Inspection on 23/01/06 for Fieldhouse Care Home Limited

This inspection was carried out on 23rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 11/07/05

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 Care Home Limited, Spinners Green Off Whitworth Road Rochdale OL12 6EJ Lead Inspector Diane Gaunt Unannounced Inspection 23rd January 2006 10.00a 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 Fieldhouse Care Home Limited, DS0000042784.V269792.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. Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fieldhouse Care Home Limited, Address Spinners Green Off Whitworth Road Rochdale OL12 6EJ 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) 01706632555 017063567354 Fieldhouse Care Home Limited Francesca Mary Jayne Stewart Care Home 46 Category(ies) of Old age, not falling within any other category registration, with number (46) of places Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 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 Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3¼ hours. The home had not been told beforehand that the inspector would visit. The inspector looked around the building and looked at paperwork about the running of the home and the care given. Five residents, three care assistants, the deputy manager, the manager, and the laundry assistant were spoken with. A requirement listed at the end of the report had not been fully met since the last inspection. What the service does well: What has improved since the last inspection? The lounges, dining area, corridors and stairs had all been redecorated. Care staff met more often with senior staff to talk about how best they could do their job and senior staff spent more time watching carers at work to make sure they were doing their jobs well. Most staff had been on important health and safety training courses although one bank staff member was working at the home without attending any of this training. Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 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 Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Fieldhouse Care Home Limited, DS0000042784.V269792.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): 12, 13, and 14 Suitable activities and occupation to meet the needs of residents were usually provided but had not been maintained in the absence of an activities organiser. Contact with visitors and the local community was actively encouraged, enhancing residents’ opportunity for social contact. Residents benefited from being able to exercise choice and control over their lives. EVIDENCE: An activities organiser had been employed at the home but had left a few weeks prior to the inspection. The post had been advertised and interviews were to be held on the day of the inspection. Residents spoke well of the activities organiser and looked forward to her replacement taking up post. They had particularly enjoyed the entertainment arranged at Christmas which included a Christmas Fayre, choirs from local school and church, and a pantomime performed in the home by a small group of professional actors. As a result of the vacant post, activities had decreased although care staff had arranged Bingo and quizzes for residents, manicured their nails, played music and on occasion encouraged residents to dance. Since the activities organiser had left, there were no activities planned specifically to meet the needs of people with dementia; exercise sessions and weekly reminiscence sessions had not been held. Residents said that care staff would take them out shopping, out to lunch or for a walk if they wished. A group had visited Blackpool illuminations and Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 11 some residents enjoyed a trip to a local garden centre at Christmas. The home had a mini-bus and a group of residents went out to a weekly ‘Gals and Guys’ club at a local community centre. The domiciliary library visited on a regular basis. A monthly newsletter was produced which included information about planned activities, resident and staff news, as well as wider world news. Copies were available in the lounge and notice board for residents and visitors to access freely. Although no visitors were spoken to on this occasion, residents said that their visitors were always made welcome, offered a drink and on occasion a meal. Church services were not held at the home but communion was provided by local Roman Catholic and Church of England churches. Residents said this provision met their needs. The choices residents made each day varied, dependent upon their mental frailty but residents generally chose what time to get up, go to bed, what clothes to wear, where to spend their day, what food to eat, whether to participate in activities. Residents were particularly impressed by the trouble the kitchen staff took to ensure they were served with food they enjoyed. One resident said she was asked about her likes and dislikes on admission and had never been served with food she disliked since she moved in. The home was only directly involved in management of two residents’ finances, the majority of residents’ having chosen to have their monies managed by relatives or solicitors. Two residents had chosen to manage their own finances and did so with the support of relatives. Residents and relatives were actively involved in care planning on a regular basis. Residents said they were given the choice of whether they wished to have the key to their room and lockable space, they were actively encouraged to use their lockable space. Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 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 the following standard(s): 19 and 26 A safe, clean, pleasant, hygienic and well- maintained building was provided for residents. EVIDENCE: The home was safe, accessible and well maintained. Level access is provided to the front door and throughout each of the two floors. A passenger lift is provided and handrails fitted to both sides of corridors throughout. Everyone spoken with thought the home was a safe place to live and work in. Two maintenance workers were employed and staff said they addressed matters as they were raised with them. Bedrooms were redecorated and carpeted as they became vacant and whenever necessary in the interim. All communal areas had been decorated since the last inspection and were seen to be in good order. Residents described the building as ‘lovely’, ‘wonderful’ and ‘well cared for’. The manager informed the inspector that fabric and furnishings were replaced on an ongoing basis and documentation was available to support this, although a maintenance/renewal plan had not been written. A number of commodes Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 14 and bedside cabinets were seen to be worn. A replacement programme had begun and 5 commodes had been replaced at the time of the inspection. Grounds were seen to be safe, tidy and accessible. Service users informed the inspector they enjoyed walking around the home and sitting out in the patio area in fine weather. The report of an Environmental Health food hygiene inspection on 14 September 2005 made two requirement and 3 recommendations, all of which had been met. Residents said staff kept the building clean and odour free, inspection of the premises supported this view. An infection control policy was in place and the majority of staff had attended an infection control course, elements of which were seen to be included in the home’s induction pack. Staff interviewed described safe infection control practice. Disposable gloves and colour-coded aprons were provided for staff use and liquid soap was provided throughout. Satisfactory practice was in place with regard to disposal of clinical waste. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Residents said that if laundry was misplaced staff would look for it and ensure its return. Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 15 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 and 30 Recruitment and selection procedures were satisfactory, safeguarding residents living at the home. Provision of ongoing training both external and in-house provided a mainly trained and competent workforce. EVIDENCE: The manager is an RGN (Registered General Nurse) and holds the Registered Manager’s Award. Six staff had an NVQ level 3, and eight had an NVQ level 2. A further three staff were nearing completion of NVQ level 3 and seven were due to begin level 2 in February 2006. The deputy and assistant manager were planning to start the NVQ level 4 course. Feedback received from an external NVQ assessor as part of the home’s quality assurance initiative, described staff as ‘highly trained individuals’. She further considered that staff training needs were identified and met on all levels. Residents said that staff worked well as a team and were very accommodating. Inspection of records showed that safe recruitment and selection practices were followed in line with the home’s procedure, this included receipt of satisfactory written references, Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks prior to appointment. Staff were issued with copies of the General Social Care Council (GSCC) Code of Conduct on appointment. TOPSS induction training was provided, inspection of records showed that this was generally completed within the 1st 12 weeks of employment. The manager took responsibility for this training herself, providing 1 : 1 sessions with new employees in order to assess understanding and competence. Health and Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 16 safety training was also provided. The majority of staff had attended all the sessions, one bank care assistant had not attended any. The manager was addressing the matter. In addition to the above, the manager provided in-house training sessions related to the care needs of the resident group as well as accessing relevant external courses which staff wished to attend. Only two of the current staff group had attended dementia care training, however. Two senior staff were due to attend a course on continence promotion and were planning to share the information with carers on their return. The manager and three senior staff were booked on a Protection of Vulnerable Adult (POVA) course. Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 17 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 and 36 Residents were regularly consulted for their views in order for the home to be run in their best interests. Staff were appropriately monitored and supervised to ensure they provided residents with the care they needed. EVIDENCE: A number of quality assurance measures were in place. Between October and January the manager had completed a full audit of the home, measuring compliance against National Minimum Standards. She had elicited the help of residents, relatives, NVQ assessor and healthcare professional in the process. Where areas for improvement had been identified they had been addressed. In addition, satisfaction questionnaires had been circulated to residents and relatives. Twenty had been returned, 93 rating the service as either excellent or good. This information had been collated and displayed. The home’s business plan was advised by the internal audit. Residents and relatives were further involved in decisions about their care when care plans were reviewed on a monthly basis. Staff meetings, held Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 18 approximately four monthly, gave staff the opportunity to voice their views, alongside regular 1 : 1 supervision. Staff and residents also said that the manager operated an ‘open door’ policy and they could go to the office to see her at any time. Further evidence of this policy was found in the monthly newsletter which included a feedback section, asking residents and visitors if they had anything to say about how things were done in the home and if they had any suggestions to make. It also advised them that they should ‘feel free to come and speak to the manager and staff.’ Residents meetings were not held but the newsletter referred to the introduction of a residents committee. Two residents said they looked forward to this initiative being introduced. Residents spoke positively of the fact that the manager went to see them each morning to ask how they were and if there was anything they needed. The Investors in People (IIP) Award was renewed in July 2005, the assessor commented in the report that they were ‘satisfied beyond any doubt’ that the home continued to meet the requirements of the IIP standard. The manager and deputy manager had both attended a supervisory skills course and staff were regularly supervised on a formal basis. Staff commented positively on the process, considering it gave them an opportunity to discuss their work. As part of the supervisory process senior staff also observed and assessed staff at work to ensure their competence. Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 19 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X X 3 X X Fieldhouse Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 20 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 OP38 Regulation 18 Requirement All staff must have appropriate health and safety training. (Previous timescale 31.01.2005) Timescale for action 31/03/06 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. 6. 7. Refer to Standard OP8 OP12 OP19 OP30 OP32 OP18 OP38 Good Practice Recommendations Residents should have the opportunity to regularly participate in physical activities and exercise. Daily activities should be maintained until an activities organiser takes up post, these to include suitable activities for people with dementia. A maintenance/renewal plan should be written, to include replacement of commodes and bedside cabinets. Dementia care training should be provided for care staff. Residents meetings should be re-introduced. Senior staff 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 Care Home Limited, DS0000042784.V269792.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office 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. 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