Inspection on 13/06/05 for Fairview

This inspection was carried out on 13th June 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Fairview 12/04/07

Fairview 26/10/06

Fairview 05/05/06

Fairview 22/11/05

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

CARE HOME ADULTS 18-65 Fairview 33 Bridgend Road Enfield Middlesex EN1 4PD Lead Inspector Susan Shamash Unannounced 13th June 2005 11.45 am 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fairview Address 33 Bridgend Road, Enfield, Middlesex, EN1 4PD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01992 711729 01992 711695 Mr Munundev Gunputh Needyanand Raya Care Home 10 Category(ies) of LD Learning Disability registration, with number of places Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18 November 2004 Brief Description of the Service: Fairview is a care home registered to provide care for ten adults, aged 18 to 65, who have a learning disability. A private provider owns the home. Fairview is situated in a large purpose built care home, which also houses a care home for older people. The two homes are separated by a fire door. The home for older people is currently empty. There are eight single bedrooms and one shared room. The shared room is only used for one service user. The home is situated close to a busy road, Bullsmoor Lane in Enfield. The amenities of Enfield Town are a bus ride away. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was a routine visit to the home in order to check on compliance with requirements made at the last inspection. The visit began at 11.45 a.m. and lasted approximately seven hours. The manager was away from the home for the first part of the inspection, and the inspector was assisted by the deputy manager until his arrival. Since the previous inspection the home had been purchased by a new owner who had become registered with the Commission as the provider for the home. The inspector had the opportunity to speak with six residents independently, as some residents were out during the day. The deputy manager, manager and two staff members were also spoken to during the visit. A tour of the building was conducted, although some residents’ rooms could not be inspected in their absence as their permission could not be obtained. Residents’ records, staff files and maintenance records for the home were also inspected What the service does well: The home provides a specialised service for residents with learning disabilities who also have mental health problems. Residents feel at home and have good relationships between themselves at the home. They speak positively about the support provided to them by staff. They attend a number of social groups and clubs and are encouraged to form networks outside of the home. Residents have the opportunity to go on holiday with others from the home every year. Recruitment procedures, admission and care planning processes are appropriate for the home. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Six requirements from the previous inspection remain outstanding. These include the need for an appropriate storage facility for medicines, lockable storage facilities in every resident’s room and the need for improved cleanliness in the kitchen. A large number of requirements with regard to the building are still to be addressed, however the registered provider has provided a schedule of work to be undertaken, and it is intended that the majority of this work will be carried out whilst residents are on holiday in early August. It also remains recommended that the kitchen be rearranged and refitted, so that the fridge/freezers can be moved out of the staff sleeping-in room, and that the guttering for the home be inspected. New requirements are made regarding the recording of daily notes about residents to protect their confidentiality, and the recording of medicines administered at the time that they are being administered to prevent inaccuracies. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 7 Further requirements are made about a number of maintenance issues noted around the home and within the residents’ rooms that were inspected. In addition it is required that aerial sockets be provided in each room so that better television reception can be obtained, and that soap and hand towels be available in the kitchen, bathrooms, laundry and toilets. Staff are required to undertake training in adult protection so as to ensure that residents are protected from abuse as far as possible. The laundry room must be kept clean and advice should be taken from the fire authority as to whether the external door may be obstructed. It is also required that fire alarm testing should be undertaken at least weekly and that current electrical wiring and portable appliance testing certificates must be obtained for the home. Cleaning materials must be stored in a lockable facility when not in use and foods stored in the freezer must be packaged appropriately and labelled in order to protect residents. It is recommended that a larger toaster and vacuum cleaner be provided for the home to meet the needs of residents, and that the provider and manager consider changing the registration conditions of the home to specify that only male residents with both learning disabilities and mental health problems may be admitted. 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. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4. An adequate system is in place to assess service users’ needs and goals effectively and ensure that these can be met. Service users have the opportunity to visit and stay at the home prior to admission so that they can make an informed decision about whether they wish to be admitted. EVIDENCE: All service user files included detailed assessments of their needs. Service users spoken to advised that they were involved in the assessment process. As noted at the previous inspection, the admissions procedure remains satisfactory. One service user who had been admitted since the previous inspection, told the inspector that he had visited the home, and stayed at the home prior to admission so that he was able to choose whether or not to move into this particular home. He told the inspector ‘it’s nice having people around, if you have any problems or want someone to talk to Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 and 10. Service users’ needs and goals are assessed and responded to effectively, to ensure that these are met. Risks are recorded appropriately with strategies in place to ensure that service users are protected as far as possible, whilst being encouraged to develop independence skills. Service users are encouraged to be involved in all aspects of home life. Whilst confidentiality procedures are generally satisfactory, the recording of daily reports may compromise service users’ right to confidentiality EVIDENCE: Service users said that they were free to come and go and make their own decisions. Regular service user meetings are held, in which they are encouraged to participate. As required at the previous inspection support provided by the home in assisting service users with their finances is documented, and service users are encouraged to be involved in the food shopping for the home. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 11 As required at previous inspections, limitations placed on individual service users are recorded within service user plans. Three care plans were inspected and were generally found to be satisfactory including regular reviews, records of one-to-one sessions with service users and risk assessments. As required the detail was sufficient within risk assessments clearly specifying control measures to be taken. However the inspector was concerned about the recording of daily notes for all service users in one bound book, as this might compromise their confidentiality should these records need to be seen by a third party or by a service user. A requirement is made accordingly. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. Service users have varied lifestyles with access to meaningful activities both in the community and in the home and are supported to maintain links with their friends and families. They are encouraged to take responsibility for the running of the home and to develop independent living skills. Dietary needs of service users are catered for with a balanced and varied selection of food available that meets their nutritional needs EVIDENCE: Staff and service users spoken to said that service users are encouraged to go out and follow their individual interests. Most go out independently, and are involved in activities including various clubs in Enfield, Edmonton and Palmers Green, playing snooker, going to the cinema, shopping and meeting friends. No service users attend college or employment activities at present. Most service users spoken to indicated that they had active social lives. They are also supported to maintain contact with their relatives. Following the previous inspection, the previous inspector and regulation manager for the home visited to ensure compliance with an immediate requirement that there be a constant daily supply of food. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 13 Service users spoken to said that the food had improved significantly since the previous inspection, and as recommended the practice of locking certain food cupboards had ceased, thus encouraging greater independence. One service user told the inspector ‘you get good food here.’ One service user cooks meals for themself with support from staff in the home. Stocks of food in the home included fresh fruit, vegetables and snacks although the manager advised that the weekly shopping was due to be undertaken the next day. The inspector observed that a number of service users are involved in working in the garden (watering the garden on this occasion). One service user told the inspector ‘I like looking after the garden – it keeps me busy.’ Service users are due to go on holiday to Bournemouth during the first week in August, during which time a large number of improvements to the home are to be undertaken Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. Service users receive appropriate physical and emotional support and are supported to take their prescribed medicines. However inadequately followed medication procedures may place service users at risk of harm or not having their medication needs met. EVIDENCE: Service users expressed satisfaction that their choice of time to go to bed, get up, take meals etc. were being addressed. The home seeks specialist support from external agencies where needed, to meet service users’ needs. Medication records were generally satisfactory, however the inspector noted that one prescribed medicine had been recorded as administered to a service user on the day of the inspection, although it had not been dispensed from the dossett box. It is of concern that the medication administration records are not being completed at the same time as medication is administered, and a requirement is made accordingly. It also remains required that an approved medication cabinet be obtained for the home for storage of all medicines. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has an adequate complaints procedure to ensure that the concerns of service users are acted upon effectively. Although procedures are in place, it is of concern that staff have not had adult protection training to ensure the protection of service users from abuse. EVIDENCE: The home had appropriate procedures for investigating complaints and addressing adult protection and whistle blowing issues. As required at the previous inspection the registered persons had taken appropriate action to address concerns raised about the management and recording of service users’ monies. However staff have not received training in the protection of vulnerable adults and a requirement is made accordingly. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26 and 30. There is significant room for improvement in the environment in which service users live, in order to improve their quality of life. Whilst there is adequate private and communal space available, furniture and fittings within the home are of an inadequate quality for service users and in need of repair or replacement and redecoration. Inadequate cleanliness in the kitchen and laundry room places service users health at risk EVIDENCE: Eight single and one shared bedroom are provided along with five toilets, three bathrooms and adequate communal space. A number of requirements remain required from the previous inspection regarding provision of lockable storage space for each service user, replacement of lounge furniture, the renewal of furniture in service users rooms, and redecoration of some areas. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 17 As required at the previous inspection a new mattress was provided for the identified service user and for all service users in the home, a damaged painting was removed from the lounge wall and storage facilities were available for staff members’ personal belongings and a toilet on the ground floor had been replaced. The registered provider, had provided the Commission with a proposed schedule of redecoration and renewal for the building during the new registration of the home in his name, and advised that service users would be consulted regarding the redecoration of their home. Whilst the details included within the schedule appear to be appropriate, a number of further requirements are made in this report regarding particular issues raised by service users spoken to or noticed by the inspector during the visit. Of particular concern to the inspector was that the radiator controls in two service users’ rooms were broken so that despite the hot weather at the time of the inspection, their radiators remained on full power throughout the day. Cooling of the rooms could only be achieved by opening a window. A requirement also remains outstanding regarding cleanliness in the kitchen. On this occasion the inspector noted that there appeared to be an ant problem in the kitchen, and that the ceiling in the laundry room was covered in thick cobwebs. There were also inadequate hand washing facilities in the kitchen and toilets/bathrooms in the home. It is required that soap and disposable hand towels be made available in these areas. It remains recommended that the kitchen be rearranged so that the refrigerator and freezer units stored in the staff sleeping-in room may be moved to the kitchen, and that the guttering for the home be inspected. New recommendations are made regarding the need for a larger toaster to meet the needs of up to ten service users, and that an industrial vacuum cleaner be provided for the home (as those available are inadequate to cover the home). Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35. An adequate recruitment procedure is in place to safeguard service users. The home is adequately staffed although staff members require further training to ensure that the needs of service users at the home are met effectively. EVIDENCE: Four staff files were inspected, and they were found to include the necessary documentation as required under the Care Homes Regulations 2001 Schedule 4. Two staff member were spoken to briefly, and appeared to be knowledgeable about their role and responsibilities at the home. They indicated that they were receiving sufficient support and supervision from management at the home as appropriate. Records indicated that regular supervision sessions are occurring. The manager advised that staff were due to take a number of training courses once sufficient people registered for each course. He said that this would be likely to occur once the home next door (also belonging to the provider) was opened, with a large staff team of its own. A requirement is outstanding regarding the need for food hygiene training for all staff. A new requirement is also made regarding the need for adult protection training (under Standard 23). Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 19 Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42. There is consultation with staff and service users regarding the way in which the home is run, but inadequate notification to the Commission regarding serious incidents in the home may place service users at risk. There is room for improvement in health and safety checks and procedures within the home to safeguard service users from harm. EVIDENCE: As required at the previous inspection, the manager advised and records indicated that the temperature from baths and showers was now thermostatically controlled to a maximum of 43 degrees Celsius, and that the temperatures were tested regularly. As recommended new containers had been purchased for the storage of breakfast cereals hygienically. Service users spoken to advised that they were consulted with regard to their views about the home at regular meetings. Records of staff meetings also indicated their consultation about the way the home is run. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 21 The inspector was concerned that the external door from the laundry room was blocked, and a requirement is made regarding the need to consult with the local fire authority as to whether this exit must be kept clear. Whilst there was a record of fire extinguisher and fire alarm servicing, fire alarm testing and drills at the home, the alarm testing was only taking place fortnightly. It is required that this be increased to a frequency of weekly fire alarm tests. Whilst up to date insurance and a current gas safety certificate were available for inspection, it is also required that current electrical wiring and portable appliance testing certificates must be available for the home. Other requirements are made regarding the need for notification to the local CSCI area office (under Regulation 37 of the Care Homes Regulations 2001) of any serious incident affecting service users. An incident including a small fire at the home was not reported to the inspector prior to the inspection. A requirement regarding unlabelled and inappropriately wrapped meat found in the freezer is also made. It is also required that chemical cleaning materials must be stored in a locked cabinet when not in use. In view of the needs of service users currently accommodated at the home, the inspector discussed with the manager that it might be inappropriate for a female service user, or a service user with a learning disability but no mental health issues, to move into the home. A recommendation is made that the registered person consider applying to vary the registration conditions of the home to specify male service users only and service users with both mental health problems and learning disabilities only. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 1 x x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairview Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 2 2 x v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 10 Regulation 17(1)(b) Requirement The registered persons must ensure that daily notes are recorded on separate records for each service user in order to ensure that their confidentiality is fully maintained. The registered persons must ensure that medication administration records (MAR sheets) are signed at the time that prescribed medicines are administered, to prevent errors in the recording. The registered persons must use a purpose built medication cabinet for the storage of service users medicines. (Previous timescale of 30/1/05 not met). The registered persons must ensure that all staff undertake training in the protection of vulnerable adults. The registered persons must ensure that all staff undertake training in the protection of vulnerable adults. The registered persons must ensure that the door handle to the staff room is repaired and that the activities room is cleared, and rearranged so that Timescale for action 19th August 2005 2. 20 13(2) 8th July 2005 3. 20 13(2) 19th August 2005 4. 23 13(6), 18(1)(c) (i) 13(6), 18(1)(c) (i) 23(2)(b) (h) 16TH September 2005 16th september 2005 22nd July 2005 5. 35 6. 24 Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 24 7. 24 23 (2) (d) (c) 8. 24 23(2)(d) (i) 9. 26 16 (2) (c) 10. 26 16 (2) (c) 11. 26 16(2)(c)2 3(2)(b) (d) it can be used by service users safely and effectively. The registered persons must ensure that works specified in the written programme of maintenance and renewal for the fabric and decoration of the premises, are carried out including: fill gap over the ground floor fire exit door, clean and paint stairwell walls, replace stairwell and corridor carpet, replace all torn chairs in the home, replace activity room furniture, broken cabinet in second-floor bathroom, stained bath (second-floor), stained toilets (first-floor), and improve lighting in the ground and firstfloor bathroom. (Previous timescale of 30/1/05 partially met). The registered persons must replace the sofas, chairs and rug in the lounge with new items. (Previous timescale of 1/12/04 not met). The registered persons must provide service users with the following items in their bedrooms:- bedroom 1- new carpet, bedroom 2 - new chair, curtains, vanity unit and redecoration, bedroom 5 - new mattress and redecoration, bedroom 7- new chair and vanity unit, bedroom 8 - new bedspread. (Previous timescale of 10/03/05 not met). The registered persons must provide lockable storage space for each service user in their bedroom. (Previous timescale of 30/01/05 not met). The registered persons must ensure that television aerial sockets are provided in all service users rooms, and that 16th September 2005 1th September 2005 16th September 2005 19th August 2005 19th August 2005 Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 25 12. 30 13. 30 14. 35 15. 42 the following work is undertaken in service users rooms: room 1 - door handle repaired (on both sides of door), room 2 - chest of drawers to be repaired (attached to wardrobe), new light shade and darker curtains to be provided, room 4 - new chair needed, repair radiator controls, chest of drawers, redecorate paintwork, clean lamp shade, room 5 - stains on wall to be repainted/cleaned, room 6 repair small chest of drawers, room 9 - repair radiator controls and chest of drawers. 23(2) (d) The registered persons must ensure that the area beside and underneath the cooker is kept clean and that the ant problem in the kitchen is dealt with. (Previous timescale of 25/11/04 not met). This requirement is amended. 16(2)(j)2 The registered persons must 3(2)(d)(5) ensure that the laundry ceiling is kept clean and that soap and disposable hand towels are available in the laundry, all toilets/bathrooms and in the kitchen. 18 (1) (c) The registered persons must (i) ensure that all staff have completed basic food hygiene training and evidence, in the form of certificates of attendance, must be made available for inspection. (Previous timescale of 1/12/04 not met). 18 (1) (c) The registered persons must (i) ensure that all staff have completed basic food hygiene training and evidence, in the form of certificates of attendance, must be made available for inspection. (Previous timescale of 1/12/04 v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc 8th July 2005 8th July 2005 19th August 2005 19th August 2005 Fairview Version 1.40 Page 26 not met). 16. 41 37 The registered persons must ensure that all serious incidents affecting service users at the home are reported to the local CSCI area office without delay. The registered persons must ensure that all food stored in the freezer, that is unwrapped or removed from its original wrapping, is packaged appropriately in labelled freezer bags. 13(4)(a) (c)23(4)(c) (iii) The registered persons must ensure that fire alarm testing is undertaken on a weekly basis and recorded, andprovide copies of up to date portable appliances and electrical wiring safety certificates to the CSCI.Confirmation must be obtained from the LFEPA (fire authority) as to whether the external door from the laundry room may be obstructed, and written confirmation must be provided to the local CSCI area office. The registered persons must ensure that that chemical cleaning materials are stored in a locked cabinet when not in use. 8th July 2005 17. 42 13(4)(c)1 6(2)(j) 8th July 2005 18. 42 13.. 15th July 2005 19th August 2005 19. 42 13(4)(a) 15th July 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Fairview Refer to Standard 24 24 Good Practice Recommendations The registered persons should arrange for the guttering to be inspected to satisfy themselves that it is working adequately. The registered persons should plan to fit new kitchen units v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 27 3. 4. 5. 24 30 41 and make more space in the kitchen for adequate refrigerating facilities. A larger capacity toaster should also be available for service users use. The registered persons should remove the fridge and freezer from the staff sleeping room. The registered person should provide an industrial size vacuum cleaner for the home. The registered persons should consider applying to vary the registration category of the home to be for male service users only, and to include only residents with both mental health problems and learning disabilities. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 28 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 Fairview v221161 g59 s62524 fairview v221161 13.06.05 stage 4.doc Version 1.40 Page 29 - 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!