Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 15/11/05 for Fircroft Care Home

Also see our care home review for Fircroft Care Home for more information

This inspection was carried out on 15th November 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There was evidence of attention to service users needs on their care plans, which are reviewed regularly. Daily notes are also kept. The inspector had the opportunity to speak with a number of service users who live at the home. All service users were complimentary about the home and spoke affectionately of the manager and staff. The staff were observed to be courteous and the atmosphere within the home was relaxed and friendly. The home was in good decorative order. All service users were spoken with on the day of the inspection. The proprietor, manager and staff team have a thorough awareness of the needs of the Service Users in this home. Service users are admitted only following a full assessment undertaken by the manager. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 6Each service user has a clearly set out care plan and all the service users are registered with a GP. There were satisfactory facilities and procedures available for the safe reception, storage, disposal, administration and recording of medication. Arrangements are in place to meet service users care needs in a respectful way that affords both privacy and dignity. Full support is provided to enable individual choice in daily living activities.

What has improved since the last inspection?

Since the last inspection it has been identified that the home can no longer meet the needs of one of its service users and as a result alternative care has been identified with full co-operation of her relatives. This has been very sensitively and professionally managed and as such the transition will be thorough and cause as little disruption to the service user as is possible.

What the care home could do better:

Once again, it was identified that the home is operating extremely well and that all policies, procedures and practice issues are of an exceptional standard. No areas were identified as requiring action on this occasion.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Fircroft Care Home 114 Ladbroke Road Redhill Surrey RH1 1LB Lead Inspector Peter Benthom Unannounced Inspection 15th November 2005 10:00 Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fircroft Care Home DS0000013641.V252260.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 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. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fircroft Care Home Address 114 Ladbroke Road Redhill Surrey RH1 1LB 01737 773424 0208 669 6041 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) Fircroft Services Limited Miranda Telfer Care Home 18 Category(ies) of Dementia (18), Learning disability (18), Old age, registration, with number not falling within any other category (2) of places Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All Service Users accommodated will be: 40 YEARS AND OVER. The gender of those accommodated will be: MALE & FEMALE Of the service users accomodated over the age of 65, up to two may fall wiithin the category of OP 10th May 2005 Date of last inspection Brief Description of the Service: Fircroft is a large detached house situated in the town of Redhill in Surrey. The home is owned by Fircroft Services Ltd and managed by Mrs M Telfer. The home is registered as a Care Home only, within the Service User category ‘ Learning Disability (LD) and Old Age (OP) The home is registered for a maximum of eighteen Service Users aged over fifty-five years. The service provides a homely and comfortable environment where Service Users are treated with dignity and respect. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the second inspection of the Home by the Commission for Social Care Inspection within the regulatory framework of the Care Standards Act 2000 for the year 2005/6. The Home’s performance was measured against the National Minimum Standards for Care Homes for Older People. A tour of the premises took place and care, training and Health and Safety records were inspected. The home provided a high level of individualised support to service users. This was a commendable part of the home’s operation. The menus provided were appetising and well presented using fresh foods where possible. Links with service users friends and family were well developed and maintained by the operation of the home. Service users’ health needs were well met. The home has a positive and supportive relationship with the local surgery. All staff are trained in the administration of medication. The home has a thorough complaints procedure. There have been no complaints received either by the service or by the CSCI in relation to this service. The home is well maintained and furnished to a good standard. It offers spacious and well-equipped accommodation to its service users. There is a commitment from the proprietors and manager to provide staff with continual training and development. The home provides a relaxed and comfortable environment for the service users living there. The home is particularly fortunate in having an extremely dedicated staff team and manager, many of who have worked at the home for some years. There is evidence of continued hard work by the manager and staff, in order for the home to become fully compliant with the National Minimum Standards for Older People and Younger Adults. The home appears to meet the needs of the service users living there. What the service does well: There was evidence of attention to service users needs on their care plans, which are reviewed regularly. Daily notes are also kept. The inspector had the opportunity to speak with a number of service users who live at the home. All service users were complimentary about the home and spoke affectionately of the manager and staff. The staff were observed to be courteous and the atmosphere within the home was relaxed and friendly. The home was in good decorative order. All service users were spoken with on the day of the inspection. The proprietor, manager and staff team have a thorough awareness of the needs of the Service Users in this home. Service users are admitted only following a full assessment undertaken by the manager. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 6 Each service user has a clearly set out care plan and all the service users are registered with a GP. There were satisfactory facilities and procedures available for the safe reception, storage, disposal, administration and recording of medication. Arrangements are in place to meet service users care needs in a respectful way that affords both privacy and dignity. Full support is provided to enable individual choice in daily living activities. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 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) Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 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): 1,2, 3, 4 and 5 Service users are admitted only following a full assessment undertaken by people trained to do so. The registered person was able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: All potential service users are assessed prior to admission. It was reported that the service only admits new service users based on an assessment of needs, and appropriateness of placement The initial assessment was used to form the basis of the care and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 9 Service users and their families/representatives and relevant professionals are involved in the assessment process. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 10 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, 7, 8, 9 and 10 Health, personal and social care needs are effectively met in this home. EVIDENCE: Encouragement and support was given to service users to promote independence within the limitation of each individual’s capabilities. The manager stated that all service users were registered with the local GP practice for the provision of general medical services. Recently admitted service users will be given the opportunity to be registered with the homes GP. During the inspection the staff cared for Service Users in a respectful manner. Those Service Users requiring any assistance were helped sensitively. All Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 11 Service Users have their own bedroom, thus providing the opportunity for privacy when visitors arrive, whether family or professionals. The Homes’ policies and procedures placed particular emphasis on the core values of caring, such as independence, privacy and dignity. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 12 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, 14, 15, 16 and 17 The systems in place for full Service User participation indicated that Service Users views are both sought and acted upon. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 13 EVIDENCE: All Service Users have full and varied activity programmes. Examination of the home’s records confirmed a high degree of personal empowerment and choices in services users daily lives. They were encouraged and supported in the use of community amenities and in maintaining relationships with friends and families. Service users attend various day centre and adult education activities. A different variety of community-based activities are available. The activities programme was individualised in accordance with service users wishes and made appropriate use of college courses, community amenities and facilities. There are daily activity sessions held in the home and the deputy manager is responsible for the co-ordination of these activities. Menus provided wholesome home cooked food. The care staff are currently undertaking the management of the catering in the home in the absence of a cook. Recruitment is currently taking place to this post. Catering was seen to be of a high standard. The hygiene standards in the kitchen were excellent. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 14 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): 18, 19, 20 and 21 The systems in place for Service User consultation are good and access to support from health care agencies is clearly evidenced. The systems for administration of medication are good with clear arrangements in place to ensure that Service Users medication needs are being met. EVIDENCE: Encouragement and support was given to service users to promote independence within the limitation of each individual’s capabilities Records showed assessed medical needs were followed up properly and notes taken of the care given. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 15 The home has recently lost a service user and his death was handled in a caring and sensitive manner with appropriate participation from other service users and full involvement from staff. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 16 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 12, 13, 15, 16 and 17 (Adults 1865) 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): 22 and 23 The home has a satisfactory complaints system that is made available to all Service Users and staff. EVIDENCE: A large notice explaining the complaints procedure was displayed on the notice board in the reception area. Details of the complaints procedure are to be found in the Statement of Purpose and the Service Users welcome pack. The home has a No Smoking policy. Service Users and staff use an outside area for smoking. Staff have access to Surrey’s Multi-agency Vulnerable Adults Protection Procedures and staff are made aware of the detail of the Public Interest Disclosure Act of 1998. The manager is also a professional staff trainer and provides continual and updated training in all aspects of adult protection, to staff. The homes policy related directly to Standard 18 of the National Minimum Standards for Older People. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 17 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): 24, 27, 28, 29 and 30 The standard of décor and equipment in this home is of a good standard with evidence of improvement through maintenance and refurbishment when necessary. EVIDENCE: The Home is situated in a large and well-maintained garden and is close to Redhill town centre. The Home has been tastefully adapted from its previous use and has been designed to meet the needs of the service users. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 18 All rooms were accessible to Service Users. The home has grab rails and adaptations such as mobile hoists and bathing aids in place to support Service Users to maintain their independence. Staff take a pride in maintaining a clean and homely environment for the service users and must be very highly commended. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 19 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): 31, 32, 33, 34, 35 and 36 Service Users are supported by competent and trained staff who have a good awareness of their needs. EVIDENCE: The Home has a policy whereby all gaps in the staff rota are met by existing staff. The Home has commenced a rolling programme of NVQ training for all staff. Nigh shifts are covered by two waking members of staff. All staff work night and day shifts in order to ensure that staff become familiar with Service Users needs throughout the 24-hour period and ensures a good continuity of care. Staffing levels comply with National Minimum Standards. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 20 The proprietor and the manager must be very highly commended for their commitment to training for all staff. The training programme follows the guidelines of the National Occupation Standards and each member of staff has an individual training and development plan. Training records were examined as part of the inspection process and were found to be up to date and detailed providing evidence of appropriate training being afforded to all staff at all levels. There was evidence that the recruitment process had been followed and met the standards for protection of Service Users. There are arrangements to carry out CRB checks and two written references were in place for all staff. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 21 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, 39, 40, 41 and 42 The manager is supported by staff in providing clear and consistent leadership in the home with all staff illustrating an awareness of their roles and responsibilities. The home’s record keeping and health and safety policies protect all service users and staff. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 22 EVIDENCE: The current registered manager is leaving at the end of November and an acting manager who is qualified to Level 4 NVQ and holds the Registered Managers Award has taken the post. Information from service users and staff confirmed that the management style in the home was open and that registered the providers are approachable at all times. Meetings were held for both staff and service users; all were encouraged to contribute to the development of the home. The following records were examined during this Inspection: Service Users Care Plans, the Staff Rota, Staff personnel files and Menus. These records were in good order. Staff were noted to receive training in matters of health and safety and ample information was available to advise staff as to safe practice, including lifting and the handling of corrosive materials. There is a Health and Safety procedure in place. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 23 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT 37 3 38 3 39 3 40 3 41 3 42 3 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 3 3 3 3 3 3 3 3 3 3 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 24 No 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 N/A Regulation N/A Requirement There are to be no requirements from this inspection Timescale for action 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard N/A Good Practice Recommendations There are to be no recommendations from this inspection Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. Fircroft Care Home DS0000013641.V252260.R01.S.doc Version 5.0 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. 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!