Inspection on 28/06/05 for Field House Rest Home

This inspection was carried out on 28th June 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Field House Rest Home 06/08/08

Field House Rest Home 30/07/07

Field House Rest Home 17/01/07

Field House Rest Home 16/06/06

Field House Rest Home 12/09/05

Field House Rest Home 17/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE FIELD HOUSE off Western Road Hagley, Clent Nr Stourbridge DY9 OHL Lead Inspector Jane Morgan Unannounced 28 June 2005: 9.40am th 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 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 E52 S18505 Field House V224329 280605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Field House Address off Western Road Hagley Clent Nr Stourbridge DY9 OHL 01562 885211 Telephone number Fax number Email 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 Ernest Michael Lane and Mrs Kathleen Lane CRH 54 Dementia - over 65 Old age Physical disability - over 65 54 54 54 Category(ies) of DE(E) registration, with number OP of places PD(E) FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The categories of registration were being complied with. Date of last inspection 8 December 2004 Brief Description of the Service: Field House is a care home providing personal care and accommodation for up to fifty-four older people who may have physical disabilities and/or illnesses of the dementia type. It is owned by Mr and Mrs Lane. There is no registered manager at present. A manager designate worked at the home for approximately four months before resigning. The former deputy is now managing the home. Field House is a Georgian style building standing in ten acres of ground. The setting is rural with village facilities nearby.The home was first registered in 1983 and consists of the original building added to with extensions. The home is divided into three areas known as the main house, the coach house and the cottage. These are connected by a covered corridor. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a one day inspection of the home by two inspectors. There had been a new manager designate settling into the home but she had left without notice in May 2005. This inspection took place in order to check on management arrangements since then. The main focus of the inspection was on the environment and the health and safety arrangements. The inspectors looked at the rooms and facilities, talked to residents and staff and looked at a small number of records. What the service does well: What has improved since the last inspection? What they could do better: The home needed urgent investment in consistent and effective management, sufficient and competent staff, training of those staff and maintenance/upgrading of the building. Enforcement action will be taken if the necessary improvements are not achieved quickly. These improvements are needed to ensure that the home is a safe place for residents to live and that they can receive all the care they need in a way that respects their privacy, dignity and comfort. Service user plans needed to be kept up to date. Medication given to residents was not always accurately recorded. Privacy and confidentiality were not always observed. More activities for residents were needed. A safe, pleasant environment was not being maintained. Some things needed to be improved immediately to ensure that residents were safe, for example, some of the water was hot enough to scald, food was not always stored hygienically and parts of the home were not clean enough. Staffing levels were low, residents said that they had to wait for help to get up and go to bed. The home had poor records about staff training so that it was difficult to tell what training had actually been provided to help staff to do their job properly. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 6 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 E52 S18505 Field House V224329 280605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 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 standard(s) 2 The statement of terms and conditions were acceptable. EVIDENCE: The statement of terms and conditions given to people living at the home met the required standard. The files inspected for people living at the home contained these statements. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 9 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 standard(s) 7,9,10 Service user plans had improved since the last inspection and were meeting the standards. Monthly reviews needed to be maintained. There had also been improvements to the administration of medication, but the accuracy of recording still needed to be improved. Some aspects of the privacy and dignity of residents were respected, some aspects needed to be worked on. EVIDENCE: The service user plans had been revised by the previous manager designate. Those inspected included personal and social histories and information about the activities of daily living. There was guidance for staff on the tasks to be completed to meet the needs of residents. Risk assessments had been carried out and recorded. One of the service user plans had been completed in February 2005. No review had been recorded since then. Reviews of other service user plans had taken place. This was discussed with the manager designate who said that reviews of people living in the main house were not taking place on a monthly basis. There were tissue viability assessments on residents’ files, monthly weights were being recorded. Residents had access to general practitioners and district nurses. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 10 The CSCI pharmacist inspector had visited the home in December 2004. There were a number of requirements about the system for the administration of medication. These were checked during this visit to the home. Receipt and return of medication were being recorded. External medication was being stored separately from internal medication. Alterations to medication administration records (MAR) were being clearly recorded. Handwritten MAR charts were not being checked and signed by two members of staff. There were some gaps on MAR charts where no initials had been entered and no code to explain why medication had not been given. The date of opening of eye drops was being recorded. The Controlled Drugs register was being used correctly. The temperature of the fridge used for medication had not been recorded for two weeks. Residents said that the staff looked after them well and that the staff helped them in ways that they considered appropriate. Medical examination and treatment took place in residents’ own rooms. Residents said that they had access to a telephone in private and received their mail unopened. It was noted in looking around the home that some toilets and bathrooms did not have appropriate locks fitted to the doors. One resident was sitting in her room calling for help. When asked what assistance was needed she said that she needed help to go to the bathroom. There was no call bell within reach of her chair. There were communication boards on the walls of the home in communal areas. These contained some confidential information about residents. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 11 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 standard(s) 12,13,15 Activities for residents needed to be developed. Food was acceptable. EVIDENCE: Service user plans included personal and social history. People living at the home said that there were no or few activities at the home. No record of activities was seen during the inspection. There were a number of visitors at the home. Residents said that they were made welcome and that they saw visitors in private. The home had two cooks, one who worked in the main house kitchen and one in the kitchen in the cottage. Records of the food served to residents were seen. There was no choice of main meal at lunchtime but the staff said that alternatives could be prepared if necessary. There was a choice at breakfast time, and a variety of soup and sandwiches at teatime. Residents were able to have a bedtime drink in the evening. Residents said that the food was all right and that they were provided with enough to eat. On the day of the inspection the lunch was served in reasonable portions and staff were seen assisting residents. As noted in previous inspection reports the dining room in the main house is too small for all the residents to sit at a table to eat. Some prefer to eat in their own room and some eat in the lounge. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 12 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 standard(s) 18 Complaints were recorded. Amendments to adult protection policies and procedures remained outstanding. EVIDENCE: There was a record of complaints. This included whether the complaints had been upheld and the action taken. There had been no changes to the adult protection policy and procedures since the last inspection. The whistle-blowing policy also needed amendment. There was no central record of staff training. This could only be checked by looking at every staff file. The members of staff spoken to indicated that there had been no adult protection training. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 13 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 standard(s) 19, 21, 22, 24 25,26. There were many issues and concerns about the maintenance of a safe and pleasant environment. Many of the bathrooms were poorly presented. The kitchen in the main house needed a great deal of improvement. There were health and safety issues about infection control, food hygiene and risk of scalding from hot water. EVIDENCE: The home has a pleasant rural environment. There was no programme of routine maintenance. Where timescales have been set for compliance with standards relating to the physical environment of the home, there was no plan and programme for achieving compliance. The home has sufficient bathrooms and toilets. However, some were obviously not in use as plugs were missing from basins and baths. One bathroom had a fire exit through it and had a number of items stored at one end. There was no lock on this door. Another bathroom had a shower unit without a shower-head, a soiled raised toilet seat and a badly stained carpet. Another bathroom contained a rusty bath hoist. There were communal toiletries in bathrooms, FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 14 and in one bathroom a hairbrush matted with hair. Commode pots were seen in baths for the use of residents. The home has passenger lifts. The records available at the home showed that a service had been carried out in September 2004. The Lifting Operations and Lifting Equipment Regulations 1998 require that lifts for people are thoroughly examined every six months. The Oxford hoists had been examined in November 2004, another hoist in December 2004 and the Arjo autolift in May 2005. The home has a call system. Some of the bedrooms used by residents were inspected. The rooms in the coach house and cottage areas of the home were of better appearance. The beds in the main house were old and some had stained mattresses. A single bed in one of the rooms had a double mattress on it. Some of the bedlinen was soiled and threadbare. Towels with holes in them were seen in bathrooms. Bedrooms were carpeted. A key risk assessment was seen on the file of one resident. Rooms were centrally heated. The home was required to risk assess and guard radiators considered to pose the greatest risk of burns for residents by the end of February 2005. A letter sent by the home in January 2005. This stated that thirteen radiator covers had been fitted in rooms where residents were most at risk and twelve other radiators would be covered. It also stated that the portable heaters considered unsuitable had been removed. It was noted that there was an uncovered radiator in one of the bathrooms. This was next to the bath and to the door to the bathroom. A radiator in a corridor without handrails was still unguarded. Residents had been seen holding on to the top of the radiator as they walked along the corridor. The portable radiator was still in the lounge in the coach house. At the previous inspection in December 2004 this had been on and had been extremely hot. A resident had been sitting very close to it as this lounge is small. It was of concern that this radiator appeared to be ready for use when the weather turned colder. The temperature of the hot water from fifteen taps used by residents was measured. Five of these were bath taps. The water from the bath taps was measured in centigrade at 53 degrees, 39.7 degrees, 47.8 degrees, 50.9 degrees, 51.1 degrees. Water used by residents should not exceed 44 degrees centigrade. Water to some of the basins also exceeded 44 degrees centigrade. The then manager designate had asked the infection control nurse consultant from the Health Protection Agency to visit the home in March 2005. Notes from this visit had been passed to the CSCI. A number of issues were identified. These included lack of hand washing facilities for staff, little liquid soap and few paper towels, lack of proper sluicing facilities in that commodes were being washed in residents’ bathrooms. There are no sluicing facilities on washing machines and no hand wash basin in the laundry in the main house. Many of the commodes are old and difficult to keep clean. Commodes with rusty patches were seen. Mops and buckets were being stored in a laundry room, this included the kitchen mop. Both mops were soaking in dirty water. Used incontinence pads were being disposed of in black rubbish bags. They were reported by staff to be collected by the handyman and taken to local tips. This was of concern as the production of more than one-third of a black bag of FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 15 such waste would fall within the category of clinical waste. During the inspection more than one-third of a bag was seen in a corridor in the home. A very soiled raised toilet seat was found in the bath in a bathroom used by residents. There was a large stain on the carpet in another bathroom. Offensive odours were apparent in some areas of the home. There was no dish washer in the kitchen in the main house. The cook said that the washing up was done by the kitchen assistant who was leaving shortly. The fridge freezer had one shelf remaining in the fridge. Food was jumbled in the bottom of the fridge. The environmental health officer had identified that the internal surfaces of the fridge freezer were damaged and that created a risk of contamination. There were two bins without lids and a wide open window without a fly screen. In the freezer there was a container of ice cream with the lid half off. There was sugar and dried milk in un-lidded containers on an open shelf. Breakfast cereals were stored inside a cupboard but again in un-lidded containers. Flour was stored on the floor of a cupboard in plastic bins. One bin had no lid, the others were partially covered. The microwave had dried food stuck to the interior walls and roof. In the kitchen in the cottage there were uncovered milk and sugar. The bin had no lid. The cook was recording the temperatures of the fridge and freezer on a daily basis. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30 The home was struggling to maintain appropriate staffing levels. Evidence of staff training needed to be produced. Staff indicated that basic training was not being updated. EVIDENCE: The rotas were inspected. These showed that there were 7-10 members of staff on duty on the early shift and 4-6 on the late shift. On nights there were 3 waking staff and 1 sleeping. Some members of staff were working long hours to cover shortfalls, for example, one staff member had worked 77 hours in one week, another had worked 52 ½ hours and a third had worked 54 hours plus a sleep-in shift. Two residents commented that there were not enough staff on duty. One of them said that this caused problems getting up and going to bed. This resident said that she was writing a letter to the owner about the situation. In the cottage there was one care assistant to ten residents. There was another worker recruited from Poland who was still being inducted and was not yet assisting residents to use the toilet. One of the residents in the cottage was very ill and was being looked after in bed. There was one staff member for six residents in the coach house, therefore this member of staff could not offer much assistance in caring for the very ill resident. Staff and residents said that weekends were the most difficult times for covering the shifts and providing sufficient staff. The person in charge was asked for staff training records. She said that they were available on individual staff files but that there was no central record. She was asked to put together a chart of the training received by staff. A member of staff spoken to said that there had been fire safety training approximately 5 FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 17 weeks ago. She said that in the last six months there had been no moving and handling, health and safety, food hygiene or first aid training. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35, 38 The home has experienced recent inconsistency of management. There is no quality assurance system. EVIDENCE: The registered manager left the home in 2004. A new manager was appointed and started work in January 2005. She left in May 2005. The deputy manager has been appointed as the new manager designate. She was being helped by the manager of another home owned by the same proprietors as she acknowledged her inexperience in relation to the records required by the Care Homes Regulations. The owner has said that she has been appointed for on a six month trial basis. During the inspection, the manager designate was helpful and co-operative but was uncertain about how to find some of the records. There is no formal quality assurance system for the home. This is an outstanding requirement. Staff said they did not receive formal supervision at present. The “environment” section of the report contains information about health and safety in the home. In addition accidents to residents and staff were being FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 19 recorded. The fire log showed that weekly checks on fire alarms, fire escapes, fire doors and fire extinguishers were being carried out. Emergency lighting was checked each month. Some fire doors were wedged open. Staff were seen assisting residents to move in wheelchairs without footplates attached. A number of cleaning liquids were left where residents could reach them. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 1 x 2 2 x 2 1 1 STAFFING Standard No Score 27 2 28 x 29 x 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 1 x 1 x x 1 x 1 FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 21 yes 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. 1. Standard 1 Regulation 4 Requirement The home must develop a statement of purpose including all the information specified in regulation 4 and schedule 1. (Not checked during this inspection). Unless it is impractical, residents or their representatives must be involved in drawing up their individual plans.(Previous timescale of 31/1/05 not met). All service user plans must be reviewed by care staff at least once a month.(Previous timescale of 31/1/05 not met). Handwritten MAR charts must be checked and signed by two members of staff. All medication administered must be accurately documented or if not administered the code and the reason recorded on the MAR chart. (Previous timescale of 8/12/04 not met). The temperature of the medication fridge must be recorded on a daily basis. All toilet and bathroom doors must be fitted with locks that residents can operate and which will ensure access to the rooms Timescale for action 30/9/05 2. 7 15 31/7/05 3. 7 15 From the date of the inspection. From the date of the inspection. Immediate action. 4. 5. 9 9 13(2) 13(2) 6. 7. 9 10 13(2) 12 From the date of the inspection. 31/8/05 FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 22 8. 9. 10. 11. 10 10 12 18 12 12(4) 16(2) 12,13 in an emergency. (previous timescale of 28/2/05 not met). Residents in their rooms must be enabled to reach the call bell to obtain assistance. Confidential information about residents must be protected. Regular activities for residents must be arranged.(Previous timescale of 28/2/05 not met). Procedures for responding to suspicion or evidence of abuse or neglect must be drawn up in accordance with the Department of Health guidance No Secrets. (Previous timescale of 28/2/05 not met). All staff must be provided with training in adult protection. The whistle-blowing procedure must be altered to comply with the Public Interest Disclosure Act.(Previous timescale of 28/2/05 not met). An assessment to identify the areas of the home most in need of refurbishment must be carried out. These areas to be refurbished by the timescale set. (Previous timescale of 31/3/05 not met). Personal lifting equipment (hoists and lifts for people) must be thoroughly examined every six months in line with the Lifting Operations and Lifting Equipment Regulations 1998. Stained mattresses must be replaced. Soiled and threadbare bedlinen must be replaced. The temperature of hot water from taps used by residents must be checked regularly and recorded. If the temperature exceeds 44 degrees centigrade, From the date of the inspection. From the date of the inspection. 31 /8/05 31/8/05 12. 13. 18 18 13(5) 13(5) 30/9/05 31/8/05 14. 19 23(2) 30/9/05 15. 22/38 13(4) 31/7/05 16. 17. 18. 24 24 25 13(3) 13(3) 13(4) 31/7/05 31/7/05 Immediate action. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 23 19. 25 13(4) 20. 21. 25 26 13(4) 16(2)(g)(j ) 13(3) 22. 26 23. 24. 25. 26. 27. 28. 29. 26 26 26 26 26 26 27 13(3) 13(3) 13(3) 13(3) 13(3) 13(3) 18 30. 30 12,18 31. 30 12, 18 action to reduce the temperature must be taken.(Previous timescale of 28/2/05 not met). There must be evidence that seldom used taps are flushed through on a weekly basis. (Previous timescale of 28/2/05 not met). Radiators and portable heaters must be risk assessed. A dishwasher must be provided to reduce the risks of infection. (Previous timescale of 28/2/05 not met) Adequate sluicing facilities must be provided. There must be guidance for and supervision of staff to ensure that these facilities are used. There must be an adequate supply of liquid soap and paper towels throughout the home. Old, rusty commodes must be replaced. Incontinence pads must be disposed of appropriately. Offensive odours must be eliminated. A new fridge must be obtained for the kitchen in the main house. Food must be hygienically stored. There must be suitably qualified, competent and experienced persons working at the home in such numbers as are appropriate for the health and welfare of residents. All members of staff must receive induction training to National Training Organisation specification within six weeks of their appointment to the home. (Previous timescale of (Previous timescale of 28/2/05 not met) All staff must receive foundation 31/8/05 30/9/05 31/8/05 31/8/05 30/7/05 31/8/05 30/7/05 30/7/05 30/7/05 Immediate action. From the date of the inspection. 31/8/05 30/9/05 Page 24 FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 32. 30 18 33. 31 26 34. 33 24 35. 36 18 36. 36 18 37. 38. 39. 38 38 38 13(4) 13(4) 23(4) training to National Training Organisation specification within six months of their appointment to the home. All staff must receive a minimum of three days training per year (including in-house training) and have individual training and development profiles. (Previous timescale of 28/2/05 not met) A report on the monthly visit to the home by the provider must be supplied to the registration authority. (Previous timescale of 28/2/05 not met). A quality assurance system must be introduced in accordance with the requirements of regulation 24 and standard 33. (Previous timescale of 31/3/05 not met) Care staff must receive formal supervision at least six times a year. (Previous timescale of 31/3/05 not met) Supervision of care staff must include all aspects of practice, philosophy of care in the home and career development needs. (Previous timescale of 31/3/05 not met). All substances hazardous to health must be safely stored. Wheelchairs must have footplates attached. Fire doors must not be wedged open. Suitable devices that close the doors automatically when the fire alarm sounds must be fitted. 30/9/05 31/8/05 31/8/05 31/8/05 31/8/05 Immediate action. Immediate action. Immediate 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 E52 S18505 Field House V224329 280605.doc Version 1.30 Page 25 FIELD HOUSE 1. 2. 3. 4. 14 22 25 28 Information should be made available to residents about advocacy services. Handrails should be provided along corridors. Strip lighting in some areas of the home should be reviewed and replaced with more domestic style lighting. Arrangements should be made for staff to receive NVQ level 2 training. FIELD HOUSE E52 S18505 Field House V224329 280605.doc Version 1.30 Page 26 Commission for Social Care Inspection The Coach House, John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 E52 S18505 Field House V224329 280605.doc Version 1.30 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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