Inspection on 20/02/07 for Fircroft Care Home

This inspection was carried out on 20th February 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 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

Fircroft Care Home 24/10/07

Fircroft Care Home 15/11/05

Fircroft Care Home 10/05/05

Fircroft Care Home 29/09/04

Fircroft Care Home 25/05/04

Fircroft Care Home 12/12/02

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOMES FOR OLDER PEOPLE Fircroft Care Home 114 Ladbroke Road Redhill Surrey RH1 1LB Lead Inspector Joseph Croft Key Unannounced Inspection 20th February 2007 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 Fircroft Care Home DS0000013641.V331243.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 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. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fircroft Care Home Address 114 Ladbroke Road Redhill Surrey RH1 1LB 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) 01737 773424 Fircroft Services Limited To be confirmed 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.V331243.R01.S.doc Version 5.2 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 accommodated over the age of 65, up to two may fall within the category of OP 15th November 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 MS Samantha Richards. 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 forty years. The service provides a homely and comfortable environment where Service Users are treated with dignity and respect. The fees for this home range from £350 to £800 per week. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission For Social Care Inspection (CSCI) undertook an unannounced site visit on the 20th February 2007 using the new ‘Inspecting for Better Lives’ (IBL) process. This inspection was conducted by Regulation Inspector Mr J Croft who was assisted throughout the site visit by the manager who was representing the establishment. The inspection took place over a period of five hours commencing at 10:00 and concluding at 15:30 hours. The inspection process included a tour of the premises, sampling of residents’ care plans, risk assessments and staff recruitment files. Other documents sampled included the staff duty rota, menu, policies, medication and records of medicines. The Inspector had discussions with the manager and staff who were on duty. The Inspector also had discussions with several residents and he observed practice and staff interaction with residents during the inspection. Residents living at the home have Learning Disabilities and low levels of understanding, however, they were able to convey to the Inspector that they were very happy living at the home, they liked their bedrooms, the food was good, and all the staff look after them well. The pre-inspection questionnaire completed by the home, and comment cards received from residents, their relatives and other associated visiting professionals, have been used as a source of evidence in this report. The Inspector would like to thank the manager, staff and residents for their cooperation during this inspection. Feedback was provided to the acting manager at the end of this inspection. What the service does well: The needs of residents have been assessed prior to their admission to the home. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social and recreational activities meet the needs of residents. Residents receive a healthy, varied diet according to their assessed requirement and choice. The home has a complaints system to enable residents and their families to raise concerns. Staff having knowledge Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 6 and understanding of adult protection issues protects residents. The arrangements for staffing are satisfactory, ensuring staff have the qualities and training to meet the needs of residents. The management and administration of the home is based on openness and respect. There is an effective quality assurance system in place to ensure residents are provided with a good quality of care. 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. The summary of this inspection report can be made available in other formats on request. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 7 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 Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have an assessment prior to their admission to the home to ensure their needs can be met. EVIDENCE: The Inspector sampled the care files of two recent admissions to the home. These provided evidence that a full assessment of needs is obtained from care managers prior to admission to the home. The manager informed the Inspector that she undertakes a visit to prospective residents at their homes or current placements. The initial assessments were used to form the basis of the care plan, which identified the actions that staff should follow to assist an individual living at the home. Prospective residents are encouraged to visit the home before they take up their placement, which provides the opportunity to meet current residents, staff and to view their bedroom. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 9 The manager informed the Inspector that no resident would be admitted if his or her assessed needs could not be met. The home has a Referral and Admissions Policy and Procedure. The home does not offer intermediate care. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: On the day of the inspection two care plans were sampled as part of the case tracking process. Information in the care plans included the personal and health care needs, social activities, personal hygiene and nutritional needs. Care plans sampled had been signed and dated by residents, and there was evidence of monthly reviews having been carried out. During discussions, some residents stated they were aware of their care plans, and who their key worker was, and the help they receive from them. The manager informed the Inspector that Person Centred Plans (PCP) are currently being developed for each resident in the home, which will use pictures and symbols to make it more user friendly for residents. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 11 Members of staff were able to give an account of the contents of the care plans for the residents with whom they key work, and were aware of the need to review care plans on a monthly basis. Staff informed the Inspector that they encourage residents to make choices about their lives, the activities they like to do and the food they like to eat. Risk assessments were in place on the care plans sampled, and evidence of regular reviews was noted. Residents are registered with the local General Practitioner and have access to all NHS services as required. Records of appointments are maintained in individual care files and on the daily notes maintained in the home. Records of nutrition are maintained, including monthly monitoring of weight, and appropriate action is taken through referral to the GP. On the day of the inspection the Inspector had a discussion with a visiting health care professional who was complimentary about the standard of care residents receive, that there is always plenty of staff on duty, and that instructions are followed by the staff team. Comment cards received from visiting professionals were also complimentary about the standard of care provided by the home. The home has a policy in place for the administration of medication that was reviewed in March 2006. A list of staff trained considered competent to administer medication was available for review, and specimen signatures were evidenced for those administering medication. The home uses the local pharmacy blister packs and Medical Administration Record sheets (MARs) for the recording of medicines. Medical records sampled were accurately maintained. It was noted that some of the MARs charts were written by hand, which was discussed with the acting manager. Although these were clearly written, the manager informed the inspector that she would further discuss this with the pharmacist, and request that all medication is typed on the MAR sheets. The manager informed the inspector that no current resident self-administers his or her medication. The home has one resident who takes a controlled drug. Controlled Drugs (CD) were appropriately stored and a CD register was maintained and signed by two staff. The home maintains records of medicines received and returned to the pharmacist. During discussions with the Inspector, residents stated they could see the GP when required either at the surgery or in their bedrooms when the GP visits the home. This was observed during the inspection, when one resident was visited by the GP. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 12 On the day of the inspection staff on duty were observed interacting with residents in a supportive manner, addressing residents by their first names, and encouraging residents to be independent. Residents spoken to were complimentary about the staff at the home, and stated they are treated with respect. During discussions residents informed the Inspector they could make choices about what they do every day, they can have private time in their bedrooms, and have access to a telephone. Visitors are welcome at the home, and residents can choose to see them in the communal areas or in the privacy of their bedrooms. Residents’ privacy and dignity is respected through staff knocking on bedroom doors and providing personal care in the privacy of residents’ bedrooms. The home has a policy in regard to Privacy and Dignity. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social and recreational activities meet the needs of residents. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: During discussions with the Inspector, residents stated they are able to make choices in regard to their daily lives. Residents stated they go shopping, visit theatres, pubs, and restaurants and have annual holidays. The home offers a four-week activity programme, which includes three activity sessions every day. Two activity coordinators visit the home twice a week to run activities the residents choose. One activity session was observed on the day of the inspection. Staff were encouraging and supporting residents during this activity, and residents were observed to be laughing and enjoying the interaction. The home offers a wide variety of activities that include board games, puzzles, manicures, films and karaoke. Staff support residents when Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 14 visiting the local community and on day trips to other external places of interest. The day’s programme of activities is clearly displayed on the residents’ notice board. Residents informed the Inspector that they attend church every week if they wish to. The majority of residents living at the home are Roman Catholic and Church of England. The manager informed the Inspector that church leaders visit the home on a monthly basis to provide a religious service. The manager and staff told the Inspector that visitors are welcome to the home at reasonable times, and residents can see their visitors in their bedrooms if they choose to. Comment cards received from relatives and visitors informed that they are made welcome when they visit the home. The home uses a four-week rolling menu that was submitted with the preinspection questionnaire. This provided evidence that meals include meat, fish, pasta, fresh fruit and vegetables. Residents are offered a different meal if they do not like that day’s choice. Residents spoken to stated they liked the food, it is always good, and confirmed they can have a different meal if they asked for it. The home employs a cook who has undertaken the appropriate training, and all staff had received training in regard to food hygiene. The home caters for the needs of residents who require a special diet. Lunch was observed on the day of the inspection. This was a relaxed, unhurried meal, and there were sufficient numbers of staff available offering assistance where necessary. Food was appropriately stored, and the home maintains daily records of fridge/freezer and cooking temperatures. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints system to enable residents and their families to raise concerns. Staff having knowledge and understanding of adult protection issues protects residents. EVIDENCE: The home has a Complaints Policy and Procedure that includes time scales and the Commission For Social Care Inspection Surrey Local Office details. A copy of this is included in the Service Users Guide that is provided to all residents. Residents spoken to stated they would talk to the manager if they needed to make a complaint. The manager stated there have not been any complaints made about the home. Comment cards received from visiting associated professionals stated they were aware of the homes’ complaints procedure, had not needed to make a complaint. The home has a Protection of Vulnerable Adults Policy and Procedure that was last reviewed in March 2006. The manager informed the inspector that this document is reviewed on an annual basis. The home has a copy of the Surrey Multi-Agency Procedures of February 2005, which is accessible for all staff. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 16 During discussions with the Inspector, staff provided an accurate account of the procedures to be followed in the event of abuse or suspected abuse of residents. The home has a Whistle Blowing Policy and Procedure. Staff had received training in regard to the Protection of Vulnerable Adults in July 2006. The registered provider informed the inspector that he is an approved trainer by Surrey for POVA and oversees the training in this area for the home. The home has a policy in regard to the management of residents’ money, valuables and financial affairs. A small amount of money is kept for residents, which they can access when they request. The home maintains records of financial transactions undertaken. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 24 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides adequate communal and individual living space making it a comfortable place to live, however, identified areas require attention. EVIDENCE: A tour of the premises was undertaken. The accommodation consists of two double bedrooms and fourteen single bedrooms, two of which have en-suite facilities. Bedrooms viewed were appropriately decorated and had residents’ personal belongings. The manager informed the Inspector that residents had been offered keys to their bedrooms, but only a few had chosen to use these. Residents had lockable facilities in their bedrooms. The home has an annual business plan in which areas for improvement to the environment are planned. It was noted that one en-suite facility was in the process of having the radiator replaced, which left the pipes exposed. The Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 18 manager informed the inspector that this facility is out of use until it the radiator has been replaced. The laundry facilities include two washing machines with sluice programmes. It was noted that the laundry floor requires attention to ensure it is impermeable and easily cleanable to prevent the spread of infection. A requirement has been made in regard to this. There are sufficient washing facilities and lavatories to meet the needs of residents. One bathroom is currently being refurbished, and is out of use to residents until completion. The home has a garden to the rear of the property that is accessible to residents. On the day of the inspection the home was clean, tidy and free from offensive odours. The home has an Infection Control policy, and staff had been provided with training in this area of their work. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing are satisfactory, ensuring staffs have the qualities and training to meet the needs of residents. EVIDENCE: The staff rota demonstrated the number of staff on duty to provide care, and attention to residents for any twenty-four hour period, was adequate to meet the assessed care needs of the residents. The home has a structure to the staffing arrangements to ensure there is a senior member of staff on duty at all times throughout the day. The home employs one chef and one domestic staff. The pre-inspection questionnaire forwarded to the Commission For Social Care Inspection Surrey Local Office informed that 31 of staff hold the minimum NVQ level 2 qualification, and a further six members of staff have commenced this training. Random sampling of staff recruitment files evidenced that the home complies with the regulation regarding employment of staff to work in care homes. The home has a Recruitment Policy and Procedure that is followed when recruiting staff. This was reviewed in March 2006. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 20 There was evidence in staff files that they receive supervision on a regular basis. All newly appointed staff undertake an induction programme. Information forwarded with the pre-inspection questionnaire provided evidence that the home ensures staff undertakes the mandatory training with updates as necessary to maintain their competency to fulfil their duties. This was also evidenced during the site visit through discussions with the manager, staff and sampling of staff individual training files. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. There is an effective quality assurance system in place to ensure residents are provided with a good quality of care. EVIDENCE: The manager, who is not registered as yet, has been in post since November 2005, and has worked at the home for six years, two of which were as the assistant manager. She holds the NVQ level 3 and is currently undertaking the NVQ level 4 in care and management. The acting manager has demonstrated that she has kept herself updated on issues relating to care of residents and staff in her charge. The acting manager has a job description that provides clear lines of accountability. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 22 The registered provider informed the Inspector that he had made an application to register the manager with the Commission For Social Care Inspection Surrey Local Office in May of 2006, but this was returned, as the forms for the Criminal Record Bureau check were incomplete. She had since re-applied in October 2006; however, no records of this could be established either at the Commission For Social Care Inspection Surrey Local Office or at the Central Registration Team in London. The Inspector has since had a telephone conversation with the registered provided who stated that this issue would be addressed immediately. During discussions staff informed the Inspector that the management style of the manager is good, open and honest. Residents stated the manager and staff look after them well, are always available and “help you when you need it.” Quality assurance is undertaken through annual surveys of residents, relatives, friends and associated visiting professionals. The Inspector viewed the summary of the last quality assurance undertaken. Comments about the standard of care residents receive were complimentary. During discussions residents and staff informed the inspector that residents meetings take place every three months. Minutes of the January 2007 meeting were available in the entrance hall to the home. The manager informed the Inspector that written records of financial transactions are maintained. The home holds small amounts of money for each resident that is available on request. The pre-inspection questionnaire forwarded to the Commission For Social Care Inspection Surrey Local Office informed that all health and safety checks are up to date. The manager informed the Inspector that each member of staff has a delegated responsibility in regard to health and safety, and the senior member of staff has the responsibility for monitoring this. On the day of the inspection the records of fire drills, fire risk assessments, fire training, Control of Substances Hazardous to Health (COSHH) risk assessments and the Environmental Health report were viewed. Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 23 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP26 Regulation 12(1)(a) 13(3) Requirement Timescale for action 20/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Fircroft Care Home DS0000013641.V331243.R01.S.doc Version 5.2 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!