Inspection on 16/08/07 for Fairways

This inspection was carried out on 16th August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairways 25/07/06

Fairways 01/11/05

Fairways 08/07/05

Fairways 01/03/05

Fairways 03/08/04

Fairways 22/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 Fairways Easedale Gardens Wrekenton Gateshead Tyne & Wear NE9 7EE Lead Inspector Hilary Stewart 16 th Key Unannounced Inspection & 22nd August 2007 10:30 Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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 Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairways Address Easedale Gardens Wrekenton Gateshead Tyne & Wear NE9 7EE 0191 491 0518 F/ P 0191 491 0518 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) Dr Vayalil Pillai Mrs Julia Short Care Home 6 Category(ies) of Learning disability (6), Physical disability (2) registration, with number of places Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2006 Brief Description of the Service: Fairways can provide personal care for six people who have a learning disability, two of whom may have a physical disability. The service cannot provide for those people who require nursing care. The service is run by Clifford House Homes. The home itself is a large corner detached house which is set in its own grounds. It is located in Wrekenton, an area in the East of Gateshead and is close to local services, shops and a variety of community facilities. The home is near to public transport routes. There is a private and secure garden around the home and a large car park at the rear. The house has a kitchen, a dining room and a large lounge area with bedrooms arranged on first and ground floors. The two downstairs bedrooms are more suitable for those people who have a physical disability. All necessary facilities are provided and are suitable for people who live there such as an emergency call system. Information about the homes charges was not available. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 25th July 27thnd August and 27th September 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff . The Visit: An unannounced visit was made on 16th and 22nd During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit . August 2007. We told the manager what we found. What the service does well: Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make choices about the service before moving in. All of the people have care plans which give information to staff about how to support them and meet their needs. Care is planned with the people in a way that they prefer and in a sensitive manner. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person’s preferences. They treat the people as individuals and support them to live the life they choose as Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 6 much as possible so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice as well as building their self-esteem and confidence. The staff team make sure that the home is clean, warm and pleasantly furnished so the people who live at the home have a comfortable place to live. Staff support the people to use local services so they are part of the community. The staff make sure the people’s health care needs are met so they remain in good health. All of the people who live at the home have plans of care and risk assessments. This is so staff have the information they need to support each person and keep them safe. The home has procedures for staff for the administration and recording of medication, which is generally kept to. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints and protecting the people who live there from abuse. This means that the people who live at the home feel safe, know they can talk to the staff and that their views are listened to. What has improved since the last inspection? What they could do better: If the Statement of Purpose was up to date this would give people who were thinking about moving into the home the information they would need to make an informed decision. If the care plans were reviewed regularly staff would know that the information in them was up to date and correct so they would be sure that they were providing the people at the home with the support and care they need. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 7 If the medication records were completed all of the time and they were clear this would make sure that the people who live at the home were been given the correct medication all of the time. This would safeguard and protect them from harm. If the carpet on the stairs were replaced it would make it a much more pleasant area for the people at the home. If the staff kept more detailed records of the meals served this would help them to make sure that the people who live at the home were provided with a well balanced and varied diet. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The needs and wishes of each person who live at the home have been assessed. This means that staff know what care and support they require. Some of the information about the home is not up to date This means that people may not get all of the information they need about the home for them to make an informed decision about moving there. EVIDENCE: The people who live at the home have had their needs assessed before and after they moved in. Both the manager and staff said that a person could only move into the home if they are certain that the persons needs can be met there. When the last person moved into the home they had been gradually introduced by having visits before they moved in permanently. The home has a statement of purpose and a guide for people so they can decide if the home is where they want to live. Some parts still need to be updated. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All of the people who live at the home have individual care plans. Some had not been reviewed for some time so did not have up to date accurate information about the needs of the people and how they can be met home. The people who live at the home get personal support and at the same time staff make sure that their privacy, dignity and independence are respected. They are supported to become more independent at the same time staff try to reduce the risks so they are kept as safe as possible. EVIDENCE: The manager and staff confirmed that the people who live at the home have had their needs assessed. They take part in writing their own care plans as much as possible so they can record their hopes and wishes for the future. Some people at the home do not use the spoken word so staff observe gesture and body language to communicate with them. The home reviews the cared plans every six months however some of the plans had not been reviewed since 2005. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 11 The manager and staff said that the people who live at the home are supported to be as independent as they can be safely. Staff assess the risk, which then shows how they can reduce risk as much as possible for people when they for example take part in activities. Any restrictions of rights and liberties are recorded in the care plans. The people are encouraged to make choices and decisions about what they want to do. There are house meetings where they discuss things such as activities and holidays. One person said that they would like to stay in a caravan another said that they wanted to stay in a hotel. Others had said that they would like to go on trips to Scarborough, Whitby and Euro Disney. Staff said that they try to support people to go where they want. The manager said that the meetings are held when they need them however there had only been one in 2007. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home lead healthy stimulating lifestyles, supported by staff that value them, while maintaining links with their families and friends. This means they can have new experiences and interests and not become isolated. EVIDENCE: The manager and staff said that the people who live at the home have the same rights as everyone else to make choices but they have to look at the risks at the same time. Risk assessments are recorded in the care plans. Staff said that they regularly look at the options open to the people in relation to leisure and social activities. At the same time they have to be realistic about the choices. Two people had decided that they wanted so spend more time at a day centre, which was arranged by staff another person did not want to go so an alternative was found for them. On the day of the visit most of the people were out, one person was about to go out for lunch. The people who Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 13 live at the home go to the shops and do their own shopping. They go to the local pub. Staff said that the people who live at the home use the local shops. The friends and family of the people who live at the home are encouraged to keep in contact with them. They can visit the home or staff will support the people to visit them. One family had written to the paper to compliment the home on how they had cared for their relative when they were living at the home they said “ their dedication and caring goes way beyond the call of duty”. Staff said that they work with the people who live at the home around enabling them to have appropriate relationships and behave in ways that will help them get on with people. They were observed communicating with a person who did not speak by interpreting their gesture and body language. They also said that the privacy of the people who live at the home is always respected and they always ask before they enter people’s bedrooms. They said that the people could always have privacy if they want. The home’s menus are based on the known likes and dislikes of the people who live at the home. Staff said that the people are involved in planning the menus. The staff said that at least three meals are served to the people, which are varied and nutritious. One person said, “I like the food”. Fresh fruit and vegetables were in the kitchen. Some of the people who live at the home do not use the spoken word so staff said they observe their facial expression and gesture to learn about their preferences. For instance one person will push something away if they don’t like it. Records of food served were not recorded fully so it could not be confirmed what meals the people had each day. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people who live at the home have personal support when they need it so they can be as independent as possible. Staff monitor and promote the health of the people who live in the home to maintain their well-being. Medication systems are place but it is not stored as securely as it should be and when medication is when administered is not recorded sometimes. EVIDENCE: The health needs of the people at the home are written up in detail so the staff have accurate information and know how to care for the people. Staff said that the health and welfare of the people who live at the home is constantly being monitored. Their health and well-being is discussed with other healthcare professionals. If there are concerns about a person’s health appropriate action is taken. The manager and staff could describe and records showed how people are provided with personal support when they need it. Advocacy support is used by the home to ensure the people who live at the home can access healthcare services when they need them. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 15 The manager said that they have recently looked at the medication records and they are checked regularly to minimise any errors. The medication records were up to date but some parts of the records had not been signed when medication had been administered. Some of the directions for the use of medication were not clear. The medication is not kept in a suitable locked cabinet. It is kept in a locked filing cabinet in the office, which is left unlocked. The deputy manager said that they could use a medication cabinet that had been installed for controlled drugs and they would discuss this with their manager. The manager and staff said and records showed that they have had training in how to administer medication. If it is thought to be safe following a risk assessment the people who live at the home can control their medication. Details of health checks, visits to their GP and hospital appointments are recorded in each individuals file. One person said that they go to the doctors. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place. This means that complaints are dealt with effectively and to the satisfaction of the person who made the complaint. Some of the information on the complaints form is not accurate. Clear protection procedures are in place to protect service users from risk of harm. Staff know about adult protection procedures, so the people who live at the home are kept safe. EVIDENCE: The manager said that the homes adult protection procedures have been recently reviewed and the staff have had training by the Local authority safeguarding adults coordinator. Staff said and records showed that they have had training in how to protect vulnerable people. Although one member of staff had been trained when they worked elsewhere so their training was not specific for this home. Staff could describe the procedure to be followed if an allegation of abuse was made. One person who lives at the home when asked if they felt safe living there said, “yes”. Some of the people at the home do not communicate with spoken words but they looked comfortable and relaxed during the visit. They approached staff and used gesture and facial expression to communicate with them. The home has a complaints procedure. Staff said that they would support the people who live at the home if they wanted to make a complaint. Some parts Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 17 of the procedure need to be updated and it is not in a format suitable for the people who live at the home to read. There had not been any complaints since the last visit. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, comfortable and clean home, although some updating and repair are necessary. EVIDENCE: There are enough bathrooms and showers for the people who live at the home. The light pulls in the toilets and bathrooms were dirty so could be a risk of cross infection. Each person has their own bedroom and they looked comfortable and clean. The were all personalised and made very individual. In the hallway the carpet had burn marks and was worn and stained. It is also more office carpet rather than a more homely type. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 19 The communal living rooms were comfortable and warm. One person said that they really liked the home another said “ I like sitting with my friends”. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff have opportunities for training so they know how to give the people who live at the home good care and meet their needs. They were not receiving supervision as often as they should. Sufficient numbers of staff are in post to meet the diverse needs of residents. The homes has a recruitment procedure. This makes sure that only suitable people come to work there. EVIDENCE: Records showed and staff said that they receive training, which helps them with their work. All have mandatory training such as first aid and food hygiene but some were not having this updated as often as they should. The manager said that 80 of the staff have vocational qualifications. Staff felt supported by their manager and found them approachable. The manager said that due to the needs of a resident becoming much more complex this had taken up a lot of extra time over the last few months. This meant that staff had not had individual supervision as often as they should or Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 21 regular staff meetings to support them to do their job. They were in the process of planning supervisions for the next month. Sufficient staff were on duty at the time of the visit and the manager and staff said that enough staff work at the home. Records showed that on other days enough staff had been on duty. The manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. Some records were looked at and they showed that staff had been checked to make sure they are suitable people to care for vulnerable people before they started to work at the home. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience and vocational qualifications to run the home. This means that they know how to make sure that the people who live there are well cared for. The opinions of people who use the service are sought about how the home is run so they know their views are valued and this information is used to improve the service. Monitoring visits of the home take place to check that the people who live there get the care they need and their health, safety and welfare is always promoted. EVIDENCE: Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 23 The manager said that they have the relevant experience to run the home and have a recognised vocational qualification. Safety checks have been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that regular fire drills and fire instruction take place. Staff said that they have fire drills and instruction. The manager said and records showed that regular monitoring visits take place at the home and copies of the reports are sent to them. The manager said that the people at the home are asked their views about the running of the home as much as possible and they also have a yearly improvement plan. One person said “you can talk to the staff” and “the staff help you”. Staff said that they have a good relationship with the manager at the home. The manager said that as a result of the quality assurance system staff training issues have been identified and addressed. Each person who lives at the home has their own individual financial records where any money they have and what they spend is recorded. The records were up to date and well kept. All had the receipts to prove any purchase. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 Standard No Score 1 2 2 3 3 X 4 X 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 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15 Requirement The registered person must make sure that the care plans are reviewed every 6 months and contain accurate and up to date information about the care needs of the people who live at the home. The registered person must make sure that medication is stored in a secure medication cabinet and that when medication is administered staff record this. Light pulls must be replaced or cleaned to avoid the possibility of cross infection. Staff must receive individual supervision at the required intervals. Timescale for action 01/11/07 2. YA20 13 01/10/07 3. 4. YA30 YA36 23 18 01/11/07 01/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 26 No. 1. 2. Refer to Standard YA1 YA17 Good Practice Recommendations All of the information in the Statement of Purpose should be up to date and accurate. A more detailed record should be kept of the meals served to the people at the home so the staff are sure and they can demonstrate that they provide them with a well balanced varied diet. The hall carpet should be replaced with a more homely type floor covering. 1. YA24 Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Fairways DS0000007427.V340172.R01.S.doc Version 5.2 Page 28 - 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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