Inspection on 09/02/09 for Fieldhead Park Care Home

This inspection was carried out on 9th February 2009.

CSCI found this care home to be providing an Good service.

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 11/03/08

Fieldhead Park Care Home 14/03/07

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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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fieldhead Park Care Home 140 Kitson Hill Road Mirfield West Yorkshire WF14 9QZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karen Summers     Date: 0 9 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Fieldhead Park Care Home 140 Kitson Hill Road Mirfield West Yorkshire WF14 9QZ 01924496517 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): fhpark@rochehealthcare.com Roche Healthcare Limited Name of registered manager (if applicable) Mrs Amanda Joy Jones Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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. Date of last inspection Brief description of the care home Fieldhead Park is a care home providing accommodation, personal and nursing care for up to fifty-four older persons. 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 en-suite facilities. The facilities are based over two floors that are joined by two passenger lifts. Care Homes for Older People Page 4 of 26 care home 54 Over 65 54 0 Brief description of the care home 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 day of the inspection that the fees range from £381 to £655 per week. There are additional charges for hairdressing, newspapers, magazines and private chiropody. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection on this service was completed on 11th March 2008. The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. This report refers to an inspection, part of which included an unannounced visit, on the 9th February 2009, commencing at 9.15 am, and the length of the inspection was 8.25 hours. There were 50 people living at the home on the day of the visit. We did this inspection with an expert by experience who spoke to people who are using this service. An Care Homes for Older People Page 6 of 26 expert by experience is a person who either has a shared experience of using services or understands how people in this service communicate. They visited the service with us to help us get a picture of what it is like to live in or use the service. This is important because the views and experiences of people who use services are central to helping us make a judgment about the quality of care. During the visit we spoke with members of staff and people who receive care to obtain their views. We also looked at a sample of care records, staff recruitment, and training records, quality assurance audits and looked around the home. To enable people who use the service to comment on the care it provides, we sent surveys to 10 people living at the home 6 of which were returned. The comments in the surveys were positive about the standard of care provided by the staff at the home. The provider informed the Commission for Social Care Inspection on the day of the visit that fees range from three hundred and eighty one pounds to six hundred and fifty five pounds. Additional charges include hairdressing, private chiropody, newspapers, magazines, and personal toiletries. We would like to thank all people who gave feedback about the home, and would like to thank the manager and staff for their co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed prior to them moving into the home to ensure that their needs can be met, and are able to visit the home to establish whether or not it is the right place for them. Those assessed and referred for intermediate care are helped to make the most of their independence and return home. Evidence: The information received from the home prior to inspection said that they encourage prospective people who use the service and their families, to visit the home and spend some time there speaking to visitors and people who live there, to gain an insight of how they view the service. The records of three people were looked at, and this included the records of a person receiving intermediate care. The records contained a pre admission assessment carried out by the home, and the funding local authority. The intermediate care team carries Care Homes for Older People Page 10 of 26 Evidence: out the pre admission assessment of people requiring intermediate care and those records were seen. People living in the home confirmed that they had received enough information about the home before they moved in so they could decide if it was the right place for them. The information received from the home also states that to try to improve the admission process, pre admission questionnaires are used to gather data regarding the experiences of people. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care plans outline the level of support and care each person requires in ensuring their health and welfare needs will be met. The recording and administration of medication is satisfactory. People are treated with respect. Evidence: Three peoples care plans were looked at, and included a care plan of a person receiving intermediate care. The documentation identified the care needs and the level of support the person required, and their health and social care needs. There was also information in the care records of involvement from peoples doctors, social workers, opticians and other health care professionals where needed. Care reviews had taken place, and the care plans had been updated monthly or as the needs of the person changed, and this was with the involvement of the person or their relative. Care Homes for Older People Page 12 of 26 Evidence: Five out of six people who use the service said that they either always or usually receive the care and support they need, and one person said that they sometimes did. One person said, I am very happy with care and consideration given to me. Whilst another person said that the staff that have been at the home the longest are the best. Everyone said that staff listen and act on what they say, and were available when they need them. Care practice was observed during the visit and staff were seen being helpful, respectful and friendly toward the people they were supporting. People were being referred to by their first name, and there was banter and leg pulling going on between them. However, one member of staff was heard speaking loudly to a person she was conversing with and although this person had an hearing impairment, the person was wearing her hearing aid. The manager was informed of this at the time of the visit. Information received from the home states that they have achieved The Gold Standard Framework Award, relating to end of life care. A sample of medication records were checked, and the storage, administration and recording of the medication were done correctly, and there was evidence to suggest that regular audits of the medication systems take place, and the manager confirmed this. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are offered a range of activities and are able to make their own choices about how they spend their time. Meals provided are good, varied and served in a pleasant environment. Evidence: The home employs an activities coordinator, who works Monday to Friday and four hours each day. There was a hand written weekly activities plan letting people and their families know what activity is available each day, and this was displayed in the lounges, dining room, and entrance of the home. The daily activities that people were involved in were recorded, and included, bingo, dominoes; sing a long, clothes parties, crafts, and one to ones, where the activities person said that staff would sit and chat with individual people. There was evidence recorded that in the warmer months of the year, people have been taken out to places of interest, e.g. Eden Camp, War museum, The Deep, shopping, garden centers, Ice cream parlor etc., and there was also evidence that people attend day centers, including one person goes twice a week to a center for the blind. Care Homes for Older People Page 14 of 26 Evidence: At the time of the visit a number of people were enthusiastic about the afternoons activity of dominoes. When we walked round the home there were many people who had chosen not to join in with the domino session. When one person was asked if they attended the activity sessions, they said, Ooh no, I cant see very well to do that. Another person said, I would have a go but my fingers dont work very well. Whilst a third person said, No, would prefer to sit here. I cant hear what theyre saying. Information provided by the home stated that, The routine of the home is flexible to ensure service users can still exercise choice and control over their own lives. The activities and peoples individual needs and their involvement, were discussed with the manager and activities person. The manager said that the type of activities and outings that take place are discussed and agreed at the residents and relatives meetings, and that a meeting had been arranged to take place later in the week. The manager and staff should also ensure that people who are not able to join in with activities are spent time with on a daily basis, to ensure that their social needs are also met. People were asked in the surveys if there were activities arranged by the home that they could take part in. Two people said, Always Two said, Usually and one of which said, Would like more activities and outings. One person said, Sometimes Some are arranged but would welcome more, most of the ladies fall asleep because there is nothing going on to keep their brain active And one person said, Never As there were no activities that this person could take part in that the home arranged. The hairdresser visits the home weekly. The Church of England minister visits and gives communion for those who wish monthly, the Catholic priest visits on request, and people who live there confirmed this. The menus offered a variety of food, and the food preferences and diets of people were also taken into consideration. People said that they were asked the night before their choice of food for the following lunch, and during the morning for their choice of meal for tea. The dining room at lunchtime was quiet with a relaxing atmosphere, and people had been given a choice of where they would like to have their meal. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their complaints will be listened to and acted upon. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that the people they support are safe. Evidence: The manager confirmed that the complaints procedure is made available to people living at the home and their relatives. According to the information provided by the home, there have been four complaints within the last twelve month, one of which is waiting for the outcome, and the other three have been resolved within twenty eight days. The documentation was looked at and correct procedures had been followed. Five out of six people said that they knew how to make a complaint, and knew who they would go to if they were concerned about something. One person said that they usually knew who to speak to if they were not happy, but that they did not know how to make a complaint. There was evidence in the training records to suggest that staff have had safeguarding (adult protection) training that provides information on how to protect people from abuse. Staff who were spoken with said that they were aware of the procedures to follow if they suspected abuse of a person. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers people a homely and comfortable environment. There were inconsistency in the cleaning and a number of areas had not been properly cleaned. Evidence: As part of the inspection a tour of the home took place, which included the communal areas, a number of bedrooms and the laundry. Ongoing refurbishment continues to take place, and includes the purchase of new furniture, carpets in the main entrance of the home, and a walk in shower. The intermediate care unit, which now has its own entrance has also been recently decorated. There are a number of areas around the home that have been identified to be redecorated and refurbished in the near future, and the manager confirmed that this includes the dining room, and main down stairs lounge. There are also plans to replace worn furniture within the home. In the dining room the wooden paneling was heavily splashed with food, the waste bin did not have a lid, and was overflowing, and the drinks trolley was also worn and difficult to clean. The manager said that a replacement trolley had been purchased, and the trolley was replaced on the day. She also said that she would ensure that the other areas were cleaned. Care Homes for Older People Page 18 of 26 Evidence: Generally the home was clean however, in the corridor outside of the hair dressing room, the individual drinks tables were worn and had stale food and debris on them. The chairs were also worn and dirty and needed to be replaced, and the skirting boards and radiators were dirty. The manager said that she had already taken steps to address cleanliness within the home, and she is monitoring the issues. The ground floor toilet opposite bedroom 15, there was rust around the base and back of the toilet. These areas need to be made good and resealed to ensure that they can be cleaned properly. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of staff to meet peoples needs. Staff receive training to assist them to carry out their responsibilities and they have had all the necessary checks before working with people so they are kept safe. Evidence: The duty rota confirmed that there were sufficient staff on duty to care for the number of people living at the home, and the manager confirmed this. A sample of recruitment records was inspected and they contained the required information and employment checks. These checks are necessary to help protect people from potentially unsuitable staff. There was evidence in the staff records and staff confirmed that they had induction training when they came to work at the home, which provides them with the knowledge and skill to look after people in their care. There was also evidence in the staff records and staff confirmed that they had induction training, training in abuse awareness, fire, and movement and handling. A qualified nurse is on duty twenty four hours a day, and fifty six percent of care staff have an NVQ (National Vocational Qualification) level two or above in care. Care Homes for Older People Page 20 of 26 Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from the management approach of the home and the manager ensures so far as reasonable practicable that the health, safety and welfare of people and staff are protected. The home is run in the best interest of people who live there. Evidence: The information received from the home states that the manager is an experienced and competent manager who has the ability to lead the staff. She is a qualified nurse, has a number of years experience of working with older people and has completed the registered managers award. The home encourages people to look after their own finances, and a lockable drawer is provided in their rooms. A requirement was made at the last inspection that all care staff must receive supervision to ensure that they are supported to do their job, and there was evidence Care Homes for Older People Page 22 of 26 Evidence: to suggest that all staff now have supervision, and staff confirmed this. Routine health and safety checks are carried out and appropriate records were seen of those looked at. Satisfactory records were seen of fire alarm and emergency lighting tests, and records were also seen of fire training, and discussion was held with the manager with regards to all staff having a minimum of two fire drills and lectures a year. A requirement was also made at the last inspection for staff to have movement and handling training annually and records were seen of training that had taken place. The home has achieved The Gold Standards Framework Award, which will give staff the skills to look after people who need end of life care, and are also working towards the Investors in People award. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 36 18.- (2) All care staff must receive appropriate supervision to ensure that they are supported to do their job. 30/04/2008 Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 26 23 All parts of the care home must be kept clean. In the interest of infection control, all parts of the home must be kept clean. 15/03/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 12 The manager and staff should ensure that people who are not able to join in with activities are spent time with on a daily basis, to ensure that their social needs are met. Fire lectures should take place for all staff twice a year to ensure that they know the procedure to follow in the event of a fire. 2 38 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!