Inspection on 04/12/06 for Field House

This inspection was carried out on 4th December 2006.

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 20/09/05

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 Key Unannounced Inspection 4th December 2006 11:30 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.V322433.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 House DS0000015172.V322433.R01.S.doc Version 5.2 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 admin@fieldhousecare.co.uk Mrs Nazma Virji Mr Nazir Virji Mrs Nazma Virji Care Home 33 Category(ies) of Dementia - over 65 years of age (26), Old age, registration, with number not falling within any other category (33) of places Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 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 city of Peterborough. The village is near to the city of Peterborough. The home is set in large grounds and is adjacent to the local school. Major building work has been undertaken to extend and refurbish the premises to provide up to 33 places. The fees range from £343.78 - £450 per week. Copies of inspection reports are made available to service users and visitors to the home. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Andy Green, Regulation Inspector and Cathryn Bramham, Regulation Manager undertook this key unannounced inspection on 4th December 2006. They met with the manager, senior staff, care staff, relatives and service users to gather views regarding the services that are provided in the home. A number of records were inspected including care plans, training records, staff files, medication records and fire testing and health & safety records. A tour of the building and grounds was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: Medicines kept in service users bedrooms must be stored securely. A risk assessment regarding the potential hazard posed by the fountain in the garden must be undertaken to protect service users from any potential accident. The employment histories of staff must be included in all applications for employment along with signed and dated references. It is recommended that all policy documents should show implementation and review dates. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 6 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 House DS0000015172.V322433.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Field House DS0000015172.V322433.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to good information, and can make an informed choice regarding the home’s services EVIDENCE: The Statement of Purpose and Service Users Guide have been reviewed. The Manager stated that both of these documents would be updated to ensure 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 home has a pre-assessment form which details healthcare, social needs and a mental health assessment. Prospective service users and their family/relatives are encouraged to visit as part of the assessment process, prior to moving in to the home. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 9 There were 30 service users in residence which included 1 service user receiving respite care and 15 service users assessed as having dementia care needs. The home currently has a condition of registration restricting the admissions of service users with dementia care needs to 15 places. Following evidence seen during this inspection it was agreed with the manager that dementia places could be increased to 26 and that the previous condition would be removed from the homes registration. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users receive appropriate health and personal care to meet their assessed needs. Medication is administered and recorded accurately. However improvements need to be made regarding the storage of medication in service user’s rooms. EVIDENCE: Service users continue to receive care from a range of healthcare professionals and the home is in regular contact with the local health centre GPs, district nurses, dietician, chiropodist and optician make regular visits. Outpatient appointments are also arranged as required. The manager stated that there had not been any new contacts with healthcare professional since the last inspection. 3 service user plans were inspected and they contained relevant information including the initial assessment, recent photograph, personal profile, clear guidelines detailing the care and support that should be given and individual likes and dislikes. There was evidence of reviews of care. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 11 Medication records were accurate and up to date. However it was noted that prescribed creams were not safely stored in service uses rooms and an immediate requirement was left with the manager regarding this issue. One of the service users administers her own insulin, which is monitored by the diabetic nurse. A record of meals provided in the home is kept along with any alternative meals. Weight charts are recorded monthly and were seen in individual care plans. 16 service user comment cards and 8 relative comment cards were received which were complimentary about the care and services provided in the home. These comments were shared with the manager. 4 service users met during the inspection were satisfied with the care, support and services they received. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 12 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 good. This judgement has been made using available evidence including a visit to this service. Staff provide appropriate support to ensure that service users have access to activities appropriate to their needs. EVIDENCE: The activities co-ordinator is in the process of developing a range of activities for all service users in the home including those who have dementia care needs. Examples included memory/stimulus boards, singing, light exercises, manicures and looking at newspapers and discussing current events. The majority of activities are organised in the afternoon in the home Pictures /photographs are being displayed on service users doors to aid orientation around the home. A record of activities is maintained. Service users are encouraged to take part in daily chores so that service users can take an active part in the running of the home; examples included laying tables food preparation, washing up and putting away laundry. A local hairdresser also continues to visit the home on a weekly basis. The activities co-ordinator has received dementia care training and she also regularly attends a dementia study group held in Peterborough. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 13 Residents meetings are held to gauge service users opinions regarding further activities. A Christmas Party is being organised and a number of service users and their relatives were involved in the Alzheimer’s Society “Memory Walk” charity event, which raised £120. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 14 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 home has a complaints process to make sure that service users have their complaints or concerns listened to and acted upon properly. Service users are protected from abuse. EVIDENCE: The home has a clear complaints procedure to ensure that all complaints are fully investigated and actioned appropriately. A complaints/compliments book is available for relatives to record any comments. There have been no changes to the complaints procedure since the last inspection. The home has not received any complaints since the last inspection. CSCI has also not received any complaints regarding the home. The home has a policy regarding Adult Protection, which is in line with the Local Authority policies. Care staff confirmed that they had received POVA training in the last twelve months. Care staff are clearly committed to the care of service users and they were observed to speak in a respectful, caring, sensitive and friendly manner. Relatives spoken to during the inspection also confirmed this to be the case. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 15 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): 19,20,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is suitable for the needs of those living in the home but some improvements are required. EVIDENCE: The home has been refurbished and redecorated following major building work, which has added 2 new lounges, 17 bedrooms, laundry facilities, new main kitchen and smaller kitchen on the first floor. There are 3-shared bedrooms. There is a new entrance and reception area including new office space for the manager and administrator. Service user rooms and communal areas seen on the day of inspection were clean and tidy and the home was free from offensive odours. The manager stated that the night staff are responsible for laundry at night and the day staff put the completed laundry away during the day. There are two washing machines, one dryer and sluice facilities in the home. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 16 There have been visual aids installed in corridors and communal areas of the home to assist service users with dementia care needs. There is a large fountain in a small garden area, which service users can access. It was noted that the fountain could present a possible safety hazard for some service users and the manager must ensure that a risk assessment is in place regarding this potential health & safety issue. Consequently a requirement will be made. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 17 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 adequate. This judgement has been made using available evidence including a visit to this service. The home’s recruitment policy and processes makes sure that service users are protected from harm. However improvements are needed in some areas of the recruitment process. Training is provided to make sure that care staff are competent to deliver care to the service users they support EVIDENCE: There are adequate numbers of staff to meet the assessed care needs of service users along with a part time activities co-ordinator, cleaner, cook and administrator. The manager and provider live in the adjoining property and are on call outside of normal working hours. The manager is actively involved in the care provided in conjunction with the head of care. 3 staff files were seen and contained most the required information. However a number of documents were incomplete including undated references and gaps in individual’s employment history. Consequently a requirement will be made regarding these issues. All staff have received appropriate dementia care training (“Yesterday, Today & Tomorrow”) which was held over two days. Staff confirmed that this had been a useful course to aid their understanding of dementia care. There has been training provided in moving & handling, fire safety, POVA, key worker training, medicine management and person centred approach to dementia care. This was evidenced in training records seen during the inspection. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 18 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): 31,32,33,34,35,36,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed and the manager provides supportive leadership and guidance to staff to ensure that service users receive good quality care. EVIDENCE: The manager continues to provide inclusive and supportive management in the home and she is keen to include the views of the staff team to develop the services and care provided. She is currently working towards the Registered Managers Award. A number of the home’s policies were seen and it is recommended that dates of implementation and reviews be clearly recorded on each document. The co-provider remains actively involved in the home on a daily basis and provides ongoing support to the manager along with the administrator. Staff spoken to during the inspection confirmed that they were well informed and supported by the management in the home. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 19 Staff also confirmed that they receive at least six recorded supervision sessions during the year as recommended in the National Minimum Standards. Three of the service users personal money and records were inspected and were accurately administered. Fire records and water temperature records are adequately maintained. Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 20 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 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 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 3 3 3 3 3 3 2 2 Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 21 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. 2. Standard OP9 OP29 Regulation 13(2) 19(4)(b) (i) Requirement The registered person must ensure that all medication is stored securely The registered person must ensure that all recruitment documents are complete with any gaps in employment explored. Services must be protected from potential hazards specifically in relation to the large garden fountain and a risk assessment must be undertaken to identify and prevent any possible hazards. Timescale for action 04/12/06 05/12/06 3. OP38 13(4)(c) 04/12/06 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 OP37 Good Practice Recommendations It is recommended that dates of implementation and reviews be clearly recorded on each policy document. DS0000015172.V322433.R01.S.doc Version 5.2 Page 22 Field House Field House DS0000015172.V322433.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 House DS0000015172.V322433.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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