Inspection on 15/02/06 for Fairview Farm

This inspection was carried out on 15th February 2006.

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

The inspector 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairview Farm 03/10/06

Fairview Farm 24/02/05

Fairview Farm 30/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Fairview Farm Gloucester Road Grantham Lincs NG31 8NR Lead Inspector Mr Mick Walklin Unannounced Inspection 15th February 2006 11:00 Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 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 Farm DS0000002356.V283885.R01.S.doc Version 5.1 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 and 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 Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fairview Farm Address Gloucester Road Grantham Lincs NG31 8NR 01476 565660 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) lynn.pashley@granthammencap.co.uk Grantham & District Mencap Limited Mrs Lynn Pashley Care Home 25 Category(ies) of Learning disability (23), Learning disability over registration, with number 65 years of age (2) of places Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2005 Brief Description of the Service: Fairview Farm is a converted farmhouse set in approximately 1.5 acres of land, overlooking countryside and is situated approximately 2 miles from Grantham town centre in a residential area. Accommodation is provided within five separate self-contained units in two main buildings and is partially based around group living models. There are seventeen single bedrooms and three double bedrooms; none of these have an en-suite facility. The home provides care and accommodation for individuals having a learning disability and two places are provided for older persons within this category. It is the homes philosophy for service users to choose how they spend their time, where possible and to make as many decisions regarding their day-today lives as appropriate for each individual. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours. A tour of the premises was conducted with the deputy manager. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. Other documents connected with the running of the care home were inspected. What the service does well: What has improved since the last inspection? What they could do better: The storage of bleach and denture cleaning tablets should be reviewed, to make sure that these are stored safely. Residents or their representatives could be more involved in care plans and sign them, if they are able, to say that they agree with the contents. Any waste tablets should be returned to the pharmacist on a regular basis, and the adult protection policy needs amendment to make it clearer for staff to follow. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 6 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 Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 4. There are satisfactory procedures for assessing and introducing new residents to the home, ensuring that their needs can be met. EVIDENCE: There has been one new admission since the last inspection. A community care assessment had been obtained, and the person had visited with an advocate. The manager said that usually a transitional period involving visits and overnight stays would be planned, but on this occasion, the person had wanted to move in immediately. As she was known to the service, this was agreed. The previous inspection highlighted that the manager did not confirm in writing to residents that following assessment, their needs could be met. However, the manager confirmed that a letter is now sent, and a copy was seen on the residents file. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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, 8 & 10. Care plans contain sufficient information to enable staff to meet residents support needs. Residents are well consulted and involved in the running of the home. EVIDENCE: Care plans contain a range of information outlining support needs. Assessments cover areas such as medical, physical and emotional needs, and also contain preferences in routines and diet. All files inspected contained a community care assessment, and had been reviewed on a monthly basis, with good daily records. There was also evidence of annual reviews involving relatives, placing authorities and day services. The manager and deputy are both facilitators for Person Centred Planning, and are looking at the best way of introducing this. Care plans now contain a life and independence skills Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 10 section, which identifies support needs and goals. One resident said that staff have discussed his care plan with him, but there is no documentary evidence of this. It is recommended that residents or their representatives sign the care plan to confirm that they agree with the contents. Staff have an ethos of supporting residents in their own home, so residents are encouraged to participate in all aspects of household tasks, according to their abilities. Residents said that staff consult them and offer and encourage choices, and this was observed throughout the inspection. Resident’s records are securely stored, and staff are clear on their responsibilities in maintaining confidentiality. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13 & 17. There are a good range of occupational and leisure activities provided to ensure that residents have a varied and stimulating timetable to choose from. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 12 EVIDENCE: Residents said that there is “plenty to do”, and several outlined the activities that they had participated in recently. Care plans outline interests and hobbies. The previous inspection identified that it was not documented when activities take place, and this was now done. Residents attend day centres and college during the week. One residents stays at home out of choice, but said that he might be interested in getting a job. He said that he had been visited by a person from Employment Services who was looking into the matter. Another outlined the courses that he was attending at Grantham College, and said that he enjoyed attending. One resident proudly displayed a cushion, which he had made at day services. The home has a range of vehicles to enable residents to access the community. Residents are able to attend the Gateway Club and the Leisure Club on weekdays, and the Leisure Club offers the opportunity for residents to access local leisure facilities. Holidays for 2006 are booked, and a display in the main building gives residents information about these. Residents are going on holiday in groups of two, to a range of locations. Catering arrangements are of a domestic nature, and residents chose menus whilst out shopping. Residents were fully consulted about the options for tea, and had a variety of choices. A record of food served is kept, and all residents interviewed said that the food was good. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20. There are good arrangements with local healthcare providers to ensure that resident’s health needs are met. Medication storage and administration promotes safe practice. EVIDENCE: Health and medical needs are clearly identified in residents care plans, and medical information file. All residents are registered with one of a number of local GP practices. The manager said that she is able to refer directly to Psychology and Psychiatry services, and one resident attended an appointment with the Consultant psychiatrist on the day of the inspection. There was also evidence of Physiotherapy and Occupational Therapy assessments. New medication cabinets have been purchased to ensure that medication storage is safe and secure, but the home was still awaiting the delivery of one Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 14 of these. Staff attend a safe handling of medication course, and administration records are satisfactory. Two residents self-medicate, and both have appropriate storage facilities in their bedrooms. There is clear guidance for staff administering homely remedies, including dosage and frequency. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): There are good procedures for protecting residents, and residents have confidence in staff to deal with concerns. EVIDENCE: The complaints procedure is available in a written and symbol format, and is displayed in the main building. Staff knew the correct action to take if they received a complaint, but there have been no complaints since 2003. An advocate visits, usually every three months, and residents have the opportunity to raise any concerns during these visits. Residents said that they would be happy approaching staff if they had a problem or a complaint. Staff demonstrated a good knowledge of the adult protection procedures, and the Lincolnshire Adult protection Committee Procedures are available for reference. The home’s own policy requires amendment as it incorrectly states that any allegation should be “reported to the Commission who will determine how the allegation is investigated”, when this is in fact the role of Social Services. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home is well maintained and comfortably furnished, providing a comfortable and homely environment for residents to live in. EVIDENCE: Although the home is split into five areas in two buildings, residents were seen to be welcome to visit all communal areas. The home is well maintained and decorated, and bedrooms are personalised to a very high degree. Residents all said that they were very happy with the standard of the accommodation, but Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 17 one said that he would prefer a bigger room. A carpet in the Annex is split, and a toilet floor was in poor condition upstairs. The manager confirmed that these were both being replaced. Residents assist with cleaning and laundry tasks, and the home was clean and tidy on the day of the inspection. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Staff are well trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Both staff and residents confirmed that there are enough staff available to meet the needs of residents. The home is nearly fully staffed, with a 15 hour per week night post vacant. Residents said that they have a good relationship with staff. One said “We get on well, and staff help us when we need it”. Staff were happy with the level of training that they receive. One said “we always seem to be doing training”. All staff have either attained, or are working towards NVQ level 2 or above, or completing the Learning Disabilities Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 19 Awards Framework. The three team leaders have all attained NVQ level 3. All staff have a training plan which identified when updates are required. The recruitment records for two newly recruited members of staff were inspected, and they contained the documentation necessary for the protection of residents. However, a reference was missing from one file, although the referee was contacted, and confirmed that she had provided a reference. One of the staff confirmed that she had received a thorough induction, which was documented, and received good support during her first few weeks. Other staff said that they are well supported, and confirmed that they receive regular formal supervision. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) 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, 38, 41 & 42. The home is very well managed and organised, with documentation of a high standard. Procedures for ensuring that the environment is safe are good, but some issues were identified, which could potentially put residents at risk. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 21 EVIDENCE: The manager has attained NVQ level 4 and is studying towards the Registered Managers Award. Both the manager and deputy come from a General Nursing background. Staff commented that the home is very well organised, with good teamwork and morale. They said they the manager is open and accessible if they have a problem. There are regular staff meetings, and also residents and families meetings, which the manager and deputy do not attend, but receive feedback from. Documentation is well organised. There is an Emergency File, which gives staff guidance on all incidents from missing persons to major incidents. Arrangements for dealing with resident’s finances are satisfactory, and three balances checked were found to be satisfactory. Health and Safety documentation is of a very high standard, with excellent systems in place for monitoring with regular checks. Staff are given health and safety information, and the subject is covered on induction. The manager intends to include updates as part of the mandatory training programme. However, the following health and safety issues were identified: • • Denture cleaning tablets are stored in some resident’s bedrooms, and this should be risk assessed. The laundry in one of the units was unlocked, and contained two bottles of bleach, which were not stored appropriately. This was attended to when pointed out to the manager. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 2 x 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 3 39 x 40 x 41 3 42 2 43 x 3 x 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fairview Farm Score x 3 3 x DS0000002356.V283885.R01.S.doc Version 5.1 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 YA42 Regulation 13(4) Requirement The registered person must ensure that staff receive periodic updates relating to health and safety, as part of their mandatory training. (Timescale of 31/01/06 not met). The registered person must attend to the health and safety issues identified. Timescale for action 30/09/06 2. YA42 13(4) 31/03/06 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. Refer to Standard YA6 YA20 Good Practice Recommendations It is recommended that residents or their representatives sign the care plan to confirm their agreement. It is recommended that waste tablets are returned to the pharmacist on a monthly basis. DS0000002356.V283885.R01.S.doc Version 5.1 Page 24 Fairview Farm 3. YA24 It is recommended that the home’s adult protection be amended to refer allegations to Social Services. Fairview Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Farm DS0000002356.V283885.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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