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Inspection on 23/08/06 for Field House Nursing Home

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

This inspection was carried out on 23rd August 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Residents receive an excellent standard of individualised nursing care that is carried out in a sensitive and professional manner by a consistent and well trained team of staff A resident wrote that Field House `is a very caring and good place to be in`. A relative said ` My mother has some very particular problems that all the nurses and carers understand well and handle with great care and patience`. Another relative said `It is lovely for me to know that when I am not there my mother is looked after with the greatest of care in a happy atmosphere. I feel that Field House is an example of how a nursing home should be run`. A General Practitioner (GP) said ` Field House is an excellent nursing home`. Another GP said `Excellent nursing care is provided. It is recognised that the provision of high quality meals served in pleasant surroundings are an important part of the day for residents. There is an excellent activities programme that includes one to one support and sensory stimulation for very frail residents in their own rooms.Field House is managed by an experienced manager and staff team who run the home in the best interests of the residents.

What has improved since the last inspection?

There is an on-going programme of refurbishment and decoration to maintain the quality of the environment and address day-to-day wear and tear. A new walk in shower and platform lift have been installed since the last inspection to aid access. Plans to redecorate and refit the dining room are in place. As with other aspects of the service the manager and BUPA keep all areas under review and are looking towards achieving nationally recognised accreditation for the quality of end of life care.

What the care home could do better:

A resident suggested that a ramp be provided from the main lounge out into the garden to enable wheelchair users to have easier access. This was brought to the attention of the manager and is being considered.

CARE HOMES FOR OLDER PEOPLE Field House Nursing Home 8 Townsend Road Harpenden Hertfordshire AL5 4BQ Lead Inspector Mrs Sheila Knopp Unannounced Inspection 23rd August 2006 09:50 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Field House Nursing Home Address 8 Townsend Road Harpenden Hertfordshire AL5 4BQ 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) 01582 765966 01582 769622 alland@bupa.com www.bupa.com BUPA Care Homes (BNH) Limited Ms Dorothy Allan Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home may accommodate 37 older people who are physically infirm who require nursing care. This home may accommodate 37 older people who require convalescent nursing care. 2nd February 2006 Date of last inspection Brief Description of the Service: Field House is a care home registered to provide nursing care for older people. The home is situated in a pleasant residential area of Harpenden within walking distance of the town centre facilities and pleasant parks and gardens. It is accessible by public transport and is a short walk away from the bus stop and the train station is approximately three - quarters of a mile away. The building is an extended period house with some modern additions. The lounge and conservatory, which overlook the garden, provide a focus for most of the service users and their visitors during the day. Meals are taken in the attractive period style dining room. Field House is part of Bupa Care Homes. The current fees are £950 - £1200 per week depending on room size and an assessment of nursing needs (correct on 23.8.06). Information about the home in the form of a Service User Guide and a copy of the latest inspection report can be obtained from the manager. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on an unannounced visit to the home. Information from discussions with 6 service users, 3 visitors, 6 staff and the manager as well as a review of case records (6) and management records has been used to assess the service provided at Field House. The Commission also sent questionnaires directly to 14 residents and 14 relatives. The views of 9 residents and 12 relatives who responded have been included in this report. Six general practitioners (GPs) returned questionnaires sent to practices, which visit residents at Field House. All were very positive about the quality of care provided. One completed questionnaire was received from a health & social care professional in contact with the home. Information received about the home since the last inspection on 2 February 2006 has also been reviewed. No concerns have been raised with the Commission about this service between inspections. Field House continues to provide an excellent service to its residents. No requirements have been made as a result of this or the previous inspection. What the service does well: Residents receive an excellent standard of individualised nursing care that is carried out in a sensitive and professional manner by a consistent and well trained team of staff A resident wrote that Field House ‘is a very caring and good place to be in’. A relative said ‘ My mother has some very particular problems that all the nurses and carers understand well and handle with great care and patience’. Another relative said ‘It is lovely for me to know that when I am not there my mother is looked after with the greatest of care in a happy atmosphere. I feel that Field House is an example of how a nursing home should be run’. A General Practitioner (GP) said ‘ Field House is an excellent nursing home’. Another GP said ‘Excellent nursing care is provided. It is recognised that the provision of high quality meals served in pleasant surroundings are an important part of the day for residents. There is an excellent activities programme that includes one to one support and sensory stimulation for very frail residents in their own rooms. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 6 Field House is managed by an experienced manager and staff team who run the home in the best interests of the residents. 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 Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (standard 6 does not apply) Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. Significant time and effort is spent ensuring admissions to the home are personal and well managed. Prospective residents and their families are treated with dignity, respect and understanding as they make decisions about the future. Staff recognise the importance and place high value on ensuring individual information is obtained and reassurance and support given as people make decisions about moving into Field House. EVIDENCE: A relative said ‘ I was given a very full tour and the manager spent several hours with me’. Another relative said ‘I was invited to visit on several occasions and had good references from other families and members of staff’. Senior staff meet prospective residents and their relatives before admission so an assessment can be carried out to ensure their needs can be met at Field House. A further review is carried out following admission and developed into a plan of care that is agreed by the resident and/or their representative. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 9 The records of a new resident confirmed that this was a thorough process that included information from other health & social care professionals. The previous report and the homes Statement of Purpose are available for visitors in the reception area together with other guides and information relevant to older people and their relatives. It was confirmed by residents, their relatives and a review of records that appropriate contracts are issued. The manager reported that the BUPA contracts have been reviewed by the Office of Fair Trading to ensure they meet the required standards of clarity and fairness. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. The staff at Field House demonstrate a commitment to involving residents in all aspects of their life and ensuring their privacy and dignity is supported. All residents have a detailed plan of care that reflects their individual needs. There are robust systems in place to ensure residents receive their correct medication. The staff keep up to date with training, professional research and literature, in both the social care and clinical fields, and ensure that care plans reflect current social and clinical guidance. EVIDENCE: There are effective systems in place to ensure the care plan is reviewed and updated monthly. Additional reviews are arranged when changes take place. Each care plan includes a comprehensive risk assessment. Management of risk takes into account the needs of residents balanced with their aspirations for independence and choice. Feedback and involvement is a continuous ongoing process. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 11 Staff spend time with individual residents to ensure they understand decisions and actions. Quality monitoring systems are in place to review the standards of nursing and personal care provided. One person said their relative ‘is always treated with respect and dignity, is always clean and made to feel at home and loved’. All residents observed had received a high standard of care and attention to their personal hygiene and grooming. Their clothing was smartly laundered and they had been assisted to wear accessories and have their nails manicured. A very good hairdressing service is provided and was in full swing on the day of inspection. Staff were observed to be patient and conscientious in their approach to residents taking time to make sure items were in reach and the resident was comfortable and where they wanted to be. Frail residents spending time in bed looked very peaceful and comfortable with appropriate music playing quietly and drinks and call bells within reach. Staff visited these rooms regularly. Where a higher level of independence is maintained, it was confirmed that staff include the service users in decisions being made about their lives. Care plans are signed by service users or their relatives. Life histories are completed by staff or families to enable a more personal dimension to be included. Evidence was seen of the support given to couples to maintain contact where one partner was living in the home. The documentation on clinical care confirmed that staff are monitoring the risk of developing pressure sores and taking appropriate action where required. The nutritional needs of residents are closely monitored with examples seen of improvements made following admission from hospital. It was identified from the care plans that where required residents have access to a full range of health care professionals. All residents who completed questionnaires confirmed they always received the medical support they needed. The systems for ensuring residents receive their required medication and that it is stored and disposed of in a safe manner were reviewed and found to be in order. Residents are supported to maintain their independence by managing their own medication where this is suitable. Despite the high level of nursing care required by residents, the staff provide discrete support maintaining the social atmosphere of the home. Staff training to support the admission of increasing numbers of frail older people with dementia being admitted from other specialist care settings, when they require total assistance with their physical needs, has been arranged. There are plans to look at achieving the nationally recognised Liverpool Care Pathway accreditation for end of life care which will not only involve staff within the home but local health care practitioners as well. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 12 Judging by letters received by the manager staff provide good support to residents and their families at the end of their lives. The Commission’s records demonstrate that the staff at Field House have provided consistent levels of nursing care over the three previous inspections. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to enjoy a full and stimulating life style with a variety of options to choose from. The home has sought the views of residents and considered their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focussed, regularly reviewed, and can be quickly changed to meet individual residents needs. Food is considered to be highly important and meal times are considered a social occasion. The catering staff are experienced in cooking for older people and recognised as an important members of the staff team. The cook may be included in review and update of service users plans. They are able to respond to individual preferences, dietary and cultural needs. EVIDENCE: The activity coordinators at Field House continue to provide an excellent selection of activities within the home five days each week. Two members of staff are employed to ensure that activities are always available. The home has a history of providing a high standard of activities. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 14 Newspapers are provided and there is a designated room in which activities take place. Outings are organised in both small and large groups. These are successful as nursing needs can be catered for when the home hires a medically equipped coach (Jumbulance). A recent trip funded by BUPA to Blenheim Palace to celebrate a 100th birthday was a great success. The hairdresser was visiting during the inspection. A seasonal newsletter, which service users, staff and families contribute to has been introduced to involve people in the community of Field House. Residents in their rooms or spending time in bed receive one to one room visits, which may include manicures, sensory stimulation, a game of scrabble or help with letters or a chat. Residents enjoy a variety of books from the library service. Exercise and reminiscence groups are held. Residents confirmed that they enjoyed their meals and they were of high quality. A resident who completed a questionnaire wrote ‘ The cooks do their best to suit my dietary needs’. Previously residents have reported concerns about the quality of the meat but these concerns have now been addressed and residents confirm the meat is tasty and tender. Decorative napkins and wine or sherry enhances the dining experience at Field House at meal times. Staff give assistance to those service users who need help to eat, they are discrete and sensitive. Mealtimes are relaxed, staff are patient and helpful, and allow service users the time they needed to finish their meal comfortably. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. Residents, relatives and GP’s in contact with Field House state that they are extremely satisfied with the service provision, feel very safe and well supported by a manager that has their protection and safety as a priority. EVIDENCE: No concerns have been brought to the attention of the Commission between inspections. Senior BUPA managers monitor the complaints processes and resident satisfaction as part of their regular visits to the home. The questionnaires received by the Commission confirm there is a very high level of satisfaction with the service being provided. The complaint procedure is readily accessible to residents. Information regarding contacting advocacy and independent financial advisors is available. A record of compliments and complaints is maintained. No complaints have been received between inspections and the letters of compliment seen again identify a high level of regard for the service provided to individual residents. The manager meets daily with residents to hear their views and ensure any day to day issues are being addressed to the satisfaction of the resident concerned. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 16 There are procedures in place to ensure residents are protected and staff are aware of their responsibilities to report any concerns. No referrals have been made under the Hertfordshire Protection of Vulnerable Adult procedure. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. Field House is well maintained, clean and odour free. The service users have access to comfortable surroundings in a period setting. The building does pose some constraints with regard to mobility and independent access that are addressed by staff monitoring the size and position of the bedroom allocated and using platform lifts and ramps where there are changes in level. EVIDENCE: Field House provides specialist beds and necessary aids and adaptations to meet the needs of service users requiring nursing care. There are varying sizes of rooms and these are assessed during the admission process to ensure they are suitable for the person being admitted. Residents are able to individualise their rooms with personal possessions and good examples of arrangements for individuals to following hobbies or special interests in their rooms were observed. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 18 The Edwardian style house provides pleasant surroundings but there are constraints such as narrow corridors and changes in floor level. Ramps and platform lifts have been provided in these areas. The narrow corridors are prone to chipped and damaged paintwork as wheelchairs and hoists are moved about. There had been a vacancy in the position of maintenance person. This post has now been filled and these issues are now being routinely addressed to maintain good standards. A relative commented on similar concerns over the maintenance of the garden but this has now been attended to. All areas of the home were found to have been kept be fresh and clean by a conscientious housekeeping team. The requirements to maintain good standards to prevent infection across the home and in the laundry by providing suitable equipment and staff training are well understood. Garden furniture is available for service users who wish to sit outside in warmer weather. A resident observed that a ramp over the door sill from the lounge to the garden would make it easier for independent wheelchair users and those being propelled by staff or visitors to gain access to the garden. This was discussed with the manager who will look into it and respond to the residents. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is assessed as good. This judgement has been made using available evidence including a visit to this service. There is a consistent, well trained team of staff who are known to the residents and understand their individual needs. Recruitment and training systems ensure suitable people are employed and their competency to meet the needs of residents is maintained and developed. EVIDENCE: Field House has a good record of staff retention that which ensures residents receive continuity and consistency of care. Out of the 21 questionnaires received 1 resident and 8 relatives said there were always staff available when needed and 8 residents and 4 relatives said there were usually enough staff available when needed. All residents spoken with on the day of inspection reported good relationships with staff who they described as being ‘ very good’. A relative said ‘The care from all the staff is excellent. The nursing staff are always there to make sure the residents have the best medical care possible’. There is a robust recruitment process in place and two references and a criminal records bureau check are obtained before staff start work in the home. The professional identity numbers for registered nurses are verified prior to employment and periodically as the nurses are required to register with the Nursing and Midwifery Council. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 20 New staff receive induction training in line with the care home sector standards set by Skills For Care. Care staff are supported to do National Vocational Qualification training (NVQ). The staff team has achieved the required level of 50 of care staff achieving an NVQ qualification in care at level 2 or above. The attention to training and developing skills is reflected in the quality of care provided to residents. Training for nurses as part of their continued professional development is supported to ensure they remain up to date. There are plans to look at achieving the nationally recognised Liverpool Care Pathway for end of life care which will not only involve staff within the home but local health care practitioners as well. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is assessed as excellent. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of service users. The registered manager has the required qualification and experience and is highly competent to run the home and meet its stated aims and objectives. The manager ensures that the policies and procedures are followed by staff. Quality monitoring systems provide management evidence that practice reflects the homes policies and procedures and that the findings from risk assessments have been followed up and action taken. There is strong evidence that the ethos of the home is open and transparent with the views of both staff and residents listened to and valued. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 22 EVIDENCE: A relative said ‘ I have the highest regard for Field House. All the staff take great care with the patients. The management strive for the best in all things. They have tried very hard to meet all my relative’s needs. The place has a very friendly and warm atmosphere’. Staff confirmed there is a good team spirit and that the management team are approachable and responsive to suggestions. Service users are at the core of Field House and the records examined reflected this, as did the ambience of the home. Dorothy Allan is a registered nurse and has many years experience managing Field House Nursing Home. She has achieved the Registered Managers Award, which is the additional standard set for all care home managers to achieve. The manager visits service users daily and is aware of any issues or concerns within the home. Service user meetings take place at intervals throughout the year. Residents are involved in discussions about changes within the home and for example taste new products or dishes as pat of a Quality Circle. BUPA monitor the quality of the service provided and this is embedded in its policies and auditing procedures. The manager reported that this included unannounced visits and phone calls by ‘secret shoppers’ to test staff responses to enquiries and unannounced visits. Staff receive supervision and informally meet with the management team on a daily basis. The nursing staff work alongside the care staff to monitor the standards of care being provided. The formal supervision and appraisal systems ensure staff practices reflect the ethos of the home and their development is supported. BUPA has suitable systems in place to enable residents to deposit money for their day-to-day use. These records were checked and confirmed that the system is clear and transparent. No issues were identified concerning the loss of resident’s property. BUPA has a development and financial plan in place for the home and suitable insurance cover is provided. A routine inspection by the Hertfordshire Fire Safety service on 12 July 2006 confirmed that the fire safety systems in place met the required standards. This included testing of equipment, staff training and drills. The maintenance and servicing records confirmed the required safety checks are carried out and action taken where required. This includes checking hot water temperatures and hoists. Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 23 The training records confirm staff receive the required statutory training to protect residents and maintain their own health & safety through good working practices. There are moving and handling trainers within the staff team, which ensures staff receive the required training before using equipment. Field House Nursing Home DS0000019348.V306571.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 x 3 3 3 3 Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Field House Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Nursing Home DS0000019348.V306571.R01.S.doc Version 5.2 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. 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!