Inspection on 01/09/09 for Field House Care Home

This inspection was carried out on 1st September 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Field House Care Home 08/09/08

Field House Care Home 13/09/07

Field House Care Home 28/02/07

Field House Care Home 09/05/06

Field House Care Home 09/09/05

Field House Care Home 25/04/05

Field House Care Home 25/01/05

Field House Care Home 07/07/04

Field House Care Home 26/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Key inspection report CARE HOME ADULTS 18-65 Field House Care Home 127 Foxhall Road Forest Fields Nottingham NG7 6LH Lead Inspector Meryl Bailey Key Unannounced Inspection 1st September 2009 01:00 Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Field House Care Home Address 127 Foxhall Road Forest Fields Nottingham NG7 6LH 0115 960 3509 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) Mr Richard Stevenson Mrs Alison Stevenson Miss Jacqueline Long Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2008 Brief Description of the Service: Field House is situated in the Forest Fields area in the City of Nottingham, approximately one mile north of the city centre. The home is close to bus and tram routes, and there are some shops close by. The large semi detached house covers three floors, with a stair lift to the first floor and stairs to the top floor. Most people who currently live at the home are able to use the stairs. One ground floor bedroom is provided. The residents are accommodated in both single and double bedrooms. The weekly fees range from £311 to £350 Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This key inspection involved one inspector. The site visit was unannounced and took place during the afternoon of 1st September 2009. We were able to see most of the people who currently live there and two visitors. Inspections focus on outcomes for people that use the service and in order to do this, the main method of inspection used at the site visit was ‘case tracking’. This meant three people were selected and their support was tracked through some discussion with them and observing behaviour. Also, we checked their care records and observed the way staff interacted with them. We spoke with some staff and a sample of staff records were looked at to make sure staff members are checked before commencing employment and are trained to meet people’s needs. The manager was available during the inspection for discussion and feedback. Information about a home that is collected before the site visit is also used as evidence to make judgements. We received completed survey forms from ten people that live at the home and from four staff. We also received a completed Annual Quality Assurance Assessment (AQAA) form in July 2009, which gave us some basic information about how the home is run. What the service does well: People who live at the home told us they liked their holidays and other activities. They told us they choose the meals they want each week and comments included, “I like all dinners here.” “We choose what sandwiches we want.” “The cooking is good here.” One person told us on the survey form, “My sister gets drinks when she comes.” Another person had recently celebrated a birthday and had a party with relatives and other people living at the home. Everyone told us that they knew how to make a complaint if they needed to. Ten of the eleven staff had completed a National Vocational Qualification in care at level 2 and five had completed level 3. People told us that the staff were helpful and treated them well. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Provide a consistent system of care planning and reviewing needs, risks and goals to make sure each person’s needs are fully addressed. They must make sure all staff keep accurate records medicines so that it is clear that people have received medicines safely as prescribed by a doctor. They must also make sure they the expiry dates of medicated creams and destroy any that are out of date. This is to ensure the health and safety of people. The roof should be repaired so that the person concerned has a choice of moving back into the bedroom affected by the leak. There must be a system in place to ensure all furniture and fittings are repaired or replaced as needed so that people have good quality items in their individual rooms. They should replace the flooring in the first floor bathroom and redecorate the ground floor bathroom. This is to improve the quality of bathroom facilities for people at the home. The registered providers must prepare a written report on the conduct of the home at least once a month. This is so that they can demonstrate they are monitoring and improving the quality of the service provided. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 7 They must provide training for all staff in Infection Control and Moving and Handling so that sufficient action is taken to prevent the potential spread of infection and to make sure staff know how to meet people’s changing mobility needs. The manager must notify the Commission in writing of all serious injuries to people living in the home and follow guidance about other events that must be notified by law. This is so that the Commission can monitor the service and ensure sufficient action is taken to safeguard people’s health and welfare. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessment process ensures the home can meet people’s needs EVIDENCE: No new people had been admitted within the last year. The sample of files we looked at contained assessments of a range of needs and the manager said assessment would be carried out before any further new people were admitted. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are supported to make their own decisions and risks are considered. However, the planning of support is not consistent and people cannot be sure that all staff know how to meet their changing needs or how to support them to meet their goals. EVIDENCE: The three files we looked at each contained a needs assessment, risk assessments and care plan. Some were old documents from a previous service owned by the same provider and care planning was inconsistent. There was evidence that needs and risks had been reviewed during the last year, but there were some monthly reviews and some three monthly. Some reviews appeared to have been missed with no explanation. One plan was Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 11 reviewed each month for four months and then not reviewed again for seven months. There were, though, daily notes recorded by staff when significant events had occurred. The manager said that care plans and reviews were the responsibility of different key workers. Some people told us the name of their key workers and they said they had regular talks about things with them. No one had a copy of their own plan, but we saw some parts of plans had been signed. The risk assessments we saw were specific to individuals with some direction about action needed to reduce risks for people when taking part in activities or going out alone. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are satisfied with their individual lifestyles and eat the meals they choose. EVIDENCE: As at the last inspection, we found that the younger people living at the home usually attended local day centres, and some told us they use other local community facilities. Two people regularly went out alone and other people stayed in the house most of the time. One day centre was not open on the day we visited, but some attended another day service where they had been using computers and doing some art work. The television was switched on in the lounge throughout the afternoon of our visit and some were watching it. One person was knitting and another looking at magazines. Two people who Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 13 do not attend day services told us they are happy to stay at home. If people wanted attention they would seek out staff, who were based in the kitchen. People told us about holidays and day trips. People funded their own holidays and had been to Skegness. One group had stayed five nights at Butlins and another group had stayed for 7 nights in a hotel. There were holiday photographs on the walls and in albums. One person did not have a holiday and said she liked to stay at home. The manager also gave us information about day trips to Drayton Manor Park and to Sea Life at Skegness. Some people were members of a local church group. On the survey forms everyone told us they could do what they wanted each day, but some added that they would like more games to play within the home. Some relatives were at the home when we visited and told us they visited regularly and were made welcome. One person told us on the survey form, “My sister gets drinks when she comes.” Another person had recently celebrated a birthday and had a party with relatives and other people living at the home. Some people told us about the meals and comments included, “I like all dinners here.” “We choose what sandwiches we want.” “The cooking is good here.” The manager told us she meets with people every week to discuss the meals they would like for the following week. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal support and health needs are met, but record keeping practices do not give clear evidence of what medicines have been taken. EVIDENCE: People had signed their care plans and told us they talked to staff about the support they needed. We saw that staff enabled independence as far as possible. One person used a walking frame for support and was observed closely by staff when moving around. There were records in the files of appointments with medical professionals and everyone had been reviewed by an optician that visited the home during August. One person told us of a hospital visit following an injury and that help had been given immediately by staff at the home. Since the last inspection new storage arrangements had been made for medicines. All current tablets and liquids were kept safely there and creams were kept in bedrooms. The records we saw were not all accurate as some Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 15 had been initialled for the following day before they were administered and for one person the record was initialled morning and night on one day, though the instruction was to take one daily. On checking the amount remaining there appeared to be just one given on that day. There was evidence of secondary dispensing when people were at the day centre. The tablets for one person were dispensed into another container for this purpose. There were no records of whether or not creams had been applied, but the manager said people used them on their own as needed. In one person’s bedroom we found a cream on the wash basin that was out of date and no longer prescribed. The person concerned told us that this cream had not been used for a long time and the manager removed it during the inspection. The manager had received new policies about medicines from the National Health Service and had started to read them, but staff had not yet seen them. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are safeguarded from abuse. EVIDENCE: Everyone told us that they knew how to make a complaint if they needed to. The complaints procedure was displayed in the entrance hall so that it was available to visitors. The manager told us no complaints had been received and no concerns had been received by the commission during the last twelve months. There were records of staff training in Safeguarding Adults dated 17 December 2008 and all new staff had been checked through Criminal Records Bureau before they started working at the home. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is kept clean for people, but the premises and furniture are not fully maintained. EVIDENCE: All areas used by people in the home were clean and people told us staff helped them keep their rooms clean. Comments we received on our surveys in answer to “What could the home do better?” included: “Provide new furniture and get repairs to the property done more quickly.” “Some decoration.” “Decoration and upkeep”. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 18 We found that the stair lift had been serviced since the last inspection, so that it extended sufficiently. This meant that, in addition to the ground floor bedroom, there were two bedrooms on the first floor that were accessible to people who were unable to use stairs. However, there had been no repair to the roof and the person that had moved to another room on a temporary basis was still not able to access the bedroom affected by the leaking roof. We saw this room which had developed a large stain on the ceiling from the leak. The person concerned was in a large double room with two beds and wanted to return to the previous room. The washbasin in the first floor bathroom had been secured to the wall since the last inspection, but the lino flooring was still damaged. In the ground floor bathroom there were tiles missing and damp walls. There was no working light and we saw staff using a torch when someone wanted to use it. Outside the bathroom there was flaking plaster hanging from the ceiling. Some bedroom furniture was old and damaged, with some door handles missing and the top surrounding a washbasin in one person’s room still had no edging as it was twelve months ago. Some stair carpet had been replaced, but old stained carpet remained on a landing. The manager told us that there were plans to replace all the old windows on one side of the building, but there was no date for this to be done. There was a lot of old furniture and equipment in the cellar, but the freezer was in good working order so that food was stored safely there. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient trained staff are always available to meet people’s needs. EVIDENCE: There were two people on duty during this inspection visit. Staff and people living in the home told us there were always at least two staff and at night one would sleep and the other would be awake. The staffing rota confirmed who was on duty for each shift. We looked at some of the staffing records and these showed us that two references and the results of a Criminal Records Bureau check had been obtained prior to the new people commencing work at the home. An induction programme was used and recorded. Ten of the eleven staff had completed a National Vocational Qualification in care at level 2 and five had completed level 3. People told us that the staff were helpful and treated them well. However, not all staff had been trained in infection control and moving and handling (see next section). Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from consistent management of the home, but the quality of the service is not fully monitored to ensure the home is run to promote the best interests and safety of people living there. EVIDENCE: The manager is registered with the Commission and was present during the inspection visit. She had sent us the Annual Quality Assurance Assessment (AQAA) form with some basic information. The manager told us that one of the registered providers visited once a week to bring staff wages and cash for food, but he had not left a report about his assessment of the quality of the Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 21 service since November 2007. The manager told us that she reported maintenance problems to the provider, but there were no written records of when these were identified or when maintenance jobs were carried out. People told us they were involved in meetings to talk about how the home was run and they accepted that they had to wait for improvements to be made to the house. There was a satisfaction questionnaire for people who live there to complete every six months, and we saw copies in individual files dated 29 June 2009, but there was no report about the results of these. All windows had been checked since the last inspection to make sure they were safe. We saw evidence that the fire extinguishers had been serviced in August 2009 and the manager gave us information in the AQAA form about other equipment that had been appropriately checked within the last year. There were records of staff training in Food Hygiene and Health and Safety, but only half the staff had completed training in Infection Control and just one of the staff had received training in Moving and Handling. The manager was aware of the need to provide training, but told us she had not been able to find suitable free courses. No notifications of incidents have been sent to the Commission during the last 12 months. However, during the inspection visit one person told us of an accident that resulted in treatment at hospital. This was recorded in the daily notes, but the Commission had not been notified. On the AQAA form the manager stated there had been 5 admissions to Accident and Emergency during the last 12 months. Since the inspection we have sent new forms and guidance about notifications to the manager. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Version 5.2 Page 23 Field House Care Home DS0000002249.V377439.R01.S.doc Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13(2) Requirement Ensure by training, supervision and monitoring that all staff initial the Medicine Administration Records to confirm that medicines have been taken and that they are not initialled in advance. This is in order to provide accurate records that medicines have been administered safely as prescribed. Timescale for action 31/10/09 2. YA20 13(2) 3. YA24 23(2)(c) Put a system in place to monitor 31/10/09 the expiry dates of medicated creams and destroy any that are out of date. This is to ensure the health and safety of people. There must be a system in place 31/12/09 to ensure all furniture and fittings are repaired or replaced as needed so that people have good quality items in their individual rooms. This requirement is outstanding from 31/12/08 and has been repeated with a new timescale. If the timescale is not met the Commission will consider Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 24 enforcement action. 4. YA39 26 The registered providers must prepare a written report on the conduct of the home at least once a month. This is so that they can demonstrate they are monitoring and improving the quality of the service provided. Ensure all staff receive training in Infection Control so that sufficient action is taken to prevent the potential spread of infection. Ensure all staff receive training in Moving and Handling, so that people are assisted safely with their mobility. 31/10/09 5. YA42 13 31/12/09 6. YA42 13(5) 31/12/09 7. YA42 37 This requirement is outstanding from 31/12/08 and has been repeated with a new timescale to give the manager more time to source appropriate training. If the timescale is not met the Commission will consider enforcement action. Notify the Commission in writing 31/10/09 of all serious injuries to people living in the home and follow guidance about other events that must be notified by law. This is so that the Commission can monitor the service and ensure sufficient action is taken to safeguard people’s health and welfare. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 25 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. 2. 3. 4. Refer to Standard YA6 YA24 YA27 YA39 Good Practice Recommendations Provide a consistent system of care planning and reviewing needs, risks and goals to make sure each person’s needs are fully addressed. Repair the roof so that the person concerned has a choice of moving back into the bedroom affected by the leak. Replace the flooring in the first floor bathroom and redecorate the ground floor bathroom. This is to improve the quality of bathroom facilities for people at the home. Provide a report of the results of satisfaction questionnaires so that people know they are listened to. Field House Care Home DS0000002249.V377439.R01.S.doc Version 5.2 Page 26 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastmidlands@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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