Inspection on 27/07/07 for Fairlea

This inspection was carried out on 27th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairlea 11/08/06

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 Unannounced Inspection 09:22 26 and 27th July 2007 th 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.V341840.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.V341840.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.V341840.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 11th August 2006 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.V341840.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. Information contained in this report came from an assessment compiled by the registered manager prior to the inspection and from surveys completed by residents and staff. In addition to this information, an inspection, which included a site visit, took place. At that time additional information was obtained from a tour of the premises, observation of care practices, discussions with the registered manager, senior staff and care assistants and several residents, together with examination of policies, procedures and other records, including those directly relating to the care received by residents. What the service does well: The home operates a thorough admission procedure, which ensures that only residents whose needs can be met are admitted to the home. The procedure also ensures that prospective residents can make an informed choice about whether or not to move into the home. Care Plans are regularly reviewed and residents are involved in both their compilation and ongoing development. The home operates an effective key worker system, which benefits residents. Visitors are made welcome at the home. Residents receive a varied diet, which takes into account their individual preferences, and dietary needs. Residents are protected by the home’s complaints procedure and a staff group who have received appropriate training regarding safeguarding vulnerable adults and are aware of what constitutes abuse and how to act if they suspect that it is occurring. The home environment has appropriate facilities and adaptations to meet the needs of those who reside there. Residents are cared for by a staff group who receive ongoing training and who are selected through a robust recruitment procedure, which ensures only those suitable, to work with vulnerable adults are employed. The registered manager has the appropriate experience and qualifications to run a care home. Ongoing Quality Assurance ensures that the views of residents and stakeholders are taken into account in developing the service. Staff receive regular supervision. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 6 The Health and Safety of residents is safeguarded by the regular servicing and maintenance of equipment throughout the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairlea DS0000039193.V341840.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.V341840.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 Quality in this outcome area is good. The home’s admission procedure ensures that prospective residents can make an informed choice about whether or not to move into the home. The home’s admission procedure ensures that only residents whose needs can be met are admitted to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of three residents were examined as well as there being discussion with residents and staff about the admissions process. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 9 All files contained information relating to the resident. These had been compiled by various professionals who were aware of the needs of the person concerned. Examples of these were shared assessments completed by a district nurse and a physiotherapist and in another instance a referral completed by a healthcare professional. Files also contained care plans which had been compiled by social workers prior to the resident’s admission to the home. These referred to the person’s specific needs and how these were to be met. In addition to this information, the registered manager also visits potential residents and carries out an assessment to ensure that she is aware of their needs and that the home can meet them. The assessments carried out by the registered manager include reference to the prospective resident’s mobility, continence, mental capacity, physical abilities and the name by which the person wishes to be referred. Many of those who are now permanently resident at Fairlea had received respite care at the home. This meant that they were familiar with the home, its environment and the service available and had been able to make an informed choice about moving in. One resident had lived in the supported accommodation which is on the same campus but not run by the home. This resident had been a frequent visitor to the home, so like those who had previously received respite care, this resident was also able to make an informed decision about moving into the home. Residents, who have no prior knowledge of the home are able to visit the home and have a look around prior to making their decision about whether or not to reside there. The home does not offer intermediate care. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Residents benefit from having their careplans reviewed regularly and having good access to healthcare professionals. Residents are treated with respect and their right to privacy respected. Medication is stotred and administered appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All those resident at Fairlea have care plans. Copies of care plans are kept in each resident’s bedroom. In every bedroom there is a hard backed book in Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 11 which staff record work undertaken with the resident, at various times during the day, and in accordance with the care plan. 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 of this were preferences for early morning cups of tea and breakfast in bedroom. Care Plans were seen to be reviewed regularly with the involvement of the resident. The home operates a key worker system. This means that staff are delegated residents for whom they have specific responsibility. Residents were aware of who their key workers were. Entries on care plans and daily records, inspection of letters and general discussion with staff and residents showed that the home has regular contact with healthcare professionals which ensures that the healthcare needs of residents are met. Examples of these were emails from the registered manager to an occupational therapist regarding a wheelchair for a resident, letters from healthcare professionals regarding obtaining specific moving equipment. During the course of the inspection there was a telephone call received from an occupational therapist regarding a specialist wheelchair, which was being arranged for a resident. Another file contained a care plan compiled with the assistance of a nurse specialising in diabetes, for the benefit of a resident who had diabetes. Other files contained moving and handling assessments, which had been carried out by occupational therapists. The home has beds available for supporting people who have pressure sores. Care Plans also contain dependency profiles which give instruction regarding the management of care needs including the monitoring of fits and pressure areas, bathing, oral hygiene, feeding, memory loss, continence and communication. 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. Entries seen on a care plan gave details of how residents’ dignity could be maintained when the person was being assisted. There were also other entries, which showed staff were attentive to the needs of residents, with an example being of a resident ‘enjoying a foot soak’ as he/she has sensitive feet and also not having feather pillows due to an allergy. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 12 Residents’ files showed that they were addressed in the form they preferred. 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. Medication is stored appropriately and there is provision for the storage and recording of controlled medication. The recording of administered medication was seen to be appropriate. An improvement from the last appointment was the appropriate recording of medication, which was refused or not administered for other reasons. Fairlea DS0000039193.V341840.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 and 15 Quality in this outcome area is good. Resident’s benefit by being offered the opportunity to participate in various activities. Residents are free to entertain visitors when they wish. Residents are offered a varied and nutritious diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the files, which were inspected, contained information regarding resident’s interests. The home offers those resident there a variety of activities. Details of forthcoming activities are displayed in the hallway of the home. Activities are chosen through asking residents what they would like to do and also by Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 14 reacting to responses obtained through the home’s Quality Assurance system and residents’ meetings. Some outside entertainers are brought into the home. Staff organise group activities within the home and there is the involvement of a volunteer. Outside entertainers have included a singer and a woman who specialises in reminiscence work with older people. Within the home staff arrange activities to promote physical wellbeing through exercise and also activities such as quizzes, bingo, painting and, on occasion, gardening. During school holidays the home has the use of a minibus, which gives residents the opportunity to go to events in the community or go sightseeing. Residents will soon once again have access to a karaoke machine as the previous one, which broke, is to be replaced. The spiritual needs of residents are met with visits being made to the home by various clerics. Residents can have visitors whenever they wish. This was confirmed by residents and in discussion with staff and the management of the home. 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 and the money being held securely. A tour of the premises, including invitation to some of the bedrooms, 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. Inspection of the menu shows that there is a choice. The cook was aware of the preferences of residents and in the Kitchen there was information regarding the dietary needs of residents with various conditions. The menu had been decided by taking into account preferences expressed by residents during a residents’ meeting. Mealtimes were seen to be relaxed with, as stated previously, those residents who needed assistance being helped in a dignified and unhurried manner. Residents spoken to confirmed that they enjoyed their food and that there was a choice of what to eat. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents are protected by staff having had relevant training regarding the safeguarding of vulnerable adults and the home having a well publicised complaints procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a written complaints procedure. To ensure that both residents and those visiting the home are aware of it, it is prominently displayed in the main hallway of the home. When spoken to residents were confident in saying that they would approach either their key worker or the management of the home if they wanted to make a complaint. To safeguard residents all but two staff have received training relating to the protection of vulnerable adults. These two staff are scheduled to receive this training. In the home there is also available the training video, ‘No Secrets’ which is specifically about safeguarding vulnerable adults. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 16 Staff said that they had seen the ‘No Secrets’ training video, so would be aware of issues relating to the protection of vulnerable adults and what constituted abuse. When spoken to staff were able to give good examples of what constituted abuse and what they would do if they suspected that abuse was taking place. Fairlea DS0000039193.V341840.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 and 26 Quality in this outcome area is good. Resident’s benefit from living in well maintained premises, which meet their needs. This judgement has been made using available evidence including a visit to this service. 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 Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 18 rooms, it can also accommodate all residents for meal times, parties, services and communal activities when a larger space is required. Toilets are situated within easy proximity of lounge and dining areas ensuring easy access to them by residents. In order to ensure good hygiene practice sluices are located away from residents’ toilets. All resident accommodation is single occupancy, which allows residents privacy and dignity. However, should shared accommodation be requested, this would, in accordance with the wishes of the residents concerned, be made available. Decoration of bedrooms and communal areas is adequate, but, as stated in the last inspection report, in places looks tired and would benefit from cosmetic improvement. Residents have unrestricted access to all communal areas within the home through the provision of stairs and stair lifts. They can also access the home’s 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 from the conservatory. A tour of the premises, which included visiting several bedrooms, showed that the home encourages 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. Bathrooms were seen to be clean. 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.V341840.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. The home is adequately staffed to meet the needs of those who reside there. Staff benefit from having access to appropriate and ongoing training. Resident’s safety is protected by the home’s robust recruitment procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Rotas produced by the registered manager showed that during the morning there were at peak times between six and seven care staff on duty. Staff came on duty at staggered times. During the afternoon there could be up to five care staff on duty. At nighttime residents are cared by two wakeful staff backed up by an on call rota if required. Whilst the home does employ domestic staff, some domestic duties are carried out by care staff. The home has a good standard of hygiene and cleanliness. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 20 From observation during the inspection staff numbers seemed adequate. Staff were able to meet the needs of the residents. There has been a reliance on agency staff. In order to ensure continuity of care for residents the home uses one agency and wherever possible the same staff. The registered manager is currently interviewing in order to recruit new staff to reduce the dependency on agency staff. Staff on duty have pagers, which enable them to respond quickly and efficiently to any resident summoning assistance. The home also has a system whereby certain staff are designated as ‘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. Since the last inspection some staff have received specialist training relating to caring for people with Alzheimer’s disease and the manager intends that further courses on this subject are made available for other staff to attend. The home’s commitment to staff training involves staff participating on NVQ 2 training courses. At the time of the inspection over half of the staff in the home had attained this qualification. Staff also receive training in mandatory subjects such as moving and handling, First Aid and fire training for which there are regular refresher courses, which ensure that all staff have up to date knowledge on essential subjects. Information relating to staff, which was made available during the inspection, showed that the home protects those resident there by having a thorough recruitment programme, which ensures that all staff have police checks, satisfactory references and relevant identification. Records showed that new staff participate in an induction programme. This is carried out by an assistant manager and includes things such as confidentiality and policies and procedures. This ensures that staff have the appropriate information and knowledge to carry out their roles of care safely and in a way relevant to the needs of the residents. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The home is run by a competent manager. Ongoing quality assurance ensures that the views of residents and stakeholders are known and can be incorporated into the running of the home. Staff benefit from a communication system, which includes staff meetings and regular formal supervision. The safety of residents is ensured by the appropriate testing of equipment. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 22 This judgement has been made using available evidence including a visit to this service. 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. These are for both staff, stakeholders and residents. The Quality Assurance questionnaires enable residents, staff and others interested in the home to express their views regarding the standard of care available and other issues regarding the operation of the home and how it can be improved to benefit those who reside there. The registered manager uses the information obtained through the questionnaires to list the results and action any suggestions made to develop the service in a way, which reflects the aspirations of those who reside there. Examples of this have included changes in available activities, the purchase of a ‘better’ hoist and retiming of baths. To ensure there is a lack of bias, those residents who would find difficulty in filling in the Quality Assurance surveys are assisted in doing so by people other than staff working in the home. Where the home holds money on behalf of residents they were seen to be protected by a system where all transactions were recorded, signed for by two staff and receipts retained. Residents’ monies are held in a suspense account where interest is calculated individually for each resident dependent upon the amount of money he/she has saved. The home operates a system of staff supervision. The assistant managers have responsibility for supervising specific staff members. From discussion with staff and observation of schedules it was confirmed that staff receive regular supervision. All supervision is recorded on formatted sheets, which vary according to the job of those receiving supervision. The supervision forms for care staff place considerable emphasis upon the reviewing and developing of care plans. And staff competencies. The home also holds staff meetings which complement supervision and ensures that the home has an adequate system of communication for disseminating information to different staff groups within the home. During the inspection the home’s records were examined. These showed that the safety of residents was ensured. Examples of this being the regular testing of fire equipment, servicing of lifting equipment and certification regarding the safety of electrical installation within the home. Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 23 There is ongoing maintenance of the home, which was confirmed by a hard backed book into which staff entered any maintenance work, which they considered necessary. Entries in this book, made by the handyman showed that these suggestions had been actioned. Fairlea DS0000039193.V341840.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 3 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 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.V341840.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 Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Fairlea DS0000039193.V341840.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!