Inspection on 22/04/05 for Field View

This inspection was carried out on 22nd April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 View 01/08/06

Field View 08/11/05

Field View 08/12/04

Field View 03/06/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Field View Spark Lane Mapplewell Barnsley S75 6BN Lead Inspector Jayne White Unannounced 22 April 2005 8:15 nd 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 J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Field View Address Spark Lane Mapplewell Barnsley S75 6BN 01226 390131 01226 388322 fieldview@fshc.co.uk Chapelfield View Limited 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) Mrs Lynne Simms PC Care Home Only 40 Category(ies) of OP Old Age (40) registration, with number of places Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th December 2004 Brief Description of the Service: Field View is a 40-bed purpose built care home for elderly persons, initially registered in 1989. The home has provision for permanent and short stay service users. Accommodation is on two floors served with a passenger lift and stairs. There are 28 single and six double rooms, three lounges and one dining room. The garden areas are mainly lawned and have sitting areas with garden furniture. It is located in the centre of Mapplewell Village and is within easy access to shops, local post office, pubs, clubs and places of worship. There is parking at the front and side of the building. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over seven and a quarter hours from 8:15 to 15:30. Opportunity was taken to make a partial tour of the premises, inspect a sample of records, observe care practices and talk to residents, staff and a relative. The manager was not available during the inspection. Some standards were partially inspected. The majority of residents and staff were seen during the inspection and the inspector spoke in more detail to two of the staff on duty about their knowledge, skills and experiences of working at the home and five of the thirty two residents about their views on aspects of living at the home. What the service does well: What has improved since the last inspection? What they could do better: Residents would be assured of the terms and conditions they lived under at the home if a contract was in place. Although the summary of assessed need completed through care management arrangements was received by the home, information on residents needs would be much more detailed at the point of admission if the home had fully completed their own assessment. Likewise the detail provided on care plans at the home could be more detailed, including risk assessments. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 6 Staff at the home were using a system to administer some that was not safe. Care needed to be taken that all complaints were recorded and that the complaints procedure includes a timescale when complainants can expect to receive a reply to their complaint. All staff at the home required training on the protection of vulnerable adults and the procedure to be followed should an allegation of abuse be made. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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 J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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 & 3. Standard 6 is not applicable to this home. Contracts/terms and conditions for residents could not be found. Residents moving into the home had, had their needs assessed although the home’s own assessment lacked detail and was not fully completed. EVIDENCE: The inspector is aware through liaison with the provider relationship manager (the link person between CSCI and all Four Seasons establishments) that contracts for residents were still not in place and that the Four Seasons contract, to be issued to residents is still with the Office of Fair Trading. A contract/terms and conditions for a resident could not be found. One resident’s file was inspected who had recently moved into the home. A summary of the assessment completed through care management arrangements had been received by the home. The home had also completed their own assessment, however, some of the assessment lacked detail and there were parts not completed and it was not signed or dated by the person undertaking the assessment. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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, 9 & 10 A plan of care was in place for each resident, however, more detail was required including risk assessments. Residents’ confirmed they had appointments with a range of healthcare professionals and were satisfied with the health care they received. There were residents who were responsible for parts of their own medication although their care plan did not demonstrate that this had been as a result of a documented risk assessment. Improvements were required to the administration of medication. Residents felt they were treated with respect and their right to privacy was maintained. EVIDENCE: Each resident had a care plan. The plan did not comprehensively detail the staff action required to ensure personal care needs were met. For example, it was recorded ‘assist with washing and dressing’. The plan did not state how this assistance was to be provided. Subsequently the daily report was therefore not specific enough in detail. In the main, consent agreements were in place rather than a documented risk assessment where the risk is identified, Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 10 action to be taken to reduce the level of risk is recorded and then confirmation or not that the resident and/or their advocate agreed or not with that assessment. In addition there was conflicting/inconsistency of recording of information on one care plan and the care provided. There was evidence on the care plans tracked that residents and relatives had agreed and signed their care plan. Residents’ spoken with confirmed that they had appointments with a range of healthcare professionals and were satisfied with the health care they received. They said they were registered with a GP of their choice where possible. The inspector observed one resident going to a hospital appointment escorted by a member of staff. Staff were able to identify action they would take for residents’ at risk of pressures sores. The medication record of one resident was inspected. Records were not consistently kept of medication received into the home. It was identified the home were operating an unsafe practice in that medication received into the home that was not in a blister pack was dispensed again into an individual dossette box provided by the home before being administered to the resident. The names and administration instructions of the medication were not identified on the box. The storage and recording of controlled drugs was satisfactory. Medication requiring refrigeration was stored appropriately, however, temperatures were not recorded. The member of staff did not know where the medication policy/procedure could be found as it was not available in the store room. All residents and the relative spoken to said that staff were very good, kind and considerate and residents said their privacy and dignity was observed and their personal care needs were met. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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) See below EVIDENCE: Outcomes for this section of the report were not checked and will be checked at the next visit. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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) 16 & 18 Discussions with residents and a relative identified they were confident that any complaints they had would be listened to, however, the complaints procedure required more detail and all complaints needed to be recorded. Staff were not sufficiently trained to protect residents from abuse. EVIDENCE: The CSCI had recently received an anonymous complaint. The complaint alleged abuse of a resident by a member of staff and that information given to relatives was incorrect. Initial information obtained by the CSCI from the manager identified there was no record of any incident, a GP had not been contacted and the manager had not taken appropriate action on discovery of the incident. The complaint was referred to adult protection and the provider was asked to investigate in conjunction with adult protection. The complaint had not been recorded in the home’s complaint record. The investigation by the provider was completed and given to the inspector on the day of the inspection by the area manager. After reading the report of the investigation subsequent to the inspection, the inspector has asked for further information. The outcome of the investigation has identified training requirements in regard to protection of vulnerable adults for both staff and the manager and the inspector confirmed this in their own discussions with the staff. In addition the staff at the home could not find the adult protection policy/procedure. This was Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 13 found by the inspector. Likewise the staff could not confirm that the home had a copy of the local multi agency procedures. The complaints procedure did not include the timescale in which complainants could expect to receive a reply to their complaint. The complaints record was not signed or dated by the person recording the complaint or the person who had investigated the complaint. Discussions with residents and a relative identified they were confident that any complaints they had would be listened to. The adult protection policy/procedure did not include the contact details of the local adult protection officer. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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, 20, 21, 24 & 26 The home was clean and on the whole well maintained and the residents spoken with found the home comfortable. EVIDENCE: Residents’ spoken to said the home was comfortable and they were settled at the home. There were a number of lounges and a large dining room for residents to use. The residents had access to safe and comfortable indoor and outdoor communal facilities. The building was clean and free from offensive odours. In general, the home was well maintained and suited to residents’ needs. Refurbishment work had and were still taking place and included new lounge and bedroom chairs, a ground corridor carpet and improvements to two shower areas. The residents’ bedrooms looked homely, as residents had been able to bring items of their own furniture and possessions with them. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 15 To maintain the control of infection the laundry was sited away from food preparation and cooking areas and the floors and walls were impermeable. Hand washing facilities were provided. The home had appropriate sluicing facilities and washing machines. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 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) See below EVIDENCE: Outcomes for this section of the report were not checked and will be checked at the next visit. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 17 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 & 37 Training issues have been identified to ensure the manager is fully aware of her responsibilities in regard to protection of vulnerable adults and is able to carry out those responsibilities. Residents’ were not sufficiently safeguarded by the home’s record keeping, policies and procedures. EVIDENCE: A recent anonymous complaint made to the CSCI identified the manager had not carried out her responsibilities as manager as required by policies and procedures. A contract/terms and conditions was not in place for residents. The assessment of need completed by the home and the care plan based on that assessment lacked detail including information on risk to the resident. Consistency was not maintained in that the amount of all medication received into the home was Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 18 recorded. All complaints made to the home had not been recorded. An anonymous complaint made to the home identified poor recording of incidents that had happened at the home. Staff did not know where to access policies/procedures for medication and adult protection and staff could not confirm that the home had a copy of the local multi agency procedures. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 1 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 1 2 x x x x x 2 x Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 20 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 2 Regulation 5 Requirement All service users must have a copy of their individual terms and conditions (contract). Previous timescale not met. All parts of the homes assessment must be completed, dated and signed. Further information must be added to care plans on residents needs, and action taken by staff to meet these needs. Previous timescale of 2 February 2005 not met. The care plan must contain a risk assessment e.g.medication, keys, steradent. Medication must not be transferred from original containers. Temperatures of the refrigerator that is used for storing medication must be recorded. All complaints must be recorded and include the date and the name of the person who recorded and investigated the complaint. The complaints procedure must include the reply timescale. All staff must be trained in the protection of vulnerable adults J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Timescale for action 31 March 2006 30 June 2005 30 June 2005 2. 3. 3 7 14 15 4. 5. 6. 7. 7 9 9 16 15 13 13 17 30 June 2005 30 June 2005 30 June 2005 30 June 2005 8. 9. 16 18 22 13 30 June 2005 31 August 2005 Page 21 Field View Version 1.20 10. 18 13 11. 18 13 12. 37 17 13. 37 12, 13 & 18 including the procedure to be followed should an allegation of abuse be made. Contact details of the local adult potection officer must be included in the homes adult protection policy/procedure. Confirmation is required that the home do have a copy of the local multi agency procedures for adult protection and that staff are aware where this can be found. All records required by the National Minimum Standards & Regulations must be maintained. Previous timescale not met. Staff must be aware of where policies and procedures can be found. 31 August 2005 30 June 2005 30 June 2005 30 June 2005 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 31 Good Practice Recommendations The registered manager should have a qualification at NVQ Level four in management and care (or equivalent) by 2005. Field View J51 S18253 Field View V218768 22.04.05 UI Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. 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