Inspection on 10/04/07 for Field Farm House

This inspection was carried out on 10th April 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

Field Farm House 28/07/08

Field Farm House 01/03/06

Field Farm House 19/10/05

Field Farm House 19/01/05

Field Farm House 23/08/04

Field Farm House 01/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Field Farm House Field Farm House Hampton Bishop Herefordshire HR1 4JP Lead Inspector Denise Reynolds Key Announced Inspection 10th April 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 Field Farm House DS0000052987.V328156.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. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Field Farm House Address Field Farm House Hampton Bishop Herefordshire HR1 4JP 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) 01432 273064 manager.fieldfarm@tesco.net Advent Estates Limited Ms Jane Barrington Care Home 27 Category(ies) of Dementia - over 65 years of age (27), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (27), Old age, not falling within any other category (27), Physical disability (1), Physical disability over 65 years of age (27) Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. To accommodate one named service user who is aged below 65 years of age. 1st March 2006 Date of last inspection Brief Description of the Service: The Providers and Manager are registered in respect of the Home to accommodate residents aged over 65 years. The care needs catered for are those resulting from the ageing process, because of a physical disability or because of a mental disorder or dementia illness. Field Farm House is a converted and extended farmhouse in a rural location just outside the city of Hereford. The accommodation is on two floors and there is a lift to the first floor. There are 24 bedrooms, 21 single rooms and 3 twin rooms. The twin rooms are only used for more than one person if people have specifically chosen to share a room. Some of the bedrooms have en-suite facilities. There are 2 lounges and a separate dining room. To the front of the house there is an attractive sensory garden with level paths and places to sit. A further extension to the building is due to start work in 2007; this will increase the number of places at the Home to 50. The range of fees for this Home as set out in the information submitted by the Home is £350 to £500 a week. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was arranged at short notice rather than being unannounced. This was because the manager notified us of plans to take annual leave at around the time we knew we would be inspecting and we wanted her to be available. The inspection began at 9.30am in the morning and lasted until 6.20pm. This was a key inspection – this is an inspection where we look at a wide range of areas covered by the National Minimum Standards. To help us plan the inspection we looked at pre inspection information requested from the Home some weeks earlier. We also took into account what people told us in our survey forms; we received these from 6 residents, 23 relatives and 5 health and social care professionals. During the visit to the Home care records, staff records and other records and documents were inspected. There was a tour of the accommodation and interviews with five staff, including the registered manager and the administrator. Time was spent speaking privately with one resident in their room and five others in groups of two and three. The inspector also met and spoke with the relative of one resident during the inspection. What the service does well: People are given clear information to help them decide if the Home is going to suit them. They are also given written terms and conditions explaining the care and services they can expect to receive and how much they have to pay. The manager (or one of the care coordinators) meets people before offering them a place to find out about the care they will need, to make sure the Home can provide this. People living at Field Farm House have their personal and health care needs well attended to and the staff are friendly and respectful. This view is supported by comments made in replies from three GPs who visit the Home – • • • Totally wonderful set of staff who do a difficult job so warmly and caringly and are a pleasure to work alongside. A well run Home, staff always helpful and responsive to patient and relatives’ needs. Very caring and well organised Home. The Home provides regular activities for people to do in the Home and in the community. This gives people enjoyable things to do and the chance to get to know other residents. Relatives and other visitors are made very welcome and Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 6 have told us they are very happy with the quality of the service – these are just three examples of the comments made • • • We cannot speak highly enough regarding the care and devotion shown to all the residents by staff and carers at all levels. (Resident) has received the best possible care, both medical and social, throughout her 2 years stay at the Home. The care … has been quite outstanding. I have nothing but praise for the kindness, compassion and professionalism shown to my mother throughout her stay here and particularly during her last days. The care given to … has been superb. The whole staff team have acted professionally and with empathy. The standards here are very high. The house is kept clean and warm and improvements to the building are ongoing, this and the quiet rural location makes the Home a pleasant and comfortable place to live. The Home is well managed by a friendly, competent, and knowledgeable management team. Staff recruitment is thorough and staff have ongoing training to increase their knowledge and skills. What has improved since the last inspection? What they could do better: When staff come to work at the Home from another country, CRB checks must still be done. It is considered that this Home is currently improving its performance in all areas of care. It is setting its own objectives for continual improvement which the CSCI are confident the manager will implement. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 7 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. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. 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. People thinking of moving to live at Field Farm House are given clear information to help them decide if it is going to suit them. They are also given written terms and conditions explaining the care and services they can expect to receive and how much they have to pay. The manager (or one of the care coordinators) meets people before offering them a place to find out about the care they will need, to make sure the Home can provide this. EVIDENCE: People considering Field Farm House as their home and their relatives are given a copy of the Service User Guide and a printed pamphlet about the Home. The Statement of Purpose is available in the Home for people who want to see it. Our summary of the most recent inspection report and information about local advocacy arrangements is displayed in one of the hallways. The Home has large print versions of the service user guide; they have not yet got Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 10 this information in other formats such as audio or video. The manager is planning to develop a ‘Frequently asked questions’ booklet to supplement this information. The manager uses a detailed form when speaking to people about the care they will need at the Home. This is filled in before a decision is made that Field Farm House is the right place for someone. The information tells staff what they need to know, for example, why a person has needed to move to a care home, and what their individual care needs, preferences and concerns are. Through the quality assurance process the manager has identified that whilst at present all the residents are of white, British ethnic origin every effort would be made to understand and accommodate the culture and beliefs of anyone of different origin moving into the Home in the future. Opportunities for day care are offered to people who wish to spend time at the Home before making a decision about moving in. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Field Farm House have their personal and health care needs well attended to and are treated with warmth and respect. Residents are able to administer their own medication if they wish to do so. The Home has policies and procedures for dealing with medicines safely. EVIDENCE: The Home keeps us informed about situations at the Home through the Regulation 37 notifications they have to send. These contain evidence of conscientious attention to the heath and personal care needs of the residents. The information detailed in these notifications shows that the staff recognise problems and seek help from relevant professionals when this is needed. All the residents have a written care plan which covers the areas of care they need help with and also give staff information about any concerns and Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 12 preferences they may have. These records contribute to the evidence that people living at the Home are viewed and treated as individuals. The staff use daily records and written and verbal handovers to keep each other up to date with how each resident is. One of the care plans looked at did not reflect a difficulty in helping a person with their oral hygiene and how staff should deal with this. This needs to be dealt with because good oral hygiene is important for a person’s dignity as well as being important for their health. High priority is given to being aware of residents’ food and fluid consumption and where this is giving cause for concern staff keep daily records detailing what the person is having. Updates about this aspect of specific residents’ care featured strongly in the verbal handover given to the manager at the start of the week. This handover was also used to discuss the need for further approaches to health professionals for people staff have concerns about. Information from relatives portrayed a very positive picture of the standard of care; the following comments are examples of this – • • • • • During the ... months my mother has been in the Home she has been very well cared for and is content there. Her health has declined steadily and they have been very kind and caring to her. I cannot fault the care and commitment given to my mother; she is very happy, content and spotlessly clean and comfortable. We cannot speak highly enough regarding the care and devotion shown to all the residents by staff and carers at all levels. (Resident) has received the best possible care, both medical and social, throughout her 2 years stay at the Home. The care … has been quite outstanding. I have nothing but praise for the kindness, compassion and professionalism shown to my mother throughout her stay here and particularly during her last days. The care given to … has been superb. The whole staff team have acted professionally and with empathy. The standards here are very high. Information from health and social care professionals reinforced this view – • • • • Totally wonderful set of staff who do a difficult job so warmly and caringly and are a pleasure to work alongside. (GP comment card) A well run Home, staff always helpful and responsive to patient and relatives’ needs. (GP comment card) Very caring and well organised Home. (GP comment card) Staff always appear attentive and residents are very happy. (Other health care professional comment card) DS0000052987.V328156.R01.S.doc Version 5.2 Page 13 Field Farm House • Over the past 16 months the Home has met the objectives set out in each individual care plan and I have had positive and encouraging feedback. (Social care professional) A number of letters and cards of thanks were seen while at the Home and these also reflected very positive experiences of the care provided. Staff were heard being friendly and respectful in the way they spoke to residents and residents said they like the staff and think they look after them well. A visitor spoke to the inspector and said that her relative is having very good care from staff and that she trusts them and knows he is safe. She said this has made it easier to accept that he needs to live in a home. One person who had moved to Field Farm House from another Home said he likes it more and is happy to settle there permanently. The Home manages medication well with policies and procedures to make sure that medication is dealt with safely. Staff who deal with medication have training to ensure they are competent to do this. Less experienced staff do not have involvement with the medication. Information in notifications, survey forms from relatives and in the Home’s compliments file indicated that end of life care and support to relatives is good. • The final weeks emphasised the exceptionally high standards maintained at the Home……………………….Thank you to you all, not only for your kindness to (Resident), but for your care of us, especially in those last stressful days. It was very much appreciated. Field Farm House DS0000052987.V328156.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, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home provides regular activities for people to do in the Home and in the community. This gives people enjoyable things to do and the chance to get to know other residents. EVIDENCE: On the morning of the inspection a group of people painted plaster cast models and during the afternoon people took part in an exercise session. This included a competitive element that resulted in lots of laughter (and quite a bit of cheating!). This was followed by some people helping to make Home made chocolates. At the start of the day a few people went for a walk in the garden; this is a regular activity and is often followed by a flower arranging session. The Home also orders flowers from a florist fortnightly for a flower arranging activity. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 15 The manager confirmed that the weekly luncheon club where small groups of residents have a restaurant style meal with extra courses and silver service at the table has continued to be a success. Another recent activity had been a hair and make up day; photographs had been taken of people who wanted this and are available for them and their relatives to buy. Relatives are made welcome and the inspector met one person who visits most days. She said she is always made welcome and feels very relaxed at the Home. People who do not want to take part in communal activities are encouraged to continue to do the things they enjoy such as reading, knitting or watching TV. The monthly reports by the service provider contain examples of appreciative comments from residents and their relatives about life at the Home, as did the comment cards we received from relatives – • • • • • • Everyone is helpful to visitors however busy they are. Home is warm and comfortable and food is excellent. I cannot say anything against Field Farm House. Field Farm is a friendly and welcoming place and I always enjoy visiting my (Resident). The staff are always friendly and ready to help, (Resident) is always relaxed and comfortable. The atmosphere is cosy and homely, and the food always looks appetising and well cooked. I have always found the staff helpful and considerate whenever I have visited. Staff always very welcoming and friendly. All my experiences of visiting this care Home … have been excellent warm, homely atmosphere, friendly, efficient and caring staff without exception. Field Farm House DS0000052987.V328156.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, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rights of residents to be safeguarded are taken seriously by the Home and arrangements are in place for residents to speak to someone if they feel the need. Residents are protected from abuse through an open management approach and a well-informed staff group. EVIDENCE: The Home has regular contact from the local Advocacy service and information about this is displayed in the Home. There is a written complaints procedure which is readily available. The Responsible Individual speaks to residents about their care when doing her Regulation 26 visits to the Home. The Care Manager has a good awareness of abuse and adult protection and almost all staff have attended training provided by the Herefordshire Council Adult protection coordinator. A recently recruited care assistant knew she would be attending training by the local multi-agency adult protection co-ordinator. She was already able to describe what she should do if she had a concern about the safety or well being of a resident. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 17 CSCI has not received any complaints, concerns or allegations about the Home during the last three years and only two complaints have been made direct to the Home. There was evidence at the Home that these were dealt with thoroughly and to the satisfaction of the people concerned. All the residents who filled in survey forms said they know who they can speak to if they have a concern. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 18 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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The house is kept clean and warm and improvements to the building are ongoing, this and the quiet rural location makes the Home a pleasant and comfortable place to live. EVIDENCE: The house is kept clean, warm and comfortably furnished. Continued upgrading of the premises and replacement of furniture is planned in conjunction with the extension to the premises. This is due to start shortly now that negotiations with the Planning Department have been concluded. The extension will create additional bedrooms and new facilities such as a hairdressing salon and additional communal space. The intention is that residents whose view is adversely affected by the extension will be offered the opportunity of moving in to one of the new rooms. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 19 In one room the wc in the ensuite has recently been replaced and the new hardware is smaller. This means that there are gap between the cistern pedestal and the carpet and an area of wall with no tiles. This does not look very nice and the carpet may cause a tripping hazard. The manager explained that the work needed is scheduled to be done. The laundry is small but tidy and well equipped with suitable washing machines and a new tumble dryer. Different doors are used for the movement of dirty and clean laundry to avoid contamination. New laundry facilities are planned as part of the new extension and the manager confirmed that consideration is being given to the correct layout to maximise infection control measures. Liquid soap, disinfecting hand gel, disposable gloves and disposable aprons are in good supply throughout the house. It was pointed out to the manager that the lids of waste bins in bathrooms and toilets need to be foot operated rather than needing to be lifted by hand. The manager asked one of the domestic staff to check how many needed to be replaced and this was done within an hour. The domestic told the inspector that she could be confident that the manager would get the new bins quickly. The sensory garden at the front of the house is an attractive feature of the accommodation and popular with residents. Initial groundworks for the extension have begun and the approach to the Home looks untidy because of this. The administrator confirmed that this area is about to be fenced off to minimise the risk of residents or visitors having an accident. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 20 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, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment is thorough so that staff appointed to work at the Home are suitable. The staff have ongoing training to increase their knowledge and skill. Plans are being made to provide more training about dementia care so staff can develop their confidence and competence in this area of care. EVIDENCE: Currently all staff share responsibility for laundry and at weekends the care staff do any cleaning needed. There are only designated kitchen staff until 1pm; this means the care staff complete the preparation of the meal at teatime as well as serving it and clearing away. These arrangements for housekeeping and catering are unlikely to be effective when the Home is larger. The registered manager said she realises that that more ancillary staff will be needed and roles will need to be separated. Observation during the inspection and information gained from the majority of survey forms received indicates that staffing levels are satisfactory at present. One person voiced concerns about nighttime staffing to the inspector. A recent report written by the responsible individual highlighted this issues and the registered manager had been instructed to keep this under review. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 21 The Home has policies and procedures for the recruitment of staff that are in line with legal requirements. A sample of recruitment records checked showed that in most respects the recruitment process is carried out very thoroughly with good records kept to provide a record of decisions made. It was noted that although documents about legal employment status in this country were in place, CRB checks have not been obtained for staff who have come to work at the Home from direct another country. This is a legal requirement even if the person has not been to the United Kingdom before. The manager agreed to address this promptly. One of the overseas staff was spoken to and said she had been made to feel very welcome by everyone at the Home. NVQ training is well established with 75 of staff having attained NVQ level 2 or above. The Manager has the Registered Managers Award qualification and is a qualified NVQ assessor. She is currently taking a one year break from an MSc in Dementia Studies with Bradford University. The Responsible Individual is also doing an MSc in Dementia Studies with Stirling University. Both institutions are recognised as being at the forefront of excellence in Dementia related studies and it is commendable that two members of the management team have committed themselves to study at this level. The Home’s Administrator has an advanced Food Hygiene qualification, and provides the in house food hygiene training to all staff. The Manager and Responsible Individual are both trained as Moving and Handling trainers and are therefore able to provide in-house training for staff and carry out the necessary risk assessments in relation to individual residents. Training is also arranged in respect of various care related topics. The manager explained that less progress had been made during the previous year than she would have liked but that moving forward with this is a priority for the forthcoming year. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 22 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, 33, 35, 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 managed by a friendly, competent, and knowledgeable management team. The Home’s quality assurance surveys are being reviewed to make them more user friendly and effective in gathering residents’, relatives’ and others’ views about the service. The importance of health and safety of residents and staff is recognised and the Home has relevant policies and procedures to support this. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 23 EVIDENCE: The Registered Manager is experienced and well qualified and is continuing to develop her knowledge and skills in the specialist area of Dementia care by undertaking a Masters Degree. The monthly Regulation 26 reports show a sound understanding of good residential care practice and provide evidence of a strong commitment to the Home by the Registered Provider. There has not been an internal quality assurance review of the service since 2005 but the manager explained that surveys were not done during 2006 as planned due to sending out CSCI survey forms on our behalf. This was because they felt it would be too much for people to have two different forms to fill in very close together. In the meantime, work has been done to update the forms used, experimenting with different formats, wording and use of pictures to create new forms. The manager hopes these will help residents and their relatives express their views. Residents or their representatives are encouraged to deal with the safekeeping of personal money and valuables. For those residents who do need help from the Home, there is a secure safe for storage on the premises. Records are kept whenever the Home does have any involvement in a resident’s finances. There is a rolling programme of training for staff in topics related to health and safety such as first aid, moving and handling and fire safety. The responsible individual checks health and safety compliance during monthly monitoring visits. The Home has relevant policies and procedures and these are reviewed as part of the Provider’s quality assurance system. As identified in other sections of this report relatives and professionals who visit the Home have confidence in the management and staff – • A very well run Home. Staff very pleasant and very helpful. Management excellent. No problems at all. Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 24 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 25 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 OP29 Regulation 19 Requirement When staff come to work at the Home from another country, CRB checks must still be done. CSCI Professional - Criminal Records Bureau checks Timescale for action 30/04/07 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 Field Farm House DS0000052987.V328156.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Field Farm House DS0000052987.V328156.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. 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!