Inspection on 01/09/05 for Field View

This inspection was carried out on 1st September 2005.

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.

Other inspections for this house

Field View 18/05/09

Field View 24/05/07

Field View 10/02/06

Field View 17/01/05

Field View 26/07/04

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

CARE HOMES FOR OLDER PEOPLE Field View Hayes Lane Fakenham Norfolk NR21 9EP Lead Inspector Ann Catterick Unannounced 1 September 2005 st 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 View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Field View Address Hayes Lane, Fakenham, Norfolk. NR21 9EP. 01328 856037 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) Imperial Care Homes Limited Mrs Helen Forsyth Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration other than the home can accommodate 17 service users over the age of sixty-five. Date of last inspection 17th January 2005 Brief Description of the Service: Fieldview is a care home providing personal care and accommodation for 17 older people. On the day of inspection there were 17 service users accommodated. Imperial Care Home Limited owns the home and the Registered Manager is Helen Forsyth and the Proprietors are Mr Steve Smith and Mrs Laura Smith. The home is located on the western outskirts of the market town of Fakenham, pleasantly situated, and is close to all local amenities. The home provides accommodation on the ground and first floor with flats for staff being situated on the second floor. There are two shared bedrooms and thirteen single bedrooms with all bedrooms having en suite facilities. There is a small passenger lift to the first floor. There is adequate communal space and a large garden, mainly laid to lawn, to enjoy in the summer months. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 1st of September in the afternoon. The registered manager was on leave and Gaynor Rawston was the senior member of staff on duty on the day of inspection. The inspector was able to speak with service users and staff as well as look at several of the service user’s plans of care and other relevant documents. A tour of the building was also carried out. The overall quality of care within the home was very good. What the service does well: All of those service users spoken to were very positive about the staff who worked in the home. They informed the inspector that the staff were very kind. For example. “Really lovely here, staff treat you so well.” “Couldn’t have kinder staff.” “Staff very nice.” “Girls are beautiful, can’ speak too highly of them.” Staff are excellent, very obliging.” Several positive comments about the food and the general care within the home were made. “On the whole would give this place a high mark.” “ Lots of people say this is the best home there is.” “Food is always very nice.” Training is promoted within the home and this is reflected in the way that staff work with service users. The home is well decorated and cared for and has a pleasant outside area that is viewed from the lounge window. The plans of care for service users had all of the details needed to ensure that staff had enough information about service users to provide them with the care they needed in a way that they wanted that care provided. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 6 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 View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 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 View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 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) 3 and 6 Service users have their needs assessed prior to being admitted to the home and this ensures that the home can meet their needs. Intermediate care is not offered in this home. EVIDENCE: Several care plans were seen and they all showed that a comprehensive written assessment had been written prior to admission. There were assessments from care professional where they were involved in the placement and all service users were assessed by the manager prior to admission to ensure that their identified needs could be met within the home. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 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) 7,8 and 9 The health, personal and social care needs of service users are set out in an individual care plan. The health care needs of service users are fully met. Service users are protected by the homes medication policy and procedures. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 10 EVIDENCE: Care plans were seen and included all of the relevant information needed to ensure that staff would have the information available to meet individual needs. All of those staff spoken to said that they were satisfied with the care received and felt that the home met their individual needs. Care plans are reviewed on a regular basis. They do not have a key worker system within the home but as the home is fairly small and the staff group is very stable it is felt that for all carers to be involved with all service users is the best way to provide care and meet need. Within the care plans details of service users health needs were identified. The home has a good relationship with the local GP practice and the community health service staff. The home has a policy for all matters relating to medication. On the day of inspection the inspector was able to inspect and track the receipt, recording, storage, handling, administration and disposal of medication. The practice in this area was good. One person took particular responsibility to ensure that the system worked well. All staff who administer medication have completed the UEA certificated, Care of Medicines Course for Carers. The feedback about the course was good and staff found it detailed and informative. Eight staff have been awarded this certificate. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 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 and 15 The lifestyle experiences that service users have in the home matches their expectations. Contact with friends, relatives and the local community are supported and encouraged within the home. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 12 EVIDENCE: Most of the service users in the home were spoken to and they appeared satisfied with their lifestyles. They were able to get up and retire when they chose to do so and were free to spend there days as they wished. They were able to use the communal areas and/or spend time in their own rooms. A weekly activity programme was on the notice board. The vicar from the local church came to the home to offer Holy Communion. The home has significant land at the back and several service users said that they enjoyed looking at the wildlife that visited the lawn, including rabbits, ducks and deer. A service user informed the inspector that they played bingo and dominoes and had, had a painting competition. Service users said that their friends and relatives were always made welcome in the home. The menus are nutritious and varied and all the comments made by service users about the food were positive. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 13 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) None of the outcomes for these standards were inspected on this occasion. EVIDENCE: Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 14 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 and 26 The home is well maintained and well cared for offering a safe environment for service users to live in. The home has always been found to be clean and tidy, pleasant and free from infection. EVIDENCE: The environment is comfortable and safe and offers a pleasing environment for service users to live in. The dining and lounge areas are open plan with room dividers separating different areas. This appears to work well. Those bedrooms seen on the day of inspection were in homely and those service users that share a bedroom have a curtain divider between each service users area. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 15 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 and 28 The staff working within the home have the skill mix to meet the needs of the service users. Staff are offered all relevant training that gives them the knowledge and skills to ensure that service users are in safe hands at all times. EVIDENCE: The amount of staff on duty at any one time meets the needs of the service users. The atmosphere within the home was calm, and staff were able to complete all tasks without having to “rush about.” During the night there is one member of staff on duty and another sleeping in. I f the needs of service users changed and they became more dependent this situation would need to be reviewed. The home has sufficient domestic and kitchen staff to provide good quality food and keep the home clean and tidy. The home has over 50 of staff trained to NVQ level 2 and/or 3 and all staff spoken to on the day of inspection were competent in their role and worked in a way that promoted safety within the home. Staff were encouraged to complete training. All service users spoken to spoke very highly of the care staff saying that they provided a good quality of care. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 16 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 The home is managed by a person who is competent, capable and well trained who is able to discharge her responsibilities in full. EVIDENCE: The manager has many years experience in care and has completed her Registered Managers Award. Her quality as a manager is reflected in the good quality care provided within the home. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 17 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x x x Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 18 NO 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 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. 1. Refer to Standard 12 Good Practice Recommendations There could be further opportunity for more one to one social time between service users and staff. Field View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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 View I55 s27478 Field View v246762 UN 010905 Stage 4.doc Version 1.40 Page 20 - 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. 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