Inspection on 09/05/06 for Field House Care Home

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 9 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 08/09/08

Field House Care Home 13/09/07

Field House Care Home 28/02/07

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 08/07/2008.

CARE HOME ADULTS 18-65 Field House Care Home 127 Foxhall Road Forest Fields Nottingham NG7 6LH Lead Inspector Rob Cooper Key Unannounced Inspection 9th May 2006 10:00 Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 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.V293363.R01.S.doc Version 5.1 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.V293363.R01.S.doc Version 5.1 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.V293363.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 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. There is an error on the Registration Certificate, and a replacement will be issued. The fees range from: 1,287.52 - £1,347.67 per month. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place over two days, the initial inspection visit proving difficult as the manager was not on duty, and access to information was difficult. Therefore a second Inspection visit was made when it was known that the manager would be on duty. In all the Inspection lasted approximately three and a half hours, with one Inspector present. The methodology used was to visually inspect parts of the premises, talk with residents, and look at a range of records, including case tracking three residents – This is done by consideration of all elements in a resident’s life – for example how they spend their day, who visits them, what their bedroom is like, how comfortable life is for them living at this particular care home. This also involved looking at a range of care plans, and records, and making a judgement about the quality of care being delivered and received. Field House is still undergoing a major refurbishment, however work appears to have ground to a halt, with little sign of progress since the Inspection in September 2005. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 6 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.V293363.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1234&5 The quality outcome in this area is: Poor Prospective residents at Field House would not have the information they would need to make an informed choice about where to live. Resident’s individual aspirations and needs have not been assessed either by Field House staff or by a Social Worker. Prospective residents do not know whether Field House will meet their needs and aspirations. Prospective residents do have the opportunity to visit and ‘test drive’ Field House before moving in. Every resident does not have an individual written contract or statement of terms and conditions for Field House. EVIDENCE: The Statement of Purpose and Service User Guide were both seen. At the last Inspection it was set as a requirement that the Service User Guide makes reference to the Commission for Social Care Inspection, this has been done, however copies have not been forwarded to the Commission which was also set as a requirement. The Service User Guide was found to be out of date, with reference to equipment (hoists) that are no longer available at Field House. Three resident’s files were seen, and none contained any formal assessment either from before the resident moved in to Field House or since they have been in residence. The lack of any formal assessment, means that staff have no way of knowing what resident’s needs and aspirations are. None of the files that were seen contained any goal or target setting or any evidence of formal review. Five residents were asked about how they spend their day, Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 8 and the suggestion was of a day-to-day existence with no longer term planning. The admission procedure was discussed with staff, who said that tea visits and over night stays do form part of the admission procedure. Two residents were asked about when they moved in, and both said that they had come for tea, and had spent time at Fields House before moving in. Three resident’s files were seen, two contained a copy of the terms and conditions of residence, however the third did not. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 67&9 The quality outcome in this area is: Poor Residents at Field House do not know that their assessed and changing needs and personal goals are reflected in their individual plan. Residents at Field House are assisted to make decisions about their lives. Residents are supported to take risks at Field House as part of an independent lifestyle. EVIDENCE: Individual plans were seen in three resident’s files. One file showed that the last evaluation of care plans had taken place in July 2005, while another showed there had been no evaluation since May 2005. National Minimum Standards 6.10: ‘The Plan is reviewed with the service user at least every six months and updated to reflect changing needs; and agreed changes are recorded and actioned.’ None of the files contained any evidence of assessed and changing needs or identified any personal goals. Discussions with three residents showed that they had a level of control over their own lives, and staff were seen to be supporting decisions made. Two residents said they had been into town shopping, and they had travelled independently on the tram, and bought things that they had wanted. Risk assessments were seen in three resident’s files, and there was a big improvement in the recording of risk Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 10 taking, and risk assessment since the last Inspection. However it would be good practice to have one risk recorded on each form, and to use the risk assessment form template rather than recording on a sheet of A4 paper. The failure to have any formal assessment (identified in section 1 above) has a knock on effect into risk assessment – no formal assessment of need means inevitably that risk assessments are not going to cover all aspects of risk within an individual’s life. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 & 17 The quality outcome in this area is: Good Residents at Field House have opportunities for personal development. Residents are part of the local community. Residents have appropriate personal, and family relationships. Sexual relationships were not identified during the Inspection. Resident’s at Field House do have their rights respected and their responsibilities recognised in their daily lives. Residents are offered a healthy diet and enjoy their meals and mealtimes at Field House, however the kitchen renovations are still not completed after five months. EVIDENCE: Three residents talked about their involvement in household tasks, and one said they could and did make snacks in the kitchen when they wanted. This was very positive, and residents were very sure about their involvement in household tasks. Unfortunately the recording of this positive social activity was not evident in any of the resident’s files that were seen. A number of residents at Field House are able to move around the local area independently, using buses, trams or walking into town. Two residents talked about the local shops, and one said they went to the pub. Field House is situated very close to Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 12 the site of the Goose Fair, and one resident talked about going to Goose Fair, and really looking forward to it coming again. Four residents talked about seeing their families, and family contact was well documented in files. Residents said that they visited their families, and sometimes their family members came to see them at Field House. It was not possible to discuss sexual relationships with residents, as it was not appropriate in the communal setting, however two residents said they had boyfriends or girlfriends, and said they saw them often. Staff were seen to be knocking on bedroom doors before entering, and treating people with respect when accompanying residents to the toilet. Residents said they could go to bed when they liked, and that there were not a lot of house rules. All of the residents said they had a front door key. During the Inspection residents were eating their ‘tea’, this was seen to be an appetising meal, with a choice available. Five residents were asked about the food, everyone said they liked it, and that there was always something they liked. Two residents said that there was always plenty to eat, and portions were seen to be more than adequate. Records of menus were seen, and it is good practice that residents at Field House are involved in the menu setting process. Records relating to refrigerator and freezer temperatures were seen and found to be complete and correct. In December 2005 a new fitted kitchen was installed at Field House. The ‘finishing off’ work has not been completed, with tiling still in place from the ‘old’ kitchen, which is cracked and damaged. The kitchen needs to be completed, and this will be discussed with the Environmental Health Officer responsible for Field House. Records of individual choices made by residents at mealtimes are not being recorded. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 & 20 The quality outcome in this area is: Good Residents at Field House receive personal support in the way that they prefer and require. The staff at Field House meet residents emotional and health needs. Residents are protected by Field House’s policies and procedures relating to medication. EVIDENCE: A number of residents are getting older, and are in need of additional support in the toilet and the bathroom. Staff were observed assisting a resident to the toilet and this was done in a respectful and supportive manner. Three residents were asked about personal care, two said that they ‘saw to themselves’ while the third said they ‘needed a bit of help.’ All three were happy with the way in which staff supported them. At the last Inspection a recommendation was made to ensure that more detail was contained within health care plans. Three examples were seen, and there had been an improvement since the last Inspection. No resident at Field House currently self-medicates. The storage and recording of medication was seen, and this was found to be correct and safe. Records relating to administration now have residents photographs to aid recognition, and all records of administration were found to be complete and correct. The medication system is changing within the next week, with the introduction of a monitored dosage system Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 14 (blister packs) where the medication is sealed in a ‘blister’ with the correct tablets for administration at a given time. The medication is provided by the local chemist, and this change will see medication become safer, clearer, and easier to administer. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is: Poor Residents at Field House do not feel that their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: Six residents were spoken with, and they said that they had regular meetings, and that they could make choices with regard to meals and activities, however one said that they had asked about the new lounge, and they didn’t know when it would be finished. All of the residents said they were looking forward to being able to use the new lounge, but didn’t know when that would be. The complaints file was seen, there have been no complaints since the last Inspection. Three residents were asked about making complaints, all three said they would know how to complain, and when asked who they would complain to, all three identified either the manager or the provider. None of the residents had made a complaint in the last six months. Field House staff are having Criminal Records Bureau checks carried out before they start employment, and there is a whistle blowing policy in place at Field House. Four residents were asked and said that they felt safe living at Field House, and that they had never been threatened and did not think they were being bullied. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 28 & 30 The quality outcome in this area is: Poor Residents at Field House do not live in a homely, comfortable or safe environment. Shared spaces do not complement resident’s bedrooms and personal space. Field House is not clean or hygienic. EVIDENCE: A visual tour of parts of the building showed – that the extension work has had little work carried out since the building was inspected in September 2005. The new lounge has a bare concrete floor, electric wires protruding from the wall and ceiling, and is not inhabitable in its current state. The kitchen was refitted in December 2005, but as already identified the work in the kitchen is still not finished. The laundry has cracked and broken tiles, and a damaged ceiling, it is need of renovation, as plasterwork is damaged from the building work carried out within the adjacent kitchen. On the top floor the linoleum in the toilet is damaged and holed – this is a trip hazard, as well as being unhygienic; the ceiling in this toilet is also damaged, and this was also identified for repair in September 2005. As was the fact that the radiators pose a risk and should be risk assessed and covered where necessary. During the Inspection it was noted that no risk assessments have been carried out, Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 17 and radiator covers have not been fitted. Two radiators were felt, and found to be ‘very hot to the touch.’ Radiators are currently leaving all residents at Field House potentially at risk. During the last two Inspections it was identified that the tiling in the downstairs toilet was cracked and broken, and was set as a requirement to carry out repairs. These tiles are still in a cracked and broken state, and the downstairs toilet is unhygienic as a result. Outside the garden is entirely laid to patio, with no grass or flowerbeds. Scaffolding poles and planks from the building extension are stored in this area, as they were at the last two Inspections. The only greenery in the garden is from plants overhanging the garden walls from next door, and a bunch of weeds – stinging nettles and brambles, at the top of the garden. It is strongly recommended that the garden is cleared of all building materials, the weeds are removed, and consideration is given to growing some plants in pots and planters. Currently large areas of the garden are inaccessible to residents. It was also recommended at the last Inspection that the bushes overhanging the dining room window – from next door be trimmed to allow more natural light into the dining room. This has still not been done, and the dining room remains quite dark. The current lounge at the front of the building is large, spacious, light and airy. It is a comfortable room with a widescreen television, video recorder and a music system, however as already stated the dining room is dark to the point of being gloomy, and the kitchen and new lounge are not finished. All of the factors identified in this section of the report lead to the judgement that Field House is neither clean nor hygienic. In addition the new lounge has a fine layer of concrete dust on its surface. When talking to residents they all said they were looking forward to when the building work would be finished. Two residents said when asked about the garden it was alright, but said some plants would be nice. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 & 36 The quality outcome in this area is: Good Competent and qualified staff do not support residents at Field House. Residents are supported and protected by the recruitment policies and practices in place. Residents do benefit from a well-supported and supervised staff team. EVIDENCE: As already identified the staff have not had training in the Protection of Vulnerable Adults, staff training records were not up-to-date, and there was no evidence of a planned staff training programme. Two staff files were seen, and these showed that an improvement had taken place in this area of practice. Both files had copies of the staff member’s application form, two written references, Criminal Records Bureau check and Induction. Staff are receiving formal supervision and support in line with guidance from the National Minimum Standards outlined in Care Homes Regulations. Records of staff supervision were seen, and two members of staff were asked about the levels of support and supervision they receive. Both staff members said that they were receiving supervision approximately once every six to eight weeks. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 & 43 The quality outcome in this area is: Poor The health safety & welfare of residents is not promoted or protected at Field House. Residents do not benefit from competent and accountable management of the service. EVIDENCE: A range of Health & Safety records were seen and checked. The records of weekly fire alarm checks were found to be incomplete with tests recorded as happening on 21/04/06 30/03/06 02/03/06 & 17/02/06 – Four ‘weekly’ fire alarm tests in three months! This is potentially leaving residents and staff at risk, and must be addressed with immediate effect. Other Health & Safety records (including servicing of the fire alarm, Control of Substances Hazardous to Health – COSHH, and the Gas Safety certificate) were all found to be in date, and correct. At the last two Inspections it was set as requirement that the provider of the service should be carrying out Regulation 26 visits – these are visits by the provider or his/her representative to check on the overall management of the service – that the residents are fit and well, checking on Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 20 the conduct of the staff, checking that fire alarms have been tested weekly (for example), and a range of other managerial checks. There was no evidence at Field House to show that Regulation 26 visits have been taking place, and this is now an immediate requirement. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 21 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 2 2 2 3 2 4 3 5 2 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 X 27 X 28 1 29 X 30 1 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X 2 X LIFESTYLES Standard No Score 11 2 12 X 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X 1 1 Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 22 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 10/05/06 Regulation The Registered person must 6 ensure that the Statement of Purpose and Service User Guide are up-to-date and accurate, and that copies of the revised Statement of Purpose and Service User Guide are forwarded to the Commission for Social Care Inspection. Previous timescale unmet – this is now an immediate requirement. Regulation The Registered person must 14 ensure that the needs of the residents have been assessed by a suitably qualified or suitably trained person; and the Registered person has obtained a copy of the assessment. Regulation The Registered person must 5 ensure that the terms and conditions in respect of accommodation to be provided for residents including the amount and method of payment of fees are issued to every resident. Regulation The Registered person must 14 ensure that resident’s care plans DS0000002249.V293363.R01.S.doc 2. YA2 30/09/06 3. YA5 30/06/06 4. YA6 30/06/06 Field House Care Home Version 5.1 Page 23 are kept under review. 5. YA24 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: A completion date for the extension work must be sent to the Commission for Social Care Inspection. Previous timescale 14/02/06 unmet – this is now an immediate requirement. A completion date for the work in the kitchen (tiling, and redecorating) must be sent to the Commission for Social Care Inspection. Previous timescale 14/02/06 unmet – this is now an immediate requirement. All radiators should be risk assessed and radiator covers are to be fitted on all radiators that have been identified as posing a risk. Previous timescale 09/09/05 unmet – this is now an immediate requirement. Repairs must be carried out to the ceiling and floor in the top floor toilet Previous timescale 09/09/05 unmet – this is now an immediate requirement. Repairs must be carried out the ceiling in the laundry area, and a general upgrade of this room. Previous timescale unmet this is now an immediate requirement. 15/05/06 Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 24 6. YA30 Regulation 23 Regulation 18(1c) 7. YA32 8. YA42 Regulation 23(4) 9. YA43 Regulation 26 The broken and cracked tiling in the downstairs toilet must be replaced. Previous timescale 09/09/05 unmet – this is now an immediate requirement. The Registered person must ensure that all parts of Field House are kept clean and reasonably decorated. The Registered person must ensure that persons employed to work at the care home receive training appropriate to the work they perform. Therefore all staff must be trained in the Protection of Vulnerable Adult procedures. The Registered person must ensure that there are adequate arrangements for reviewing fire precautions, and testing fire equipment sat suitable intervals. This is an immediate requirement The Registered person must ensure that monthly Regulation 26 visits to the home take place, and that a copy of the visit report is sent to the Commission after every visit. Previous timescale 09/09/05 unmet – this is now an immediate requirement. 30/06/06 31/07/06 10/05/06 10/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA3 YA6 Good Practice Recommendations The Registered person should identify within resident’s files their individual goals. The Registered person should ensure that resident’s care plans and risk assessments are reviewed a minimum of DS0000002249.V293363.R01.S.doc Version 5.1 Page 25 Field House Care Home 3. 4. 5. 6. 7. 8. YA9 YA11 YA17 YA22 YA28 YA42 once every six months. The Registered person should ensure that risk assessments are written from a formal assessment of need. The Registered person should ensure that resident’s files reflect and record the positive achievements in an individual’s life. The Registered person should ensure that individual choices made by residents in respect of food are recorded. The Registered person and staff should listen and act on the views and concerns of residents. The Registered person should ensure that the natural light in the dining room is increased by trimming the bushes outside the window The Registered person should ensure that the fire alarm system is tested on a weekly basis. Field House Care Home DS0000002249.V293363.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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.V293363.R01.S.doc Version 5.1 Page 27 - 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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