Inspection on 08/12/05 for Fairways Residential Home

This inspection was carried out on 8th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairways Residential Home 23/10/07

Fairways Residential Home 24/07/06

Similar services:

Chirnside House

Emmaus House

East Croft Grange

Craignair

Croston Park Nursing Home

Conifers Nursing Home

Cloisters

Elmsdene Care Home

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

CARE HOMES FOR OLDER PEOPLE Fairways Residential Home 20 Westmoor Grove Heysham Lancashire LA3 2TA Lead Inspector Mrs Joy Howson-Booth Unannounced Inspection 8th December 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fairways Residential Home DS0000065703.V264169.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fairways Residential Home Address 20 Westmoor Grove Heysham Lancashire LA3 2TA 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) 01524 855222 Mrs Elizabeth Ann Miles Ms Sharon Patricia Beales Care Home 24 Category(ies) of Dementia (24) registration, with number of places Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 24 service users in the category DE (dementia) Date of last inspection Brief Description of the Service: Fairways Residential Home is situated in a quiet resident area of Heysham, accessible to local amenities and shops. Other community activities and facilities are accessed either with staff support or via the home’s own mini-bus. The home is a large detached house, built over three floors, with a single storey extension to one side. The home is set within its own ground which residents can access, at the minute, only with staff support. There are communal areas, including a small conservatory. There are eight single bedrooms and eight shared bedrooms, upstairs bedrooms being accessed by a stair lift. No rooms have ensuite facilities. The home has a no-smoking policy, although for the one person who does smoke the conservatory is the designated area for this. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced so the new owner and manager were not aware of the visit. The inspection took place over two separate half days and involved observing staff with the residents, and speaking with residents, speaking with staff on duty, the cook, the registered manager and the new owner. The services provided by the home were inspected against the National Minimum Standards. Four care files were examined, along with other documentation held by the home. Unfortunately, no comment cards were received. What the service does well: What has improved since the last inspection? The home has recently been sold and a new owner is now in place and registered with the Commission. The new owner has brought with her an expertise and experience in the care of people with a dementing illness, being a qualified nurse for many years working in the mental health field. This change has brought enthusiasm to the home, particularly to the registered manager who is now being given opportunity to develop her role, with guidance and support from the new owner. Staff spoken with all felt the new owner had brought about some welcome and positive changes and was on hand to provide them with support and help. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 6 Some additions have been made to the home, new fires, ornaments, flowers, which have improved the “feel” of the home dramatically. The inspection took place over the Christmas period and the home was very cheerful with the Christmas trees and decorations in place. Additional staff have been appointed for the morning time and during the night time. Staff shifts have also changed with staff now working much shorter hours. The meals provided and times are being reviewed and improved. There is a plan to upgrade the furnishings and fittings in the home, with one bedroom being refurbished to date. Apart from one bedroom, all the others have their own lock and key so that residents know their belongings are safe and secure. What they could do better: Information gained before a resident is admitted to the home needs to be much more improved. This will mean the manager and staff can be confident the residents needs can be met. The care plans and healthcare records need to be much better as they are not clear and do not provide accurate information as to individual residents needs. Medication also needs to be kept secure. It would be helpful for the home to know about residents social and employment history as this can provide a lot of information about likes and dislikes and how people like to spend their time and their interests. The home needs to make sure it is keeping all the records the Commission need. For example, meals provided, personal allowance monies held. In addition, a new accident book should be bought. Staff training should continue, not only the more formal National Vocational Qualification (NVQ) training but also training specific to caring for people with dementia. A review of the care provided needs to be organised so that residents, relatives and other healthcare professionals have the opportunity to comment about the care provided by the home. Supervision has begun but needs to be provided 6 times a year to all staff and needs to cover the topics outlined in the National Minimum Standards. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 7 The pre-inspection questionnaire forwarded from the Commission has not been submitted to the home. This questionnaire would have confirmed that the required health and safety checks are being carried out to ensure the health and safety of residents and staff. 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. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 At present, the home’s assessment procedure is not sufficient to ensure that a prospective resident’s needs are fully assessed which means residents may be admitted whose needs cannot be met. EVIDENCE: Assessment information on a newly admitted resident was available but from discussions it was not clear what information had been obtained prior to admission. The requirements of the Care Homes Regulations were outlined to the new owner who, confirmed that a new assessment procedure is to be implemented. The owner confirmed that as a qualified professional nurse with many years experience of caring for people with dementia she intends to use her own knowledge and experience to improve the home’s assessment process. This will mean the owner will undertake an assessment visit to obtain information from both the prospective resident and their relatives. As well as this, information provided by other healthcare professionals will be used. This will Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 10 ensure that full information is obtained and given prior to any decision being made Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The care plans and healthcare records are not maintained to an acceptable standard, which means that staff are not provided with updated and accurate information over care to be provided. Medication is appropriately administered and recorded although the safety of residents is being put at risk by medications not being stored securely. Generally residents are treated with dignity and respect although the input being provided by the owner will mean care practices will improve to the benefit of the residents. EVIDENCE: Little progress was seen in the homes current care plans. The new owner confirmed that new care plans are to be implemented in the home, which will ensure that residents’ needs are fully known and included in their own care plan. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 12 As recorded in the previous inspection report, discussions with staff confirmed that whilst they provided practical care they were unaware of specific care of healthcare needs. This means that the care provided is based on their own day-to-day knowledge of the resident and not from identified or assessed needs. Issues regarding the care plans examined during this inspection were noted, as follows: • • No evidence of monthly reviews Changes in healthcare or other needs were not added into the care plan – for example, one care plan stated that the resident eats well. Further notes state that the resident not eating well and needing a lot of prompting. The care plan was not amended with this information so any member of staff who read the care plan would not be alerted to this change. Care plan notes were not dated so it is unclear what is current information Where a resident has a management needs these may be highlighted and/or recorded in daily notes but no strategies are in place to guide staff as to how these are to be identified and managed Risk assessments not reviewed Risk assessment for one resident stated “night-time half-hourly checks required”– no evidence this is being carried out Weight records book evidences these are not being carried out on a monthly (or sooner if needed) basis No evidence of follow up action – for example, one resident was advised to see their GP for loss of appetite – no evidence this was carried out Social histories, likes and dislikes not adequately recorded and little evidence of social activities undertaken • • • • • • • On arrival at the home the medication trolley had been left in an open office with the keys in the trolley door. An official letter was sent to the owner regarding this. Medication records, including controlled drugs records, were examined and found to be accurately maintained. Observations during this inspection noted that residents are generally treated with dignity and respect. Discussions with staff confirmed a good understanding of the need to maintain privacy. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 Activities at the home are being developed but need further ideas to ensure all residents’ social, cultural, religious and recreational interests are met. Arrangements and planning to provide good nutritional food are good. The residents are provided with good food to ensure healthy living. EVIDENCE: The care plans lack information as to the lifestyles of each individual resident, nor do they outline social, cultural, religious expectations. Some activities are carried out in the home but these tend to be group type activities, which are not always appropriate for people who have dementia. Some outings in the home’s mini-bus do take place. The new owner is looking to appoint a recreational therapist to work at the home to provide social stimulation and activities appropriate to the residents following her guidance. In addition to this, the new owner is using her expertise and experience and intends to reorganise the layout of the home to provide different areas for the residents to use, hopefully including a quiet lounge and walking areas. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 14 From discussions with the cook on duty, the menus are being changed with new menus based on nutritional needs of individual residents being set up. There are ample stocks of food available, both during the day and at night time. Drinks are available during the day. No records of meals were available during the inspection and the owner was advised of the Care Homes Regulations that have a requirement that these must be maintained. The timings of the meals have also changed, with lunch being a snack type meal and tea the main hot meal of the day. The cook confirmed his knowledge of residents likes and dislikes and who may be on a special diet, although this tends to be kept “in his head” rather than written down. The meals provision within the home is currently being reviewed by the new owner who is using her knowledge and expertise to make changes and improvements, recognises the importance of good nutrition for people at the home. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were assessed during this inspection as both core standards were assessed during the previous inspection EVIDENCE: Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24.5 and 24.6 Residents’ rooms now have a lock and key in place that means they can feel their room and belongings are secure and safe. EVIDENCE: A requirement highlighted at the previous inspection required the home to ensure residents’ rooms had a lock and key put in place. All but one resident now has a lock and key on their room and their own key. During this inspection, the new owner confirmed she has a plan of improvement for the home that will take place over the coming months and has begun by a refurbishment of one of the bedrooms. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 The level of staff at the home is good and means that care is provided in an unhurried and timely fashion. Training for staff should continue as this means residents are cared for by staff that are trained and competent to do their jobs. EVIDENCE: A requirement highlighted at the previous inspection required the home to review the staffing levels to ensure that residents needs can be met at all times. Discussions with the new manager and staff on duty confirmed that an additional member of staff is on duty in the morning and at night. A new shorter rota has been organised and staff confirmed they feel this is much better and means that they are not working long shifts and are fresh to care for the residents. Staff also confirmed that there is a handover between shifts so they get to know things that have happened prior to them coming on duty. New uniforms have also been purchased for staff to use when on duty and means a professional image is being promoted. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 18 The new owner confirmed that all care practices carried out by staff are currently being assessed by herself as she is working alongside all the carers, providing instruction and training to ensure care is provided to the residents in a high quality and professional manner. Confirmation has been received that moving and handling training has been provided to all staff, although the new owner is to ensure each member of staff is provided with update training. However, other mandatory training (moving and handling, food hygiene, infection control and first aid) is still to be provided to all staff. Discussions with domestic staff confirmed they would welcome such training. More formal training in the care of people with dementia is also to be provided and a date for this is being organised by the new owner. Confirmation has been received that moving and handling training has been provided to all staff, although the new owner is to ensure each member of staff is provided with update training. Staff spoken with all confirmed that they have accessed various training courses and are looking forward to more training in the future. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 and 38 The new owner is experienced and qualified and has brought organisation and expertise to the home which means that the residents are now living in a well managed home. The arrangements to protect the residents’ money are not being followed which means that resident’s monies are not satisfactorily safeguarded. EVIDENCE: Although there is a registered manager in place, the overall management of the home is currently being undertaken by the new owner, who is a qualified and has many years experience in the care of people with dementia. Discussions with the new owner confirmed that many changes will be brought about in the home to ensure the reputation of Fairways as a high quality care home is justified. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 20 Discussion with staff on duty confirmed that the feel the new owner has brought about welcome changes. Staff confirmed that there is much more organisation to the home and if something is needed it is done straight away. Staff commented the home is “going in the right direction now”. The home’s current registered manager is aware that she must achieve the appropriate management qualification (Registered Managers Award) by December 2006. From previous discussions, the registered manager will benefit from the enthusiasm, leadership and direction of the new owner. At present, there are no formal quality assurance systems in place in the home that involve residents, relatives and other professionals, although the home does have the Investors in People Award. This is something the new owner is to develop in the forthcoming months. Financial records were examined for residents and the new owner advised that the Care Homes Regulations require a record to be kept of all charges and payments in relation to residents. Personal allowance monies records were examined for several residents and, whilst some monies had been taken for Christmas Shopping outings, records were not accurately maintained. Confirmation was requested once the financial records have now been updated and are accurate. The new owner confirmed that bank accounts are to be opened for each individual resident so that a more accurate audit can be maintained. Supervision for staff has now commenced although not all staff have received supervision to date. Advice was provided to the new owner over what should be included. A requirement highlighted at the previous inspection required the home to ensure all the home’s policies and procedures are accessible to staff. The new owner confirmed that these are now in place in the office and discussions with staff also confirmed this. The new owner is advised to review the policies and procedures to ensure they provide accurate and pertinent information for the staff at Fairways. At the time of this report, the home had not submitted a pre-inspection questionnaire which would have confirmed appropriate maintenance and other checks are carried out to ensure the health and safety of residents and staff, although the new owner verbally confirmed that all the required maintenance for the home is carried out. The refrigerator in the kitchen was not as clean as would have been expected and the items of clothing and footwear in the store room meant this room appeared untidy. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 21 The accident book was examined. Advice was given that following one accident the resident’s care plan should have been changed. Advice was also provided that an accident book that conforms to the Data Protection Act should be obtained for use in the home. Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X 3 X X STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 2 X 2 Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 23 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 OP3 Regulation 14(1) Requirement A comprehensive assessment must take place prior to admission to ensure that the home is able to meet the identified needs Care plans must reflect accurately residents needs, skills, wishes, daily routines and lifestyles. Care plans must also evidence resident (or their representatives) involvement. Risk assessments must be reviewed at least every 6 weeks or earlier if needed Healthcare records must accurately reflect the healthcare and welfare of the individual resident and how the home is addressing any areas of concern Medication must be securely and safely stored Social and personal histories of residents must be obtained to enable preferred routines and activities to be organised A record must be maintained of the food provided for residents in sufficient detail to enable any person inspecting the record to DS0000065703.V264169.R01.S.doc Timescale for action 31/03/06 2 OP7 15(1) 31/03/06 3 OP8 12(1)(a) 31/03/06 4 5 OP9 OP12 13(2) 16(2)(m) 08/12/05 31/03/06 6 OP15 16(2)(i) Sch 4(13) 31/03/06 Fairways Residential Home Version 5.0 Page 24 7 OP30 18(1)(c) 8 9 10 OP26 OP33 OP37 13(3) 24 17(2) & Sch 4(8) 11 OP35 16(2)(l) 12 OP36 18(2) 13 14 OP31 OP38 9(2)(b)(i) 23 determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual residents Mandatory training in food hygiene, first aid, infection control and fire safety must be provided to staff Staff must be provided with dementia training from an accredited source which will equip them with knowledge and current good practices in the care of people with dementia The refrigerator must be cleaned A formal system to enable a review of care must be put in place A record of the care home’s charges to residents, including any extra amounts payable for additional services not covered by those charges and the amounts paid by or in respect of each resident Records must be accurately maintained for any personal allowances monies held by the home on behalf of any resident Confirmation must be sent to the Commission that the anomalies highlighted at the inspection have been satisfactorily identified and addressed Formal supervision must be provided at least 6 times a year and include the topics outlined in this standard The registered manager must obtain the Registered Managers Award by 31 December 2006 Confirmation must be forwarded that the required maintenance and other safety checks are being carried out to ensure the health and safety of residents and staff DS0000065703.V264169.R01.S.doc 31/03/06 31/12/05 31/07/06 31/01/06 31/01/06 31/03/06 31/12/06 31/01/06 Fairways Residential Home Version 5.0 Page 25 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 3 Refer to Standard OP38 OP30 OP38 Good Practice Recommendations The use of the conservatory as a smoking area for residents should be reviewed so that all residents can access this facility The plan to provide update moving and handling for all staff should be carried out Staff should have access to a safe storage area for their personal items and clothing so that these are not stored in food areas Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Fairways Residential Home DS0000065703.V264169.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!