Inspection on 05/05/05 for Fieldhead

This inspection was carried out on 5th May 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 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

Fieldhead 02/07/07

Fieldhead 26/07/06

Fieldhead 24/10/05

Fieldhead 22/02/05

Fieldhead 30/09/04

Fieldhead 09/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Fieldhead Back Lane, Skelton Road Langthorpe Boroughbridge, North Yorkshire YO51 9BZ Lead Inspector Maggie Coxon Unannounced 5 May 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Fieldhead Address 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) Back Lane Skelton Road Langthorpe Boroughbridge North Yorkshire YO51 9BZ 01423 325052 01423 325052 N/A St Annes Community Services Mr Michael Edward Priestley PC Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 Service Users with Learning Disability some of whom may also have a Physical Disability. Date of last inspection 22/02/05 Brief Description of the Service: Fieldhead is a care home registered by St Annes Community Services to provide personal care and accommodation to up to five younger adults with learning disabilities some of whom may have physical disabilities. The home is a detached, two-storey house that is situated in its own grounds that are set back from a main road in Langthorpe, which is close to Boroughbridge. Local community amenities and facilities, including shops and pubs, are within walking distance for those with good mobility, other than that, transport would be required. Each of the five bedrooms is for single accommodation, one of which has ensuite facilities. These are situated on the ground and the first floor, the latter of which is accessed via a staircase. There are well maintained garden areas to the rear and side of the house and an area for parking. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 5th May 2005, at a time when all of the people living in the home would be present. It took 3.75 hours plus 2 hours preparation time. Discussions were held with the five people currently living in the home, with care staff on duty, with the Acting Manager and with the Service Manager who was present for part of the inspection. A number of records and most areas of the home, including bedrooms and shared areas, were seen. What the service does well: What has improved since the last inspection? The fabric of the building has been improved a lot within the last three months and further improvements are being made. Staffing levels have been increased and there is a better gender balance in the team, partly through the use of a small, regular group of agency staff consisting predominantly of women. There was a more relaxed atmosphere in the home and the residents seemed to feel very comfortable and happy. All staff have had their fire training updated as required. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 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. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None. EVIDENCE: Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 8. People living in the home make as many decisions and choices as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: The current Acting Manager has reorganized every resident’s care plan in response to a requirement made in the last inspection report. She explained that having taken some advice she was in the process of working with individuals and their key workers to increase the information in the plans and would ensure that entries in care notes were made more often to give a better overall picture. Residents have active lives with the support of a committed staff team in the home. They can choose from a number of activities organized on a daily basis and are involved in the running of the home. Examples of this were seen during the inspection. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,16,and 17. Residents have a varied and interesting lifestyle and are fully involved in their local community. They enjoy a wide choice of home cooked, good quality food. EVIDENCE: Whilst only one resident attends organized day care services, all have active lives within their local community supported by a committed staff team in the home. They can choose from a number of activities organized on a daily basis and are involved in the running of the home. A variety of outings are arranged throughout the year and each resident has a holiday that they choose themselves. Residents shop for food on a daily basis and therefore have a big say in what meals are made. One of the residents had celebrated his birthday the day before with a special meal followed by an evening out. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20. Residents’ personal and health care needs are fully met. EVIDENCE: All of the people living in the home are registered with a local GP through whom specialist health services are accessed as and when needed. None of the residents is able to take their own medication. Individuals were seen to be happy however with staff administering this to them. There is a monitored dosage system in operation, which is securely stored. Medication administration records were well maintained. The Acting Manager and Service Manager explained that appropriate medication training had yet to be provided for all staff by the organization although this was being arranged. There are locks on bedroom doors to which residents have a key if they so choose. Bathroom doors also have locks. Staff were seen to respect the privacy and dignity of individuals when providing personal support. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. Residents’ concerns safeguarded. EVIDENCE: are appropriately dealt with and their interests There is a comprehensive complaints procedure in operation that is available in various formats and is made available to anyone who wishes to see it. Several of the people living in the home are not able to make a formal complaint but are able to make any dissatisfaction known to staff, who try to address this promptly and appropriately. Staff were seen to have developed very good relationships with residents and to communicate very well with them. No complaints have been made to the home or to the C.S.C.I. within the last twelve months. There is an adult protection investigation currently being undertaken following allegations of abuse made some time ago to the responsible individual for St. Annes Community Services. The organization is following the correct procedure and is carefully monitoring the situation. This matter doesn’t affect the day-to-day lives of the people living in the home. There was a very cheerful atmosphere in the home on the day of the inspection, routines were seen to be very informal and the residents seemed relaxed and comfortable. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26,28 and 30. The standard of the environment of the home is quite good and is soon to be improved further. Residents live in a safe, clean and comfortable home. EVIDENCE: The home is well maintained and in response to requirements made in the last inspection report, the following improvements to the home either have been or are being made: • • • • The conservatory roof has been repaired; the lighting system in that room has been made safe. The damaged vanity unit in one bedroom has been replaced with new wardrobes. This room would now benefit from redecoration and from having a new floor covering laid. The unpleasant odour in one bedroom was being addressed through the installation of en suite facilities in the room and new floor coverings. This work was ongoing. The organization has agreed to redecorate all the shared areas and the office/sleep in room in the near future. J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 14 Fieldhead Also since the last inspection, new double glazed windows have been fitted throughout the home along with two new exterior doors and a new gas fire was fitted in the lounge on the day of the inspection. All five bedrooms are for single accommodation and are of an appropriate size. One of these has en suite facilities and a second is being fitted with a separate WC and hand basin. The remaining rooms are all in close proximity to one or other of the two communal bathrooms, one of which has an assisted bath. Several of the residents said that they are happy with their bedrooms. A good standard of cleanliness is maintained throughout. Appropriate aids and adaptations are fitted throughout the home. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33 and 35. The residents receive a good standard of care from a highly skilled and motivated staff team. EVIDENCE: The current Acting Manager, who had explained that whilst none of the staff planned to concentrate, over the next progress with their awards. Mandatory updated over the forthcoming months. only been in post for four weeks, have yet achieved their NVQ, she few months, on enabling staff to training was in date and is to be Staffing rosters for the week including the inspection show that staffing levels have been increased and that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of the people living in the home are met at all times. Staff from sister homes and a small, regular relief team of agency staff fill any shortfalls in the permanent staff team. The gender balance of the team has also been improved through an increase in the number of female staff regularly working in the home. Staff said that this had had a good effect on the atmosphere in the home. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39 and 42. The residents benefit from a well run home in which their needs and wishes are put first. EVIDENCE: Residents were seen to be relaxed with those staff on duty and to have good relationships with them. Staff listened to the their views. There have been a number of recent changes in the management of the home. Staff spoken to however said that morale amongst the team is generally good and that the current manager is approachable and provides good leadership. It has previously been noted that the registered manager of the home, a qualified nurse with some management training, was completing three units of the registered managers award as required. It was not possible to ascertain if this had been completed due to his continued absence from the home. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 17 St Annes Community Services has a quality assurance and monitoring system in place that includes regular unannounced visits by the Service Manager to check on quality issues. It had previously been recommended that this system be further developed to include ascertaining the views of people who have contact with the home. The Acting Manager explained that this has yet to be done. Comprehensive procedures and systems to ensure the safety and well being of residents are in operation within the home. Staff are appropriately trained in health and safety matters including fire safety. The Acting Manager has introduced a roster to ensure that all systems are regularly checked. The hot water storage system has yet to be checked to ensure that it complies with current health and safety guidance concerning Legionella. Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 x 2 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 2 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fieldhead Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 2 x J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 19 No. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None. Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 6 Good Practice Recommendations Individual personal profiles and care plans should be further developed to include more detailed information concerning the resident concerned. More regular and informative care notes should be made. All staff involved in the administration of medication should be appropriately trained. The bedroom recently fitted with new wardrobes should be redecorated and fitted with a new floor covering. Plans to redecorate all of the shared areas including the sleep in room should be carried out. A minimum of 50 of care staff should be qualified to NVQ level 2 or above. The Registered Manager should complete an appropriate management qualification. The views of families, friends, advocates and other people involved with the home, in respect of the quality of services, should be ascertained and incorporated into the quality assurance system currently in operation. Hot water should be stored at a temperature that safeguards against Legionella (at a minimum of 60 degress J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 20 2. 3. 4. 5. 6. 7. 20 26 28 32 37 39 8. Fieldhead 42 Celsius). Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 Fieldhead J53_JO4 S7874 Fieldhead V223046 050505 Stage 4.doc Version 1.30 Page 22 - 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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