Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 02/02/06 for Fieldhead Park Care Home

Also see our care home review for Fieldhead Park Care Home for more information

This inspection was carried out on 2nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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.

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

The service users spoken to said that they were satisfied with the care and support that they receive form the staff at Fieldhead Park.

What has improved since the last inspection?

There have been some improvements in the care planning since the last inspection.

What the care home could do better:

The improvements to the care records must continue in order to ensure the needs of the service users are met. The registered person must make further improvements to ensure that all staff are sufficiently trained to do their jobs.

CARE HOMES FOR OLDER PEOPLE Fieldhead Park Care Home 140 Kitson Hill Road Mirfield West Yorkshire WF14 9QZ Lead Inspector Bronwynn Bennett Unannounced Inspection 2nd February 2006 09:15 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.V272662.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 Park Care Home DS0000001083.V272662.R01.S.doc Version 5.1 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 01924 496317 Roche Healthcare Limited Mrs Maria Hawksworth 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.V272662.R01.S.doc Version 5.1 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 immediate care bed unit. 6th October 2005 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. Fieldhead Park Care Home DS0000001083.V272662.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 and was undertaken by two inspectors over a four-hour period. . The inspectors made a tour of the building and looked at a sample of records kept by the home. The inspectors also spoke to some of the residents and staff. The inspection was conducted with help from the managers of Fieldhead Park Care Home. What the service does well: 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. Fieldhead Park Care Home DS0000001083.V272662.R01.S.doc Version 5.1 Page 6 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.V272662.R01.S.doc Version 5.1 Page 7 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 Park Care Home DS0000001083.V272662.R01.S.doc Version 5.1 Page 8 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. Improvements are required with the care planning system operated by the home, to ensure they include sufficient detail to meet the needs of the service user. Greater care must be taken to ensure the policy and procedure for medication is consistently followed in order to protect the service users. EVIDENCE: Four care records were looked at during this inspection. There has been some improvement since the last inspection, however the care plans looked at do require greater attention to detail. Where a service user has a wound or sore, there should be a record of the initial size of the affected area with ongoing records kept to allow its progress to be monitored. A service user who had been recently admitted to the home did not have a working care plan in place. Fieldhead Park Care Home DS0000001083.V272662.R01.S.doc Version 5.1 Page 9 Greater care needs to be taken when developing care plans to ensure that words such as “regular” and “sufficient” are avoided. Specific details should be recorded in the care records kept. Generally the daily records kept for service users were vague and did not reflect how the service user had spent their day. The medication records were looked at for three service users. The PRN (When required) medication could not be reconciled with two of the records kept. Where there is a variable dose of medication to be administered the amount given should be recorded clearly on the MAR sheet. There was no policy and procedure available for medication during this inspection and a requirement is made in this report. Fieldhead Park Care Home DS0000001083.V272662.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): EVIDENCE: These standards were not assessed during this inspection. Fieldhead Park Care Home DS0000001083.V272662.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 however; the manager has attempted to address the requirement made following the last inspection regarding adult protection training. Many staff has either received this training or they are to attend a training date planned for later in February 2006. The recommendation made at the last inspection that staff should undertake training to ensure that complaints are taken seriously is now addressed. The manager said that this issue is now included in the adult protection training. As the requirement and the recommendation from the last inspection have not yet been met for all the staff, these will be carried forward until all staff have undergone adult protection and complaints training. Fieldhead Park Care Home DS0000001083.V272662.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. The service users live in a homely environment that generally safe and generally well maintained EVIDENCE: On the day of this unannounced inspection the home was generally clean and odour free. The recommendation from the previous inspection has been addressed and the identified carpets have now been thoroughly cleaned. Fieldhead Park Care Home DS0000001083.V272662.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): 28,29,30. The recruitment process has generally improved and generally protects the service users. The home is working well in addressing NVQ training for staff however; further improvements are required to ensure that all staff are sufficiently trained to do their jobs. EVIDENCE: The home has a training officer and training assessors. 41 of the carers who work at the home have achieved the NVQ level 2 in care. The training records kept by the home were audited as part of this inspection; the inspector noted that some of the records kept were not up to date. The evidence available showed that not all the staff has received the training to ensure that they are sufficiently trained to do their jobs. Some staff have not undertaken fire lectures, fire drills or movement and handling training. Three staff files were audited. Generally the recruitment practices at the home are sufficient to protect the residents. However more care needs to be taken to ensure that any gaps in the employment histories are explored. Fieldhead Park Care Home DS0000001083.V272662.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): 33. The quality monitoring system must be developed in order to ensure the home is run in the best interests of the service users. EVIDENCE: Little has changed since the last inspection in developing a quality assurance system. The requirement is carried forward from the last inspection and a new timescale is given. See standard 30 for requirements made at the last inspection relating to fire safety training and movement and handling training for staff. Fieldhead Park Care Home DS0000001083.V272662.R01.S.doc Version 5.1 Page 15 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 1 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 1 3 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X X X X X Fieldhead Park Care Home DS0000001083.V272662.R01.S.doc Version 5.1 Page 16 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 OP7 Regulation 12 (1) (a) (b) Requirement Timescale for action 01/04/06 2 OP9 13 (2) 3 OP18 13(6) The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the care, health and welfare of service users. The registered person shall make 02/02/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The registered person must 01/04/06 make arrangements, by training of staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. Previous timescale 01/12/05 not met. The registered person shall maintain in the care home records as specified in the schedule opposite. The registered person must ensure by means of fire drills and practices at suitable DS0000001083.V272662.R01.S.doc 4 OP30 17(2)sch 4–(14) 23(4) 01/04/06 5 OP30 01/04/06 Fieldhead Park Care Home Version 5.1 Page 17 intervals, that the persons working at the care home, and so far as practical, service users are aware of the procedure to be followed in the case of fire including the procedure for saving life. Previous time scale of 01/11/05 not met 6 OP30 13 (5) The registered person must 01/04/06 make suitable arrangements to provide a safe system for moving and handling service users. Previous timescale of 01/11/05 not met (Regs - 12(1)(a)18(1)(a) (c) (i)(ii) CSA 2000 (Miscellaneous Amendments) Regs 2004) The registered person shall ensure that the care home is conducted so as to promote and make proper provision for the health and safety of the residents. The registered person shall ensure that at all times suitably qualified, competent and experienced staff are working at the home in such numbers as are appropriate for the health and welfare of the residents. The registered person must ensure that the staff who work in the care home receive, training appropriate to the work they are to perform; and suitable assistance, including structured induction training and time off, for the purpose of obtaining further qualifications appropriate to such work. The registered person must 01/04/06 establish and maintain a system for reviewing at appropriate DS0000001083.V272662.R01.S.doc Version 5.1 Page 18 7 OP30 12 (1) (a) 01/04/06 8 OP33 24 (1) Fieldhead Park Care Home intervals and improving the quality of care in the care home. Previous timescale of 31.03/05 not met. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard OP7 OP16 OP28 OP29 OP30 Good Practice Recommendations Care plans and risk assessments of service users should become full and more consistent with a greater level of detail. All staff should receive training in the management of complaints. The staff at the home should continue working towards achieving the NVQ level 2 qualification. Gaps in the employment histories of staff should be explored. Training records should be kept up to date, and available, for inspection by the Commission for Social Care Inspection. Fieldhead Park Care Home DS0000001083.V272662.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 Park Care Home DS0000001083.V272662.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!