Inspection on 12/05/05 for Field View House

This inspection was carried out on 12th May 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 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 House 26/11/08

Field View House 31/03/08

Field View House 10/07/06

Field View House 27/09/05

Field View House 25/01/05

Field View House 03/08/04

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 View House Sandheys The Slough, Crabbs Cross Redditch B97 5JT Lead Inspector Deirdre Nash Unannounced 12 May 2005 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 House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Field View House Address Sandheys The Slough, Crabbs Cross Redditch Worcestershire B97 5JT 01527 550248 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 Arjan Bhoja Odedra Mrs Phyliss Wotton PC - Care home only 20 Category(ies) of Care Home - 20 registration, with number of places Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 25 January 2005 Brief Description of the Service: Field View House is registered for 20 older people requiring personal care. The home does not provide nursing care other than input available via the local community nursing teams. The home is set back off the main road between Studley and Redditch in a semi rural setting. Community facilities are available in both Studley and Redditch although the home is not on a bus route. The Home, which was formerly a domestic dwelling, has been refurbished and extended. Bedrooms occupy both the ground and first floor, most of which have en-suite facilities. A shaft lift provides users access to all parts of the home. The home has one large lounge and a separate dining room. Car parking is available at the front of the home. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home could do more to make sure that relatives that take an interest are included in the care of their family member. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 6 The interior decoration in some parts of the house needs to be improved and updated and the odour that’s in some parts of the building needs to be got rid of. Odour needs to be prevented in future by using more efficient methods of cleaning up spillage. There is no evidence that residents are being harmed but the home must do better in its recruitment practices to make sure that residents are not ever exposed to people who are not suitable to care for vulnerable people. The home was told about this last year and it is still not being careful enough. The Commission for Social Care Inspection may take enforcement action if staff are again found working in the home without proper criminal records checks. 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 House E53 s4243 Field View House v226527 120505 Stage 4.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 View House E53 s4243 Field View House v226527 120505 Stage 4.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) 3 The home makes sure that it gets proper information about what each person needs before they move in and writes these needs down in a care plan. People do not move into the home if it cannot properly look after them. EVIDENCE: Community Care Assessments and Community Care Plans are in residents’ individual files. A written plan of care is also kept in residents files and it describes how the resident it to be looked after on a daily/ nightly basis. Staff spoken to about one particular resident knew what was in her care plan and what they must do to look after her. The home has a statement of purpose and a service user guide. Field View House E53 s4243 Field View House v226527 120505 Stage 4.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 and 9 The home looks after residents according to their individual needs. EVIDENCE: Residents care files contained individual plans of care for each resident. These plans set out clearly what staff need to do to look after that resident. The plans showed that they are reviewed monthly to take into account any changes in a person and what they need. Discussion with a relative of one resident suggests that the home could do more to make sure that families who take an interest in the care of their relative know clearly how staff are caring for them. It is recommended that the home work out a way to do this. The care plan for a resident who holds his own medication showed that the home had assessed the risks involved. A notebook showed that there is a regular audit by staff of his medicine supplies to keep track of them. There was a note of the fact that he does not want them kept in a locked place in his room. The acting manager said that this would not pose any risks to other residents in the house. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 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 standard(s) 15 Daily life in the home takes into account what individual residents like. Residents are not treated as a group. EVIDENCE: The Inspector had lunch with the residents. Everyone asked said that the food at the home is good, and that the kitchen would give residents whatever they asked for. At lunch this day residents had very full plates with a choice of two meat dishes, fresh vegetables and fresh potatoes and gravy. Staff gave people more when they asked. Residents with diabetes had a different desert. No one was rushed through their meal although staff were very attentive. Some residents were seen going in and out of the kitchen through the afternoon to make themselves tea. Residents said that they could go into the kitchen in the evenings also to make toast or sandwiches or ask staff to do it for them. There is a written menu that covers four weeks. Residents said that they could have a hot breakfast if they ask for it. One is routinely provided on Saturdays. The home uses only U.H.T milk. It should ask residents what they think of this and get in different types of milk if people want it. This is a recommendation. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 11 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, 17 and 18 There are some gaps in the homes procedures. They are not robust enough for protecting residents. Residents are encouraged to continue to exercise their legal rights. Residents feel safe and staff are prepared to speak out if something is wrong. EVIDENCE: The home has a complaints log. The last complaint recorded was in 2003. There was a good account of what action was taken by the home to investigate it. The manager should sign this log each month to show that it is a live and current record even if no complaints have been made. This is a recommendation. Residents asked said that they would complain to the manager if anything were wrong. A relative asked said that she would feel able to complain if she needed to. The Commission received a complaint about the home in February 2005 by visiting professionals about the poor condition of some carpets and the bed of a resident and an odour in the home. The Lead Inspector made an unannounced inspection and left requirements for these things to be put right. The home responded in writing to the complainants but did not record this complaint and its outcome in its logbook as it should. This is a requirement. Residents asked said that they were offered postal votes for the recent General Election. The assistant manager said that leaflets about all of the political candidates standing in the election were left on the coffee tables in the lounge during the Campaign. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 12 Residents asked said that they feel safe in the home. All staff spoken to said that if they had any concerns about a residents safety and well being or the way that a resident was being treated by other staff, residents or family they would report it immediately to the manager and she would take it seriously. The home has a written policy and set of procedures for dealing with any suspicion or allegation of abuse of a resident. It still, however lacks the agreement for action made between the local social services department, Health Trusts and the police. This was required in the last inspection report of this home and the registered manager must do this. The home did not check the Register of people found to be unsuitable to work with vulnerable adults when it recently appointed a new member of staff. This serious matter is dealt with in more detail under the National Minimum Standard for recruitment of staff later in the report. Field View House E53 s4243 Field View House v226527 120505 Stage 4.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, 20, 25 and 26 The interior décor in parts of the house is poor and the home smells badly in places. This suggests that the house is not cared for and ‘accidents’ are not properly cleaned up. Residents enjoy freedom of movement around the house. EVIDENCE: The ground floor entrance hall and the staircase were being redecorated when the Inspector was there. New laminate flooring was being laid in the hallway. The front drive way and the back garden were tidy. There is a large greasy stain on the wall in bedroom 18. The home was told to remove this at the last inspection. There is a large lounge with patio doors onto a patio and rear garden. The dining room is large and is next to the kitchen. It overlooks the street and the countryside at the front of the house. Smoking is not allowed in the communal rooms. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 14 All of the rooms in the house except some bathrooms have casement windows and residents were seen opening and closing them in bedrooms and communal rooms. Residents were seen moving freely around the inside of the house and using keys to open and lock their bedroom doors. A new low-level flue from the boiler was guarded for safety. There were written assessments of the risk posed to residents by each central heating radiator around the home. Those regarded as being a risk to residents must be covered. The home was told to do this at the last inspection. The home looked clean however there was a slight but persistent bad odour around the entrance hall and ground floor corridor. This suggests that spillages are not being cleaned up properly. A requirement is made to do so. The house was tidy. The assistant cook said that she was systematically cleaning drawers and cupboards in the kitchen. The oven was greasy and stained with accumulated food. It needs a deep clean for safety. This is a requirement Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 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 29 The home is not taking enough care over its recruitment procedures. Residents could be exposed to people that are unsuitable to care for them. EVIDENCE: This was an unannounced visit. There were three care staff, a cook and a cleaner on duty during the morning and early afternoon and three care staff on duty during the late afternoon and evening. There were eighteen residents living at the home. For the levels of need for those residents, three care staff is not an unreasonable number. A handyman that is shared by other homes owned by the registered person was working through the day on redecoration. A person, referred to by staff as ‘the owner’ was at the home. His name does not appear on the certificate of registration for the home. The personnel file of a worker recently appointed by the home did not contain all of the documents and proof of suitability required by the law for care workers. Crucially there was no Criminal Records Bureau Enhanced Disclosure Certificate although the worker had already started work in the home. The manager was told to immediately send the Commission evidence that the home had this certificate. The home had not applied for one. The home had been told about CRB Disclosure certificates for staff at the August 2004 inspection. The registered person later confirmed that maintenance staff do not have CRB Disclosure certificates either. They should have ‘standard level’ Disclosure as they work in the home and come into contact with residents. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 16 It is a serious matter that the home is again in breach of a regulation that protects residents. The Commission may decide to take action against the registered person to ensure that they comply with this regulation. The home was told to take immediate action to get these CRB Disclosures and to make sure that these staff do not work alone with residents until the manager sees their disclosure certificates. The registered owner was written to after the inspection and asked to account for the status of the person that staff were referring to as ‘the owner’. She reported that he is not an owner but a family member who contributes to the running of the home by overseeing maintenance work and by undertaking financial accounting tasks. He does not have a Criminal Records Disclosure Certificate. Requirements are made for the registered person to obtain criminal records checks for each of these people as a matter of urgency. The registered person subsequently wrote to the Commission and said that these checks have now been applied for. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 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, 32, 36 and 38 There is good leadership and residents receive a consistent quality of care. The professional development of staff is not given enough attention to make sure they keep up with new knowledge and skills. Health and safety practices around the house are not consistently good and could lead to a harmful incident. EVIDENCE: The home has a new registered manager who was previously the deputy manager. Residents spoken to were clear about who has responsibility for running the home. Staff and residents spoken to had only positive things to say about the way that the manager runs the home. There has been no progress made since the last inspection on improving the content and frequency of regular one to one supervision meetings with care staff. This must now be done to make sure that staff develop their Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 18 professional knowledge and skills as well as get advice about any difficult areas of their work. The home was told to do this at the last inspection. Night staff now attend regular fire drills. Work on the boiler was in progress and has included fitting a new flue. The CORGI certificate still needs to be seen by the Commission when the work is finished. This was asked for at the last inspection. There are good and safe systems in place in the kitchen for storing and preparing food. The cooker needs a deep clean however. The Inspector saw a large bottle of bleach on the floor in the corridor, as the cleaner was moving through the bedrooms. The assistant manager said that no residents are likely to confuse it with a drink but the home must think carefully about which hazardous substances are really necessary and how they are carried and used around the home. This is a requirement. The acting manager reported there are written risk assessments to support the front and patio doors being kept locked. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 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. 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 x x x x 2 2 STAFFING Standard No Score 27 3 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 3 3 x x x 2 x 2 Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 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 OP16 Regulation 22 Requirement The registered person must ensure that all complaints made about the home are recorded in the complaint log. The registered person must ensure that the Warwickshire wide agreed protocol for responding to suspicions or allegations of abuse are added to the homes adult protection policy. The registered person must ensure that all radiators identified as posing a potential risk to residents are covered The registered person must ensure that the large stain on the wall in bedroom 18 is removed The registered person must ensure that the offensive odour in the house is erradicated The registered person must ensure that all spillage is effectively cleaned up The registered person must ensure that the cooker is deep cleaned . The registered person must ensure that application for a Criminal Records Enhanced E53 s4243 Field View House v226527 120505 Stage 4.doc Timescale for action 15 July 2005 15 July 2005 2. OP19 13 3. OP25 13 15 July 2005 15 July 2005 31 July 2005 15 July 2005 15July 2005 immediate action Page 21 4. OP19 23 5. 6. 7. 8. OP26 OP26 OP26 OP29 23 13 13 19 Field View House Version 1.30 9. OP29 19 10. OP29 19 11. OP36 18 12. OP38 13 13. OP38 13 Disclosure Certificate is made for the care worker identified at the inspection, provide evidence of obtaining a certificate to the Commission and keep the certificate on file at the home for the next inspection. The registered person must ensure that a Criminal Records Standard Disclosure Certificate is obtained for the maintenance worker identified at the inspection, provide evidence of obtaining the certificate to the Commission and keep a copy of the certificate on file at the home for the next inspection. The registered person must ensure that a Criminal Records Standard Disclosure Certificate is obtained for the family member that works in the home and that a copy is sent to the Commission. The registered person must ensure that care staff have formal supervision at least six times a year and this must include all aspets of practice, philosophy of care in the home and career deveelopement needs . The registered person must ensure that a copy of the service certificate is sent to the Commission when the required work to the boiler is completed The registered person must ensure that the use and storage of bleach and all other hazardous substances in the home is put under review. immediate action immediate action 15 July 2005 31st July 2005 31st July 2005 Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 22 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. 2. 3. 4. Refer to Standard OP7 OP15 OP2 OP24 Good Practice Recommendations That the home makes sure families who take an interest in the care of their relative can find out how staff are caring for them. That the home consullts residents about the use of U.H.T milk That service users contracts include the rights and obligations of service users and the registered provider and who is liable if there is a breach of contract. As rooms are upgraded a lockable storage space for medication and valuables is provided unless the reason for not doing so is explained in the care plan for the person. Field View House E53 s4243 Field View House v226527 120505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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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