Inspection on 02/05/06 for Fieldway Residential Home

This inspection was carried out on 2nd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fieldway Residential Home 04/09/07

Fieldway Residential Home 26/01/07

Fieldway Residential Home 23/11/05

Fieldway Residential Home 04/05/05

Fieldway Residential Home 10/01/05

Fieldway Residential Home 30/07/04

Fieldway Residential Home 04/12/03

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Maple Lodge

Heathlands

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Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Fieldway Residential Home 5 Fieldway Blythe Bridge Stoke On Trent Staffordshire ST11 9HL Lead Inspector Sue Jordan Key Unannounced Inspection 2nd May 2006 08:50 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 Fieldway Residential Home DS0000004943.V289633.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. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Fieldway Residential Home Address 5 Fieldway Blythe Bridge Stoke On Trent Staffordshire ST11 9HL 01782 393355 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) Mr Thomas Hope Mrs Mavis Hope Mrs Hazel June Malbon Care Home 18 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (10) Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 10 PD(E) - 1 may be aged 60 on admission The Registered Manager must Gain the knowledge and receive appropriate training in the local procedures to follow in the event of an allegation of abuse, in particular the role of the Local Authority Adult Protection Team. This should be done by 1 October 2005. Commence the Registered Manager`s Award Date of last inspection 23rd November 2005 Brief Description of the Service: Fieldway Residential Care Home is registered with the Commission for Social Care Inspection to provide care to eighteen older people of whom four may have dementia care needs and up to ten a physical disability. The Home is all on the ground floor with 16 single and one shared bedroom, all but one single room have en-suite facilities. There are two lounges and a smoking room/conservatory, as well as a separate dining room. Outside there is a lawn area for the use of the residents. The Home is situated in a quiet residential street with local services within half a mile, as is access to the bus route, with the railway station being about a mile away, close to the health centre. The pre-inspection questionnaire completed by the manager and sent to the Commission for Social Care Inspection states that the present weekly fee is £340. Fieldway Residential Care Home is owned by Mr Thomas Hope and is managed by Mrs Hazel Malbon. There were fourteen people resident in the Home at the time of this inspection. Fieldway Residential Home DS0000004943.V289633.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 six and a half hours. This was a ‘key inspection’ and therefore all of the core standards were assessed. The methodologies used were scrutiny of the pre-inspection questionnaire completed by the manager and four Commission for Social Care Inspection comment cards. Discussions were held with a number of the residents, the manager, the proprietor, a visiting relative, a chiropodist and some staff. Case tracking of two residents was undertaken, which included discussions and checking of their records. Observations were made of staff and service user interaction and non-personal care tasks. The records for one member of staff were checked. A random selection of the Health and Safety records were seen and the medication systems examined. A tour of the environment was taken. Since the last inspection on 23/11/2005, the Commission for Social Care Inspection has undertaken Additional Visits on 20/02/06 and 14/03/06. An Adults Protection referral was made in February 2006 resulting in three multi-disciplinary meetings. There were initial delays in making the referral and communicating with the family. However the subsequent action taken to safeguard the residents was thorough and well monitored. The manager and proprietor have consulted with the Adult Protection team and followed multidisciplinary advice and guidance. They have also had to make some very difficult decisions. A complaint was made in February 2006, which resulted in a Commission for Social Care Inspection investigation and report. Three of the issues were upheld and two were not substantiated. The manager, staff and proprietor have co-operated fully throughout all regulatory activity. What the service does well: Before it is agreed that a service user can move into the Home, the manager obtains an assessment of need and care plan from the referring authority. The management team also undertake their own assessment in order that the manager can determine whether the Home can meet the service user’s needs. A comprehensive care plan is developed at the Home, which is reviewed monthly. The quality of the care plans was recently praised by hospital staff following an admission. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 6 Visitors are actively encouraged and these include families and religious groups, if required. The Home has received numerous cards of thanks and praise from the family of a sadly, recently deceased resident. Health needs are well monitored and medication procedures safely undertaken. Two GPs report that the management and staff communicate well and follow any medical subsequent guidance. Observation of the staff indicated that they treat the residents with care and respect. Choices are offered within the daily routines, including meals and whether residents wish to participate in the activities provided. The Home cares and caters for three diabetic residents. The environment is well maintained and kept clean and hygienic. There is ample communal space, which allows the residents to choose in which area they spend their time. All of the present residents have their own bedroom, although the Home does have one shared room should this be requested. The bedrooms are individually personalised and all of the single rooms have ensuite facilities. Service user finances are managed safely. What has improved since the last inspection? The manager, Hazel Malbon was registered with the Commission for Social Care Inspection in August 2005. She continues to make improvements to the managerial procedures in the Home. The manager has now added the actual room number to the contract for a service user purchasing his or her own care, as previously required. There had been previous concerns regarding the Home’s communication with families and a recent complaint and Protection of Vulnerable Adults issue highlighted this necessity. The manager is now very conscious of the need to keep families fully informed. A magnetic door catch, linked to the fire alarm system has now been fitted to the dining room door, as previously required. Staff recruitment procedures have consistently improved, although the manager must ensure that she continues to follow robust measures for all new staff. Generally training provision has greatly improved in the last twelve months and this continues. Some additional training needs have been identified, which have been agreed by the manager. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 7 The manager has developed new individual staff supervision recording formats and has started to undertake 1: 1 supervisions. The manager has developed and implemented a new Quality Assurance system. Given time, this should assist the manager in her monitoring of the service provided in the Home. 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. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 8 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 Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 9 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): 2, 3, 6 Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. Assessments are received for prospective residents, in order that the manager can determine whether the Home can meet his or her needs. EVIDENCE: The manager has now added the actual room number to the contract for a service user purchasing his or her own care, as previously required. Two service users’ files were checked and the manager had received an assessment from the referring authority for both. The management team also undertake an ‘in house’ assessment from which a care plan is developed. This is kept under monthly review. The Home does not provide intermediate care. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 10 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): 7, 8, 9, 10, 11 Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. Generally care planning is comprehensive, well maintained and regularly reviewed. This needs to be further expanded to include more specific guidance for staff as to how to manage specialist needs safely. Health needs are well monitored and medication procedures safely undertaken. EVIDENCE: Care planning is thorough and covers holistic needs. Where possible the manager has also recorded the resident and/or their family’s wishes regarding death and dying. The care plans are reviewed monthly and families are encouraged to be involved. The quality of the care plans was recently praised by hospital staff following an admission. Records are kept of all medical professional appointments and these indicate that the staff monitor health needs and request professional assistance appropriately. Two of the general practitioners attending the Home completed Commission for Social Care Inspection comment cards. Both were positive and Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 11 indicated that the Home communicates clearly with professionals, work in partnership with them and enables the relevant resident to be seen in private. Specialist advice is incorporated into the care records. A discussion was held with a visiting chiropodist. Although she had not visited the Home previously, her colleagues had told her that the staff are very helpful. It was questioned why the residents were attended by the chiropodist in the lounge area and suggested that privacy and dignity would be better maintained by treatment being provided in individual bedrooms. The manager stated that this normally occurred and it was agreed as more appropriate. Observation of the staff indicated that they treat the residents with care and respect. The residents are encouraged to maintain their mobility and this is undertaken patiently. Two residents’ care records were checked and the manager was advised to further extend the information. In particular this is to include information as to how to manage diabetes and some behaviours. Discussions with the staff and the manager demonstrate that they are keen to manage behaviours safely for all concerned and they are able to verbalise their knowledge of the problems. The manager was advised to put a behavioural management plan in place, which specifies the known triggers and provides staff with the guidance required. Any incident should be clearly recorded in order that the situation can be monitored and if possible potential triggers and the consequent behaviours avoided. Appropriate professional input has been accessed for the resident and it was suggested that the manager request more specific guidance for the staff regarding the management of behaviours. Fieldway is registered to care for up to four older people with dementia. Most of the staff have received some training in dementia care needs and the manager was advised that this must be extended to include all staff. This training should include the safe management of behavioural difficulties. The medication systems were assessed and are carried out appropriately. Staff are trained by the local Pharmacist, who also visit the Home to check the procedures followed. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 12 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, 14, 15 Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. Visitors are made welcome and the residents offered the opportunity to join in daily activities. The service users are enabled to make choices throughout their daily routines. EVIDENCE: Fieldway continues to provide a daily activity programme. This was confirmed in discussions with staff and residents. One of the residents said that she enjoyed the activities. Some of the residents enjoyed a manicure during the morning. A local catholic priest visits one of the residents and people of the same faith visit a Jehovah’s Witness. The manager is aware of the relevant specific requirements. Families are welcomed into the Home. A visiting relative said that his Mother had settled well and that, “the staff are all great”. There have been previous concerns regarding the Home’s communication with families and a recent complaint and Protection of Vulnerable Adults issue highlighted this necessity. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 13 The manager is now very conscious of the need to keep families fully informed. One of the relatives completed a Commission for Social Care Inspection comments card and stated that he or she is kept informed of important matters and consulted about the care of their relative. One resident goes to The Grocott Daycentre every Wednesday. She had also been shopping with a member of staff the previous weekend. The residents go to bed and rise when they wish and this was confirmed in discussions with staff and service users. Breakfast was served throughout the morning, dependent on whether the residents like a ‘lie-in’. Personal preferences and choices are recorded in the care records. The residents were offered a choice of two main meals at lunchtime and a variety of sandwiches and cakes prepared for tea. A resident with a poor appetite was offered a substitute lunch. One of the residents said that she did not always like the choices offered, but that she had not requested an alternative. The manager was informed and the resident reassured that the Home would rather she state her preference. The residents can choose from two lounge areas and frequent Commission for Social Care Inspection visits to the Home indicate that changes in preference are respected. The residents are encouraged to personalise their bedrooms. One of the residents enjoys a cigarette and is supported by staff. All of the staff have received food and hygiene training. Three of the residents are diabetic and the manager is concerned that some foods contain hidden sugars. One of the staff has researched the internet for nutritional advice. The manager is recommended to access the ‘In Focus’ magazine, “Highlight of the day-Improving meals for older people in care homes”, which is situated on the Commission for Social Care Inspection website. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 14 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): 16, 18 Quality in this outcome area is “adequate”. This judgement has been made using available evidence, including a visit to this service. The manager demonstrates that she has learnt from any previous mistakes and she has implemented robust monitoring procedures. Strategies need to be developed as to how staff must safely manage behavioural difficulties in order that all parties are fully safeguarded. EVIDENCE: A complaint was received by the Commission for Social Care Inspection in February 2006. Three of the issues were upheld and two were not substantiated. The manager fully co-operated with the Commission for Social Care Inspection investigation. The manager records complaints and concerns appropriately. The Home has also received numerous cards of thanks and praise from the family of a sadly, recently deceased resident. A recent, unfortunate Protection of Vulnerable Adults issue has been a huge learning curve for the manager, proprietor and staff. There were initial delays in making the referral and communicating with the family. However the action taken to safeguard the residents was thorough and well monitored. The manager and proprietor have consulted with the Adult Protection team and followed multi-disciplinary advice and guidance. They have also had to make some very difficult decisions. Discussions with a member of staff indicated her awareness of the correct procedures to follow. Most staff have received external Protection of Vulnerable Adults training and courses are booked for Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 15 those who have not. The recent issue meant that the manager and staff regularly met to discuss the procedure and strategies to follow. Following the Protection of Vulnerable Adults strategy meeting, the proprietor was also recommended to attend Protection of Vulnerable Adults training, in order that he is fully conversant with the correct procedures to follow, particularly in the absence of the manager. Protection of Vulnerable Adults First checks are carried out for all staff and the manager is aware that these must be obtained prior to employment. As identified, the staff require further guidance as to how to manage difficult behaviours, which are stipulated in individual management plans. The emphasis should firstly be the prevention of behaviours and secondly diversion and distraction techniques in the event of an incident. Staff should receive training in dementia care needs and the possible related verbal and/or physical aggression. Service users finances are handled appropriately and all transactions witnessed by two members of staff. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 16 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, 24, 26 Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. Fieldway Residential Care Home provides a homely, comfortable environment for its residents. EVIDENCE: A tour of the environment was undertaken. The Home was clean and hygienic. A magnetic door catch, linked to the fire alarm system has now been fitted to the dining room door, as previously required. This allows the residents and staff to move safely and where possible independently in and out of this room. The fire safety testing records are up to date and the manager undertakes an assessment of ‘maintenance and general improvements’ in the Home, as part of her quality audit. The fire safety records indicate that a fire drill is now due. The water is temperature controlled, however the proprietor was informed that regular testing should take place and a thermometer available for staff to test the temperature before bathing residents. This should be included in a bathing procedure, which is available to all staff. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 17 Decoration and renewal are undertaken within a rolling programme and discussions with the proprietor indicated that he was aware of any renovations needed. All of the present residents have their own bedroom, although the Home does have one shared room should this be requested. The bedrooms are individually personalised. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 18 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): 27, 28, 29, 30 Quality in this outcome area is “adequate”. This judgement has been made using available evidence, including a visit to this service. The Home has a fairly consistent staff team and low staff turnover. Recruitment procedures and training provision have improved in the last year. However the manager must ensure that robust recruitment continues and that all staff are trained to care for the needs of those residents for which the Home is registered. This will ensure that all of the residents are properly and safely supported. EVIDENCE: The Home provides staffing levels appropriate to the needs of the current residents and responded appropriately to the need for additional staff due to a recent difficulty. Of the seventeen care staff, only two have NVQ 2 in care, although one member of staff reported that she is to be registered. The staff recruitment procedures have been checked on previous occasions and there have been no new staff since the last visit. The manager has obtained the required Protection of Vulnerable Adults check identified at the last visit but is still awaiting a second written reference. She is also awaiting a Criminal Records Bureau disclosure for an existing staff member, which was applied for some time ago. Although the manager reports that she has previously contacted the umbrella body and the Criminal Records Bureau, it was advised Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 19 that she chase this up. The manager has started to re-organise the staff records and files, as previously recommended. Recruitment procedures for any new staff will be checked at future Commission for Social Care Inspection inspections. A staff member reported having attended numerous training courses. Recent training has included fire safety, Protection of Vulnerable Adults, medication, manual handling and food and hygiene. Planned training includes NVQ 2, Protection of Vulnerable Adults, ‘Safe Handling of Medicines’, first aid and report writing. The manager is trained to train manual handling. Deficiencies in mandatory training have been identified during the manager’s quality audit of the service and training booked. Fieldway is registered to care for up to four older people with dementia. Most of the staff have received training in dementia care needs and the manager was advised that this must be extended to include all staff. This training should include the safe management of behavioural difficulties. As a result of the Protection of Vulnerable Adults issue in February 2006, it was identified that guidance on appropriate report writing is required for staff to ensure that they record factual accounts of what they actually see or hear. The manager reported in the pre-inspection questionnaire completed that this training is being planned. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 20 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): 31, 33, 35, 36, 38 Quality in this outcome area is “good”. This judgement has been made using available evidence, including a visit to this service. During the last twelve months, major improvements have continued to be made to the managerial procedures, including the implementation of new Quality Assurance and staff supervision systems, ensuring that the residents are better safeguarded and staff better supported. EVIDENCE: The manager, Hazel Malbon was registered with the Commission for Social Care Inspection in August 2005. She is presently undertaking the Registered Manager’s Award. Major improvements in managerial and administrative procedures have been made, including assessment and care planning, staff training and recruitment and quality assurance. Discussions with staff indicated that she is approachable. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 21 Regular team meetings are held and the manager has developed a new 1:1 staff supervision format. She was recommended that each supervision record should be dated and signed by both and the staff member offered a copy. Staff supervision records should be individually filed. The manager has developed and implemented a new Quality Assurance system. Staff training, personal care and support, food and diet, maintenance and general improvements in the Home, new admissions, targets, auditing and meetings are monitored and a short report complied for each section, which identifies positive outcomes, any deficiencies and targets are set. The manager carried out her first audit on 10/04/06. A suggestion box is available in the hallway and questionnaires sent to residents and/or their families annually. The manager is aware that she must notify the Commission for Social Care Inspection, in writing, of all the elements listed in Regulation 37 of The Care Homes Regulations 2002. The Home assists two of the residents with their finances; others are supported by their families. Smaller amounts are kept safely in the Home and appropriate records maintained. All transactions are witnessed by two staff. Inventories are made of the residents’ personal belongings. A random selection of Health and Safety records were checked. This together with the information recorded in the pre-inspection questionnaire by the manager, indicate that Health and Safety measures are taken and general maintenance and servicing upheld. A magnetic door catch, linked to the fire alarm system has now been fitted to the dining room door, as previously required. Fire testing records are up to date and the manager undertakes an assessment of ‘maintenance and general improvements’ in the Home, as part of her quality audit. The water is temperature controlled, however the proprietor was informed that regular testing should take place and a thermometer available for staff to test the temperature before bathing residents. Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 22 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15 (1), 14 (2), 13 (6) Requirement Care planning needs to be further expanded to include more specific guidance for staff as to how to manage specialist needs safely. Strategies need to be developed as to how staff must safely manage behavioural difficulties in order that all parties are fully safeguarded. Timescale for action 01/06/06 2 OP18 13 (6) 01/06/06 3 OP29 18 (1ci) All staff must be trained to care 01/08/06 for the needs of those residents for which the Home is registered. The manager and proprietor must ensure that bathing procedures fully safeguard the residents. 01/06/06 4 OP38 12 (1a) Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 24 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 OP10 OP15 Good Practice Recommendations It is recommended that the residents are attended by the chiropodist in private. The manager and proprietor are recommended to access the ‘In Focus’ magazine, “Highlight of the day-Improving meals for older people in care homes”, which is situated on the Commission for Social Care Inspection website. The proprietor is recommended to attend Protection of Vulnerable Adults training, in order that he is fully conversant with the correct procedures to follow, particularly in the absence of the manager. It is recommended that care staff undertake the NVQ 2 in care Award. The manager is recommended to contact the Criminal Records Bureau with regard to the awaited disclosure. Staff supervision records should be individually filed. The manager is recommended that each supervision record should be dated and signed by the manager and staff and the staff member offered a copy. The manager is advised to develop a bathing procedure, which includes staff taking the temperature of the water before bathing a resident. The temperature of the water should be tested regularly at the outlets and the results recorded. 3 OP18 4 5 6 7 OP28 OP29 OP36 OP36 8 OP38 9 OP38 Fieldway Residential Home DS0000004943.V289633.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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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