Inspection on 14/03/07 for Fieldhead Park Care Home

This inspection was carried out on 14th March 2007.

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

Fieldhead Park Care Home 09/02/09

Fieldhead Park Care Home 11/03/08

Fieldhead Park Care Home 29/06/06

Fieldhead Park Care Home 02/02/06

Fieldhead Park Care Home 06/10/05

Fieldhead Park Care Home 08/12/04

Fieldhead Park Care Home 25/05/04

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Fieldhead Park Care Home 140 Kitson Hill Road Mirfield West Yorkshire WF14 9QZ Lead Inspector Helen Battle Key Unannounced Inspection 14th March 2007 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 Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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 Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fieldhead Park Care Home Address 140 Kitson Hill Road Mirfield West Yorkshire WF14 9QZ 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) 01924 496517 fhpark@rochehealthcare.com Roche Healthcare Limited Mrs Maria Hawksworth Mrs Amanda Joy Jones Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54) of places Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named person aged under 65 years of age To accommodate a maximum of two services users aged between 55 and 65 years in the ten intermediate care bed unit. 23rd August 2006 Date of last inspection Brief Description of the Service: Fieldhead Park is a care home providing accommodation and personal care for 54 persons who are experiencing issues relating to the ageing process. Ten of the places are reserved for persons requiring intermediate care. The accommodation is an extended and adapted former Victorian detached property in its own grounds. It is owned by a private limited company that own other homes in the West Yorkshire area. All but two of the bedrooms are for single occupancy; all the rooms have ensuite facilities. The facilities are based over two floors that are joined by two passenger lifts. The home has a number of lounges and dining facilities. The home is sited some distance from the town of Mirfield, within a short distance of some local facilities. The provider informed the Commission for Social Care Inspection on the 14.03.07 that the fees range from £332.98 to £575.00 per week. There are additional charges for hairdressing, newspapers, magazines, private chiropody and specialist therapy (e.g. aromatherapy). Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this key inspection a visit to the home took place. The inspector visited the home unannounced from 9.10am to 3.45pm. Whilst at the home, key documents such as care assessments, care plans, daily records, medication, training records and the staff records were looked at, and so were some of the rooms. 4 service users, and 3 members of staff were spoken with, along with the management team. The last key inspection was carried out on the 29th June 2006, where there were major issues identified regarding the health and welfare of service users on the intermediate care unit. Since then, three further unannounced random inspections have been carried out at Fieldhead Park to monitor the health and welfare of service users and check on the progress being made at the home to improve standards. These visits were carried out on 12.7.06, 21.8.06, and 20.11.06. The intermediate care unit closed 14th July 2006 for a short time so that the issues could be addressed in full. The unit reopened in October 2006 when it was able to meet the needs of the service users referred to the unit. The staff and management team have worked hard to improve the standards at the home, and have addressed any issues in a positive and constructive manner in order to move the service forward. What the service does well: The staff at the home evidently work hard to meet the needs of the service users. Comments received from service users about the staff was positive. It was evident that the management team at the home have worked hard to build good relationships with the service users and relatives. The meals provided at the home are of a good standard. Feedback from service users was positive regarding the meals provision. Activities are provided to meet the needs of the service users living at the home. Recruitment processes protect the service users living at the home. Monthly management reviews are carried out. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 6 The views of service users are sought regarding the service provided at the home. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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 Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6. Service users have their needs assessed prior to admission to the care home, those assessed and referred for intermediate care are helped to maximise their independence and return home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre-admission information held for four service users were examined. These included a detailed assessment and a copy of a Community Care Assessment. Those admitted for intermediate care had clear information on their needs on admission, the reasons for the admission and the objectives set prior to returning home. There is a marked improvement since the last key inspection visit. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Service users’ health, personal and social care needs are set out in the individual plan of care. Risk assessments are carried out and monitored regularly. The service users are not always protected by the home’s medication policy and procedure. Service users are treated with dignity, respect and privacy. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for four service users were examined. Two were for service users on the intermediate care unit. All four care plans were found to contain satisfactory assessments and plans of care relating to the action required by staff to meet these needs. Monthly weights are recorded and assessments related to mobility, tissue viability, falls, continence, dental health and nutritional state were included. Information relating to wound care was clear and gave a clear picture of the condition of the wound. There was clear Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 10 evidence of intensive involvement from other health care professionals including district nurse, occupational therapist, physiotherapist, dentist, optician and GP. This is a marked improvement since the last key inspection and staff should be commended on the hard work to improve the care records. The management of medication, policies and procedures relating to medication have improved, however they are still not always protecting the service users. The medications of five service users were checked. Administrative errors on the medication administration record sheets were seen, where a small number of signature omissions were noted. All medication stored in blister packs tallied with the records held, however there were some discrepancies with medication stored in boxes. The manager of the home was aware of this and demonstrated that action is being taken to address this issue. Insulin and eye drops were labelled with the date of opening and the temperature of the medication fridge is recorded as required. It was evident that the staff know the needs of the service users and actually provide the care to meet those needs. This was observed on the day of the visit and confirmed by speaking to staff and service users. Service users were seen to be treated with dignity and their privacy maintained on the day of the visit. Service users spoken to said that they are treated well by the staff. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Generally, the service users’ cultural, religious, social and recreational needs are being met, and they are supported to maintain contact with their family and friends. The service users are able to exercise choice and control over their lives. The home provides the service users with a varied and nutritious diet. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Various activities are organised at the home. Activities residents said they enjoyed were bingo, playing cards, discussions, “play your cards right”, reading and watching TV. One service user stated that there is something to do on most days. Another service user was waiting to go out on the morning of this visit and was enthusiastic in speaking about where she was going and what she planned to do. This is a regular occurrence for this lady. A minibus is available for residents at the home. A church service is held at the home every month. The dates for these services were displayed near the Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 12 entrance of the home and this was also confirmed by residents. One resident stated that they go out to their own church every week. Residents were seen to be sat in the various lounges and in their bedrooms. Residents confirmed that they are able to have visitors and see them in private whenever they want. One service user stated that a member of their family rings every day after lunch, on the phone fitted in their room. The mealtime provision has been reviewed since the last key inspection and the times of meals altered to suit the needs of the service users. Evidence was seen regarding the consultation of service users in minutes of service user meetings. This was also confirmed by speaking to service users. One service user stated that following the service user meeting service users have had tripe and curry after requesting these two meals, and that they had been very nice. Service users stated that meals are generally good at the home. Service users were observed to be having breakfast at the beginning of this visit. Those who required assistance were seen to be helped by staff in a discreet and professional manner. Residents are able to exercise choice over their lives. This was confirmed by a resident stating how and when they like to get up, go to bed, stating that they don’t like to be disturbed from their chosen seating during the day, and how they spend their day. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Service users, their relatives and friends are confident in raising any concerns and complaints. The service users are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed near the main entrance to the home. This contains the required information. Records of complaints received by the home were seen and the responses were seen to be made within the given timescale. The responses were open and appropriate action had been taken where needed. Communication within the home has improved and this has had a positive impact on the service. Service users spoken to stated that they felt able to speak to the manager if they had any concerns. One service user gave an example of where an issue was raised and had been dealt with appropriately by the manager. Training records indicated that all staff have had adult protection training. Issues raised in the past at the home regarding adult protection have been dealt with appropriately and policies and procedures followed. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. The service users live in a safe and overall well maintained environment that is generally clean and hygienic. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Generally, the home is well maintained and is clean. There were no unpleasant odours noted during this visit. The issues raised in the last key inspection regarding the bathroom opposite the kitchen, and another bathroom on the first floor have all been rectified. Some of the bedrooms were seen during this visit and were clean, personalised with ornaments, pictures and photographs and had good furniture and fittings. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 15 The lounges appeared to be comfortable and the dining areas were well presented with appropriate aids and furniture. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Staff are employed in sufficient numbers and receive induction and ongoing training. The recruitment process ensures the service users are sufficiently protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Rotas examined indicate that there are sufficient numbers of staff in place to meet the needs of the residents at the home. This was confirmed by service users spoken to who said that staff are available to meet their needs. Staff were observed to be carrying out care duties in a competent manner. It was reported that all staff have received adult protection training, movement and handling training and fire training. All staff have completed health and safety training. Sixty two percent of care staff have achieved the NVQ level 2 in care award. Other training has included first aid, medication and food hygiene. Training records confirmed that this training has taken place. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 17 Staff recruitment records for three members of staff were examined as part of this visit and all were found to contain the required checks and references. This is a marked improvement since the last key inspection. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. The home is run and managed by two managers who are fit to be in charge. Generally, the home is run in the best interests of the service users. The financial interests of the service users are adequately safeguarded. The health and welfare of service users and the staff is promoted and protected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 19 The two managers at the home job share. One of the managers is currently undergoing management training. Monthly management visits are now carried out to a good standard and quality assurance systems have been implemented. These have been instrumental in improving standards at the home since the last key inspection. The staff and management should be commended on their efforts, however this must continue to ensure that standards are maintained. The personal money held by the home for three residents was checked during this visit and tallied with the records held. There were no health and safety hazards observed during this visit. Weekly tests of the fire alarm and emergency lighting systems were recorded as being carried out. Monthly checks of the hot water temperatures are also recorded. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 01/04/07 arrangements for the recording, handling, safe keeping, safe administration and disposal of medications into the care home. Requirement 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 OP31 Good Practice Recommendations The registered manager should complete the management training already commenced. Fieldhead Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Park Care Home DS0000001083.V328298.R01.S.doc Version 5.2 Page 23 - 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. 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