Care Home: Fairby Grange Rest Home

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What the care home does well The admission process is thorough and prospective service users are encouraged to visit and spend time at the home before they decide to move in. The atmosphere is welcoming, open and friendly and the home is clean, well decorated and furnished and well maintained. Any maintenance or repair needed is quickly undertaken. Care plans are thorough and attention has been given to making sure they contain full information on all care and support needs. Good relationships are maintained with health professionals and any health concerns are referred on swiftly. Service users express satisfaction with the service they receive especially in terms of the staff, management and the care they receive. Relatives echo this view. Staff turnover is low therefore staff are mostly very well established and have a good understanding and awareness of individual needs. Staff are well trained and over 50% have gained an NVQ in care at level 2 or above. What has improved since the last inspection? The manager has become registered and has continued to bring about improvements in the service. Care plans have continued to be refined and a lot of work has taken place to update policies and procedures and some recording tools. Service users have been offered more opportunities to put forward their views on the service, menus have been reviewed as a result and plans are underway to employ an activities co-ordinator. There has been some increase in the number of activities available. Fire and infection control procedures are improved. Individual fire risk assessments are now in place for service users. What the care home could do better: Service users were mainly satisfied with the activities on offer although there is not great deal of variety, an activities co-ordinator needs to be employed so that service users have a more varied and regular programme of activities on offer. Medication administration procedures must be improved so that all staff fully complete MAR sheets every time medication is given. The employment of a deputy manager would benefit the home, as this would allow the manager more time to continue with improvements to policies and procedures, documentation and improving some aspects of administration such as the organisation of staff records. CARE HOMES FOR OLDER PEOPLE Fairby Grange Rest Home Ash Road Hartley Dartford Kent DA3 8ER Lead Inspector Debbie Sullivan Unannounced Inspection 13th December 2007 09:05 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 Fairby Grange Rest Home DS0000023941.V352418.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. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairby Grange Rest Home Address Ash Road Hartley Dartford Kent DA3 8ER 01474 702223 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) enquiries@fairbygrange.co.uk Mr Gregory Brian Reeve Mrs Christine Brent Care Home 30 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (29) Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only (PC) to the service users of the following gender: Either Whose primary needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - over 65 years of age - (MD (E)) - maximum number of places 1 Old Age, not falling under any other category - (OP) maximum number of places 29 The maximum number of service users to be accommodated is 30. 2. Date of last inspection 26th March 2007 Brief Description of the Service: Fairby Grange is a residential care home providing personal care for up to thirty older people. The home employs care staff, working a roster, which gives twenty-four hour cover. The home also employs a manager and catering and domestic staff. The building is a detached listed property. A purpose built extension was added to the home in 1992. Bedroom accommodation is on two floors and all the bedrooms are singles. Eight single rooms have en-suite WC facilities. Bedrooms on the first floor are accessed by a chair lift. The home does not have a passenger lift. All the bedrooms are connected to the staff call alarm system. Communal space comprises of one reception room, a dining room and two day rooms. The home has well-maintained gardens, including a small, secluded patio area. The home is located near to the village of Longfield, which has a good variety of local facilities. Train services are available from Longfield Station. Buses to the neighbouring areas pass near the home. Car parking facilities are available. Staff are well trained and a number of members of staff have worked at the home for a long time providing consistency of care. The current weekly fee for the home ranges from £365 to £426. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 5 Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over seven hours. Time was spent with service users, the manager, staff and relatives who were visiting. A tour of the home took place and a range of records and documents including care plans, medication records and policies and procedures were read. The Annual Quality Assurance Assessment document completed by the manager provided additional information to assist the inspection process. Throughout the visit staff and service users were helpful in providing information and service users expressed that overall they were satisfied with the service. What the service does well: The admission process is thorough and prospective service users are encouraged to visit and spend time at the home before they decide to move in. The atmosphere is welcoming, open and friendly and the home is clean, well decorated and furnished and well maintained. Any maintenance or repair needed is quickly undertaken. Care plans are thorough and attention has been given to making sure they contain full information on all care and support needs. Good relationships are maintained with health professionals and any health concerns are referred on swiftly. Service users express satisfaction with the service they receive especially in terms of the staff, management and the care they receive. Relatives echo this view. Staff turnover is low therefore staff are mostly very well established and have a good understanding and awareness of individual needs. Staff are well trained and over 50 have gained an NVQ in care at level 2 or above. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 7 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. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 8 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. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 9 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 Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 10 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): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available to prospective service uses so that they can make an informed choice about the home. Needs are assessed prior to admission and a place is only offered if they can be met. EVIDENCE: The home has a statement of purpose and service user’s guide, service users and funding authorities have a contract with the home and each service user receives a copy of the guide. There is now space to record this on the contract. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 11 The manager assesses each service user before offering a place, and potential service users are welcome to spend time at the home before they make a decision about moving in. There is a four week trial period. Relatives spoken with said that they visited the home unannounced when they were seeking a residential service and were made welcome, they and their relative at the home were very happy with their choice. Service users and another relative said that other homes had been viewed before Fairby Grange was chosen. Service users spoken with felt that their expectations of the service were being met, one had experience of living in another home and much preferred Fairby Grange. The home offers respite care when space is available, a new service user was moving in the day after the inspection then it would be full. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 12 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): 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 needs of service users are well met and service users are treated with respect and dignity. Further improvement is needed to medication administration so that service users are fully protected by medication policies and procedures. EVIDENCE: The last key inspection found that a lot of work had taken place on reviewing care plans and that they were detailed and clear. The detail included what service users like to wear and even including any jewellery. This work has continued and care plans read gave comprehensive information on needs and preferences. The plans are regularly reviewed and there are risk assessments in place; individual risk assessments in the event of a fire are now included. Wishes in the event of death are recorded on contracts. Where service users have a need for specialist involvement this is well recorded, one service user was due to be reassessed as the home could no Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 13 longer meet their needs and the manager spoke of liaison with a possible future service that were due to assess the person. Contact with a range of health care professionals is kept up; during the day a CPN visited and a worker from the Kent Association for the Blind arrived to assess a service user. The GP visited to see service users who had requested to see him or who the home were concerned about, this is a weekly arrangement and the GP rang first for details of those he was to visit. The manager said this works well and one service user’s relatives were present for the consultation as well. Relatives said that the manager always keeps them informed in general and about any health matters. Any health concerns are quickly passed on to appropriate professionals; one service user sees a dietician and another spoke of input from a community matron. Two service users are on oxygen; clear risk assessments, safety measures and guidelines are in place for this. Medication policies and procedures are in place and care staff receive medication training. There is the option for service users to self medicate, one spoke of partially doing so. Medication is securely stored and staff observed administering lunchtime medication did so according to procedures. The MAR sheets contained some gaps in recording over the few days prior to the visit, the manager said she regularly spot checks MAR sheets and would be addressing this omission urgently with staff. Throughout the inspection staff were seen to treat service users with respect and personal care or visits by health professionals took place in private. Service users said that staff are respectful and patient. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 14 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): 12.13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to maintain contact with friends and families. Service users have opportunities to make choices about their daily lives and are now offered some more activities. Meals are well cooked and nutritious. EVIDENCE: Since the last key inspection the manager has consulted service users about activities and has recently interviewed an applicant for the post of part time activities co-ordinator. It is hoped the co-ordinator will start in the New Year. There has been some increase in activities, motivation sessions are held more frequently, there have been outings arranged and card games take place every day. A service user spoke of enjoying playing cards and another had enjoyed trips to Herne Bay in the summer, the provider arranges transport. One service user has started attending a specialist day centre once a week. Interests are recorded on care plans. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 15 A hairdresser visits weekly; she was at the home on the day of the inspection and kept busy. A number of relatives arrived to visit at various times during the inspection, they were made welcome and the manager made time to speak with them if they wished. Relatives said they could visit at anytime and service users also maintain contact via telephone. The home was starting to collect information on which service users would be out with families over Christmas. Meals are varied and freshly cooked, the menus have been revised and the AQAA states that revision is continuing. The views of service users about meals are sought at residents’ meetings. They had requested two roast dinners a week rather than just on Sundays and this was now happening. Service users were joined in the dining room at lunchtime, the meal was well cooked and presented and there was a choice. The cook is aware of individual likes and dislikes and special diets are catered for. Service users spoken with said they liked the meals. Cakes are made for tea every day and birthdays are celebrated. If service users choose to eat their meal in their room this is respected, one service user said that on moving in they had been reluctant to join others in the dining room, staff had respected their wish but now they felt settled they took most meals with others. Service users said they felt the home allowed them to make choices about their daily lives, such as when to get up or go to bed. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 16 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives have access to a complaints procedure and can be confident that any concerns will be addressed. Service users are protected from harm by the home’s policies and procedures. EVIDENCE: The home has a complaints policy that has been updated; the procedure is displayed in the entrance hall. No complaints had been recorded since the last inspection. Service users said that they would refer any concerns to the manager or staff, and relatives said that they could always discuss any concerns with the manager and know they would be responded to. During the inspection the manager made time to speak with relatives and to answer queries from the relative of a fairly new service user. The adult protection policy and procedures have also been fully revised to give clearer guidance for staff to follow. There had been no adult protection alerts in respect of the service. Staff receive adult protection training and POVA training was next booked for January 2008. Fairby Grange Rest Home DS0000023941.V352418.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): 19,20,21,22,23,24,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a pleasant, clean, well-decorated, homely and wellmaintained environment. Bedrooms suit the individual needs of service users and equipment is in place to aid independence. EVIDENCE: The home is well decorated and furnished and service users said they liked living there. The building is listed and bedrooms in the old part are of differing shapes and sizes. All are attractively decorated to the taste of service users and include personal furniture, pictures, photos, ornaments and other personal Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 18 items. A service user said they thought the home was “homely and comfortable”. Shared areas are the lounge, dining room, seating area in the entrance and a designated smoking lounge, clear signs state it is a smoking area and there are risk assessments for it’s use. A number of service users made good use of various areas spending some time in the main lounge, their rooms or the entrance depending on the time of day and their choice. There is a stair lift but no shaft lift so those with mobility difficulties are as far as possible accommodated in downstairs bedrooms, one service user said they were waiting for a downstairs room and had accepted an upstairs one on moving in as they wanted to live at the home. Some upstairs window frames need replacing, evidence was seen that this work is planned. Rails are in place on walls next to stairs and service users have access to equipment to help them maintain independence and mobility that is for their own or shared use. There are two bathrooms, one on each floor; infection control procedures in the bathrooms had improved since the last inspection. The garden is attractive and well kept, there is a patio area with seats, one service user who likes to be outside said they go out into the garden all year round and benefit from fresh air. Radiators are guarded in all areas accessed by service users, the water tested in two upstairs bedrooms was very hot, and the manager requested a visit from an engineer to attend to this during the inspection. The laundry is well ordered and away from food preparation areas. Fairby Grange Rest Home DS0000023941.V352418.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): 27,28,28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-trained and competent staff team supports service users. Recruitment procedures are robust and they protect service users. EVIDENCE: The home employs senior carers, care staff and catering and domestic staff. The senior carers are very experienced in working at the home and are responsible for supervising their catering and domestic colleagues. There is very little staff turnover and staff spoken with said they like working at the home. One carer said, “I love my job—the manager supports us well, is great, we are lucky”. Three carers are on duty during the mornings. Care staff undertake some domestic duties during the afternoons, support any activities taking place and prepare the supper. They felt this was manageable although sometimes there was a shortage of time to spend individually with service users, especially if others are unwell or need extra attention. This will be helped if the appointment of an activities co-ordinator goes ahead. Service users were positive about the staff and said that they responded promptly to call bells; two service users praised the quick response of night Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 20 staff. A service user said, “The staff are excellent, they have so much patience”. Staff meetings take place for senior staff and all staff receive supervision, the manager said that she was aware some supervisions or recording of meetings were overdue although they were scheduled or recorded in note form; staff files read included evidence that supervision takes place. Staff are well trained and core training is updated, fire safety, manual handling, POVA and health and safety training were booked for early 2008. Staff have dementia training and over 50 of care staff have gained an NVQ in care. New staff receive induction, one relatively new carer was on duty during the afternoon and they were confident with the service users. All staff observed during the visit were confident and cheerful and had a good rapport with service users. Fairby Grange Rest Home DS0000023941.V352418.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): 31,32,33,35,36,37 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and managed in the best interests of service users and staff. The views of service users are sought and there has been consistent improvement to the service over the past year. EVIDENCE: The manager of the home is experienced and holds the Registered Managers Award; she became registered as manager this year. The home is well Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 22 managed and since being in post the manager has achieved much in the way of improvement. The senior carers support the manager and one has assisted with the revision of some policies and procedures. Further work on the improvement of some other administrative procedures such as filing systems would be helped by the appointment of a deputy and this is recommended for consideration. The manager likes to spend time every day with staff and service users and is pro-active in keeping in touch with relatives. One relative stated that the effective communication meant that they were always kept informed, there were “no surprises” and said “we are so lucky to have (relative) here”. Comments from service users on the home included “ I think it’s incredible” and “I couldn’t think of a better place”. The views of service users are sought via residents meetings and there has been a quality assurance survey. The provider visits weekly and the manager is personally well supported by the provider. The home does not manage service users money. Some service users manage their finances independently, if they choose the home keeps their petty cash safe and records any transactions. All the records inspected were well maintained and stored securely; staff files need reorganising so that information is more easily found. The home has a valid insurance certificate on display and equipment is serviced. Fire procedures have improved since the last inspection and fire practices take place; the last was in late November 2007 with an effective response recorded. Safe working practices are observed and during the visit staff were seen to be using the necessary health and safety procedures when attending to service users or undertaking domestic duties. The one area where a potential risk was identified was the overheated water in a small number of upstairs bedrooms; action took place during the inspection to rectify this. Fairby Grange Rest Home DS0000023941.V352418.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 2 3 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 3 3 X 3 3 3 2 Fairby Grange Rest Home DS0000023941.V352418.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 OP9 Regulation 13(2) Requirement “The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home” In that MAR sheets must always be filled in so that there is complete information on medicines administered or information on why it was not given. Timescale for action 14/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 25 It is recommended that the home employs an activities coordinator as planned and if the current applicant is not employed then further advertising should take place. 2. 3. OP26 OP27 It is recommended that the small area on the downstairs bath that is chipped be resurfaced. It is recommended that a deputy be employed to support the manager, so that management tasks can be shared and more time be devoted to further improving the service. Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Fairby Grange Rest Home DS0000023941.V352418.R01.S.doc Version 5.2 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. 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