Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 28/02/07 for Field House Care Home

Also see our care home review for Field House Care Home for more information

This inspection was carried out on 28th February 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents at Field House are happy and when asked, say that they think they are well cared for. The staff are focussed on the resident`s needs, and work hard to try to meet them. The residents are very involved in a number of aspects of Field House, such as menu planning and there are regular resident`s meetings.

What has improved since the last inspection?

The new lounge is now in use by residents, this has created an additional downstairs bedroom, and has reduced the number of residents who are sharing a bedroom.

What the care home could do better:

Nine requirements and six recommendations have been made at this inspection: Requirements: * The Service User Guide is out-of-date and inaccurate must be amended. * The resident`s care plans and risk assessments must be reviewed regularly * The complaints procedure needs to be updated * The entire building needs redecorating * The ceiling in the upstairs toilet needs repairing (outstanding since September 2005) * The laundry ceiling needs repairing, and the laundry needs upgrading (outstanding since September 2005) * The stair lift needs repairing * Staff need to have adequate pre-employment checks, particularly in relation to Criminal Records Bureau checks (set as an immediate requirement) * Staff need to receive adequate training to do their jobs properly * The proprietor needs to carry out Regulation 26 visits to Field House and keep a record on the premises available for inspection. Recommendations: * The risk assessment process should be reviewed for all residents * Daytime activities in Field House need to be reviewed * The house telephone should be removed from the named resident`s bedroom * All residents who receive medication should have care plans and risk assessments in place * Staff should follow medication procedures correctly * Residents should be fully consulted with regard to colours and materials for redecoration.

CARE HOME ADULTS 18-65 Field House Care Home 127 Foxhall Road Forest Fields Nottingham NG7 6LH Lead Inspector Rob Cooper Key Unannounced Inspection 28th February 2007 03:00 Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 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 Care Home DS0000002249.V330525.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 Adults 18-65. 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 Care Home DS0000002249.V330525.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.V330525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2006 Brief Description of the Service: Field House is a care home for learning disabled adults, situated in the Forest Fields area of the city, approximately one mile north of the city centre. The home is close to a range of transport options including buses and the tram system, and there are a variety of shops close by. The property is a large semi detached house, which covers three floors, with the upper floors being accessed by means of a staircase, and a stair lift, which is operated by the staff. The residents are accommodated in both single and double bedrooms on the upper floors. The property has recently been extended to provide extra communal living space, and work on this is expected to be completed shortly. The service focuses on developing the residents independence skills, and community living. The fees are: £1,430.13 per month. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection – so that at first no one at Field House knew that the inspection was going to take place. However it was necessary to return on a second day, and staff and residents were aware that the inspector would be returning. The inspection took approximately four hours in the late afternoon over the course of the two days. The method used to carry out the inspection was to send out a questionnaire, which asked questions about the service, to gather statistics, such as how many residents there are living at Field House, the numbers of staff etc. This was followed with a visit to Field House, where a method called case tracking was used; this involved identifying three residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was done by a partial tour of Field House, looking at the activities on offer, and talking to four staff and seven residents. What the service does well: What has improved since the last inspection? The new lounge is now in use by residents, this has created an additional downstairs bedroom, and has reduced the number of residents who are sharing a bedroom. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 7 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.V330525.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is poor; this judgement has been made using available evidence including a visit to this service. Prospective residents at Field House do not have the up-to-date or correct information they would need to make an informed choice about where to live. Prospective residents at Field House have their individual aspirations and needs assessed. EVIDENCE: Copies of the Service User Guide were seen and found to be inaccurate – they talked about en-suite bedrooms and a shaft lift, Field House has neither. During the inspection Mr Stevenson arrived with ‘new’ copies of the Service User Guide, however further inspection of these documents showed that only the front sheet with the date had been changed, and the errors already identified were also contained within the new Service User Guide. It is essential that the Service User Guide accurately reflects the services on offer at Field House. As part of the case tracking process three resident’s files were seen. Each file contained an in-house assessment of the resident’s needs, which had all been completed within the last month. On previous inspections it had been made clear that professional input from a social worker for example to complete resident’s assessments was not an option, and therefore the manager had completed in-house assessments of need. The assessments were found to Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 9 meet the national minimum standard, although none had been completed prior to residents moving into Field House. A requirement was set at the last key inspection relating to resident’s assessments, and this requirement has now been met. Field House Care Home DS0000002249.V330525.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. JUDGEMENT – we looked at outcomes for the following standard(s): 67&9 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. Residents know their assessed and changing needs and personal goals are reflected in their individual plan of care at Field House. Residents at Field House make decisions about their lives with assistance if needed. Residents at Field House are supported to take risks as part of an independent lifestyle. EVIDENCE: The case tracking process showed that all of the residents at Field House have an individual plan within their file. Most of the care plans seen within the three resident’s files had been reviewed within the last six months – as recommended by National Minimum Standards, and care plans were produced from the individual’s assessment of need. However one resident who is diabetic has a care plan relating to their diabetes, which had not been reviewed since 2004. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 11 Discussions with seven residents within a group and on an individual basis showed that the residents do believe that they are able to take decisions relating to their own lives. This covered everything from menu planning – the menus are produced on a weekly basis with lots of input from the residents, to daily activities. Two residents had been into the city shopping on the day of the inspection, and had been in complete control of their day. All of the residents said something positive with regard to decision-making or their involvement in choices. There are risk assessments in place in each of the resident’s files seen as part of the case tracking process. The risk assessments are fairly basic, and do not provide a great deal of detail about the risks or ways in which they might be managed. The risk assessments are also few in number – two to three in most files with four being the maximum seen in one file. There are a number of residents who have been diagnosed with diabetes, but not all of them have risk assessments in place. When considering the abilities of the residents and their various activities it would be reasonable to expect to see more risk assessments in place to help meet individual’s needs. Field House Care Home DS0000002249.V330525.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): 12 13 15 16 & 17 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents are able to take part in age, peer and culturally appropriate activities. Residents at Field House are part of the local community. Residents at Field House have appropriate personal, family and sexual relationships. Resident’s rights are not always respected although responsibilities are recognised in their daily lives. Residents are offered a healthy diet, and enjoy their meals and mealtimes. EVIDENCE: Discussions with the residents about the sorts of activities that they engage in showed that individuals had vastly different daytime activity. Some residents attend organised daytime events at recognised day centres, some are content to spend their day at Field House, while others have a mixture of shopping trips into town, and going out for lunch. Those individuals who either spend time at Field House or who go shopping appear to be arranging their activity themselves. This is based on things that residents said, and the lack of any Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 13 detail recording in any of the resident’s files to evidence that staff are involved. Residents have televisions in their bedrooms, and in some cases a good selection of videos and DVD’s that they said they spent time watching, however two residents when asked said they spent a lot of time at Field House and one shrugged and was fairly vague when asked about what activities they did during the day, while the second appeared to spend a lot of time watching television or carrying out domestic tasks, such as washing and tidying the bedroom. Outside of the television (which has Sky TV) and the DVD player in the lounge, there was little evidence of any other organised activity within the home. Discussions with two residents showed that they spend a lot of time out in the local community, using local shops, the tram and buses to get around, as well as visiting local pubs and café’s for food and drink. One resident talked about activities at Christmas time and going locally to see carol singers and also visiting the Goose Fair which takes place on the green at the bottom of the road. Discussions with all of the residents about family contact showed that there is quite a lot of family contact, and sometimes this happens at Field House – where residents said their relatives were made welcome, and were able to visit at any time, and sometimes residents either visited their relatives at their own home, or arranged to meet elsewhere, for example in the city centre. All of the residents said that there were no problems with seeing their families whenever they wanted to. Two residents said they had girlfriends, one resident saw his girlfriend only at the Day centre (and was happy with this arrangement) while the other sometimes saw his girlfriend at Field House, and sometimes he visited her in the care home where she lived. A general question to all of the residents about relationships indicated that most of the time they got on with each other, and were quite happy with the other people living at Field House. A number of staff interactions with residents were observed, and these were seen to be polite and respectful. The impression was that the staff care about the residents and treat people as individuals. One of the residents was observed laying the table ready for tea, discussions with this resident showed that they were doing it because they wanted to, not because it was ‘their job’. It was clear from talking to staff that there was no expectation that resident’s would carry out household tasks, although they were encouraged to be involved in the activities of daily living. However recently the new lounge (see environmental section) has opened, and the old resident’s lounge is now a resident’s bedroom. The main house telephone point is located within this bedroom, and staff entered the resident’s bedroom to make and receive telephone calls. This telephone point must be relocated as soon as possible to ensure the resident’s privacy, dignity, and respect. Several residents are diabetic, and information was seen in the kitchen regarding their condition. In addition each resident had a care plan and one Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 14 resident had a risk assessment. Discussions with all of the residents about the food at Field House provoked a lively debate. The general agreement was that the food was very good, there was enough of it, and the residents were fully involved in planning the menu. Two people said that if they wanted something different they could have it. On the evening of the inspection the first choice was stew and mash, which seemed to be a very popular choice with the residents. The kitchen has recently been refurbished, and is a great improvement, although it is still in need of a few ‘finishing touches.’ Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 & 20 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Field House receive personal support in the way that they prefer. Resident’s physical and emotional health needs are met at Field House. Residents, where appropriate retain, administer and control their own medication, and are protected by Field House’s policies and procedures for dealing with medication. EVIDENCE: The three resident’s files seen as part of the case tracking process, contained information about personal support and how it should be delivered. Discussions with the seven residents indicated that they were happy with the way personal support was offered, and that they felt in control of decisions that affected them, such as which member of staff would help them, and whether or not to have a bath or a strip wash. The three resident’s files contained information about GP and hospital visits, and had care plans relating to the resident’s health. With the exception of the one care plan already identified relating to diabetes, which had not reviewed all Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 16 other health related documentation was complete. Discussions with the residents about their health showed that they were all quite happy that their health needs were being met, with one resident telling me how he went to see the doctor to talk about his tablets, and the staff were very supportive. All of the residents said that if they needed a doctor they would see one either at the surgery or at Field House. There was a confidence in the residents that the staff would help them if they were unwell, and that they would receive the treatment they required. None of the residents at Fields House currently self-medicate. A review of the three resident’s files showed that there were no care plans or risk assessments in place in any of the files relating to medication, and it is strongly recommended that these are devised, as put in place for the welfare of the residents and information of the staff. Field House use a local chemist for the supply of their medication, and the storage and documentation relating to medication was seen and found to be correct and complete. During the inspection a member of staff was seen handling medication, and using named medicine pots, both of these practices, are identified in guidance produced by the Royal Pharmaceutical Society of Great Britain as poor practice. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. Residents at Field House feel their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: Since the last key inspection there have been no complaints received by Field House. The complaints procedure forms part of the Service User Guide, although this is out of date, as it makes reference to NCSC (The National Care Standards Commission), which was the forerunner of CSCI (The Commission for Social Care Inspection). Discussions with the residents indicated that none of them had ever made a complaint, but they were clear that if they were not happy they would: “talk to Jackie” (the manager) or Richard (the proprietor), and “they would sort it out.” Discussions with the manager and written evidence showed that training for all of the staff in safeguarding adults had been applied for, but as yet no date for the training had been given. Accessing alternative training was discussed, including use of the Internet and other training agencies. The residents were asked if they felt safe at Field House, and every one said they did. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 26 29 & 30 Quality in this outcome area is poor; this judgement has been made using available evidence including a visit to this service. Residents at Field House do not live in a safe, homely and comfortable environment. Resident’s bedrooms do not promote their independence. The specialist equipment, which will promote resident’s independence, is not in good working order. Field House is not clean and hygienic. EVIDENCE: A partial tour of Field House showed that while the lounge in the new extension, was now in use, other areas of the building were in a poor state of repair. Requirements set at the last key inspection, and reset at subsequent random inspections in the last year, have still not been met. These relate to repairs to the upstairs toilet ceiling, renovation of the laundry and repairs to the ceiling in the same area, and have now been outstanding for over a year. In addition the entire building is in need of redecoration, with the paintwork chipped and scuffed throughout, plus there was graffiti seen on the wall outside the laundry door. In addition building works from the new extension Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 19 have not been ‘finished off’ with bare plaster and splashes across the wall in evidence. The new lounge has meant that an additional ground floor bedroom has been created, which has reduced the number of residents who are sharing bedrooms. Outside the back garden has been turned into a yard with no lawn or flowerbeds. Some of the builder’s materials left over from building the extension are still in the back yard, and this remains a very bare and uninviting area. Four residents invited the inspector to view their bedrooms in one the chest of draws was broken, as was the wardrobe, with draw fronts missing and draws not able to fit into the piece of furniture. These should be repaired or ideally replaced as soon as possible. All four residents said when asked, that they would like to have their bedrooms redecorated. None of the bedrooms were particularly homely, as none of the bedroom furniture is co-ordinated, with it being a mix and match. The stair lift is currently broken, and is awaiting new parts. Fortunately none of the residents currently living at Field House rely on the stair lift to access the upper floors. Repairs to the stair lift should be carried out as soon as possible, and the Commission for Social Care Inspection should be notified when these repairs have been completed. During the tour of the building, it was noted that Field House is very cluttered, with limited storage space. The building work, which has already been mentioned, and the damage identified in certain areas mean that it is not possible to clean the building to an acceptable standard – the laundry remains unhygienic, as does the upstairs toilet. The chipped and damaged paintwork throughout is not helping in keeping the building clean. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 & 35 Quality in this outcome area is poor; this judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff. Resident’s rights are not supported and protected by Field House’s recruitment policies and procedures. Residents at Field House have their individual and joint needs met by appropriately trained staff. EVIDENCE: The National Minimum Standards state that a minimum of 50 of the staff team should hold the National Vocational Qualification (NVQ) to level II in care. This is seen as good practice, and NVQ level II is seen as the standard qualification for care staff in this field of employment. Currently seven of the eleven staff working at Field House hold their NVQ level II qualification, which is above the recommended level of 50 . A review of three staff files showed that the two most recently appointed members of staff had not had their Criminal Records Bureau checks returned. This means that the management of Field House are not able to say with any certainty that the new members of staff are fit or safe to be working with vulnerable people. Neither of these two staff members should be working at Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 21 Field House until either a POVA first check has been completed (which will allow them to work in a supervised role only) or a Criminal Records Bureau check has been successfully completed (which will allow them to work unsupervised.) Criminal Records Bureau checks are mandatory for all members of staff working in the care field, and should be completed before making a firm job offer. The fact that neither staff member had had their documentation properly completed evidences that Field House’s recruitment procedures do not currently protect the residents. A review of staff training records showed that not all members of staff have received training in the mandatory areas. This includes Fire, Moving & Handling and Health & Safety. It was also clear that there is no annual programme of refresher training for those staff who have attended courses. It was also evident that staff who are involved in food preparation for residents have not all undergone certificated food hygiene training, which again is mandatory training and therefore staff are not appropriately trained to meet the needs of the residents. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 & 43 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Field House benefit from a well run home. Residents are confident their views underpin all self-monitoring, review and development by Field House. The health, safety and welfare of residents and staff at Field House are promoted and protected. EVIDENCE: Jackie Long is the Registered Manager, she is suitably qualified and experienced, and is currently waiting for the issue of her NVQ level IV certificate. Field House issues all of it’s resident’s with a questionnaire, and copies of the latest (all dated within the last three months) were seen, all of the questionnaires indicated that the residents were happy with life at Field House. Resident’s meetings are arranged on a monthly basis, and the minutes relating Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 23 to the last four meetings were seen, these evidenced that residents were being consulted about some aspects of the running of Field House. A range of health & safety records were seen, and all found to be correct and up-to-date. These included the fire safety records, the Control of Substances Hazardous to Health (COSHH) records, the fire extinguishers had been serviced within the last six months, and there were no obvious health & safety issues to note. It is the responsibility of the proprietor to carry out Regulation 26 visits; these are visits to the home to ensure that the residents are fit and well, they are being cared for appropriately, and that the building is in a good state of repair. Visiting the premises, carrying out a visual inspection and talking to residents and staff, and writing a report achieve this. In the past Field House have had requirements set for not adequately carrying out Regulation 26 visits, once again it was only possible to locate one Regulation 26 visit report on the premises. It has been pointed out in the past that copies of the reports should remain at Field House so that they are open to inspection. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 24 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 1 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 2 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 2 27 X 28 X 29 2 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 2 Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 25 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 YA1 Regulation Requirement Timescale for action 30/04/07 2. 3. YA6 YA24 4. YA24 Regulation The Registered person must 5 ensure that information within the Service User Guide is accurate and up-to-date. Regulation The Registered person must 15 (2) c ensure that the service user’s plan is kept under review. Regulation The Registered person must 23 (2) d carry out a programme of redecoration throughout the entire building Regulation The Registered person must 23 (2b) ensure the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally: Repairs must be carried out to the ceiling in the top floor toilet. Repairs must be carried out to the ceiling in the laundry area, and a general upgrade of this room. These items have been outstanding since the inspection of 09/09/05 Regulation The Registered person must DS0000002249.V330525.R01.S.doc 30/04/07 31/08/07 30/04/07 5. YA26 30/04/07 Version 5.2 Page 26 Field House Care Home 6. YA29 ensure that residents have adequate furniture to meet their needs, and that the furniture supplied is in a good state of repair. Regulation The Registered person must 23 ensure that the stair lift is repaired, and the Commission for Social Care Inspection are notified in writing when repairs have been completed. Regulation The Registered person must 23 (2) d ensure that all parts of Field House are kept clean. 16 (2) c 30/04/07 7. YA30 30/04/07 8. YA34 Regulation The Registered person must 19 (1) b ensure that Criminal Records Bureau checks are carried out on all members of staff, and that new members of staff do not start work until the necessary checks have been completed. 02/03/07 9. YA35 10. YA43 This was set as an immediate requirement. Regulation The Registered person must 31/08/07 18 (1) c ensure that staff employed to work at the care home receive training appropriate to the work they are to perform. Regulation The Registered person must 30/04/07 26 undertake monthly Regulation 26 visits, either in person or through a representative, and copies of the report must be sent to the Commission for Social Care Inspection for inspection. Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 27 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 YA9 YA12 YA16 YA20 Good Practice Recommendations The Registered person should review the risk assessments for each individual and ensure that all of the risks in an individual’s life are assessed appropriately. The Registered person should ensure that there are a range of activities to occupy residents who do not routinely go elsewhere for day care. The Registered person should ensure that resident’s privacy and dignity are respected, and that the telephone point is relocated out of the front bedroom. The Registered person should write care plans and risk assessments for each individual who is taking medication, so that staff are aware of all the relevant information with regard to the individuals and the medication they are taking. The Registered person should ensure that staff follow the correct procedures when administering medication. The Registered person should ensure that when redecorating residents are fully consulted over choice of colours and materials, and that evidence of this consultation is recorded in individual resident’s files. 5. 6. YA20 YA24 Field House Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Care Home DS0000002249.V330525.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!