CARE HOMES FOR OLDER PEOPLE
Field House Eyebury Road Eye Peterborough PE6 7TD
Lead Inspector Andy Green Unannounced 27 April 2005 @ 10:00 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 Version 1.10 Page 3 SERVICE INFORMATION
Name of service Field House Address Eyebury Road, Eye, Peterborough, PE6 7TD 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) 01733 222417 01733 223578 na 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 Version 1.10 Page 4 SERVICE INFORMATION
Conditions of registration: na Date of last inspection 2/11/04 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 Version 1.10 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27th April 2005.The home continues to offer service users a caring residential experience. 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 September 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Field House Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Field House Version 1.10 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 standard(s) 1 &3 Assessments prior to admission are in place to make sure that that the care needs of new service users can be met by the home EVIDENCE: Three care files of service users were assessed. There was information about the service user’s needs and how Field House could meet them provided by the referring social worker and previous care homes. 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. Field House Version 1.10 Page 8 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) 7,8 &9 Care provided at the home is generally good. However the home needs to improve the current format for care plans so staff have sufficient information to satisfactorily meet service users needs. 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 dates for reviews of care need to be added. 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. The manager said that she was reviewing the care plan process and it that she has been researching new documents with advice from the Personal Medical Services team, which is offered through the Greater Peterborough Primary Care Trust. The manager said that the revised care plans would be
Field House Version 1.10 Page 9 implemented to coincide with the anticipated opening of the home’s new extension in September 2005. Field House Version 1.10 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 standard(s) 12 & 13 Service users enjoy a friendly and inclusive atmosphere in the home and are able to choose how they wish to live. 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. Field House Version 1.10 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 standard(s) 16 & 18 The home has a satisfactory complaints process to make sure that service users and their representatives 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 not received any complaints since the last inspection. 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. It was observed that care staff spoke to service users in a friendly and respectful manner. Field House Version 1.10 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 standard(s) 19, 20, 23, 25 & 26 The environment of the home provides service users with a safe, comfortable, clean and a well-maintained place to live. EVIDENCE: Major building works are under way 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 will be completed in September 2005. 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 Version 1.10 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 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) 29 & 30 The agency’s recruitment policy and processes makes sure that service users are protected. Training is provided to make sure that care staff are competent to deliver personal care to the service users they support. EVIDENCE: All staff are issued with contracts, detailed job descriptions and clear details of their areas of responsibility. One new member of staff’s file was seen and it contained appropriate information including two references and evidence of a satisfactory CRB check. The manager stated that recent training in the home has included medication management, moving and handling, fire safety and first aid. The PMS team (Personal Medical Services) also 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 Version 1.10 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 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) na These standards were not assessed on this occasion. EVIDENCE: Field House Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x
COMPLAINTS AND PROTECTION x 3 x x 3 x 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Field House Version 1.10 Page 16 no 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 7 Regulation 15(2) (b) Timescale for action The registered manager must June 30th ensure that reviews of care plans 2005 are documented to show dates and actions that have been taken regarding changes to care. Requirement 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 7 Good Practice Recommendations It is recommended that the registered manager seeks advice from local healthcare specialists to develop and improve the care planning process. Field House Version 1.10 Page 17 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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