Inspection on 10/02/06 for Field View

This inspection was carried out on 10th February 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.

Other inspections for this house

Field View 18/05/09

Field View 24/05/07

Field View 01/09/05

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 Inspection 10th February 2006 09:30 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 View DS0000027478.V273245.R01.S.doc Version 5.0 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 View DS0000027478.V273245.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Field View Address Hayes Lane Fakenham Norfolk NR21 9EP 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) 01328 856037 01263 713222 fieldview66@fsmail.net 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 DS0000027478.V273245.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 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 15 service users accommodated. The home had one vacancy and one resident in hospital. 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 five person lift to the first floor. There is adequate communal space and a patio area and large garden, mainly laid to lawn, to enjoy in the summer months. Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on the 10th of February 2006 and lasted for 5.75hrs. The inspector was able to speak with the manager, staff and service users as well as look at some care plans, files and have a tour of part of the building. Prior to the inspection the inspector received a pre inspection questionnaire and comment cards from service users and relatives. The pre inspection questionnaire gave lots of information and most comment cards were positive. A negative comment was received regarding staff supervision and meals but no evidence of poor service in either of these areas was noted on the day of inspection and all service users spoken to were positive about staff and meal times. The overall quality of the care provided was very good. What the service does well: All service users spoken to were very positive about the care they received. “Very satisfied with the care.” “Staff always cheerful.” “Staff now sit with us and have a chat.” “Very happy here, lovely home, no faults.” Staff were seen to work with service users in a kind and professional way with the interaction between staff and service users being good. The environment is of good quality and bedrooms are individual and reflect the personality of the occupant. Staff are well trained and are encouraged to complete all relevant training. Care plans offered lots of useful and detailed information. All service users spoken to appeared to be happy and content with the overall service they received. Field View DS0000027478.V273245.R01.S.doc Version 5.0 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 DS0000027478.V273245.R01.S.doc Version 5.0 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 View DS0000027478.V273245.R01.S.doc Version 5.0 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 and 6 Prior to a service user being admitted to the home an assessment is completed to ensure that their assessed needs can be met within the home. The home does not offer intermediate care. EVIDENCE: Prior to admission an assessment is completed by the manager and if the service user is placed by health or social services an assessment is received from them. All of those service users seen on the day of inspection were having their assessed needs met and written assessments were seen in the care plans. Intermediate care is not provided within this home. Field View DS0000027478.V273245.R01.S.doc Version 5.0 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 the following standard(s): 7 and 10 Services users all have an individual care plan that identifies their needs and how these needs can be met. Staff were seen to work with service users in a way that was respectful and promoted privacy and dignity. EVIDENCE: Several care plans were seen and these included a photograph of the service user all and all of the details needed to enable care to be provided. The care plans have been completed in a comprehensive way and included most of the details needed. An example of good practice was that one service user had particular needs around his nutritional needs and a nutritional plan had been created to ensure that all food eaten was monitored. Good practice was seen in the variety of food being offered and the effort staff had made to encourage well -being. All care plans are reviewed on a regular basis. All service users spoke very positively about the staff having only praise for the way they worked and provided care. Those staff seen working with service users did so in a caring professional way. Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 10 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 and14 Service users appeared satisfied with the lifestyle that they have whilst living in the home. Service users are encouraged to exercise choice and control over their own lives. EVIDENCE: Most of the service users living in the home were spoken to. They were all satisfied with their lifestyle within the home and said they had choices in their day-to-day lives. Some service users chose to stay in their rooms having some or all of their meals in their rooms. Others preferred to spend their time in the communal areas. There was opportunity for service users to watch television, read, knit or play board games and all of these activities were seen on the day of inspection. Service users are able to rise and retire when they choose and to be as independent as possible. Those service users seen appeared to be being empowered to reach their full potential. Staff now have all of their informal breaks with service users and service users commented on more recent one to one contact with staff and saw this move as very positive. The home only has minimal involvement with service users finances and service users and/or their families or financial advocates are encouraged to take responsibility for this area. Information about advocates is made Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 11 available to service users and/or their families. Some money is kept in the office for small items or hairdressing or chiropody and all transactions are receipted and recorded with signature. Service users are able to bring in personal items from home and some bring bigger items such as armchairs. Field View DS0000027478.V273245.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 The home has a complaints procedure and the details of this are made available to service users and their families. The home has and Adult Protection Policy and procedures to ensure that service users are protected from abuse. EVIDENCE: A copy of the Complaints Procedure is placed in the front entrance of the home and details of this are in the Service User Guide. No complaints have been made since the last inspection. All of those service users were happy with the service provided and said if they had any concerns they would be happy to speak to staff or management about this. The home has a policy and procedures for the protection of services users. Some training in this area takes place at the time of induction and then in more detail as part of the mandatory training or within their NVQ. The manager was aware of local procedures. Field View DS0000027478.V273245.R01.S.doc Version 5.0 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 the following standard(s): 19 The home is well maintained and well cared for offering a safe environment for service users to live in. EVIDENCE: The environment is comfortable and safe offering 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 were homely and reflected the personality of the service user. Those service users sharing were happy to do so and had a curtain divider to offer privacy. Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 14 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): 29 and 30 Service users are usually protected by the homes recruitment and selection process and this ensures all relevant information is collated before a prospective staff member commences work. Staff complete formal, recorded initial induction training and follow this with foundation training and or NVQ qualifications. Fifty percent of service users have completed their NVQ level 2 or 3. EVIDENCE: The recruitment and selection process aims to protect service users from abuse. On one file it was noted that only one reference was received and there was no evidence of a CRB being received. A requirement has been made in this area. All other staff files seen included all relevant information. The home has managed to ensure that 50 of staff have NVQ level 2 or 3 and all other staff are to complete NVQ. The company has now appointed a dedicated NVQ assessor to work with staff in this area. The home uses the Mulberry Induction and Foundation pack and staff have training in all of the mandatory areas. Those staff spoken to felt very positive about the training that they received within the home. Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 15 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): 33, 35 and 38 The home is managed by a person who is competent, capable and well trained who is able to discharge her responsibilities in full. The home runs in the best interests of service users, however their quality assurances systems can be developed further. Service users financial interests are protected and promoted. EVIDENCE: The manager has many years experience in the care of older persons and has completed her Registered Managers Award. Her quality as a manager is reflected in the good quality care provided within the home. The proprietor now completes regulation 26 visits and these are a way of proprietors looking at the service and completing an audit of the care and quality of the service received. The home has staff meetings, resident meetings and staff supervision and the manager uses some of the information Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 16 ascertained in these meetings to influence the care service. Some questionnaires are used to gain information. The home does good work in this area and needs to develop this further by collating and publishing its findings. The home takes some responsibility for limited amounts of money for service users. and all transactions are receipted and recorded. Not all service users have a lockable facility in their room and a recommendation has been made in this area. All doors are lockable. The manager promotes safe working practices and all staff complete all mandatory training, including fire safety, first aid food hygiene and infection control. Chemicals are stored safely. Radiators are covered and all water temperatures are at the appropriate level. Window restrictors are fitted to all upstairs windows. The home has a maintenance assistant and the manager monitors the safety of the building on a regular basis. The front door to the home is left unlocked during the day and the inspector has recommended that a risk assessment be completed in this area. The inspector does not feel qualified to inspect against standard 38.3 however the manager says that the home is in compliance with the legislation identified in this standard. All accidents and incidents are recorded and the manager is aware of her responsibility under regulation 37 of the Care Home Regulations 2001. Overall the home promotes the health and safety of staff and service users. Field View DS0000027478.V273245.R01.S.doc Version 5.0 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 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 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 18 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 OP29 Regulation 19 Requirement The registered provider must ensure that all of the required information needed prior to a person being employed by the home is gathered and evidence of this is in the home available for inspection. . Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations It would be good practice that once relevant information has been received concerning the quality of the service this is collated and published, offering suggestions for improvement plans. That all service users are provided with a lockable facility in their room. That a risk assessment is completed on the fact that the front door is open during the day and that this could put the safety of service users at risk. 2 3 OP35 OP38 Field View DS0000027478.V273245.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Norfolk Area Office 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 DS0000027478.V273245.R01.S.doc Version 5.0 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. 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