Inspection on 08/09/08 for Field House Care Home

This inspection was carried out on 8th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Field House Care Home 01/09/09

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 26/11/2008.

CARE HOME ADULTS 18-65 Field House Care Home 127 Foxhall Road Forest Fields Nottingham NG7 6LH Lead Inspector Meryl Bailey Unannounced Inspection 8th September 2008 02:00 Field House Care Home DS0000002249.V371292.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.V371292.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.V371292.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.V371292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2007 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.V371292.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 started on 8th September 2008. A further visit was made on the following day. We were able to see all of the people who currently live there. 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 four people were selected and their support was tracked through some discussion with them. Also, we checked their care records, observed their interactions with staff and had discussions with two of the staff. 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 registered manager was available during the second visit for discussion and feedback. Information about a home that is collected before the site visit is also used as evidence to make judgements. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well and what they need to improve. We received a completed AQAA form in April 2008. This was brief, but has been useful in planning the visit and the information has been taken into consideration within this report. What the service does well: People who live in the home are encouraged and supported to make their own decisions and any risks are assessed and controlled where possible. People enjoy their individual lifestyles and eat the meals they choose. Some people said that the staff helped them make their visitors welcome and provided refreshments. All the people we spoke with said that they enjoyed their meals at the home. Complaints are taken seriously and people at Field House are safeguarded from abuse. Records showed that staff have received training in Safeguarding Adults. Field House is generally clean and homely. Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 6 Sufficient competent staff are provided and the manager is qualified to run the home. What has improved since the last inspection? What they could do better: Ensure a full assessment has been carried out for any people who wish to move into the home and keep a copy of that assessment. This is so that people can be assured the home is suitable for meeting their needs. Ensure a full support plan is developed with every person at the home. This is so that all people that live at the home will know how their assessed needs will be met and goals can be achieved. Everyone should be given the option of a 7-day holiday as part of the contract price, so that no one is left out of holiday plans. Handwritten entries on the Medicine Administration Record sheets, giving directions about prescribed medication, must be signed and countersigned by a second person who has checked they are correct. This is so that people receive the medication safely as prescribed. Ensure all medication is stored in a dry place at temperatures of no more than 24 degrees Centigrade. This is to maintain the effectiveness, quality and safety of all medication for people in the home. There must be a management system in place to ensure all staff initial the Medicine Administration Record or use a code in order to confirm if medication has been taken or not. The flooring must be replaced and the washbasin fully secured in the first floor bathroom. This is to improve the quality of bathroom facilities for people at the home. They need to repair the roof before the bedroom affected by the leak is used again. 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. Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 7 There must be an up to date staffing rota so that everyone is aware of which staff members to expect on duty. Staff records must include, for each member of staff, an up to date record of all the training they have completed. This is to ensure people are supported by staff who have received up to date training. All staff must receive training in Moving and Handling, so that people are assisted safely with their mobility. The stair lift needs to be replaced to ensure people who cannot manage the stairs will continue to be able to reach their bedrooms safely. Restrictors on window openings must be sufficient to prevent entry or exit via windows, so that people are safe and secure from intrusion. 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.V371292.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.V371292.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Some assessment takes place to ensure the home can meet the needs of new people, but, as the assessment is not written down in full, people cannot be assured their needs will be met. EVIDENCE: Of the four files we looked at, one person had been admitted within the last year. There was no full assessment on the file, though some assessment of risks had been carried out. Staff told us they were aware of the level of support needed for this person before she moved in and that a trial period had taken place. The files for other people, who had been at the home longer contained assessments of a range of needs. Field House Care Home DS0000002249.V371292.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): 6, 7 and 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People who live in the home are encouraged and supported to make their own decisions and risks are controlled where possible. However, the planning of support is not consistent and people cannot be sure staff know how to meet their support needs. EVIDENCE: The support plan for one person consisted only of two risk assessments and for another there was just a Needs Assessment form. The files we looked at for another two people each contained a needs assessment, risk assessments and care plan. We saw daily notes recorded by staff where there had been significant events. Staff told us that they ask people questions to find out what they need and get some information from the files so that they can meet needs. The risk assessments we saw were specific to individuals with clear direction about action needed to reduce risks for people when taking part in activities. People told us about decisions they have made for themselves and Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 11 some said they had some help from day services and groups they attend. One person said there was a key worker at the home who they had monthly meetings with. On another person’s file we saw signed copies of the discussion notes for such meetings. Field House Care Home DS0000002249.V371292.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, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available 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: The younger people living at the home attend local day centres, and some told us they use other local community facilities. One person did some part time voluntary work and told us she travels alone to neighbouring towns regularly on buses. There were other people who stayed in the house most of the time, though staff told us that more organised outings had been provided. The television was switched on throughout the afternoons of our visits and one person was knitting. We observed staff involved in household tasks or sitting in the kitchen. If people wanted attention they would seek out staff. We heard staff responding Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 13 to people in a friendly, and professional manner. One staff member told us they had tried to encourage someone to attend a new day centre, but that person preferred to stay at home. They also told us of holidays that were planned, though the manager told us one person had insufficient funding to take part in a holiday. Other people were funding their own holidays. However, under standard 14 of the National Minimum Standards, providers should give people the option of an annual 7 day holiday as part of the contract price. Some people told us about contact with their family and there were some regular visitors. People said that the staff helped them make their visitors welcome and provided refreshments. People told us they are involved in planning the menu each week. They had chosen their own fillings for sandwiches at lunchtime and we saw staff preparing an evening meal, which was sausage casserole, mashed potatoes and mixed vegetables, followed by melon and yoghurt. All the people we spoke with said that they enjoyed their meals at the home. There was a rota for someone to help with setting the table and clearing away. Field House Care Home DS0000002249.V371292.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. People receive support as they prefer and health care is generally well managed, medication storage and recording arrangements do not guarantee people receive their medication as prescribed. EVIDENCE: People told us they are happy with the support they received from staff at the home. There was information about the preferences in relation to personal support on two of the files we looked at. There were records pf appointments with dentists, doctors and other health professionals are recorded within all the files. The people we spoke with said that they had support from the staff to attend appointments. The manager described the procedure for managing medication. The repeat prescriptions were requested by the manager or deputy and taken to the surgery for prescriptions that were then passed direct to the pharmacist. The manager told us that a retired doctor accompanied the pharmacist to bring the medication in blister packs and together they checked that the labels matched Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 15 the prescriptions. The manager then wrote out the name, strength and dosage of each medication on the record. We examined the records and found that the handwritten entries were not signed or countersigned as correct. The current blister packs and other medications were kept in a locked cupboard. The location of this cupboard does not guarantee temperatures of below 25C and there was no record of daily temperatures taken. There was a petty cash tin stored with the medication. We found further medication stocks in the cellar, where it was cooler, but there was a risk of moisture. Some old medication was also found there, awaiting disposal. When we returned to complete the inspection the following day these old stocks of medication had been removed. There was a fridge for storage of Insulin and this was managed appropriately with fridge temperatures monitored. There were some clear directions to staff on the front of the Medication Administration Record file about what to do if insulin was required in an emergency. Staff had recorded their initials or code when medication had been given, but there two gaps for the previous day, relating to medication for one person. It had been removed from the blister pack, but there is no clear record if it was taken or refused and destroyed. Field House Care Home DS0000002249.V371292.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Complaints are taken seriously and people at Field House are safeguarded from abuse. EVIDENCE: There had been one complaint since the last key inspection in September 2007. Records showed that this had been taken seriously with appropriate responses. People at the home told us that if they were not happy about something they would talk to staff or tell a social worker. The complaints procedure was displayed near the entrance. There were also questionnaires in use and people could indicate on these if they were unhappy about anything. Records showed that some staff received training in Safeguarding Adults in October 2007 and others received this training in March 2008. Field House Care Home DS0000002249.V371292.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Field House is generally clean and homely, but in need of some maintenance work to ensure people have a safe and comfortable home to live in. EVIDENCE: The communal lounge and dining rooms are well furnished and people said they liked these areas. Since the last inspection bedrooms have been redecorated and some furniture had been replaced. However, we found some parts of the house in need of further maintenance work. There was a notice indicating that the stair lift must not be taken to the full extent of the tracking as the condition of the cord is not sufficient. One of the staff explained that it had not been possible to fully repair this lift. Though it could be safely used for the main staircase it did not extend to the additional two steps, which affected one person who needed additional help from staff to complete the journey to the bedroom (see requirement under standard 42). Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 18 In a bathroom, we found the washbasin was loose and the lino floor was damaged. One chest of drawers had a handle missing and the top surrounding a washbasin in one person’s room had no edging. In another room the radiator guard was no longer attached to the wall. Some windows were restricted, but none were sufficiently restricted to prevent entry or exit via windows (see recommendation under Standard 42). We noticed a wet ceiling in one room caused by a leaking roof and when we returned the next day the occupant of this room had moved to another room. There was some chipped paintwork on all the handrails, but all areas of the home were clean. Field House Care Home DS0000002249.V371292.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Trained staff are provided, but the lack of full training records and a current staffing rota means that people living in the home cannot be assured of that competent staff are always available. EVIDENCE: There were two people on duty during the first afternoon of this inspection. 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. There was no up to date staffing rota to confirm who was on duty for each shift. We looked at the staffing records of those on duty, which included someone who had commenced work since the last inspection. Records showed us that two references and the results of a Criminal Records Bureau check had been obtained prior to the person commencing work at the home. An induction programme was immediately completed and recorded. There were some records of staff training. All ten staff had completed a National Vocational Qualification in care at level 2 and five had completed level 3. Not all records of training were up to date, but with a combination of records and discussions we established that all staff have completed some Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 20 training in the safe working topics and specific training in Diabetes had also been undertaken. Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 21 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 and 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The manager is qualified to run the home and is aware of the need to continue to make improvements. People who use the service are adequately protected, but action is needed to maintain safety. EVIDENCE: Jackie Long is the Registered Manager and has attained the Registered Managers Award. She covers some care support shifts and was not on duty on the first day of this inspection. We returned the next day in order for her to give us access to staffing records. Field House uses a questionnaire for people who live there to complete every six months, and copies were seen in individual files. Resident’s meetings are held every week and people told us they were being consulted about some Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 22 aspects of the running of Field House, such as menus and activities. The Commission received a completed Annual Quality Assurance Assessment form from the home during September 2008. The manager had completed the form with brief information about how well the service is provided. More detailed supporting evidence would have been useful to illustrate what the service has done in the last year. Within the form she has stressed the need for all staff to continue training to maintain and improve awareness of policies and procedures in order to meet the needs of people who live in the home and keep them safe. There were certificates of staff training in Health and Safety, Food Hygiene, First Aid. One of the staff said that Moving and Handling training was planned, but there was no specific date for this training. None of the current people living at the home needs hoisting, but some require support for moving around and to access bedrooms. During the inspection we saw some health & safety records including the fire safety records. The fire extinguishers had been recently serviced. The stair lift had been serviced, but it was not possible to maintain it to work to its full capacity and this needs to be replaced to ensure people who cannot manage the stairs are able to reach their bedrooms safely. As stated in the environment section, we saw that window openings were not sufficiently restricted to prevent entry or exit via windows. Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 23 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 2 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 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 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 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 3 X X 2 X Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 24 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. Standard YA2 Regulation 14(1) Requirement Timescale for action 31/10/08 2. YA6 15 3. YA20 13(2) 4. YA20 13(2) Ensure a full assessment has been carried out for any people who wish to move into the home and keep a copy of that assessment. This is so that people can be assured the home is suitable for meeting their needs. Ensure a full support plan is 31/10/08 developed with every person at the home. This is so that all people that live at the home will know how their assessed needs will be met and goals can be achieved. Handwritten entries on the 31/10/08 Medicine Administration Record sheets, giving directions about prescribed medication, must be signed and countersigned by a second person who has checked they are correct. This is so that people receive the medication safely as prescribed. Ensure all medication is stored 31/10/08 in a dry place at temperatures of no more than 24 degrees Centigrade. This is to maintain the effectiveness, quality and DS0000002249.V371292.R01.S.doc Version 5.2 Field House Care Home Page 25 5. YA20 13(2) 6. YA24 23(2)(b) 7. YA24 23(2)(c) 8. YA33 17(2) and (3) 17(2) and (3) 9. YA35 10. YA42 13(5) 11. YA42 23(2)(c) 12. YA42 13(4) safety of all medication for people in the home. There must be a management system in place to ensure all staff initial the Medicine Administration Record or use a code in order to confirm if medication has been taken or not. Replace the flooring and fully secure the washbasin in the first floor bathroom. This is to improve the quality of bathroom facilities for people at the home. 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. There must be an up to date staffing rota so that everyone is aware of which staff members to expect on duty. Staff records must include, for each member of staff, an up to date record of all training undertaken. This is to ensure people are supported by staff who have received up to date training. Ensure all staff receive training in Moving and Handling, so that people are assisted safely with their mobility. Replace the stair lift to ensure people who cannot manage the stairs will continue to be able to reach their bedrooms safely. Assess risks and fit restrictors to window openings sufficient to prevent entry or exit via windows so that people are safe and secure from intrusion. 31/10/08 30/11/08 31/10/08 31/10/08 31/10/08 31/12/08 30/11/08 30/11/08 Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 26 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. Refer to Standard YA14 YA20 YA24 Good Practice Recommendations Provide the option of a 7-day holiday as part of the contract price, so that no one is left out of holiday plans. Provide alternative secure storage for petty cash so that it is not stored with medication. Repair the roof before the bedroom affected by the leak is used again. Field House Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team 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 Care Home DS0000002249.V371292.R01.S.doc Version 5.2 Page 28 - 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. 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