Inspection on 07/08/06 for Fieldview

This inspection was carried out on 7th August 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fieldview 22/07/07

Fieldview 31/01/06

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 Key Unannounced Inspection 7th August 2006 10:30 Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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.V296777.R01.S.doc Version 5.2 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.V296777.R01.S.doc Version 5.2 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) stroudcarehomes@hotmail.com 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.V296777.R01.S.doc Version 5.2 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 31st January 2006 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. The home has under floor central heating. Fee levels range from £1,000 to £2,700. Each person is given a copy of the Statement of Purpose and Service User Guide as they move into the home. Further copies are available in the office and the last inspection report is displayed in the hall. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. This inspection took place in August 2006 and included a site visit to the home on August 7th. The responsible individual and proprietors were present for part of the visit. Five people living at the home were spoken to and their care was observed during the day. Discussions were held with three members of staff and a handover was observed. Comment cards were left for visitors and relatives. A pre-inspection questionnaire was provided prior to the inspection. A range of records were examined including service users’ plans, staff files, health and safety records and quality assurance systems. At the time of the inspection four people were living at the home on a temporary basis due to refurbishment taking place at another home in the group. The registered manager and staff from that home are supporting them. What the service does well: What has improved since the last inspection? A range of activities are now being provided including accessing local community facilities, going to college and day centre and using cafes, pubs and the cinema. One person said that they enjoy going swimming and for walks each day. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 6 A comprehensive and robust recruitment and selection process is in place to safeguard people living at the home from possible abuse. Accident and injury records are completed when needed and are stored securely. 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. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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.V296777.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment of prospective service users provides the home with the information they require to assess whether the service can meet their needs. EVIDENCE: Although there are six people living at the home, four people are there on a temporary basis. One person moved to the home in June from another home in the group. They visited the home on several occasions and met with the other person living there. The same process was offered to people moving into the home temporarily. One person said that although the move was chaotic they had settled in really well. A previous admission to the home had included visits to complete an assessment and obtaining a range of information from the placing authority and other healthcare professionals involved in their care. A placing authority had completed an assessment for another person who has recently moved into the home to clarify levels of staff required. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 9 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning in the home is generally good promoting the development of skills and independence. Risk assessments encourage and support people living at the home to challenge and deal with problem areas in their lives. People living at the home are given help and support to make decisions about their daily lives. EVIDENCE: The two people living permanently at the home were case tracked and files for the others were sampled. A comprehensive range of care plans are in place which have been developed from placing authority assessments and care plans. These are regularly monitored and reviewed sometimes as frequently as each day. Key workers prepare monthly summaries reflecting needs and aspirations. Each person has a front page that identifies key events in their calendar year such as annual reviews. Prompts remind key workers to prepare for the review with people living at the home and summaries of these meetings are kept on file. People Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 10 living at the home said that they have positive relationships with their key workers. They indicated that their needs and wishes were being respected and supported by staff. The needs of one person have changed considerably since moving to the home. Family and other professionals have commented on the progress being made and the person is looking forward to moving to a more independent lifestyle. Monitoring forms for their care plans indicate these positive changes, for instance this person has gained in confidence walking so that they no longer use a wheelchair. However the care plans have not been amended to reflect this. Care plans must be reviewed to reflect any changes in need. The care plans for people living at the home temporarily are being monitored and reviewed. Staff meeting minutes confirmed that initial problems with access to the database had been resolved. A member of staff was working on a July monthly report at the time of the visit. People living at the home indicated that they are supported to make decisions about their daily lives. Regular house meetings take place. Minutes confirmed that discussions focus on activities, the household and meals. Help is provided with finance if needed and comprehensive records are kept with regular audits of the balances. Staff were observed completing a daily balance check of personal finances. One person living at the home said that they use the local bank. Two people living at the home have advocates from independent advocacy groups. Visitors’ records confirm they meet regularly. People are able to meet in private or in the person’s room. There are some restrictions in place, these are mainly about access for example the kitchen is locked overnight and the front door is locked with a key – for emergencies a key is available in a specially designed fireproof container nearby. Care plans indicate that restrictions are in place for the wellbeing of people living at the home and to protect them. People living at the home confirmed that they have access to drink making facilities in their rooms, if they are considered not to be at risk from scalding. Other people choose to keep snacks and cold drinks in their rooms. Risk assessments are in place for a range of hazards both inside and outside the home. These are regularly monitored and reviewed. An assessment for one person indicated that a risk assessment should be completed with the local Community Learning Disability Team. The responsible individual confirmed that the placing authority have taken responsibility for doing this risk assessment and that it had been completed. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been a significant improvement in the range of leisure and social activities being offered to people living at the home. People living at the home are enabled to live a fully inclusive lifestyle accessing a range of local community facilities and activities. Contact with family and friends is encouraged and supported. People living at the home are encouraged to maintain a healthy diet by presenting them with a range of nutritional meals. EVIDENCE: Two people living at the home talked about their scheduled activities as listed on their daily planners. They attend the local college for courses in dancing, cookery and pottery. A local day centre is also used. In addition one walks regularly into the nearby town using the bank, café, pub and shops. Support is also provided to access regular hydrotherapy and swimming sessions. This Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 12 is a substantial improvement since the last inspection and a person living at the home said they are enjoying the range of activities offered. On the day of the visit people went shopping, did physiotherapy exercises, went for a walk into town and were planning to go swimming. One person is receiving support from an occupational therapist to develop skills in activities of daily living with a view to a more independent lifestyle. Staff reinforce this by providing opportunities to help prepare meals and take responsibility for chores in the house. People living at the home share key household tasks such as cooking, cleaning and shopping. Some people need staff support and this is provided. There are ‘house rules’ in place that people have agreed to which include their responsibilities to each other to complete household tasks. People living at the home said they have regular contact with friends and family. One person had just been home for the weekend and another was arranging to meet up with a member of their family. Staff support and transport is provided where necessary. Contact with family and friends are recorded in their files. A weekly menu is prepared at the house meeting. Staff stated that each person has a choice of lunchtime and evening meal that they then help to prepare. A varied selection of freshly prepared meals and frozen meals are available. The menus provide a record of what meals people are provided with. Occasionally alternatives are provided for instance on the day of the visit, ham and cheese salad was provided but one person chose to have tuna sandwiches. Any alternatives must be recorded so that a record is available to determine whether the diet is satisfactory. People living at the home also have weekly meals out at a place of their choice. Meals out are paid for by petty cash. A dietician is involved where necessary to support people living at the home and staff to monitor food and drink and provide a healthy diet. Monitoring records are maintained confirming that staff are vigilant about encouraging the person to maintain a healthy lifestyle. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The healthcare needs of people living at the home are well met with evidence of multi disciplinary support on a regular basis. People living at the home have access to a range of healthcare professionals making it possible to meet their physical and emotional health needs. The way in which the people living at the home would like to be supported is clearly recorded and managed ensuring that staff have access to the information they need to meet their personal care needs. Systems for the administration and control of medication need to be improved to ensure that people living at the home are not put at risk. EVIDENCE: Care plans detail the support each person needs and the way in which they would like this support provided. People living at the home say that they go to their rooms around 10.00 pm but that they get up when they wish to. Staff respect the wishes of people who choose to stay awake during the night so long as they do not disturb others living at the home. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 14 A full occupational therapy and physiotherapy assessment was completed for a person with a physical disability and the necessary equipment and aids have been provided. This support is ongoing providing a regular re-assessment of their needs. As mentioned care plans must be amended to reflect this. Comprehensive records are maintained for each person with regard to appointments with a range of healthcare professionals. Each person is registered with a local doctor and dentist and has access to members of the local Community Learning Disability Team. Appointments are also maintained with a chiropodist and optician. Records confirm appointments and the outcome of appointments. This is good practice. It is recommended that the home consider obtaining Health Action Plans for people living at the home to complement their current records. Staff are expected to perform some clinical tasks for which training was provided by a District Nurse. There has been a change in staff at the home and they must receive training appropriate to the needs of the person they support. The responsible individual stated that there had been a reduction in clinical tasks performed by staff and this was evidenced in their daily notes and care plan monitoring. However should staff need to perform any clinical tasks then training must be provided. Consent forms are in place and care plans give staff information about needs to be provided. Medication administration systems were examined and found to be mostly satisfactory. Handwritten entries on the administration record are not being signed as required or countersigned as recommended. This must be done. A bottle of medicine dispensed in September 2005 that had been opened and used was not labelled with the date of opening. The responsible individual was advised to re-order this and dispose of the bottle in use. A note in the medication cupboard asks staff to label liquids and ointments with the date of opening. This must be implemented. A team leader was observed administering medication and this process was completed satisfactorily. Staff confirmed that they complete medication training prior to administering medication. Staff also regularly complete medication assessments. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are handled objectively and the concerns of people living at the home are acted on and recorded. There are vulnerable adults procedures in place and staff training is given in their use, providing staff with the knowledge and awareness to recognise and report incidences of abuse. EVIDENCE: The home has received one complaint and there was evidence that this was processed in line with Stroud Care Homes policy and procedure. Copies of the complaint and outcome letters to the complainant are kept on file. Part of the complaint was upheld and there was additional evidence of the action taken as a result. People living at the home said they have no complaints but that they would talk to their key worker or the manager if they have concerns. The Commission has not received any complaints. Staff have recently attended training in the protection of vulnerable adults. Copies of ‘No Secrets’ and the Gloucestershire ‘Adults at Risk’ procedures are available. Stroud Care Homes has two registered managers who are also are accredited with British Insititute for Learning Disabilities to provide Positive Response Training. (PRT) All staff complete PRT which teaches diversion, diffusion and distraction techniques as well as physical intervention. Physical intervention has not been used at the home. Any incidents are recorded and reported to the Commission. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 16 Reactive strategies are in place that provides staff with guidance about known triggers and preventative action. These now need reviewing. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is pleasantly decorated and comfortably furnished. There is an ongoing maintenance and refurbishment programme in place making sure that the home continues to meet the needs of the people living there. An improvement in infection control measures will make sure that a clean and hygienic environment is maintained. EVIDENCE: The home was opened almost a year ago and for most of this time has had one occupant. Changes have been made as more people have moved into the home including providing a small table and chairs in the quiet lounge in addition to the dining area in the conservatory. People living at the home have indicated that they would like more pictures on the walls to create a more homely environment. There is a regular maintenance programme in place for the home and areas are scheduled for redecorating. Overall the home provides a pleasant environment for people who have individual rooms with en suite facilities and Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 18 shared use of two lounges and a dining area. Specialist adaptations have been put in place for the person with a physical disability. The downstairs communal toilet does not have hand paper towels. This is outstanding from a previous inspection and causes a risk to health and safety. The laundry is compact and has storage for hazardous products. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New staff must have access to training providing them with the knowledge and skills to support people living at the home. The standard of vetting and recruitment practices has improved safeguarding people living at the home. An experienced and skilled team have access to regular training enabling them to meet the needs of people living at the home. EVIDENCE: The team from Highfield House have joined the staff team at Fieldview whilst people are temporarily living there. Five people have NVQ Awards in Care and new staff confirmed that they are registered for the awards on completion of their induction. One new member of staff has no previous experience working with people with a learning disability and was not sure whether any training had been planned specifically in relation to their disabilities or specific conditions such as autism or mental health. It is important that this is provided. A file has been put together with information about specific conditions of people living at the home which staff can access. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 20 Two new members of staff have been appointed since the last inspection. Examination of their personal files confirmed that recruitment and selection records are satisfactory. There was evidence that any gaps in employment history are being clarified. Two written references and a CRB check were in place prior to appointment. There was a reminder on one file to obtain the driving licence and photograph, this was in place on the other file. Occupational health questionnaires are also completed. Stroud Care Homes had provided a training matrix to the commission confirming staff are receiving training in PRT, protection of vulnerable adults, mandatory courses and medication training. Copies of certificates are kept on file as well as individual training records. Training in mental health is also provided. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home are benefiting from the appointment of a temporary registered manager who provides consistency and an open approach to the running of the home. Quality assurance systems involve people living at Fieldview. Further improvements need to be made to this system so that people living at the home have information about planned improvements to the service they receive. Improvements in the monitoring of servicing of equipment needs to be made to make sure that a safe environment is maintained. EVIDENCE: The registered manager has recently left the home. As a temporary measure the registered manager of Highfield House is managing Fieldview until the Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 22 refurbishments are completed there. The manager is working towards a NVQ Level 4 Award in Care and Registered Managers Award. A current certificate of insurance was in place. The Commission is issuing a new certificate of registration. Quality audits are in place monitoring the environment and obtaining feedback from visitors to the home and people living there. People living at the home confirmed that they completed surveys in August and comments indicated that they are ‘happy’ living at Fieldview. This system needs to be developed in line with requirements in Regulation 24 (2) with the production of a report which includes the home’s quality improvement plan. Systems for the monitoring of health and safety within the home were examined. The pre-inspection questionnaire also provided information about the latest servicing and checks. This information was verified during the visit. It was noted that fire equipment was last serviced in July 2005 and this equipment was overdue for its annual service. The responsible individual was making arrangements for this to be completed. Staff maintain records for the monitoring of fridges and freezers, water temperatures and the testing of fire equipment and drills. Safe procedures were also noted in the kitchen for instance food in the fridge was labelled with the date of opening and recording the temperatures of cooked food. This is good practice. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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 X 2 3 3 X 4 X 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 2 X 2 X X 2 X Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 Page 24 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 YA6 Regulation 15(2)(c) Requirement Timescale for action 07/11/06 2. YA17 17(2) Sch 4.13 3. YA19 12(1)(a)(b) 18(1)(c) The registered person must ensure that care plans when reviewed are amended if there are changes in need. The registered person 07/11/06 must ensure that a record of food is provided for each service user in sufficient detail to provide information to determine whether a satisfactory diet is being provided. The registered person 07/11/06 must put in place protocols for clinical tasks undertaken by staff who have been trained to perform these tasks. The registered person must ensure that two members of staff countersign handwritten entries on medication administration records. (Previous timescale of 31/01/06 not met) The registered person 07/11/06 4. YA20 13(2) 5. Fieldview YA20 13(2) 07/11/06 Page 25 DS0000065133.V296777.R01.S.doc Version 5.2 must ensure that effective arrangements are made for the safekeeping and disposal of medications in the home. 6. YA35 18(1)(c) The registered person 07/11/06 must ensure that staff have access to the training they need to perform their tasks. The registered person 31/12/06 must ensure that a quality assurance report is produced and made available to the Commission. Fire risk assessments 07/11/06 must include reference to the front door security lock. Care Plans must also record this restriction. (Previous timescale of 31/03/06 not met). The registered person must ensure that fire equipment is serviced annually. 07/09/06 7. YA39 24(2) 8. YA42 23(4) 17(1a) Sch 3.3q 9. YA42 23(4)(c)(iv) 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 YA19 YA30 Good Practice Recommendations Health action plans should be put in place. Paper towels should be provided in the downstairs toilet. Fieldview DS0000065133.V296777.R01.S.doc Version 5.2 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.V296777.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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