Inspection on 11/08/06 for Fairlea

This inspection was carried out on 11th August 2006.

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

Fairlea 27/07/07

Fairlea 08/12/05

Fairlea 30/08/05

Fairlea 19/08/04

Fairlea 16/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Fairlea Chope Road Northam Bideford Devon EX39 3QE Lead Inspector Andy Towse Key Unannounced Inspection 11th August 2006 15:00 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 Fairlea DS0000039193.V296903.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. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairlea Address Chope Road Northam Bideford Devon EX39 3QE 01237 474554 01237 424354 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) http/www.devon.gov.uk/adoption.htm Devon County Council Mrs Patricia Anne Lock Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (33), Physical disability of places over 65 years of age (33) Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named service user under the age of 65 years for respite care 8th December 2005 Date of last inspection Brief Description of the Service: Fairlea is a detached former Gentlemans Residence. It stands within its own grounds. It accommodates up to 33 elderly persons who may also have a physical disability. The accommodation is all in single occupancy bedrooms, although shared rooms would be made available on request. The accommodation comprises a large dining area, a conservatory and several smaller lounges, most of which are situated on the ground floor. All areas of the home can be accessed by residents using either stairs or a passenger lift. Externally there are patio and garden areas, which through the installation of ramps and level access are accessible to residents. The fees charged at Fairlea are £556.74 with additional charges being levied for chiropody, hairdressing and newspapers. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over two days giving the opportunity to observe the home during the afternoon and evening. Information contained in this report was obtained prior to the inspection from questionnaires completed by staff, residents and professionals involved with the home together with further written information supplied by the manager. This information was complemented, during the inspection, by discussion with residents, visiting relatives, staff and the home’s management together with examination of relevant files and documents including case tracking using the individual plans and files of residents and observation of care practices. What the service does well: The home operates a good admissions procedure, which is often combined with the transition of residents from interim to permanent care; this ensures that the home is able to meet the needs of its residents. Care Plans are regularly reviewed and are accessible to residents. Staff were seen to treat residents with respect and dignity, whether assisting them at meal times or at times when they needed individual attention. Individual staff, in discussion and observation, showed themselves to be aware of the needs of residents and also of their own training needs relating to offering a relevant and good standard of care. By making visitors welcome the home encourages residents to maintain contact with family and friends. There is a commitment to staff training regarding the protection of vulnerable adults and relatives have confidence in approaching staff and the management should they wish to discuss issues relating to the running of the home or the standard of service delivered. The registered manager can demonstrate that she takes into consideration the views of staff and residents regarding the running of the home. She has shown this by putting into action suggestions received from residents and staff in response to the Quality Audit she conducted in June 2006. Fairlea DS0000039193.V296903.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. Fairlea DS0000039193.V296903.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 Fairlea DS0000039193.V296903.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process ensures that only residents whose needs can be met are admitted to the home. Residents are enabled to make informed choices about moving into the home. The home does not offer intermediate care. EVIDENCE: Discussion and examination of files showed that prior to admission the home has knowledge of each resident which enables them to assess whether their needs can be met. Many residents have, prior to their permanent admission to the home, resided at the home using the home’s ‘interim’ care facility. This means that when they apply to become permanently resident at the home their needs are well known Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 9 to the management and staff and this knowledge can be used to determine whether the home can meet their needs. In addition to the above, information regarding another admission showed that files contained shared assessments, which had been compiled by professionals such as physiotherapists and nurses, giving full information which would enable the home to determine whether these needs could be met before agreeing to admit the prospective resident. Instances were also on record of the registered manager visiting prospective residents whilst they were in hospital and carrying out assessments there which included reference to level of mobility, incontinence, mental capacity and physical abilities, together with the name by which the person wanted to be referred. This information enables the home to assess whether the needs of prospective residents can be met. Discussion with relatives of residents at the time of the inspection confirmed that prospective residents, as part of the admission process, are encouraged to look around the home to assess the facilities, which assists them in making an informed choice about whether to move in permanently. The three residents who replied to the pre-inspection questionnaires supplied by the Commission for Social Care Inspection all said that they had received enough information about the home to enable them to make a choice about living there. The home does not offer intermediate care. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Regularly reviewed care plans and access the healthcare professionals ensure that residents’ health and personal care needs are met. Whilst storage of medication is adequate, recording of administered medication needs improving. Staff treat residents with respect and are mindful of their right to privacy and dignity. EVIDENCE: All residents’ files examined were seen to contain care plans. Copies of care plans were seen to be kept in residents’ bedrooms allowing them to have access to them at any time and, if agreed, for relatives to also have access. Three care plans were fetched from bedrooms for examination. Care plans contained details which would make the resident’s stay in the home compatible with their individual aspirations by referring to personal preferences. Examples Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 11 of this were preferences for early morning cups of tea and breakfast in bedroom. Care Plans were seen to contain dependency profiles giving instruction on how to manage care needs including the monitoring of fits and pressure areas, bathing, oral hygiene, feeding, memory loss, continence and communication. Records showed that care plans were reviewed monthly. There is provision on care plans for them to be signed by residents to confirm their agreement with what is contained in them or to show that they were involved in their compilation. Records showed that professional advice is sought and acted on. An example of this was the obtaining of a specialist mattress to prevent pressure sores, which was recommended as part of a nurse assessment. Files were seen to contain risk assessments. A visiting medical professional spoke positively about the home and responses from four general practitioners were likewise positive. During the course of the inspection one resident had a fit and another vomited in a public area. On both occasions staff responded in a manner which was reassuring to the residents and staff made every attempt to limit the distress felt by the individual residents and maintain their dignity as much as was possible. Staff spoken to were aware of residents’ rights to dignity and privacy. Files contained reference to resident’s preferred terms of address and these were used. Privacy is enhanced by all rooms being single occupancy although if sharing of rooms is requested this would be arranged. Staff were seen to knock on bedroom doors before entering and at meal times those residents who required assistance were seen to be offered it in as dignified manner as possible and at a speed determined by their individual needs. Residents have access to a private telephone enabling them to maintain contact with family and friends. The home has a written medication administration policy. There is appropriate storage of medication. The administration of medication was observed. A resident was seen to be involved in decision-making regarding her medication when a staff member was seen to be asking if she wanted painkillers. The recording of administered medication was seen to generally be adequate; however when medication is refused or not given, for instance when a resident is asleep, this should be recorded on the record sheets in the manner prescribed. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 12 Discussion with health care professionals confirmed that residents’ privacy is ensured by their being seen in private for treatment. Fairlea DS0000039193.V296903.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers varied activities. Contact with friends and relatives is encouraged. Residents receive a nutritious diet, which includes both choice and variety. EVIDENCE: Residents’ interests are recorded on files. The home tries to involve residents in activities which stimulate them. There is a list of forthcoming activities displayed on the wall of the corridor leading from the lounges to the dining room making it accessible to residents, relatives and staff. As well as some outside entertainers who are brought into the home staff undertake group activities within the home and at the time of the inspection there was a volunteer sitting with three residents organising a quiz and chat. Outside entertainers include a singer and a woman who specialises in reminiscence work with older people. Within the home staff arrange activities to promote physical exercise and also activities such as bingo, painting and, on Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 14 occasion, gardening. During school holidays the home has the use of a minibus which means residents have the opportunity to go to events in the community or go sightseeing. Residents can have visitors whenever they wish. During the inspection two sets of visitors were spoken to. They confirmed that they could visit at any time, that they were ‘always welcome’ and that the staff were approachable. They also said that they would feel confident in raising any issues relating to care with either staff members or the home’s management. Wherever possible residents or their relatives are encouraged to take responsibility for financial matters. When money is held by the home on behalf of residents, they are safeguarded by appropriate records being kept. A tour of the premises showed that residents are encouraged to bring with them personal possessions, such as ornaments or items of furniture, which will enable them to feel more at home. At the time of the inspection the cook was in the process of rewriting the menu and unfortunately had taken the evidence of this work home. The meal prepared on the day of the inspection was seen to be enjoyed by residents. Those asked confirmed that they enjoyed the food at Fairlea. This confirmed the responses of three pre inspection questionnaires received from residents prior to the inspection when all reported that they always liked the food available at the home. Whilst the existing menu shows that there is a choice of menu it does not state what vegetables are available. The cook was aware of this and intends to rectify it on the new menu she is compiling. The cook was seen to be flexible in her approach to meal making which ensured residents had a choice of food, which was sometimes in addition to what was stated on the menu. Mealtimes were seen to be relaxed with, as stated previously, those residents who needed assistance being helped in a dignified and unhurried manner. Fairlea DS0000039193.V296903.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 inspected at least once during a 12 month period. 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. Residents and their relatives are confident that the management will address their concerns. Residents are protected from abuse by the home’s polices and staff training. EVIDENCE: Fairlea has a written complaints procedure. This is prominently displayed in the main hallway of the home. Visiting relatives spoken to were confident that they could approach either staff or the management of the home should they have any complaints or concerns. In discussion the registered manager said that specific emphasis had been put on staff receiving training relating to the protection of vulnerable adults. As a result of this all staff, with the exception of one had received this training. This member of staff was scheduled to have received the training by the end of September 2006. This staff member had, according to the registered manager, seen the ‘No Secrets’ training video, so would be aware of issues relating to the protection of vulnerable adults and what constituted abuse. Individual staff spoken to were aware of what constituted abuse and that the home had a ‘Whistle Blowing’ Policy which serves to protect staff who raise issues relating to poor practice. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23,26 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 well-maintained environment adapted to meet their needs. The home has a good standard of hygiene and cleanliness EVIDENCE: Fairlea is a former gentleman’s residence and therefore an older type, nonpurpose built extended property which retains many architectural features. It has three separate lounge areas and a large conservatory, which gives residents a choice of where to sit. In addition the dining area is spacious, and whilst it has the capacity, via concertina doors, to be split into two smaller rooms, it can also accommodate all residents for meal times, parties, services and communal activities when a larger space is required. The home is situated on two floors. All areas can be accessed through use of a passenger lift or flights of stairs. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 17 In order to ensure good hygiene practice sluices are located away from residents’ toilets. Toilets are situated within easy proximity of lounge and dining areas ensuring easy access to them by residents. Residents have unrestricted access to all communal areas within the home. All resident accommodation is single bedded, allowing residents more privacy and dignity, however, should shared accommodation be required, this would, in accordance with the wishes of the residents concerned, be made available. Decoration of bedrooms and communal areas is adequate, but in places looks tired and would benefit from cosmetic improvement. The home has its own garden area and patio. These are private and to the rear of the property. The gardens are made accessible to residents through the installation of inclined ramps. The gardens comprise mainly lawns, which are perfunctorily cut with little other apparent maintenance. Inspection of bedrooms showed that the home is proactive in encouraging residents to bring in their own furniture, ornaments and items of sentimental value to enable them to personalise their rooms and feel more at home. Many bedrooms on the lower floor were seen to have waterproof flooring rather than carpeting. This was explained as being due to residents having problems with continence. The home has various assisted baths and toilets were seen to have been adapted to meet the needs of older people and those with some level of physical disability or who were confined to wheelchairs. These adaptations, combined with the home having various hoists ensures that it can adequately meet the needs of those who reside there and also that residents can be moved safely. The laundry was clean. The health of residents is protected by soiled linen/laundry not having to be taken through areas where food is prepared or eaten. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An appropriate system of staffing ensures that residents’ needs are met. Residents are protected by the home’s recruitment procedures. Staff have insight into their training needs and the home was seen to be meeting these. EVIDENCE: Rotas produced by the registered manager showed that during the morning there were up to six care staff on duty although they commenced duty at staggered times between 7am and 8am and during the afternoon there could be up to five staff. Night time support is provided by two wakeful staff backed up by an on call rota if required. The home does employ domestic staff however care staff are expected to carry out some domestic duties. The home has a good standard of hygiene and cleanliness. In discussion and from the responses received from the preinspection questionnaire some staff considered that taking responsibility for some domestic duties impinged on their ability to spend time with residents. From observation during the inspection staff numbers seemed adequate. Staff were able to meet the needs of the residents. All staff on duty have pagers and Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 19 they were observed to respond quickly and efficiently to any resident summoning assistance. The home also has a system whereby certain staff are designated as ‘floats’ or ‘back-up floats’. There are specific duties attached to these posts, which ensure staff flexibility in meeting the needs of residents and enable them to provide additional support when required without diluting care to other residents. In discussion staff demonstrated a commitment to caring for older people and one demonstrated an insight into her training needs by saying that she considered she would be able to offer a better standard of care to people with dementia or Alzheimer’s disease if she had more training relating to these issues. This was discussed with the registered manager who showed manuals and other documentation to demonstrate that she was currently aware that staff would benefit from this training and was arranging it to commence in September when most staff would have returned from annual leave. According to information supplied by the registered manager, 50 of care staff have now achieved their NVQ 2 qualification. This means that this home now has the minimum number of qualified staff expected of a residential care home by the National Minimum Standards. Whilst staff records are not kept on the premises it has been agreed that records showing adherence to the recruitment requirements are maintained at the home. Examination of these showed that residents are protected by a system that requires all staff to have two adequate references and police clearance before they can start work at the home. Records showed that new staff participate in an induction programme which ensures they have an appropriate knowledge to undertake their job safely and in a way appropriate to the needs of residents. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 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 by an appropriately qualified and experienced manager. A Quality Assurance System ensures that residents’ views are obtained and acted upon. Residents’ financial interests are safeguarded. Staff are appropriately supervised. The health, safety and welfare of residents are protected. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager has been running Fairlea for many years and has achieved her NVQ 4 and Registered Manager’s Award. This means that she has the experience and qualifications expected of a manager by the National Minimum Standards. The manager has compiled Quality Assurance questionnaires for both staff and residents in order that their views can be obtained and run in the best interests of residents. Responses from staff, such as that considering that teas were too early for the residents, showed a focus on residents’ needs. The residents’ survey, entitled ‘Client Satisfaction Survey’ was available for residents from June 2006 and blank copies were placed in the hallway for residents and relatives alike to use in order to register their thoughts about the home. Questions asked included whether residents thought that the service met their needs, were their rights to privacy and dignity respected, were visitors made welcome, was the choice of menus varied enough and what was the relationship between staff and residents like. There were 22 responses to this questionnaire. Those residents who needed help in completing the Quality Assurance questionnaire were assisted by intermediate support workers rather than care staff to lessen any potential bias. The manager has yet to compile her responses to the questionnaire in a printed format in order that it can be circulated to residents and other stakeholders. She was however able to show that she had already given thought to some of the suggestions made by respondents and gave instances of how her responses to residents’ comments had lead to an improvement in the service offered. Where the home holds money on behalf of residents they were seen to be protected by a system whereby all transactions were recorded, signed for and receipts retained. Whilst residents’ monies are held in a suspense account interest is calculated individually for each resident dependent upon the amount of money he/she has saved. The registered manager has started to arrange a system of staff supervision. At the time of the inspection the assistant managers had delegated responsibility for supervising specific staff members and were setting up supervision schedules for them, which would ensure that staff will receive Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 22 supervision six times a year. Records showed that some staff are already in receipt of this level of supervision. A system of staff meetings also ensures that the home has an adequate system of communication for disseminating information to different staff groups within the home. Information received from the registered manager prior to the inspection showed that the home through the testing of fire alarms, safety checking of water temperatures for compliance with Legionella, servicing of gas and electrical appliances, hoists and passenger lifts ensured the safety of residents. At the time of the inspection, certification produced by the registered manager confirmed the safety checking of appliances within the home as stated in the pre inspection questionnaire. Fairlea DS0000039193.V296903.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 3 3 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Fairlea DS0000039193.V296903.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. 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. 1. Refer to Standard OP9 Good Practice Recommendations That an appropriate record is kept when medication is refused or not administered to residents. Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fairlea DS0000039193.V296903.R01.S.doc Version 5.2 Page 26 - 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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