Inspection on 31/01/06 for Fieldview

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fieldview 22/07/07

Fieldview 07/08/06

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Fieldview Pearcroft Road Stonehouse Gloucestershire GL10 2JY Lead Inspector Ms Lynne Bennett Announced Inspection 31st January 2006 09:30 Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 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 Fieldview DS0000065133.V276734.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 Adults 18-65. 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. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fieldview Address Pearcroft Road Stonehouse Gloucestershire GL10 2JY 01453 762955 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) Stroud Care Homes Limited Mr Eric Thomas Charles Hill Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (7), of places Physical disability (1) Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Learning Disability (LD)7 Physical Disability (PD) 1 Mental Disorder, excluding learning disability or dementia (MD) 7 Date of last inspection N/A Brief Description of the Service: Fieldview is a purpose built home for 7 adults with a learning disability and/or associated mental illness. The home can also accommodate one person with a learning and physical disability. It is one of three homes owned and managed by Stroud Care Homes. Near to the village of Stonehouse it is close to local amenities and transport systems. There is comfortable communal accommodation and large gardens around the home. All bedrooms have en suites and there is an additional bath/shower room. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This first inspection visit of Fieldview took place on a day in January 2006 taking just over 7 hours to complete. The Registered Manager was in attendance throughout and the Responsible Individual was present for the morning. The Proprietor was also present for an hour. At the time of the inspection there was one person living at the home who chatted with the inspector about the admission process and the home during the course of the day and over lunch. Three members of staff were spoken to during the inspection and comment cards were received from a parent and two health and social care professionals involved in the care of the person living at the home. A range of records were examined including a service user plan, staff files and health and safety records. The inspector would like to thank the person living at the home, staff and management for their hospitality during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The person living at the home would like a regular programme of activities to be put in place. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 6 The registered manager must ensure that recruitment and selection policies and procedures are followed. Staff working at the home must have current Criminal Record Bureau checks in place to ensure that people living at the home are safeguarded from possible abuse. Improvements to health and safety systems at the home such as recording all accidents and incidents in the accident record book and reviewing the fire risk assessment to include reference to the security lock on the front door, will ensure that people living at the home have access to a safe environment. 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. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. The Statement of Purpose and Service User Guide give people wishing to live at the home information about the services provided enabling them to make an informed decision about living at the home. The needs of prospective service users are assessed to ensure that the home is able to meet their needs. This is achieved by obtaining comprehensive preadmission information, the home’s assessment process and visits to the home. EVIDENCE: The home has a Statement of Purpose and a Service User Guide that are made available to prospective people moving into the home and to placing authorities. These documents give them a sound overview of the services that will be provided. There was comprehensive assessment and pre admission information about the person living at the home, who has a learning and physical disability. Former placing authorities had supplied this as well as other professionals involved in their care. Their parent commented that ‘the move from hospital to Fieldview had been very well supported by the management of Stroud Care Homes’. Admission information verified that two visits had been made to the home including an overnight stay. Management said that this was vital as part of their own assessment process. The person living at the home indicated that they were happy with the move to Fieldview and the support from staff and management. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 9 A statement of terms and conditions had been provided for the person living at the home indicating which room they are to occupy, rights and responsibilities including ‘house rules’ and a summary of their service user plan. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Care planning in the home is generally good promoting the development of skills and independence. Risk assessments encourage and support the person living at the home to challenge and deal with problem areas in their lives. The person living at the home is being enabled to make choices and decisions about their lifestyle, increasing the opportunities available both within the home and the local community. EVIDENCE: The person living at the home said that they are involved in care planning with their key worker and a PCP review is planned for March. They said they are inviting their mother and social worker to this meeting. Comprehensive care plans are in place that have been identified from the person’s assessment of needs provided from the placing authority. Staff said that these are now being reviewed to reflect changes that have taken place during the initial period in the home. Care plans are monitored regularly and the key worker produces a monthly summary as part of this process. Minutes from the three-month review of the probationary period confirmed the progress being made by the person with the support of staff at the home. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 11 Throughout the inspection staff were observed supporting the person living at the home to make decisions about activities of daily living – including whether to go to the bank, help prepare lunch and participate in housekeeping tasks. Comments from a parent indicated that they would like more involvement in ‘planning, shopping and preparation of meals’. The person living at the home confirmed that they are working alongside an occupational therapist learning to cook and to become familiar with the kitchen. The person said that they help with the weekly shop on Fridays. During the inspection the person living at the home was supported to go to the local bank to withdraw some money. Management confirmed that cash cards and any cash are kept securely in the home. Robust systems are in place ensuring the cross referencing of receipts and regular checks on the balance in the cashbook. The person living at the home indicated they are happy with this arrangement at present. A range of risk assessments are in place that correspond to hazards identified in the care plans. Again these are being regularly reviewed and amended where necessary. The person living at the home has signed both care plans and risk assessments. A missing person’s procedure is in place and a missing person’s record including a description and photograph is available. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17. A range of educational, social and recreational activities are being researched. By putting in place a regular programme of activities the person living at the home will be able to access a fully inclusive lifestyle. Contact with family and friends is encouraged and supported enabling the person living at the home to sustain relationships important to them. Staff support the person living at the home to take responsibility for activities of daily living respecting lifestyle choices being made. A healthy and nutritional diet is provided for the person living at the home promoting their health and wellbeing. EVIDENCE: The person living at the home said they are attending college one night a week for a pottery course which they are enjoying. They would like to attend further courses but these are currently closed to new students. This was also confirmed by their mother who said that they would ‘like to be more occupied during the day but this is mainly due to no available vacancies at the local colleges’. Staff hope that further courses may be accessed at the start of the Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 13 new college year. Comments from the Community Learning Disability Team also highlighted the lack of a consistent and regular programme of activities. Care plans indicate that the person living at the home is a practising Christian and they confirmed that when they wish to go to the local church staff support them to attend. They have been twice so far. Staff are also helping them to become familiar with the local village and nearby town. The person was observed walking into the village as part of their daily exercise programme. They also confirmed that they like to go to the local pub and use the local library. Daily notes keep a record of activities undertaken verifying comments from staff and the person living at the home that there are day trips to places of interest as well as shopping, ten pin bowling, swimming and visits to other homes. The person living at the home said that they wished more people would move in. Staff are very aware of the possible isolation and have introduced the person to people living in other homes nearby and joined in some of their scheduled activities. Discussions are also taking place about where to go for this year’s holiday. The home has a family car that the person living at the home was observed using. The person living at the home confirmed that there is regular contact with family and friends, either by mobile phone, visits to Fieldview or they are supported by staff to visit them in Bristol. Contact sheets keep a record of visits. Comments from their mother indicate that staff ‘warmly welcome family and friends to Fieldview’. The service user plan clearly indicates the person’s preferred form of address and staff were observed adhering to this. During the inspection the person living at the home was observed choosing when to spend time in the company of staff and when to spend time in their room. They said they take responsibility for cleaning their room and were observed helping prepare lunch and clear away afterwards. The home has a set of ‘house rules’ identified in the Service User Guide drawn up to identify roles and responsibilities of people living together in a group. The manager indicated that these will be reviewed when more people move into the home. The person living at the home said they are involved in the choice of meals on the weekly menu with the support of staff. A dietician is involved with the person and staff support them to have a healthy and nutritional diet. Occasional treats include a takeaway meal. A ploughman’s lunch was provided on the day of the inspection and tea was to be a vegetarian lasagne. The person’s weight is being monitored and records of meals eaten recorded. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. The healthcare needs of the person living at the home are well met with evidence of multi disciplinary support on a regular basis. The way in which the person living at the home would like to be supported is clearly recorded and managed ensuring that staff have access to information to meet their personal care needs. Systems for the administration and control of medication are adequate although there is room for improvement to ensure that people living at the home are not put at risk. EVIDENCE: The way in which the person living at the home wishes to be supported is outlined in the service user plan. Discussions with staff confirmed their understanding and awareness of the support needed. There was considerable consultation between the placing authority, the home and the local Community Learning Disability Team before the person moved into the home to ensure a seamless transition from hospital to the home and to make sure that the appropriate specialist aids and adaptations were in place before they moved in. The needs of the person have changed considerably since then and there was evidence of continued and regular consultation with healthcare specialists in Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 15 Bath and local physiotherapists and occupational therapists. Comments received from the local Community Learning Disability Team indicate that at times there have been communication problems between the home and themselves but that on the whole staff are ‘developing an understanding of the client’s physical needs’ and that it is important that staff understand the importance of working consistently with their colleagues from the team to ensure that any interventions they recommend are followed through. The management of the home spoke enthusiastically about the support they have received from the Community Learning Disability Team and the positive outcomes for the person living at the home. The person living at the home has been registered with a local Doctor, Dentist and Optician. Records of appointments are kept in their service user plan. A Chiropodist visits the home regularly. A District Nurse is also involved with the person living at the home and has trained staff in clinical tasks. A protocol must be put in place for staff to administer suppositories with the agreement of the service user. Although staff did confirm that this is now rarely being performed a protocol must be in place. They verified that the District Nurse undertakes catheter care. The home has a monitored dosage system in place for the administration of medication. Some staff have attended training in this system and others have completed training in the Aset course in the administration of medication. Stroud Care Homes conducts its own medication assessment that is complementary to this training. The manager was reminded to ensure that two members of staff countersign any handwritten entries on the medication assessment record. He was also advised that he must put a stock control system in place for PRN medication. The manager is also reminded to ensure that there is evidence that people living at the home have consented to have medication administered by care staff. The manager said that in the long term he was hopeful that the person living at the home would be able to self administer medication. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The home has a satisfactory complaints system in place with some evidence that the person living at the home feels they are listened to. There are vulnerable adults procedures in place, proposed training for staff will ensure the protection of people living at the home. EVIDENCE: The home has a complaints policy and procedure that is accessible to the person living at the home. They indicated that they would talk to their key worker or the manager if they had any concerns. The registered manager should put a complaints log in place to record any complaints. The manager is hoping to attend training for managers in the protection of vulnerable adults. He is preparing basic training for the staff team to pass on information about types of abuse and the local adult protection procedures. Discussions with staff showed that they have a basic understanding of their responsibilities in the reporting of possible abuse and whom they should report to. All staff working at the home receive training in Positive Response. A course for new members of staff will be run in February and refreshers are held annually. A reactive strategy is in place for the person living at the home. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,29 and 30. Fieldview provides homely accommodation of a high standard. Ongoing maintenance is required to ensure that a safe environment is being provided to the person living there. Specialist adaptations have been put in place to ensure that the ground floor meets the needs of a person with a physical disability. EVIDENCE: Fieldview is a detached purpose built home set in its own grounds with car parking to the front and gardens to the side and rear. A comfortable homely environment has been created providing the people who will be living there with access to two lounges and a dining room, kitchen, separate laundry, bathroom with shower and a bedroom with en suite facilities including a shower. Fixtures and fittings are of a good quality. The home benefits from under floor central heating. Stroud Care Homes employ a maintenance person to deal with day-to-day maintenance. It has been noted on several occasions that the lounge door does not close when the fire alarm is activated. Advice from the fire service is to shave underneath the door to ensure that it closes automatically– this must now be actioned. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 18 Adaptations were put in place for a person with a physical disability prior to moving into the home. These included handrails in the shower, a specialist shower seat and a chair to use in the kitchen. The French windows in their room lead to the garden. An additional step or ramp is planned for the outside of this door providing easy and safe access to the garden. This must now be put in place. At the time of the inspection the home was clean and tidy. Colour coded mops and buckets are provided, as well as personal protective equipment for staff. The infection control policy and procedure in the health and safety file needs revisiting to indicate what measures the home takes to reduce the risk of infection. Paper hand towels must be provided in the kitchen and should be provided where there are communal hand washing facilities. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 and 35. The staff team have a range of skills, experiences and qualifications relevant to supporting the needs of people identified as living at the home. Staffing levels at the home must be sustained ensuring the needs of the person living at the home are met. There are concerns that the standard of vetting and recruitment procedures do not protect people living at the home from the risk of harm or abuse. Staff have access to a range of training providing them with the knowledge and skills to meet the needs of the identified client group. EVIDENCE: Stroud Care Homes has a comprehensive training programme in place that it is continuing to develop with local providers to ensure that new staff and existing staff have access to mandatory and specialist training as well as a NVQ programme. All staff working at the home are either completing or registered for a NVQ Level 3 Award in Care. Induction/Foundation training is provided by Learn Direct to complement the home’s induction programme. Two managers are trained to deliver Positive Response Training that is offered to all new staff with annual refreshers. Mental Health training and Autism training are offered internally. Staff commented that they would benefit from additional training in Autistic Spectrum Disorder. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 20 Observation of staff during the inspection interacting with the person living at the home and during handover confirmed they are accessible and approachable. They are knowledgeable about the needs of the person living at the home and how they should support them. They are willing to work alongside other professionals involved in the care of the person living at the home to ensure a consistent approach. Daily notes identified that on several occasions over the past few months staff on duty had been asked to cover shifts at a neighbouring home and on at least one of these occasions the person living at the home had accompanied the staff member to the home. The manager must ensure that the person living at the home has sufficient levels of staffing to enable them to receive a service from Fieldview at all times. Staff confirmed that when there were two of them on shift one was occasionally asked to cover shifts at another home. This will be monitored at future inspections. Files were examined for all staff working at the home including two relief team members. The following information must be obtained for two members of staff:• A photograph • Proof of identification in two formats • A current Criminal Records Bureau and pova first check. The manager is reminded that CRB checks are not portable between employments and must be obtained prior to employment. If a member of staff is appointed upon receipt of a Pova first check they must have a risk assessment in place and be supervised until the CRB check is returned. All other information as required under Regulation 19 and Schedule 2 is in place on the staff files. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People living at the home will benefit from having an experienced manager who is open and approachable. A quality assurance system is in place which will involve people living at the home enabling them to shape the way the service develops. Systems are in place enabling the home to provide an environment that promotes the welfare and safety of people who will be living there. EVIDENCE: The registered manager has considerable experience with children with a learning disability and managing staff. He is presently completing a NVQ Level 4 Award in Care that will be followed by the Registered Managers Award. Staff and the person living at the home said he was open and approachable. He has regular supervision with the Responsible Individual and monthly team meetings with other managers employed by Stroud Care Homes. The Commission for Social Care Inspection is forwarded copies of the Regulation 26 visits by the Responsible Individual each month. The manager Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 22 also collates monthly maintenance audits and surveys from visiting professionals. The person living at the home had completed a survey confirming how happy they are living at Fieldview. The person said that they now feel confident talking to the manager about their feelings about the home. Health and safety systems are in place in the home to ensure regular checks are taking place of fire systems and of the environment. Hazardous products are covered by COSHH data sheets, fridges and freezers are monitored daily and the temperature of hot food is recorded and items in the fridge are marked with the date of opening. Health and safety checks were completed before the home opened in September 2005 and will be regularly reviewed. Staff complete training in health and safety and have regular fire training. A fall was recorded in the daily notes for a person living at the home but no corresponding accident/incident record was completed. The manager must ensure that these are completed after incidents. At the time of the inspection the accident records were attached to the accident book in the kitchen. These records must be stored securely. The front door has a security lock in place. This needs to be risk assessed as part of the home’s fire risk assessment. Care plans for people who will be living at the home must also make reference to why this restriction is in place. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 2 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X X 2 X 3 2 2 X Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 24 No 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 YA12 Regulation Requirement Timescale for action 31/03/06 2 YA19 3 YA20 4 5 6 7 YA20 YA20 YA24 YA29 8 9 Fieldview YA30 YA33 12(1)(b) The Registered Manager must 16(2)(m)(n) put in place a programme of activities – social, recreational and educational for service users. 12(1)(a)(b) The Registered Manager must put in place protocols for clinical tasks undertaken by staff as agreed by the service user. 13(2) The Registered Manager must ensure that two members of staff countersign handwritten entries on medication administration records. 13(2) Service users consent to have medication administered must be recorded. 13(2) The Registered Manager must put a stock control record in place for PRN medication. 23(4)(a) The lounge door must be fit for the purpose as a fire door. 13(4)(a) The Registered Manager must 23(2)(a) ensure that there is a ramp or step outside the French windows. 16(2)(j) Paper towels must be provided in the kitchen. 18(1)(a) The registered manager must DS0000065133.V276734.R01.S.doc 31/03/06 31/01/06 31/03/06 31/03/06 31/03/06 31/03/06 31/03/06 01/02/06 Page 25 Version 5.1 10 11 YA34 YA42 19(4)(b) 17(1)(a) Sch 3.3(j) 17(1)(b) 23(4a 17(1a) Sch3.3q 12 13 YA42 YA42 ensure that sufficient staff are working at the home. The Registered Manager must obtain current CRB checks for new staff prior to employment. Any accidents and injuries sustained by service users must be recorded in the accident book. Accident forms must be stored securely. Fire risk assessments must include reference to the front door security lock. Care Plans must also record this restriction. 01/02/06 01/02/06 01/02/06 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 Refer to Standard YA22 YA30 Good Practice Recommendations A complaints log should be set up. Paper towels should be provided where there are communal hand washing facilities. Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 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 Fieldview DS0000065133.V276734.R01.S.doc Version 5.1 Page 27 - 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!