Inspection on 14/09/05 for Fairview

This inspection was carried out on 14th September 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairview 15/11/07

Fairview 27/11/06

Fairview 30/01/06

Fairview 09/03/05

Fairview 25/10/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Fairview 68 Freeland Road Clacton On Sea Essex CO15 1LX Lead Inspector Pauline Dean Announced Inspection Final 09:30 Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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 Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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 Adults 18-65. 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. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairview Address 68 Freeland Road Clacton On Sea Essex CO15 1LX 01255 427150 01255 223641 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) Wilkinson03@aol.com Mr Paul Wilkinson Manager post vacant Care Home 5 Category(ies) of Learning disability (5), Physical disability (1) registration, with number of places Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons) One person, under the age of 65 years, who requires care by reason of a learning disability who also has a physical disability and whose name was supplied to the Commission in April 2003 The total number of service users accommodated must not exceed 5 persons 09/03/05 3. Date of last inspection Brief Description of the Service: Fairview is a residential care home offering care to five service users with a learning disability. One service user also has a physical disability and two of the current service user group are over 65 years of age. An application for a variation in registration conditions is to be submitted to reflect a second person identified in this age range. The home is located in a semi-detached property in a residential area in Clacton on Sea. The local shops, cinema, theatre, sea front and hospital are within a half-mile radius. Each service user has their own room; two of the rooms have en-suite facilities. A further bathroom/shower room and separate toilet are found on the first floor with a ground floor separate toilet. Alongside this there are communal facilities of a lounge, dining room, conservatory and rear enclosed garden. Service user accommodation is found on the three floors of the home. The office for the home is based in a detached building in the garden. At the front of the property there is a paved area and off-street parking in the driveway. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over one day in September 2005. This was the first inspection of the inspection year 2005 to 2006. Throughout the day there was discussion with the acting manager, Mrs Cathy Covey. An application for registration as the manager at Fairview is currently ongoing for Mrs Covey. Mr Paul Wilkinson, the registered provider, was present at the start of the inspection. One member of the care staff was interviewed and a second care staff member was met during the day. All service users were met and spoken with during this inspection. No visitors or relatives were available to be interviewed during this inspection. A tour of the premises was conducted at this inspection and both care and staff records were sampled. In addition some of the policies and procedures were sampled and inspected. Twenty-seven of the forty-three standards were inspected; of these seventeen were met, with ten standards nearly met. Whilst it is noted that there has been a slight improvement in meeting some requirements, some work is still required on meeting other shortfalls, namely the revision of the Statement of Purpose and the Service Users’ Guide, medication record keeping, the Adult Protection Procedure and staff recruitment, supervision and training. What the service does well: When asked what the service does well, Mrs Covey said that she felt Fairview has a “homely atmosphere”. Two service users said that they were happy living at Fairview, one highlighting their bedroom, with all their personal belongings, as being “bright”, to their liking. Mrs Covey said that there was a “laid back atmosphere”, in the home with “warmth”, from the people who live in the home. This was evident on the day of inspection from observation and speaking with the service users. Both the bedroom accommodation and communal areas are bright, light and well decorated. It was evident that service users had been able to influence the colour schemes and furnishings in the home. The nutritional needs of the individual service users are considered and meals served were of their choice and liking. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 1, 2 and 5. Clear detailed information by the way of the Statement of Purpose and the Service Users’ Guide is provided to placing authorities, prospective service users and their families, to enable them to make a choice as to whether they wish to be admitted to the home. Some revision regarding the service user group and the manager’s position is required. A detailed and thorough preadmission assessment is in place with care and attention given to ensuring that the home can meet the service users’ individual needs. Service users have individual contracts/statement of terms and conditions to clarify services offered. EVIDENCE: Whilst both the Statement of Purpose and the Service Users’ Guide had undergone some revision and been reviewed in the past year, the omissions as detailed in the last report have not been added to these documents. Within the Statement of Purpose a paragraph/sentence entitled ‘The range of needs met’ was not complete. The need to refer to the current service user group, two of whom are over 65 years of age and who has both a learning and physical disability, is required. In addition, the need to make reference to the current managerial arrangements, and Mrs Covey’s application for registration needs, to be detailed within this document. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 9 As with the Statement of Purpose, the Service Users’ Guide had also undergone some revision. A further review is required, however, as detailed in the last report and with regard to the above changes detailed for the Statement of Purpose. The pre-admission assessment paperwork for the most recent admission to the home was inspected and was found to meet requirements. This was in May 2000. All of the current service user group are referred through Care Management Approach. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 and 9. Service users’ assessed and changing needs and personal goals are detailed in their individual care plans to help ensure that their personal needs are met. Care planning records detail service users’ right to make decisions about what they wish to do. Overall, staff enable service users to take responsible risks, with both risk assessments and risk management strategies in place. EVIDENCE: Individual plans of care are in place for all four service users. All aspects of health, personal and social care needs are identified and planned for within eight goals. Daily records are kept in individual record books and reference is made to the care planning goals and management of care. The practice of monthly reviews had slipped; the last entry was May 2005. Mrs Covey said that this had been because of staff changes; key workers absenteeism had resulted in these not being completed. The reintroduction of these monthly reports will assist with the planned six monthly reviews. From speaking with staff and service users it was evident that service users are able to make decisions about their lives with assistance as needed. This Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 11 was particularly evident with the planned move of a service user where an advocate had been involved. Risk assessments seen, that were in place, were found to be linked to care plan goals. From records seen and discussion with management and staff it would appear that there is a need to review risk assessments and risk management strategies in place. This was with regard to a service user and climbing the stairs. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 15, 16 and 17. Service users are supported and enabled to have opportunities for personal development through the provision and promotion of appropriate leisure and training activities in the community. Family contact and visiting arrangements are open and relaxed, with family links promoted and encouraged. The home offered a healthy, varied, planned menu, with consideration given to preferences and dietary requirements. EVIDENCE: The skills of service users at Fairview are such that they are limited with regard to the development of employment opportunities. All service users are enabled to access local facilities such as shops, pubs, leisure facilities and the sea front. The home has a mini bus, which it shares with Haven Lodge, to transport service users. In addition, service users are enabled and escorted to use public transport. Service users are encouraged to become part of the local community and two of the service users regularly attend church and church events. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 13 Family links and friendships are encouraged and promoted. Outings and visits are encouraged, with visitors welcomed to the home. Service users are able to see their visitors in the communal areas or in their bedrooms. The promotion of independence, personal choice and freedom of movement are respected and promoted. All service users have been offered their bedroom key, this is detailed in their plan of care, and one service user enjoyed having this responsibility. Fairview operates a four-week rotational menu, with some seasonal changes made. Care staff are involved in the preparation and clearing away of meals. Nutritional records are kept of food eaten, with details of individual preferences noted. The main meal of the day during weekdays is in the evening and service users were able to make choices to the meal they wished. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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 the following standard(s): 18, 19, 20 and 21. Service users’ personal and healthcare needs are met within the home and records evidenced that service users are supported to access healthcare professionals as needed. The administration of medication for service users was found to be detailed and recorded, to help ensure that service users’ health needs are met. Medication training is still required to help ensure that care staff have the basic knowledge and understanding of medication administration. The management of ageing, illness and death of a service user needs to be further considered to help ensure that staff and management deal with these matters with sensitivity and respect. EVIDENCE: Two service users spoke of being able to make choices with regard to their clothing, appearance and their bedroom decoration. Personal support and guidance was given as necessary with the plan of care detailing requirements. Health care visits are recorded and detailed, with entries seen of visits to the GP, Chiropodist, Opticians and Dentist. Medication administration records were sampled and inspected. Three out of the four service users receive regular prescribed medication. Record keeping and storage were found to be in good order. Medication for emergency Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 15 invasive administration is now held by the home. Previously the District Nurse team had held this. The home was advised to liaise with the District Nurse team and GP regarding the management of this medication. Should care staff be required to undertake such an invasive protocol, training and guidance will be required from the Community Nurse who will need to assume responsibility for delegating this task. Mrs Covey was left guidance from CSCI on these matters. Whilst within care plans there is some reference to the management of service users as they age, are ill or are dying, more detail is required to clearly detail whether the service user will be able to remain in the care home. This needs to be linked to risk assessments and risk management strategies adopted. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 23 and 23. Appropriate practices were in place to help ensure that service users’ views are listened to and acted upon, and their protection is promoted. Staff training, the awareness of the manager, policies and staff recruitment practice promotes this. EVIDENCE: The home’s complaints procedure was seen to be in place and is contained in the Service Users’ Guide. The member of care staff interviewed was aware of this procedure and said that, should they have any concerns, they would take them to the acting manager. Equally, they had a good understanding of the Adult Protection Procedure and said they would raise any concerns with the acting manager. The Adult Protection Procedure requires further revision and review, for it did not detail current requirements relating to completion of Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks before employment. In addition, there was no reference to local authority guidance on referrals, this needs to be incorporated into the procedure. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 17 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 the following standard(s): 24 and 30. Fairview provides a safe, homely and pleasant environment, which was clean and comfortable. EVIDENCE: The home’s premises are light, bright and airy. They are in keeping with the local community in a residential area. Decoration and maintenance is ongoing, with recent decoration of the outside of the home. In addition, new fencing has been installed between Fairview and the attached property, and landscaping and planting in the rear garden. New garden furniture and new lawns have greatly improved these areas. Three service users had made use of the garden in the summer. One service user spoke of enjoying sitting in the garden and enjoying meals outside. Following a recent visit by the Fire Service a new Fire Log has been introduced. Clearer record keeping has commenced for checks to the Emergency Lighting system and tests of the Fire Alarms, Automatic Doors, Fire Evacuation and Smoke/Heat Detectors. Washing facilities are found in a utility area, with one washer and one dryer fitted. These are domestic in character and were found to meet requirements. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 and 36. Staffing levels, skills and competency are appropriate to the needs of service users. Staff recruitment practices and procedures had omissions, notably Criminal Records Bureau disclosure record keeping, and they therefore do not help to ensure that services users are supported and protected. In addition, the need to introduce regular recorded supervision meetings for care staff is required to help ensure that service users are appropriately supported and protected. EVIDENCE: From discussion and reviewing staff rotas, staffing levels, as recommended by the Department of Health Guidance – Residential Forum Guidance, were found to be met. Mrs Covey acknowledged that there is a need for an ongoing review of staffing levels to help ensure that service users’ needs are met in full, at all times, with consideration given to service users’ visits and outings. The files of two care staff were sampled and inspected. Overall references and checks were in good order, with the exception of Criminal Record Bureau (CRB) disclosures records. It was unclear as to when this had been completed for the most recent staff member and the records did not show completion of a second CRB, although Mrs Covey confirmed that this had been completed. Records evidenced that staff supervision had commenced. The need, however, to plan regular recorded supervision meetings was highlighted and discussed with Mrs Covey. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 19 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 and 43. Staff and service users are supported by the home’s manager, who is hands-on and in addition to the care team of the home. An effective quality assurance and quality monitoring system and analysis has been completed. This needs to be reflected and responded to. Shortfalls identified in staff recruitment checks failed to help ensure that service users’ rights and interests are safeguarded. Safety certifications were found to be in place to help ensure that the health, welfare and safety of service users were protected and promoted. EVIDENCE: Mrs Covey said that she is nearing completion of the National Vocational Qualification (NVQ) level 4 in care and management. Mrs Covey said she planned to submit the final units on 20th September 2005. Clarification and confirmation has been requested to progress her manager’s application for registration. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 20 Service users have completed a quality assurance questionnaire and an analysis of this survey has been completed. The need to review and publish the results is still required. Staff recruitment records had shortfalls as detailed earlier in this report (see National Minimum Standard 34). The need to ensure that all record keeping was up-to-date and accurate was highlighted with Mrs Covey. As at the last inspection the need to comply with the requirement to complete Regulation 26 visits by the registered provider was highlighted as a shortfall. This was raised with both Mrs Covey and the registered provider. Safety certification was seen for both electrical installations and gas safety and maintenance checks. These were current and met requirements. Portable Appliance Testing (PAT) is booked for the 26th September 2005, within one year of the last testing date. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 21 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 2 3 X X 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairview Score 3 3 2 2 Standard No 37 38 39 40 41 42 43 Score 2 X 2 X 2 3 3 DS0000017814.V249267.R01.S.doc Version 5.0 Page 22 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 YA1 Regulation 4, 5 & Schedule 1 Requirement The registered person must review and revise the current Statement of Purpose and the Service Users’ Guide in line with the National Minimum Standards for Care Homes for Adults (1865) and Care Homes Regulations 2001, Regulation 4, Schedule 1 and Regulation 5. Copies of these documents must be sent to CSCI with the action plan response. This must also reflect changes in the service user group and management arrangements. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must ensure that staff enable service users to take responsible risks following the completion of individual risk assessments and risk management strategies. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must up date the home’s medication policy in line with National DS0000017814.V249267.R01.S.doc Timescale for action 04/11/05 2 YA9 13 04/11/05 3 YA20 13 04/11/05 Fairview Version 5.0 Page 23 4 YA21 16 5 YA23 17, 18, 19, 22 6 YA34 19, Schedule 2 7 YA36 17, 18 8 YA39 24 Minimum Standard 20 and instigate formal medication training, including invasive protocols should this be required. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must ensure that staff deal with the ageing, illness and death of a service user with sensitivity and respect and as agreed in the individual plan of care. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must review current adult protection policies and procedures to ensure that service users are safeguarded from physical, financial, psychological and sexual abuse. These must comply with the Public Disclosure Act 1988, Department of Health guidance – No Secrets and local authority guidance. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must operate a thorough recruitment procedure based on equal opportunities and ensuring the protection of service users. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must ensure that staff are supported and supervised as detailed in National Minimum Standard 36. The registered person must ensure that effective quality assurance and quality monitoring systems are in place to measure success in achieving the aims, DS0000017814.V249267.R01.S.doc 04/11/05 04/11/05 04/11/05 04/11/05 04/11/05 Fairview Version 5.0 Page 24 9 YA41 17, 18, 24, 25, 10 YA41 26 objectives and the statement of purpose of the home. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must review record keeping to ensure that records for the effective and efficient running of the business are maintained, up to date and accurate. This is with regard to staff recruitment records. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) The registered person must ensure that visits are made in accordance with Care Home Regulations 2001 - Regulation 26. (This is a repeat requirement from the last inspection. Timescale of 01/05/05 not met.) 04/11/05 04/11/05 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 YA37 Good Practice Recommendations The manager should notify the Commission on the completion of National Vocational Qualification (NVQ) Level 4 in care and management. Fairview DS0000017814.V249267.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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