Inspection on 20/09/05 for Field House

This inspection was carried out on 20th September 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 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 House 21/10/08

Field House 12/11/07

Field House 04/12/06

Field House 27/04/05

Field House 02/11/04

Field House 09/06/04

Field House 19/01/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Field House Eyebury Road Eye, Peterborough PE6 7TD Lead Inspector Andy Green Unannounced Inspection 20th September 2005 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 House DS0000015172.V250751.R01.S.doc Version 5.0 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 House DS0000015172.V250751.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Field House Address Eyebury Road Eye, Peterborough PE6 7TD 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) 01733 222417 01733 223578 Mrs Nazma Virji Mr Nazir Virji Mrs Nazma Virji Care Home 16 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (16) of places Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th April 2005 Brief Description of the Service: The home is a large former domestic property, which has been extended and adapted for its present use. It is situated in the village of Eye close to the centre. The village is near to the city of Peterborough. The home is set in large grounds and is adjacent to the local school. There is major building work under way to extend the premises. This will provide additional ensuite bedrooms and further communal space. Arrangements are in place to ensure that service users are protected from any potential hazards whilst the building work is being completed. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 20th September 2005. The inspector met with the Manager, to assess a number of standards. Standards not assessed on this occasion will be assessed at a later inspection in the year. Service users spoken to on the day of inspection were positive about the care they were receiving. Building work, to add further bedrooms and communal space is well underway and should be completed in November 2005. What the service does well: 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. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 6 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 House DS0000015172.V250751.R01.S.doc Version 5.0 Page 7 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 the following standard(s): 1,3,5 Service users have access to good information, and can make an informed choice regarding the home’s services. EVIDENCE: There have been no additions or updates to either the Statement of Purpose or Service Users Guide. The Manager stated that both of these documents would be updated when the building work has been completed to make sure that all information is correct regarding the services provided. Three care files of service users were assessed. There was pre assessment information in place received from the referring social worker and previous care homes giving detailed information regarding the service user’s needs. The manager stated that the home’s assessment documents will be further developed to accommodate the anticipated increased number of clients when the building work is completed. The manager stated that she would be contacting members of Personal Medical Services team, which is offered Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 8 through the Greater Peterborough Primary Care Trust, to assist with the design of revised assessment and care planning processes. Field House DS0000015172.V250751.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 Service users receive appropriate health and personal care to meet their assessed needs. Medication is administered and recorded accurately. EVIDENCE: Three service user plans of care were seen. Care plans provide some guidance for staff in how they are to meet the assessed needs of the service users. The manager said that care plans are reviewed regularly to show any changes but it was noted during the inspection that reviews of care had occurred but they need to be recorded in more detail. Medication records were inspected and found to be completed accurately. The service user files seen showed that health care services are available to ensure that service users receive adequate health care from a variety of professionals including district nurses, continence advisor, dieticians and GPs. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 12,13,14 Staff provide support to ensure that service users have access to activities appropriate to their needs. EVIDENCE: A number of service users were in the lounge and were happily talking with other service users and members of the care staff. There are no restrictions on visiting and service users can entertain their visitors in either their bedroom or the communal areas of the home. The manager acknowledged that activities and community contact needs to be improved. She stated that she will be developing activities in the home and a new post for Activities Co-ordinator is currently being advertised to ensure that programmes are implemented for both individual and group activities. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16,17,18 The home has a complaints process to make sure that service users have their complaints or concerns listened to and acted upon properly. EVIDENCE: The home has a complaints procedure including agreed timescales to make sure that all complaints are fully investigated and actioned appropriately. The home has received one complaint since the last inspection, which the manager has investigated and responded to appropriately The home has a satisfactory policy in place, in line with the Local Authority policies, to make sure that service users are protected from abuse. The manager stated that she will be attending key practitioner training in POVA issues which she will then cascade to the care staff team. It was observed that care staff spoke to service users in a friendly and respectful manner. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19,23,24,26 The environment is suitable for the needs of those living in the home. EVIDENCE: Major building works are nearing completion to the rear of the premises, which will include further bedrooms and communal facilities for service users. The current premises have been secured to ensure that service users are safeguarded from any potential hazards. It is anticipated that the building work to the extension will be completed in November 2005. The manager stated that current service users will move to the new bedrooms. A new laundry, reception area and front entrance are due to be provided. Service user rooms and communal areas seen on the day of inspection were clean and tidy and the home was free from offensive odours. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,29,30 The home’s recruitment policy and processes makes sure that service users are protected from harm. Training is provided to make sure that care staff are competent to deliver care to the service users they support. EVIDENCE: All staff are issued with contracts of employment, detailed job descriptions and clear details of their areas of responsibility. There have not been any new staff appointments since the last inspection. The manager stated that recent training in the home has included medication management, moving and handling, fire safety, personal care, dementia, challenging behaviour and first aid. Staff confirmed that they had received recent updates in training. The PMS team (Personal Medical Services) also continue to provide advice, support and training for healthcare issues on an ongoing basis. The manager said that two members of care staff have attained NVQ level 2 qualifications and two further staff have commenced NVQ level 2 training. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,37 The home is well managed and the manager provides supportive leadership and guidance to staff to ensure that service users receive a good standard of care. EVIDENCE: The manager has now successfully completed a course in nurse training which will increase her knowledge and skills. She is now working towards an NVQ level 4 in Management. She has recently updated training in dementia care and protection of vulnerable adults. Care staff spoken to during the inspection confirmed that the manager provides a clear and inclusive style of management with support from the registered provider. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 15 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 X 2 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X 3 3 X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X 3 X Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action 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 OP3 Good Practice Recommendations It is recommended that a more detailed assessment form needs to be developed to ensure that the home can meet the prospective service users assessed needs. Field House DS0000015172.V250751.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 DS0000015172.V250751.R01.S.doc Version 5.0 Page 18 - 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. 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