Inspection on 04/09/07 for Fieldway Residential Home

This inspection was carried out on 4th September 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Fieldway Residential Home 26/01/07

Fieldway Residential Home 02/05/06

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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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 4th September 2007 09:30 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.V344975.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 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.V344975.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fieldway Residential Home Address 5 Fieldway Blythe Bridge Stoke On Trent Staffordshire ST11 9HL 01782 395332 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.V344975.R01.S.doc Version 5.2 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 26th January 2007 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 sixteen single and one shared bedroom, all but one single room have en-suite facilities. There are two lounges and a 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 present weekly fees are £345 to £357. This includes care and support, laundry services, activities, newspapers, meals and accommodation. The residents pay for their own personal toiletries, clothing and hairdressing. If they wish to access private medical services they need to pay for these themselves. Fieldway Residential Care Home is owned by Mr and Mrs Thomas Hope and is managed by Mrs Hazel Malbon. There were seventeen people resident in the Home at the time of this inspection. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a total of five hours. This was a ‘key inspection’ and the core standards were assessed. The methodologies used were: A day of pre-inspection preparation, including scrutiny of the Commission for Social Care Inspection Annual Quality Assurance Assessment completed and returned by the manager, and of the three questionnaires completed by staff. During the visit, a number of residents were chatted to and observations were made of non-personal care tasks. Informal discussions were held with three of the staff on duty. A new resident and visiting relative were interviewed. Discussion and feedback was held with the manager. The medication systems were examined and a tour of the environment undertaken. Residents’ care records were checked and the recruitment records of a new staff member employed since the last inspection. Health and Safety and maintenance records were checked. One of the three requirements remaining from the Key Inspection in January 2007 has been met. One further requirement and four recommendations have been made as a result of this visit. What the service does well: The manager does not admit anyone into the Home unless his or her needs have been assessed. In the case of Local Authority referrals people are assessed by social workers and copies received before agreeing admission. A member of the management team also undertakes an assessment of any potential resident. Each resident has an individual care plan, which clearly states the support required to meet their needs and any associated risks. These are reviewed monthly and updated as necessary. The residents have access to a range of medical professionals to maintain their health and wellbeing. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 6 Families and visitors are made welcome and there are private areas for the residents to meet with them, if required. All of the people involved in this inspection were positive about the manager and the staff and their caring attitudes to the residents. Fieldway provides a well-maintained and comfortable environment for the residents, which is continually redecorated and refurbished. The residents spoken to during this visit confirmed that they generally enjoyed the food. The medication systems are safe and follow good practice and legislative guidelines. The manager monitors the service to ensure that the residents and relatives are happy with the care provided at Fieldway. The atmosphere in the Home is relaxed and the residents say that they find the staff and manager approachable. There are sixteen care staff employed at the Home and fifteen have either achieved National Vocational Qualification 2 in care or are working towards it. Regular training is organised in both mandatory and specialised subjects. Staffing levels are maintained according to the residents’ needs. Appropriate emphasis is given to Health and Safety so that the residents and staff are kept safe. There have been no complaints about the Home and the staff understand how to keep the residents safe from abuse. What has improved since the last inspection? What they could do better: The manager needs to ensure that the documentation given to the people using the service and/or their relatives contains all the information they may Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 7 need to help them make a decision about moving into the Home. This includes the fees to be paid, what is included and any extras that people may be expected to pay. The present documentation does not advertise the facilities on offer. The manager needs to develop protocols for the administration of ‘as required’ medication and ask the general practitioner to sign them. This will ensure that the residents are given this medication in the correct situations and based on medical decision. Staff should not have to take this responsibility. The manager must obtain two written references for prospective staff members, to ensure that the residents are fully safeguarded. In the event that the manager telephones the referees she should document the details. The staff are supervised. This just needs to be formalised and documented. The manager should explain the use of restrictive equipment, (in this instance a chair), in the form of a risk assessment, which makes clear that the chair is used for safety reasons and not as a form of restraint. This could also include when and how often staff should give the resident the opportunity to come out of the chair. 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. The summary of this inspection report can be made available in other formats on request. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 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.V344975.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Home makes sure that it can meet a person’s needs before agreeing admission. Information is available to the residents and/or their relatives in a standard format, although it does not advertise many of the available facilities. EVIDENCE: New and prospective residents are given a pack, which contains the Statement of Purpose, Service Users Guide and contract. The manager was advised to expand the information in these documents so that people know exactly what they can expect from the service. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 10 The contract needs to include the fees required by the Home and any extras that the residents may be expected to pay for. Some of this information is available, but the Home does not advertise many of the facilities they actually offer. The manager was also advised to ask the residents and/or their families to sign on receipt of the Home’s documentation. The records of two recent admissions were checked. The Home obtains Local Authority assessments, if applicable and always undertakes their own assessments. The manager writes to the Local Authority to confirm that the Home is able to meet the prospective resident’s needs. She was advised that she should do the same for privately paying residents. The Home does not provide intermediate care. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Each resident has a comprehensive care plan, which details the support needed to meet their needs and any risks involved with that. The plans are written in plain language, easy to understand and look at all areas of the individual’s life. The care plans are working documents, which are reviewed regularly and kept up to date. The staff have access to the care plans and refer to them regularly. Assessments are undertaken of mobility needs and tissue viability. The residents are regularly weighed. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 12 The staff monitor the health of the residents and get professional medical intervention when required. Records are kept of all appointments. The lunchtime medication administration was observed and the procedures checked. Medication is stored safely and stock control well managed. The manager has developed a new medication procedure. The manager, deputy and senior care workers administer medication and they have all received training. They are also currently completing more intensive medication training. The procedures for controlled medication are safe. The staff record all administration and explain the reasons for refusal. Records are made of all medication brought into the Home or returned to the pharmacist. As previously recommended the staff are now dating all creams and liquid medication when they open them. At the last inspection the manager was advised that ‘As directed’ or ‘As required’ is not an appropriate direction for staff and that she must obtain further instructions from the prescriber. At this visit she was advised to write the protocols herself and ask the general practitioner to sign them. As part of the preparation for this inspection the staff were asked to complete surveys for the Commission for Social Care Inspection. Three were received. They were asked what the Home does well and the replies included: “We treat the residents with respect and we promote independence. It is a friendly environment and there is a good atmosphere between residents, staff and visitors. We consider the needs of the residents and support them when we can”. “Our service tries to meet individual needs and requests whenever possible”. These statements were confirmed in discussions with a number of the residents and a visiting relative during this inspection. Comments included: “The staff can’t do enough”. “The staff are all very good”. One of the residents has recently been assessed by an Occupational Therapist and a new chair purchased by family. The resident has very poor mobility and is unable to get out of the chair unsupported. Initially a lap strap was being used, but the manager reported that a special sheet has been provided to prevent the resident from slipping down. The manager was advised to explain the use of this chair in the form of a risk assessment, which makes clear that Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 13 the chair is used for safety reasons and not as a form of restraint. This could also include when and how often staff should give the resident the opportunity to come out of the chair. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Emphasis is placed on providing daily activities to the residents and these are being reviewed to ensure that they remain interesting and meaningful. Friends and relatives are welcomed into the Home and the Home is presently improving its menus. EVIDENCE: Daily activities are arranged for the residents, although the manager and staff said that they are looking for some new ideas. Some new games and equipment has been purchased to this end. Some of the residents went on a trip to Shrugborough Hall and a fashion show has been arranged. The manager wants to plan a Christmas fayre. The manager acknowledges that more work is needed to provide meaningful activities and is committed and pro-active in addressing this. It was suggested that the activities co-ordinator receive training in this area, to provide her, and the staff with some new ideas. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 15 Staff in the surveys said that they would like to see more activities to suit the changing needs of the residents and more trips out. A priest visits one resident and another has Jehovah Witness visitors. New residents are informed that the Home can make arrangements to support their religious persuasion. Relatives are welcome into the Home. One was spoken to who praised the Home and the staff. There are areas where the residents can receive their visitors in private. A number of the residents spoken to said that they enjoyed the activities. Some said that they had played a game of cards the day before, which they liked. There are two staff responsible for catering and the menus are currently being updated. The manager reported that they are to examine the nutritional needs of older people and ensure this is included in the menus. All of the staff have training in basic food and hygiene and both of the cooks are enrolled to undertake National Vocational Qualification 2 in catering. The residents are offered four meals a day and alternatives are available at all mealtimes. The residents spoken to during this visit confirmed that they generally enjoyed the food. Two residents are diabetic and are provided with a diabetic diet. The manager was asked to ensure that all staff where applicable, support residents needing assistance to eat sensitively and discreetly. There is a separate dining room where most people eat their meals, although they can choose to sit in the lounge and at times people have their meals in their room. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is available to everyone living at the home and the Home has an open culture. The home understands the procedures for Safeguarding Adults. The outcomes from any referral are managed well and issues resolved to the satisfaction of all involved. EVIDENCE: The complaints procedure has been updated and a copy is in the hallway. There have been no complaints made either to the Home or the Commission for Social Care Inspection. A referral was made to the Safe Guarding Adults team in February 2007 and systems were immediately put into place to protect the residents involved. The management and staff liaised with social services and the Commission for Social Care Inspection appropriately. The staff receive training as to how to recognise and respond to concerns or allegations of abuse. The manager makes sure that she receives Protection of Vulnerable Adults checks and Criminal Records Bureau disclosures for all potential staff. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 17 Where the Home needs to look after residents’ money, records are kept of all transactions and receipts obtained. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ benefit from a clean, warm, safe and well maintained environment. EVIDENCE: A tour of the Home was undertaken during this visit. The environment is clean, warm and well maintained. A relative commented on the cleanliness of the Home and the lack of any unpleasant odours. There is a programme of continuous redecoration, refurbishment and maintenance. The management make sure that the residents are provided with equipment, which meets their needs. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 19 The management respond positively to fire safety and environmental health obligations. Fieldway is a non-smoking Home. All of the residents have their own bedroom and most have an en-suite toilet and wash hand basin. There are two lounge areas, a conservatory and a separate dining room. The Health and Safety of the environment is a priority and monitored by the manager. The manager has introduced new infection control procedures into the Home to eliminate the possibility of cross infection. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 20 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. 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. There are enough qualified, competent and experienced staff to meet the health and welfare of people using the service. The manager must provide evidence that references are sought for all prospective staff members, to ensure that the residents are fully safeguarded. EVIDENCE: The residents of Fieldway benefit from a consistent staff team, many of who have worked at the Home for a long time. The Home does not have to use agency staff. At the time of this visit there were seventeen people resident in the Home. Staffing levels are reviewed as necessary and provided appropriately, according to the needs of the residents. All of the residents spoken to during this inspection praised the staff. There are sixteen care staff employed at the Home and fifteen have either achieved National Vocational Qualification 2 in care or are working towards it. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 21 Two of the senior care workers have nearly completed the National Vocational Qualification 3. Training is planned regularly to ensure that mandatory training is kept up to date. Training is also provided to meet more specialised or complex needs. New staff receive in-house and external induction training. The manager is still trying to obtain Criminal Records Bureau disclosures for two longstanding staff. The delays are the responsibility of the Criminal Records Bureau. The recruitment file for the most recent staff member was checked. Protection of Vulnerable Adults and Criminal Records Bureau checks have been undertaken and the manager has obtained most of the required documentation. She is however still awaiting written references, although there is evidence that she has requested them. The manager reported that telephone calls were made to the referees, although she had no written evidence of this. This was also identified at the last inspection. Two references must be obtained for each prospective staff member. The manager is strongly recommended to record all telephone calls to referees. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 22 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. 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. The management team continually monitor the practices in the Home and make improvements where needed, to ensure that the residents receive a safe service, which meets their needs. EVIDENCE: Hazel Malbon has been the registered manager at Fieldway since August 2005. Since that time she has completed the Registered Managers Award and has nearly completed National Vocational Qualification 4 in management. She continually updates her own training to ensure that she is aware of current good practice. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 23 She has developed and improved procedures, which have benefited the residents and staff. These include care records and practice, staff training, staff recruitment, Quality Assurance and Health and Safety. She has made three Vulnerable Adults referrals and introduced robust systems to safeguard the people involved. A deputy and seven senior care workers support the manager. They all have specific responsibilities and are provided with the required guidance and training. The proprietor visits the Home on a daily basis to support and communicate with the manager and staff. The manager monitors the practices in the Home, which includes reviewing the procedures to be followed and giving satisfaction surveys to the residents. Surveys are also available for relatives and visitors. There is evidence of continual improvement and development in the Home. The manager has developed a development plan, which sets out the aims and objectives of the Home and any action to be taken/needed to achieve these. The manager completed the Commission for Social Care Inspection’s Annual Quality Assurance Assessment prior to this inspection. The Home has adequate financial systems in place. Monies are stored safely and records are made of all transactions, which are witnessed by two people. The finances are audited monthly and receipts are obtained for all purchases. Fieldway is a small residential home and as such the staff and manager communicate on a regular basis and throughout their normal working day. The manager is also able to check that staff follow safe and sound practices. Guidance and training is provided to staff and changes to procedures discussed at team meetings. There is a handover at the start of every shift. The manager has completed some formal 1 to 1 supervision sessions and/or appraisals with staff, however the written evidence is spasmodic. She should consider how she could better evidence that formalised supervision takes place. Emphasis is placed on the Health and Safety of the residents, staff and the environment. The manager assesses any risks with a view to keeping all parties safe. Procedures are in place to maintain the safety of the premises and any equipment. Fire safety and infection control measures are in place, which comply with the Fire and Environmental Health Departments. Fire and maintenance records provide evidence that checks are thorough and regular. Staff receive regular mandatory Health and Safety training. Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 24 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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 (b), 5 (b, c) Requirement The manager must ensure that the documentation given to the people using the service and/or their relatives contains all the information they may need to help them make a decision about moving into the Home. This includes the fees to be paid, what is included and any extras that people may be expected to pay. A written criterion for the administration of prescribed as required medication in respect of individual residents must be available and based on documented medical advice. This will ensure that the residents are given medication within appropriate circumstances. Previous Requirement 01/03/07 3. OP29 Schedule 2, (5)19 (1b, c) The manager must obtain two written references for prospective staff members, to ensure that the residents are fully safeguarded. Previous Requirement 01/03/07 Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 26 Timescale for action 01/11/07 2. OP9 13 (2) 01/11/07 01/10/07 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. Refer to Standard OP1 Good Practice Recommendations The manager should give regard to the development of the Statement of Purpose and Service Users Guide in alternative formats, in order that diverse needs are considered and all residents provided with vital information about the Home and the service they can expect. The manager should explain the use of restrictive equipment, (in this instance a chair), in the form of a risk assessment, which makes clear that the chair is used for safety reasons and not as a form of restraint. This could also include when and how often staff should give the resident the opportunity to come out of the chair. The manager is recommended to record all telephone calls to referees, so that she can demonstrate the suitability of prospective staff and safeguard the residents. The manager should provide more written evidence that the staff are supervised adequately. 2. OP7 3. OP29 4 OP36 Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Fieldway Residential Home DS0000004943.V344975.R01.S.doc Version 5.2 Page 28 - 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. 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