Care Home: Fairholme

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What the care home does well The residents enjoy good access to community facilities. They regularly visit places such as pubs, cinemas, restaurants, art centres, libraries and shopping centres. Residents said these activities help them to remain part of the community. The residents are actively involved in the day-to-day management and activities in the home. This has become an established practice and the residents are supported to continue to be involved in this way. The residents enjoy good level of recreational and occupational activities, which are sourced by the staff and the residents themselves. The occupational skills of the residents have been maintained by being involved in activities such as cooking, painting and decoration and construction work (wall plastering) when necessary. There is good medical and community health support from the local HNS Trust. Such support has enabled the residents to live in the community by receiving the necessary medical and nursing input from the health authority. There is good communication between the staff and the residents. The staff respond positively to the wishes of the residents. The residents feel empowered by the way the staff take their lead from them. All the necessary health and safety precautions have been taken to make it safer for the building work that is going on in the next house which when completed would be an extension to the home. What has improved since the last inspection? Two requirements were made in the last inspection report. All the requirements have been addressed. What the care home could do better: The complaints book is displayed in a communal area and is therefore accessible to all residents and visitors. This is inappropriate as it is considered a serious breach of confidentiality. This also applies to a document entitled Implementation Action Plan. The AQAA is also displayed in a communal are. It contains information about individual residents and the sections relating to personal information about residents must not be on public display. Some residents smoke in their bedrooms. There must be a specific risk assessment for those who smoke in their rooms to promote their safety and the safety of others. Staff supervision has been started but this need to extend to all staff and to make sure that each care staff receives at six supervisions annually. CARE HOME ADULTS 18-65 Fairholme 134-136 Beach Road South Shields Tyne & Wear NE33 2NE Lead Inspector Sam Doku Unannounced Inspection 11th March 2008 10:00 Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fairholme Address 134-136 Beach Road South Shields Tyne & Wear NE33 2NE 0191 454 6598 0191 454 6598 fairholme@minstercaregroup.co.uk www.minstercaregroup.co.uk Minster Pathways Limited 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) Position Vacant Care Home 18 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18) of places Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Mental Disorder, excluding learning disability or dementia, Code MC, maximum number of places 18 The maximum number of service users who can be accommodated is: 18 2. Date of last inspection Brief Description of the Service: Fairholme is a three storey terraced house that has been adapted to provide personal care for eighteen adults who have mental health needs. Three people can be over the age of 65. The home owned by Minster Pathways but continues to trade under the name Fairholme Care Ltd. There are plans to make further developments to the home including the development of 4 self contained flats in the adjacent building. The main communal areas are all located on he ground floor and the other two floors contain the bedrooms and bathrooms. Fairholme is located in South Shields and is a short walk form the main beach. There is easy access to South Shields shopping centre either by walking or on the bus. The main road at the bottom of the street has a large number of bus stops, which have services that run to various places such as Sunderland and Durham. The home has recently been taken over a new company called Minster Pathways. It is now part of a larger company and a local responsible person has been appointed for overseeing the the general running of the home. The rate of charges is £450.00 per week. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection was unannounced and was conducted on 11 January 2008 involving a single visit to the home. Before the visit the inspector looked at: Information we have received since the last key inspection visit on 24 July 2007; How the home dealt with any complaints & concerns since the last visit; • Any changes to how the home is run; • The provider’s view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQUAA); • The views of the residents who use the service and their relatives. During the visits the inspector: • talked to the residents, the manager and care staff; • looked at information about the residents and how well their needs are met; • looked at other records which must be kept; • checked that staff had the knowledge, skills & training to meet the needs of the residents; • looked around the building to make sure it was safe & secure; • checked what improvements had been made since the last visit; • the inspector told the manager what he found. All of these activities contributed to the inspection findings. What the service does well: The residents enjoy good access to community facilities. They regularly visit places such as pubs, cinemas, restaurants, art centres, libraries and shopping centres. Residents said these activities help them to remain part of the community. The residents are actively involved in the day-to-day management and activities in the home. This has become an established practice and the residents are supported to continue to be involved in this way. The residents enjoy good level of recreational and occupational activities, which are sourced by the staff and the residents themselves. The occupational Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 6 skills of the residents have been maintained by being involved in activities such as cooking, painting and decoration and construction work (wall plastering) when necessary. There is good medical and community health support from the local HNS Trust. Such support has enabled the residents to live in the community by receiving the necessary medical and nursing input from the health authority. There is good communication between the staff and the residents. The staff respond positively to the wishes of the residents. The residents feel empowered by the way the staff take their lead from them. All the necessary health and safety precautions have been taken to make it safer for the building work that is going on in the next house which when completed would be an extension to the home. 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. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment tool identify individual care needs and what they would want to do. Care plans are then formulated to direct staff on how to assist in promoting individual aspirations. EVIDENCE: The assessments and the care plans provide details of the care that individuals receive in the home. The assessment tool is gradually being introduced to include all the residents. Two residents confirmed that they have been involved in the formulation of their care plans and feel that the information in the plans represent their views and how they would like to be looked after. The assessment tool provides a wide range of information about the residents. The residents continue to described the efforts made by the staff to support them to gain employment or engage in other meaningful activities either paid or unpaid. The residents clearly appreciate the role of the care staff in enabling them to lead meaningful lifestyle. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are processes in place to ensure continuous review of the care plans that reflect the current needs and wishes of the residents. This promotes their right and independence. General risk assessment of the home are carried out but risk assessment of individual residents who smoke in their bedrooms are lacking and therefore seriously compromises the safety and welfare of residents and staff who work in the home. EVIDENCE: There are good systems in place for reviewing the care needs of the residents. The residents continue to be consulted in matters relating to the day-to-day management of the home. The residents meetings are used to seek their Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 10 residents on the running of the home. Minutes of residents meetings show examples of some of the decisions made by the residents. Records continue to provide evidence about how the residents are supported to make decisions about their preferred lifestyle. These include arrangements with literacy and computer lessons, arrangements for voluntary work and other expressed wishes of the individuals. Residents confirmed that they are able to make decisions about their lives and they are supported by the staff to do so. Residents feel that the staff involve them in the decision making process and take their views into consideration when reviewing the service. This was confirmed by the staff and they explained how they involve individuals in the way the home is run. Staff have good knowledge about the needs of the residents and work very closely with the individuals to achieve their own aims and ambitions. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff continue to provide good support to enable the residents to participate in everyday life. This has enhanced their confidence and ability to engage in normal social interactions in the community, including the formation of friendships. EVIDENCE: The observations made in the last key inspection report have been maintained and the statement relating to the findings are repeated here. The staff again described how they work with the residents and support them to engage in community activities in the community. In the past the staff have managed to help people move back into the community with little or no support. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 12 The residents are encouraged and supported to maintain friendships and to invite their friends to the home. Residents often to go to the local pub or nightclub to entertainment themselves. Some are supported to attend the local college or join in community training programmes to help them with job opportunities. One resident, again expressed disappointment at not being able to gain access to the local college as a result of the changes to the benefit system. He commented that the staff are looking at ways to help him access college courses. Some residents have access to local community facilities where a wide range of activities are on offer on a daily basis. There are no structured activities plan in place but service users are encouraged and supported to access activities and community facilities at times that is suitable to them. Also in-house social and recreational continue to be organised by both staff the clients when required. Some of the residents are still talking about the building work that is going on to extend the house into the next house, and their wish to move into the new semi-independent unit when it is completed. The residents are offered nutritious and appealing meals. Some of the residents assist with catering and with general kitchen activities. Mealtimes are relaxed and clients are offered a choice of healthy and nutritious meals. Again, the residents commented positively on the quality and quantity of the meals provided in the home. They commented that there is always plenty to eat and drink and have access to drinks making facilities and are able to use this whenever they want. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The new manager has maintained the suitable and effective arrangements for the healthcare needs of the residents, including their mental healthcare needs, thus promoting their right to proper healthcare. The home maintains good and safe methods administration of medicines. This promotes and health and welfare of the service users. EVIDENCE: Four residents records were examined the they show that their healthcare needs are met, including the part played by, GPs, psychiatrist, dentist, optician, community psychiatric nursing (CPN) service and other professionals. The records relating to their healthcare needs contain details of services they receive from all the healthcare professionals. There are records of visits by the CPN to give injections and to support individuals with any mental healthcare issues. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 14 Individual care needs are set out in the care plans and these are followed by all care staff. Staff have good knowledge of the care needs of the residents and they were able to described each resident’s care needs, including their social and psychological needs. The suitable arrangements for managing the medicines in the home have been maintained. The senior staff who are responsible for the medicines have all had appropriate training in safe handling of medication. Medicines are safely stored and managed. Random check of the recording system and stock of medicines showed that the staff manage this well. No discrepancies were found in the stock of medicines that were checked. Again, the residents confirmed that the staff treat them with respect and dignity. Their comments were very positive and they expressed these with freely. Observations between the staff and residents also confirmed that the staff treat them as adults and respect their views. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. 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 procedure that is understood and available to all the residents. The procedures, working practices and the training of staff in protection of vulnerable adult protect the residents from any form of abuse, thus safeguarding their safety and welfare. EVIDENCE: The complaints procedure is accessible to all the residents and their families. The residents are confident that any concerns or complaints they may have would be taken seriously and acted upon by the staff. Staff are also aware of the complaints procedure and described how they would respond if residents brought any concerns to their attention. The home’s complaints procedure is in line with the local authority’s safeguarding adult procedures. The complaint record shows evidence of all the concerns or complaints received and how these had been addressed. Some staff have received training in safeguarding adults, and the manager confirmed that arrangements are in place to provide refresher training to all the staff. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers an accommodation and an environment that is generally safe, clean and well-maintained. This promotes the general welfare, dignity and comfort for the clients. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 17 EVIDENCE: Building work is currently going on in the house next door as part of the efforts to extend the home into next door. Risk assessments have been carried out and all necessary measures have been put in place to ensure the safety of all the residents and staff who work in the home. The recent re-decoration of bedrooms and other parts of the home have greatly improved the quality of the accommodation and the environment for the individuals. As commented in the last inspection report, the passenger lift in the home is no longer in use and it is anticipated that this would no longer be required. However, before the lift is completely discarded, the registered person should consider the implications for clients who may in the near future require equipment to enable them to continue to live at Fairholme independently. The registered provider should seek advice from the local access officer to ensure that the home meets its obligations under the Disability Discrimination Act, 1995. The number of shared-bedrooms was discussed with the new manager and how the residents in shared rooms could best have privacy. The continued use of shared bedrooms does not promote privacy for the people who share such rooms. Two residents who expressed their views about sharing rooms were spoken with again. Again they indicated that although they do not mind sharing, they feel they have no privacy and their dignity is at times compromised. Some of the residents expressed the wish to have the opportunity to move into the new extension once the building work is completed. The home is clean and maintained to good standard. A number of bedrooms were visited and these were clean and generally decorated to a good standard. Most residents have furnished their rooms to reflect their taste and personality. The clients commented that they make decisions about when and how their rooms are to be decorated. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to have sufficient staff on duty, with a range of skills to meet the needs of the clients. The ongoing staff training and supervision enhances the quality of the service for the benefit of the residents. The home adheres to recruitment procedures, which safeguard the residents from bad practice and abuse from people who would otherwise be deemed as unsuitable to work with vulnerable people. EVIDENCE: Past rotas show that the home employs sufficient number of staff to meet the needs of the clients. Discussions with staff and residents show that the currently staffing levels are sufficient to meet the needs of the residents. However, the staffing levels after 5 p.m. and weekends were discussed with the new manager. Having two care staff on duty at these times limits the Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 19 opportunities available for residents who may wish have the support of staff to access community facilities at weekend or evenings. Staff training include moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. The new manager confirmed that refresher training is being organised for those who require it. The training record shows that a number of staff had NVQ level II or above. The company has training plans to ensure that all care staff are trained to at least NVQ II level. There has not been a new employee appointed since the last inspection. Nonetheless, the records of two staff were examined. These showed that the company maintains good recruitment procedures. All staff have received enhanced CRB checks and appropriate references and other checks have been carried out. Staff remain very knowledgeable about their work and conducted themselves in a professional manner and supported the clients in ways that respected their rights and promote their dignity and sense of ownership and control All staff receive regular supervision and the new manager is hoping to continue to maintain this standard. Staff induction comprises of four-day initial inductions into the workplace, followed by a six-month programme within which the carer achieves a necessary competence level. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new manager offers good leadership and has maintained a consistent service that meets the needs of the residents. Residents’ finances are properly managed, thus protecting them from being financially disadvantaged. The new manager has maintained the good arrangements in the general management of the home, which safeguard the health, safety and welfare of the clients. However, the display of certain record in communal areas compromises the residents right to confidentiality. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 21 EVIDENCE: Since the last inspection, a new manager has been appointed following the resignation of the registered manager. The new manager has a long involvement with Fairholme and is currently undertaking NVQ 4 in care and the registered managers award. The manager runs the home for the benefit of the residents in line with the company’s view to provide good standard of care for younger adults. The manager has maintained the well-established management style for the home and is working closely with her line manager to enhance this. She receives good support form her line manager. There are good systems in place for accounting for the personal allowances for the service users. Details of purchases and receipts are available for those whose monies are held by the home. The record keeping in some areas must be reviewed. The display of complains records and the AQAA in the communal are must cease as this practice seriously infringes on the residents right to confidentiality. The personal information in the AQAA must be removed if the home wishes to display this self-assessment document in a public place. Servicing records confirm that all portable appliances have been tested. Regular servicing of fire equipment, gas and electrical appliances have been carried out by the contracted companies. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 1 2 LIFESTYLES Standard No Score 11 X 12 3 13 2 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X X X Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 12(1)(a) Requirement Risk assessments must be carried out for those residents who have chosen to smoke in their rooms to ensure the safety of all the residents and staff who work in the home. Records relating to the information in the AQAA and also the complaints book must be kept in a way that ensures confidentiality for the residents. Timescale for action 15/04/08 2 YA10 12(4)(a) 15/04/08 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 YA13 Good Practice Recommendations The staffing arrangements after 5 p.m. and weekends should be reviewed to ensure that staff are available to support residents at these times to engage in community and leisure activities. The registered provider should seek advice from the local access officer to ensure that the home meets its obligations under the Disability Discrimination Act, 1995. 2 YA30 Fairholme DS0000070476.V358460.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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