Inspection on 20/02/06 for Field View Residential Care Home

This inspection was carried out on 20th 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 Residential Care Home 30/11/07

Field View Residential Care Home 26/09/06

Field View Residential Care Home 26/09/05

Field View Residential Care Home 12/01/05

Field View Residential Care Home 08/06/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Field View Residential Care Home Thompson Park Thompson Road Sunderland SR5 2SH Lead Inspector Mr Clifford Renwick Unannounced Inspection 20th February 2006 10:20 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 Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Field View Residential Care Home Address Thompson Park Thompson Road Sunderland SR5 2SH 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) 0191 549 7272 0191 549 7373 PAMELA.BEALE@TISCALI.CO.UK Memory Lane Care Homes Limited Julie Anne Howe Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (40), Physical disability over 65 years of age (6) Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2005 Brief Description of the Service: Field View provides care to older people over the age of 65 years, twelve of whom may have dementia or mental health needs and six people who may have a physical disability. It provides personal care only and any health care needs are dealt with by the Community Nursing Services. The house is purpose built in construction and occupies a site on which previously stood a nursing home and is therefore well known in the area. All areas of the house offer disabled access and a passenger lift offers access to the first floor accommodation and facilities. The home is detached and stands in its own grounds with well-established trees and is approached by its own walled entrance, which leads to a private car park. Though it is located in the heart of the Southwick community it has a feeling of seclusion due to its location and large expanse of external space. There is a large garden to the rear of the home that can be used by service users and their visitors. There is access to a bus service, which offers easy access into the city centre where a range of services and shops can be accessed. Close by there is a range of shops within both the Seaburn and Southwick areas and there is easy access to the metro station at Seaburn. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6 hours and was carried out as part of the statutory twice-yearly inspection process. All communal areas of the premises were viewed as well as a number of bedrooms on both floors. Records of care were examined as well as records that related to health and safety. Discussion took place with the staff on duty and discussion also took place with 8 service users and also relatives who were visiting at the time of the inspection. Time was also spent observing staff practices. It was established during the inspection that the people who live in this home prefer to be referred to as “residents” therefore this term of reference is used throughout this report. The judgements made are based upon the evidence available at the time of the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the manager has undergone a satisfactory fit person interview with the commission and is now registered. New staff induction sheets have been introduced and a system devised to demonstrate that an experienced member of staff shadows any new staff until they competent to work on their own. The manager has also introduced new weekly update sheets as an aid to improve communication between the staff team and ensure that no tasks go unaddressed. Other improvements have been the introduction of checklists to assist staff with the day to day running of the service. Staff have received updated health and safety training. And also training in adult protection procedures. Some decoration has been carried out in the upper floor kitchenette and 2 bedrooms have been decorated. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 6 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 Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 The admissions process ensures that resident’s needs are assessed prior to care being offered. This helps to ensure that resident’s are offered the right type of care at the home. EVIDENCE: There has been one new admission since the last inspection. Records available and discussion held with the manager confirmed that a detailed assessment was completed by the home and the placing authority prior to admission. In addition to this the resident had the opportunity to have trial visits to the home before deciding to move in. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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, 9, 10 Each resident has a care plan which are currently being updated to include the new assessment tool. On completion these will set out in detail the actions being taken by staff to meet residents individual needs. Medication arrangements, administration and recording are appropriately managed, which ensures that residents receive their medication as prescribed by their GP. EVIDENCE: Care plans are continuing to be developed by the manager and a new format has been introduced to assist staff with their work. Discussion held with the manager confirmed that work is continuing in this area. The manager also confirmed that the assessment tool is being reviewed in order to ensure that more detailed information is obtained to assist with the development of the care plans. Care plans were not examined in detail due to these developments that are taken place. Administration systems for medicines are appropriately managed with good records maintained. The home also have their own weekly audit system to confirm that staff is administering medicines appropriately and this works well. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 10 Observations made throughout the inspection confirmed that staff treats residents with respect. Residents preferred term of address is used and personal and intimate care tasks are carried out in the privacy of their bedrooms. Discussion was held with the manager about some of the general care practices around continence management and advice was offered. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 the following standard(s): 12, 14, 15 Arrangements to provide activities and occupation are underdeveloped within the home. The development of a planned structured and well delivered activities programme can contribute to a more interesting and stimulating lifestyle for residents. There are no restrictions on visiting the home, which ensures that residents are able to maintain contact with relatives and friends. Residents are offered a varied menu with wholesome food, which promotes their health and wellbeing. EVIDENCE: Discussions held with residents and relatives confirmed that at present there is little in the way of stimulation offered to residents. The only activity available at the time of the inspection was the television. The activities coordinator who was appointed left the home after 6 weeks. Residents stated that during the time she was in post there had been a range of enjoyable and stimulating events arranged such as shopping and a cheese and wine evening. Residents said that they would like to see activities such as the bingo or quiz sessions reintroduced. Other residents said that they would like to see more outings arranged as in their opinion the homes minibus was underused. The points raised by residents and relatives about activities were discussed with the Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 12 manager. The manager also confirmed that an advert has been placed in the local newspaper for a new activities coordinator. For those residents who are able opportunities are available to follow their own routines, which suits them. A number of the residents prefer to spend time in their room particularly after meals. Residents who have chosen to have the papers delivered daily receive them. A number of relatives were visiting the home during the inspection and they confirmed that they could visit anytime they want. Residents also have the opportunity to go out with their relatives. Time was spent with residents in the first floor dining rooms while they had lunch and this was a good opportunity to observe staff practices as well as chat with residents. The residents spent at least 15 minutes sitting in the dining room before the food arrived, which resulted in some becoming impatient and restless. Hot and cold drinks were available throughout the meal but the tables did not have all of the utensils needed such as teaspoons. There were no menus on display and discussion held with residents confirmed that they did not know what they were having to eat until the food arrived. These points were discussed with the manager who was advised of the need to review the mealtime practices on the upper floor. Some good practices were observed which involved staff supporting residents to eat a meal. This was carried out in a positive manner and was unhurried making the meal a relaxing and enjoyable process. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 the following standard(s): 18 Robust procedures are in place, which ensure that residents are protected from abuse. EVIDENCE: Policies and procedures are in place that deals with the protection of vulnerable adults. Staff have either received or are in the process of receiving training by the local authority in the use of these procedures. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 the following standard(s): 19, 26 The home is clean and warm offering residents a homely environment in which to live. However, some minor decoration is required as part of the ongoing maintenance of the home, some of which has already been completed. EVIDENCE: A representative number of bedrooms were viewed on ground and first floor as well as all communal areas. Parts of the upper floor had an odour in the morning but this was addressed as part of the daily cleaning regime. The building was noticeably fresher in the afternoon following the cleaning programme. Discussion was held with the manager about the possible causes of the odour and actions that could be taken to address this in the future. Some decorative works have been carried out to bedrooms and the kitchen in the first floor lounge. Further works are required to address the chipped paintwork caused by general wear and tear on corridors particularly around the lift access. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 15 There were no noticeable safety hazards at the time of the visit and discussion with the manager confirmed that any matters identified following the fire officer’s visit were being addressed if not already done so. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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 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): 27, 28, 29 The deployment and number of staff on all shifts ensures that at all times residents are supported by an experienced group of staff. However due to the increased dependencies of residents staffing levels now need to be reviewed. Staff also require further training in relation to the care needs of residents, to ensure they have a good understanding of these needs and how they can be met. Record keeping in respect of new staff employed in the home is robust and sufficient information is obtained to ensure residents are protected. EVIDENCE: The home meet previous agreed staffing levels but due to a change in dependency levels and the increased needs there are occasions particularly at meal times where staff are stretched. This was discussed with the manager who was advised of the need to review staffing levels particularly on the first floor where many of the residents have needs related to dementia type illnesses. An incident had occurred on the morning of the inspection whereby a resident had left the building at 5.30am without staff being aware. This seriously compromised the safety of the resident who was brought back to the home unharmed and following an alert made by a neighbour. This was discussed with the manager and steps were taken to review the staff practices of turning off Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 17 the alarm on exit doors. Which in this case had contributed to them being unaware a resident had gone out of the building. There have been some ongoing staff issues in the home for the last 6 months involving the recruitment and retention of staff. The manager felt that she is now on top of this and had arrangements in place for two new staff to commence work within the next week. Some staffing shortages caused by sickness have resulted in existing staff carrying out a multitude of roles in order to maintain stability within the home. This has resulted in residents receiving a consistent service and staff are to be commended for this. The manager has ensured that all documentation required as part of staff recruitment is obtained and on occasions this has caused some delay in getting people into post. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31, 35, 38 The manager offers clear leadership and direction to the staff so that they can consistently meet the needs of residents. The arrangements for the handling of resident’s personal monies are satisfactory though some revision is required to the records in use. Arrangements to ensure that the health safety and welfare of service users and staff are in place are under revision. EVIDENCE: The manager has been involved in developing a number of the records systems in the home some of which include policies and procedures that relate to health and safety. Following the last inspection the environmental health department served two improvement notices on the owner in respect of moving and Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 19 assisting and risk assessments associated with lifting. The manager has been proactive in addressing the issues in the notices and this has resulted in an external consultant being engaged by the home. The consultant has been revising health and safety policies and staff have received updated moving and assisting training. In addition to this appropriate lifting equipment has been purchased for the use of staff. The manager has updated a number of the health and safety records and each resident has a fully completed risk assessment. The new health and safety policy and procedure is about to be implemented. At the time of the visit the electrician was carrying out a test of the smoke detectors, emergency lights and fire systems as part of the annual maintenance. Records are in place, which demonstrate how staff manages residents personal allowances. Advice was offered as to how these records could be improved in order to provide a clear audit trail. Discussion was also held with the manager about safety of residents in light of the incident in which a resident was able to wander out of the building unnoticed at 5.30am in the morning. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 2 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 21 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. Standard Regulation Requirement Timescale for action 31/07/06 1. OP7 14 (1), 15 The new care plan format must be introduced as discussed during the inspection. A planned programme of stimulating and meaningful activities must be introduced for the residents. Staffing levels must be reviewed using guidance from the Residential Staffing Forum. The manager must take steps to ensure that the safety of residents is not compromised. Staff must not deactivate door alarms. 2. OP12 16 (2), (m) 31/07/06 3. 4. OP27 OP38 18 (1) (a) 13 (4) (c) 31/07/06 20/02/06 Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 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. Refer to Standard OP15 OP9 OP35 Good Practice Recommendations Consideration should be given to reviewing the mealtime practices as discussed during the inspection. Daily temperature checks should be carried out and recorded where medicines are stored in the fridge. Sheets used to record money held on behalf of residents should be numbered consecutively. All receipts should be numbered with a record entered onto the cash transaction sheet in order to assist with audit trails. Field View Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Residential Care Home DS0000015748.V276696.R01.S.doc Version 5.1 Page 24 - 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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