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Inspection on 10/01/06 for Fieldhead Court Nursing Home

Also see our care home review for Fieldhead Court Nursing Home for more information

This inspection was carried out on 10th January 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There were positive comments during this inspection from both the service users and some relatives. One comment was that a relative was "Highly delighted" with the service and the care provided by the home. The service users spoken with said that they were satisfied with the level of care and support they receive from the staff. One service user said, " I could not wish to be cared for any better". The staff continues to work hard and there is warm and homely feeling in the home.

What has improved since the last inspection?

There has been some redecoration and carpets replaced in some service users rooms and in communal areas of the home. Further redecoration and maintenance is planned for the coming months. The home now has a resident movement and handling advisor to deliver the training for staff in safe handling techniques.

What the care home could do better:

Some attention is required to the recruitment procedure used by the home. Greater care needs to be taken so that the policy and procedure for medication is followed consistently.

CARE HOMES FOR OLDER PEOPLE Fieldhead Court Nursing Home Rectory Park Church Lane Thornhill Dewsbury West Yorkshire WF12 0JZ Lead Inspector Bronwynn Bennett Unannounced Inspection 10th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Fieldhead Court Nursing Home DS0000001082.V272657.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. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fieldhead Court Nursing Home Address Rectory Park Church Lane Thornhill Dewsbury West Yorkshire WF12 0JZ 01924 459000 01924 459000 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) Roche Healthcare Limited Mrs Kathryn Tanner Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Fieldhead Court is a care home providing accommodation, personal and nursing care to forty older persons. It is owned by Roche Health Care Ltd, a private limited company owning other services in the district. The accommodation is a converted former rectory operating over two floors, which are accessed by a passenger lift, and stair lifts. There are thirty-two single rooms of which twenty-eight have en-suite facilities. There are four double rooms, three lounges and a small dining room. The accommodation is set within large grounds in a conservation area and has car-parking facilities. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on the 10th January 2006. The inspection was conducted by two inspectors over a three and a half hour period and included a tour of the home and the examination of files kept by the home. Staff, service users and relatives were also spoken to. Not all of the standards were assessed during this inspection as many of the core standards were assessed during the inspection, which took place in 23rd August 2005. What the service does well: What has improved since the last inspection? What they could do better: Some attention is required to the recruitment procedure used by the home. Greater care needs to be taken so that the policy and procedure for medication is followed consistently. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 6 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 Court Nursing Home DS0000001082.V272657.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 Fieldhead Court Nursing Home DS0000001082.V272657.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): EVIDENCE: These standards were not assessed during this inspection. Fieldhead Court Nursing Home DS0000001082.V272657.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. Service users care records require further development to include risk assessments for day to day living and when bed sides are to be used. Greater care needs to be taken with the homes medication procedure. EVIDENCE: The inspector followed up on a recommendation made at the last inspection referring to the expansion of service user risk assessments. The care records looked at did not contain the required risk assessments therefore the recommendation is carried forward. The recommendation regarding the homes medication procedure has been addressed. The inspectors noted the medication kept by the home was stored securely in the appropriate cabinet but the door of the medication room was unlocked. The medication procedure must be followed consistently. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14. The service users are able to receive friends and relatives when they wish. The service users are supported to make choices in their lives. EVIDENCE: The service users said that they are able to see friends and family when and where they wish. The manager said that there are no restrictions on visiting. Service users also commented that they are able to choose what they ate, when they went to bed and when they arose. A recommendation was made at the last inspection that the food served should match the menu. This has been addressed. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not assessed during this inspection. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 12 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. Generally service users live in suitable accommodation that is clean and odour free. EVIDENCE: The inspectors made a tour of the building. The home was generally clean and odour free. There has been some redecoration and new carpets fitted to some service users bedrooms and communal areas. Further improvements to the home are planned during the coming months. There were bars of soap in some of the toilets and a bathroom. Bars of soap used in communal areas pose a risk of cross infection and should not be used. The manager removed these immediately. A bathroom was used for the storing of some equipment and other items were seen inappropriately stored in the home. This was discussed with the manager who took immediate action and arranged to clear the identified items. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 13 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): 28,29. Many of the staff are trained to provide care services in the home. Generally the service users are protected by the homes recruitment policy and procedure however, these procedures should be further improved. EVIDENCE: The home has achieved over fifty per cent of its staff with NVQ level 2 in care. Four staff are working towards NVQ level 3. Some domestic staff and the home’s administrator are undertaking NVQ training. Four of the staff files were audited. The information held in these records was of a satisfactory standard. There was a record of the discretion exercised when employing persons with negative employment checks. Improvements are still required regarding the information held in the staff records relating to the relevance of references and this was discussed with the manager. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 14 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): 31,33.35. The manager is of good character and fit to be in charge of the home. Processes are in place to ensure the home is run in the best interests of the service users. Generally the service users finances are protected. EVIDENCE: The manager has worked at the home for approximately one year. Mrs Kathryn Tanner is a qualified nurse, has qualifications in management and has many years experience of providing nursing care and support to service users. The service users and relatives spoken with said that they were happy with the homes manager and that they find her approachable. The manager said that there are “residents meetings” held on a monthly basis. Service users are also involved in meetings for the Friends of Fieldhead Court. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 15 The manager made available satisfaction questionnaires completed by service users, late 2005. It is expected that the results from these questionnaires will be published and made available by March 2006. A discussion took place with the manager about the inclusion of all friends, relatives and professionals in the homes annual questionnaire. The financial records for four service users were checked and could be reconciled with the money kept. Service users are able to handle their financial affairs for as long as they wish and there are locked facilities available for service users to keep any money or valuables safely. Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 1 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X X Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 (2) Timescale for action The registered person shall make 10/01/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medications into the care home. The medication room must be kept locked at all times. The registered person shall make 10/02/06 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. Bars of soap must not be used in the communal areas of the home. The registered person shall 10/02/06 having regard to the number and needs of the service users ensure that suitable provision is made for storage for the purpose of the care home. Requirement 2. OP19 13 (3) 3. OP19 23 (2) (i) Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 18 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. Refer to Standard OP7 OP29 Good Practice Recommendations Service users risk assessments should be expanded to include risks of day to day living and where it is proposed to use bed sides. The registered person should seek to obtain references that are appropriate to the work in the care home, and at least one reference should be from the individual’s most recent employer. The registered person should take action to ensure the views of family and friends and of stakeholders in the community is sought and contribute to the quality assurance process. 3. OP33 Fieldhead Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Court Nursing Home DS0000001082.V272657.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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