Inspection on 11/07/05 for Fieldhouse Care Home Limited

This inspection was carried out on 11th July 2005.

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

Fieldhouse Care Home Limited 11/04/07

Fieldhouse Care Home Limited 23/01/06

Fieldhouse Care Home Limited 15/11/04

Fieldhouse Care Home Limited 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Fieldhouse, Spinners Green, Off Whitworth Road, Rochdale, OL12 6EJ. Lead Inspector Diane Gaunt Unannounced 11th July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fieldhouse, Address Spinners Green, Off Whitworth Road, Rochdale, OL12 6EJ. 01706 632555 01706 3567354 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Fieldhouse Care Home Limited Francesca Stewart Care Home Only 46 Category(ies) of Old Age 46 registration, with number of places Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2004 Brief Description of the Service: Fieldhouse is a purpose built home located on a residential estate on the outskirts of Rochdale. Accommodation is provided on two floors in 38 single and 4 double bedrooms. Five of the single rooms have an en-suite facility. Level access is available to the home and a passenger lift ensures access is provided to both floors. The home accommodates male and female service users aged 65 years and over who require residential care. Situated in its own grounds it has the benefit of small gardens to the side and rear with ample parking available at the side and front of the home. There is easy access to the motorway network and public transport. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6¼ hours. The inspector spoke with two residents, two relatives, two care assistants, one assistant deputy manager, the manager, two hairdressers and the weekend cook. Care practice was observed and records looked at. Comment cards asking residents what they thought about the care at Fieldhouse had been given out a few weeks before the inspection. Ten residents filled the cards in and returned them to CSCI. Their opinions are also included in the report. Requirements listed at the end of the report include two that had not been fully met since the last inspection. What the service does well: What has improved since the last inspection? A hot radiator in the shower had been covered to make the home safer for residents. The staff had been on more training courses and met with senior staff to talk about how they do their job more often. More activities had been introduced for residents. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 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 standard(s) 3. As intermediate care is not provided at Fieldhouse, standard 6 is not applicable. Thorough assessment of each resident prior to admission ensured their needs would be met at the home. EVIDENCE: Individual records were kept for each resident. Four files were inspected, each contained an assessment undertaken by one of the management team who visited the prospective resident in their home or hospital prior to admission. The assessment was seen to be thorough and addressed all area of needs. Where care managers were involved in the admission they provided a needs assessment also. Feedback from residents and relatives indicated they were appropriately involved in the assessment and considered the home was able to meet their needs. Good practice was in place with regard to regular review of needs and reassessment of residents prior to return to Fieldhouse following hospital admission. With regard to emergency admissions, a care manager’s assessment would be accepted with the proviso that the home would assess upon admission and only offer care to those residents whose needs they could meet. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10. Residents and their relatives were consulted about required care, and involved in reviews to discuss changing care needs, ensuring health and care needs were appropriately met on an ongoing basis. Residents were treated with respect and their right to privacy upheld. EVIDENCE: Four individual plans of care were inspected. They encompassed all health and social care needs and recorded action to be taken to meet the needs. The care plans had been regularly reviewed by staff on a monthly basis and evidence of resident or relative involvement was seen on file. Residents and relatives interviewed confirmed that they were consulted by staff regarding meeting of care needs. Relatives interviewed considered they were kept informed with regard to the residents’ care and well-being. Care plans recorded GP, Psychiatrist, District Nurse and CPN involvement. None of the residents had pressure sores and staff interviewed were able to describe good practice with regard to skin care. Residents and relatives considered both health and care needs were met. Residents said the home called their GP when they needed them and the services of opticians, dentists, chiropodist and audiologist were accessed either at the home or in the community as and when necessary. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 10 Signed risk assessments were held on file and were regularly reviewed. Recommendation was made at the last inspection that residents should be encouraged to undertake physical exercise on a regular basis. This had been introduced but due to the activities co-ordinator being on sickness leave had not been maintained. Residents returning comment cards and those interviewed considered their privacy and dignity was respected at the home. Staff interviewed were able to describe good practice in this area. Relatives commented that observation during their regular visits to the home indicated staff treated residents with respect and upheld their dignity. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15. A nutritious, varied and balanced diet was provided and enjoyed by the majority of residents. EVIDENCE: Menus inspected were seen to provide a balanced, nutritious and varied diet over a 4 week period. Two hot choices of meal were served each meal time and 3 choices of tea – although soup or sandwiches were 2 of the 3 options most days. Three choices of dessert were provided each teatime and fresh fruit was regularly included. Food served during the inspection was sampled, it looked, smelt and tasted appetising. The inspection was undertaken on a very hot day and there was quite a lot of wastage. In such an instance the cook could offer an additional cold option. Feedback from residents via interviews and comment cards was mostly positive with regard to food provision although one person said they did not enjoy the food and 3 others said they sometimes didn’t. The menus have been unchanged for almost a year. It was agreed with the manager that they would be reviewed. Diabetic and soft diets were provided for those who required them. Dietary and fluid charts were completed for those with reduced appetites, weight loss and those fitted with catheters. Staff gave appropriate assistance to those needing it although it was noted they did not all sit beside residents whilst assisting. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 12 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 standard(s) 16 and 18. Residents were confident that complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse, but staff would benefit from further training to ensure their full understanding of the procedures. EVIDENCE: The home had a complaints procedure. It was on the notice board in the entrance area and on each bedroom door. Complaints investigated by the manager were recorded in a complaints book, along with the detail of the investigation. Inspection of the complaints book showed that when substantiated, satisfactory action had been taken. The CSCI had received no complaints since the last inspection. Residents and relatives spoken with said that if they raised small issues as they occurred, they were satisfactorily dealt with. They knew to see the manager if they wished to raise a matter of concern. A procedure for responding to allegations of abuse was available as was the Rochdale Inter-agency Protection of Vulnerable Adults (POVA) procedure. Appropriate reporting and recording procedures were provided and followed. Staff spoken with understood the importance of reporting malpractice and were clear about the different types of abuse. They were not familiar with the Rochdale Inter-agency POVA procedure however. Residents interviewed and those returning comment cards said they felt safe living at Fieldhouse. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 13 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 standard(s) None of these standards were inspected on this occasion. EVIDENCE: Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. Sufficient numbers of staff, with an appropriate skill mix, were provided to meet the needs of residents. Recruitment and selection procedures were satisfactory, safeguarding residents living at the home. EVIDENCE: Inspection of rotas showed that sufficient staff were provided to meet the minimum requirement. Feedback from staff, residents and relatives supported the view that there were enough staff on duty each shift to meet residents’ needs. Observation on the day of inspection provided further evidence. The manager is an RGN, the deputy and 2 care staff had an NVQ level 3, and 7 care staff had an NVQ level 2. The majority of the remaining staff were either taking NVQ level 2 or were due to start later in the year. Those interviewed said they were encouraged to attend external courses which interested them. Three had attended dementia care training and 9 had attended training on falls awareness. In addition the manager provided some in-house training specifically linked to resident care. Inspection of records of the two most recently appointed staff showed that safe recruitment and selection practices were followed in line with the home’s procedure. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35, 36 and 38. The registered manager was fit to be in responsibilities fully, ensuring residents’ needs interests safeguarded. The health, safety and staff were promoted and protected in the main, sufficient health and safety training. EVIDENCE: The registered manager is an RGN and had just completed the Registered Managers Award at the time of the inspection. She supervised the senior staff and provided informal training on conditions and diseases associated with old age. In addition, care staff received formal supervision from the manager, deputy or assistant deputy. None of them had attended supervisory skills training. Roles and responsibilities of the manager and deputy had been defined and clearly identified their areas of responsibility/accountability. charge and discharged her were met and their financial welfare of service users and although not all staff had had Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 16 Staff, residents, and relatives considered the manager to be efficient and approachable. Staff found her to be supportive. Three residents returning comment cards said they would like to be more involved in decision making at the home. The registered manager acted as appointee for two residents, application for Court of Protection had been applied for in respect of one of these residents. All residents and relatives interviewed were happy with the arrangements regarding personal monies. Where the home had involvement with residents’ monies, appropriate records and receipts were held. Three records inspected were found to be in order. Records and discussion with care staff showed that health and safety training had been provided for staff but not all carers had attended. Of 29 care staff, 4 had not completed health and safety and fire training; 5 were in need of moving and handling refresher training; 12 in need of infection control training and 16 in need of food hygiene training. No health and safety hazards were noted during the inspection. Residents and staff considered it a safe place to live and work. Regular maintenance checks were undertaken in line with legislation and risk assessments written as required. Fire precaution checks were undertaken on a regular basis in keeping with GM Fire Officer’s recommendations. Fire drills were held regularly, although not when night staff were on duty. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x x x 3 2 x 2 Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 18 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 36 Regulation 18 Requirement All care staff must be formally supervised at least 6 times per year. (Original timescale 31.03.2004). All staff must have appropriate health and safety training. (Original timescale 31.01.2005) Timescale for action 31.08.2005 2. 38 18 30.09.2005 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. Refer to Standard 8 32 18 38 Good Practice Recommendations Residents should have the opportunity to regularly participate in physical activities and exercise. The manager should make arrangements for regular contact with residents to receive feedback on the running of the home, including menu planning. Senior staf should attend Rochdale SSD Inter-agency Protection of Vulnerable Adult training. All staff, including night staff, should have at least one fire drill per year. Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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 Fieldhouse, F06 F56 S42784 Fieldhouse V230481 07.07.05 Stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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