice to enhance the daily lives of the residents. Activities offered are generally good although consideration should be given to improve stimulation in the specialist care unit. EVIDENCE: The home considers social needs during the admission process. The care plans included social histories to help develop suitable activities and pastimes. During the visit, residents on the ground and first floor were enjoying a visiting pet dog. The activity board on the second floor specialist unit stated that musical appreciation was taking place but did not happen. One resident said that the programme was often changed on the second floor, instead the television was used to provide some stimulation. This practice causes confusion for the residents. The staff on duty on the second floor did take time to talk to the residents and helped to create a relaxed environment. Some of the residents were chatting with each other. Some people commented that they disliked communal activities preferring their own company; one person added that she appreciated the visiting library Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 15 service. Religious and spiritual needs were taken into account and assistance provided as appropriate. Residents commented that they enjoyed trips out in the home’s minibus and with the home located close to the centre of Ferndown some people are able to get to the local shops and medical centre. Visitors said they were able to visit the home at any reasonable time. Some people were eating their breakfasts at 10:30 in the morning, they said they were not rushed to get up and there was no set time for going to bed. People felt they were able to exercise reasonable levels of choice in their daily lives, one person summed it up by saying. “I could not fault Fairlawn but I would of course prefer to be at home.” Residents said that the food had improved and there was always a good level of choice as well as a range of alternatives. This was also reported in the comment cards received. Several people said that they looked forward to the regular cooked breakfasts. The chef took time to visit the residents to discuss the food provided and for menu planning. There was a selection of fresh fruit available on the sweet trolley. As stated previously the home had introduced assessments to help identify those at risk of poor nutritional intake. There were also records showing the meals taken by individual residents. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. The organisation’s systems help to ensure that people can express concerns openly and without fear of recrimination. EVIDENCE: The organisation had a clear complaints procedure which was displayed in the main entrance. There was a record of complaints received and the outcome of the investigation. A review of complaints received, is carried out quarterly by head office staff. Residents said they were able to discuss concerns with the staff although two comment cards showed that they did not know how to make formal complaints. The AQAA stated that the home was trying to improve the accessibility of the complaints process to the residents and visitors. In discussion with a resident and her family they told us of an issue that had recently occurred, we advised them to raise the matter with the manager which they did and there was appropriate action taken to resolve the matter. Staff receive training in recognising and responding to allegations of abuse. A discussion with senior carers at the home showed they were aware of their responsibilities and the need to remind carers and others of the procedure in supervision sessions and staff meetings. All staff receive training in adult Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 17 protection during the induction programme. In the duty managers’ office there was a flowchart detailing their response to allegations of abuse. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 18 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 living at Fairlawn enjoy a well-maintained and comfortable environment. The home provides a clean, pleasant and hygienic environment. EVIDENCE: The home is purpose built and exceeds current registration standards. Since the last inspection there had been restrictors fitted to the large, top-opening windows on the first and second floor. The remaining windows retained the same type of restrictors that were an issue previously. The windows were fitted with plastic restraints, some of which had been replaced. These devices can fail in certain circumstances. The organisation had carried out a risk assessment considering the risk of falls from the narrow, side hung, windows, the conclusion was that the risk was adequately managed. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 19 Temperature in the conservatory was previously a concern. Mrs Harding said that the home hired in air conditioning units in warmer weather. New domestic furniture had been provided in some parts of the home this had helped to create a more homely environment. Residents said the home was comfortable and warm during the winter. They said the place was quite at night and there was no disturbance from traffic noise. People said it was nice to have the options of baths or showers although most preferred to have baths, all hot water was regulated to around 43º C to reduce the risk of scalding and the bath temperatures were recorded for each bath. All areas of the home seen during the inspection were clean and this was reflected in the comment card responses. Staff were seen using disposable gloves and aprons to help manage infection control. Most areas of the home were well presented although some of the en- suite rooms were beginning to show signs of wear. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 20 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. The home was generally well staffed although some agency workers were not fully checked by the home. Recruitment was starting to improve and those working at the home received a good standard of training helping to ensure that they were appropriately skilled to deliver the care needed. The recruitment process for permanent and bank staff was robust, helping to keep residents safe. EVIDENCE: The responses from various sources stated that there were concerns about the home’s reliance on agency staff to cover vacant shifts. Mrs Harding was aware that there had been an increase in staff turnover and was addressing the problem with a recruitment drive. Where possible the home requested that agencies supply staff who have worked in the home before, to allow continuity of care. This was confirmed by one of the agency staff on duty who said she worked many shifts in the home and from her rapport with residents was well known to them. Vacant shifts were also covered by the organisations own bank staff which provided better continuity. The deputy manager said that when requesting agency staff they considered gender sensitivity. In most cases agency workers in the home had records confirming Criminal Records Bureau status, experience and information to allow their identity to be checked, however this was not always the case and the home contacted the Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 21 supplying agencies to obtain the required information. The organisation had an equal opportunities policy updated in April 2007. A sample of four staff records for permanent and bank staff contained the required information; each had appropriate clearances and references as well as information confirming identity. There was a training programme showing the courses completed and planned. The comment cards from the staff showed that they felt the recruitment programme was thorough and the training programme helped to ensure they were up to date with their practice. The comment cards also reported that staff and visitors found that the staffing levels on some shifts on specific units were too low. The staffing rosters showed actual and planned shifts. In addition to the care staff the home also employed housekeeping staff to support the work of the care staff. The AQAA identified areas for improvement over the coming months this included reduction of agency staff, increase numbers of staff with NVQ level 2 in care and to increase the number of staff trained in managing Dementia. At the time of the visit there were sufficient staff to meet the needs of those living at Fairlawn. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 22 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Fairlawn live in a home that is well-managed by Mrs Kim Harding, who possesses the professional qualifications and experience to enable her to carry out her duties effectively, promoting high standards of service delivery. The home has excellent procedures in place, which informally and formally seek people’s views, feedback from which is used to promote the best interests of residents. Residents’ financial interests are satisfactorily safeguarded helping to protect people from the risk of financial abuse within the home. The health and welfare of residents and staff are promoted to ensure the premises proved a safe environment. Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 23 EVIDENCE: Since the last inspection, Mrs Harding had been seconded to other services operated by Care South, having recently returned she was working on a handover to a new manager. At the same time, the deputy manager had stayed on after retirement to ensure management continuity. The responses received from the comment cards showed that visitors and residents were pleased to have their management team in place and appreciated the work of the senior staff specifically the dedication of Mrs Harding and her deputy. One person wrote, “Overall the quality of care is dependent on the manager, the deputy, Diane has, over the years, shown herself as being valued and respected by both staff and residents, not everybody has the ability to do both managerial and caring functions but Diane has both.” The organisation had a monthly programme of visits to the home with a report produced to monitor standards. There was an annual quality assurance review involving surveying all stakeholder to gauge their opinion of the services offered the home then produces an annual improvement plan. In Fairlawn the home held resident meetings were general issues could be raised the chef attended and also visited dining rooms after each meal for instant feedback. There was also a suggestions box by the front entrance allowing people to raise issues anonymously. The home looked after personal allowances for most of the residents, of those case tracked during this visit one person managed her own another was in the process of joining the system. The four remaining were checked and the balances matched the transaction records. There were internal checks carried out to ensure accounting errors were promptly identified and rectified. One visitor told us that the system worked very well and was confident it was appropriately managed she signed the records each time she added cash to the account. Her relative added that she found the process very good and it removed a area of anxiety for her. Staff receive training in health and safety during their induction as well as ongoing training in safe moving and handling, fire safety etc. The service had completed a fire risk assessment in December 2006 and was being revised in line with improvements identified by the organisation. During the visit staff were seen observing safe working practices. Fairlawn DS0000046732.V361647.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 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 Fairlawn DS0000046732.V361647.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fairlawn DS0000046732.V361647.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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