Inspection on 20/07/05 for Field House

This inspection was carried out on 20th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Field House 16/04/08

Field House 18/04/07

Field House 18/04/06

Field House 17/11/05

Field House 24/11/04

Field House 28/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Field House Fleet Hargate Holbeach Lincolnshire PE12 8LL Lead Inspector Jean Cope Unannounced 20 July 2005 @ 9.30 am 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 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 House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Field House Address Fleet Hargate Nr Holbeach Spalding Lincolnshire PE12 8LL 01406 423257 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Farrington Care Homes Limited Mrs Vanessa Collins Care Home 28 Category(ies) of Old Age (OP) - 26 registration, with number Dementia (DE) - 2 of places Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24.11.04 Brief Description of the Service: Field House is a former farmhouse built in 1935. The home has been adapted and extended to provide care and accommodation for 28 service users over 65 years, 2 of these having dementia.The home is situated in the village of Fleet Hargate, approximately 4 miles from Holbeach and its shops and facilities, and is set in approximately 2 acres of landscaped grounds and gardens. It is approached from a private driveway with parking to the front of the property.There are 20 single, and 4 shared bedrooms, which are located on the ground, first and second floors and accessed by stair lifts. The home has a lounge, separate sitting and dining room and a large heated sun lounge. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place with the assistance of the manager. One inspector undertook the inspection and toured the building, spoke with staff, residents living in the home and their relatives and friends. The main method of inspection was called case tracking which involved selecting three residents and tracking the care that they receive through the checking of their records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? What they could do better: Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 6 A safer system needs to be put in place to record some medications administered in the home. 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. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 and 5 Residents moving into the home are welcomed to look around and know that the home is able to meet their needs. EVIDENCE: The manager or senior members of staff visit new residents in their own homes or in a hospital setting to assess their needs. A resident said that ‘new people and their relatives are able to look around the home, and I myself had a trial visit before I decided to stay in the home’. Relatives visiting the home said, it’s marvellous here, we can’t fault it’. A resident also said that ‘I’ve improved since I came here and when I use the call bell system, staff come quickly’. Comments received by the Commission from a relative said, that her relative was able to speak for herself, and ‘that we are both satisfied/pleased with the level of physical and pastoral care’. Staff interviewed were able to explain in great detail, the care that individual residents required and were seen to offer care gently and sensitively. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9, 10 and 11 Staff working in the home ensure that residents’ social, personal care and health needs are taken seriously. EVIDENCE: Each resident has a plan of care, which is regularly reviewed. The records sampled and discussion with staff showed that staff in the home were offering care as specified and reflected what residents had said about their needs. A comment card was received by the Commission which said, ‘……staff constantly catch me when I v visit to check and discuss mum’s care’. They keep detailed notes and all staff are made to read them when they come on duty’. Staff were seen to knock on doors prior to entering residents’ rooms and they closed doors when offering personal care. Residents were seen making choices about what they did with their time, where they sat and took their meals. Several residents confirmed this. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 10 Staff interviewed gave a sensitive and caring account of how they look after residents at the end of their lives, saying, ‘we sit with residents when they are dying and want them to be at peace’. The home has recently improved the arrangements for storing medication and staff have received training on the management of medication. The manager was advised that a new system needs to be put in place for recording the administration of some medications. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents choice in where and how they spend their time is respected and their friends, family and relatives are welcomed into the home. EVIDENCE: Residents were seen in the lounge knitting small items of clothing, conversing with each other, describing each other as friends exchanging laughter with each other. There were several visitors in the home, visiting their relatives in private, some in communal rooms sharing a birthday celebration and birthday cake. Activities organised in the home include, music to movement, clothes shows, a monthly entertainer, scrabble, dominoes and carpet bowls. The home also has a small mobile shop and organises regular bingo sessions. The home has strong links with the local community especially at Christmas time. The manager recognises the importance of residents being able to continue their religious acts of worship and is working with the local church community to encourage them to provide a regular communion service in the home. The home has a regular visiting hairdresser Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents are confident that any concerns or complaints will be dealt with appropriately and taken seriously. EVIDENCE: A resident said that they would take any complaints to the manager and that they were sure that any concerns would be taken seriously. One resident said’ it’s lovely here, I’ve no complaints’ and relatives said, ‘You can’t fault it, we have no complaints, it’s marvellous’. Staff spoken with were aware of the complaints procedure within the home and how to access it. Records received by CSCI show that the home has received no complaints since the last inspection. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 24 and 26 Residents live in a comfortable homely, clean home, which is well maintained. EVIDENCE: The home is comfortable, maintained and furnished to a high standard. Relatives confirmed that the home is ‘always as clean as this’. There are a variety of communal rooms to sit in, and a large attractive garden with seating for residents and their relatives when the weather is fine. Residents are able to bring their own personal belongings into the home. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 30 Residents are looked after by well trained staff who know them well. EVIDENCE: A stable staff group staffs the home; most of the staff have worked in the home between 5 and 12 years. Comments received from residents were, ‘they are first class staff’, ‘staff are excellent’, with relatives commenting, ‘the staff here are polite and cheerful, you can’t fault the home’. Staff spoken with confirmed that they had received training on adult protection, dementia care awareness, medication management and healthy eating. Up to 57 of care staff have achieved National Vocational Training in Care at Level 2. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 , 32, 36 and 38 The home is well run by an experienced registered manager with a staff group who enjoy working in the home. EVIDENCE: A resident said, of the manager, ‘Vanessa is so good, she will do anything for you’. Another resident said that the manager, ‘was a very good boss’ and staff said, ‘it’s good to work here, with a very good approachable manager, if you need anything she’ll try to sort it out’. Staff receive regular supervision. Fire bells are tested on a weekly basis and emergency lighting is tested every month. Work is continuing on the re-wiring of the home. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 16 Some residents prefer to have their doors open at night time, so the manager was requested to seek advice from Lincolnshire Fire and Protection Service. The Fire Officer visited the home in April 2005 and his recommendations have been carried out. Electrical equipment used in the home was checked in April 2005 and central heating and gas systems were checked in February 2005. Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 x x x 3 x 3 Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 18 yes 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 9 Regulation 13(2) Requirement The registered person must ensure that specific medications are recorded in a hard backed, numbered book. Timescale for action Immediate 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 Good Practice Recommendations Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Field House C53 C04 S2357 Field House V239389 200705 Stage 4.doc Version 1.40 Page 20 - 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!