Inspection on 31/05/05 for Ifield Park

This inspection was carried out on 31st May 2005.

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 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

Ifield Park 14/11/06

Ifield Park 13/10/05

Ifield Park 13/10/04

Ifield Park 25/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Ifield Park Rusper Road Ifield Crawley, West Sussex RH11 0JE Lead Inspector Linda Riddle Announced Tuesday, 31st May 2005, V220507 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 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. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ifield Park Address Rusper Road, Ifield, Crawley, West Sussex, RH11 0JE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01293 594200 ifield.park@tesco.net Ifield Park Housing Society Limited Mrs Janis Linda Bain Care Home (CRH) 71 places Category(ies) of Old age, not falling within any other category registration, with number (OP) 71 places of places Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Up to 21 male and/or female service users in the Category OP requiring nursing care may be admitted/accommodated in Woodroffe Benton House. 2 Up to 22 male and/or female service users in the category OP requiring personal care only may be admitted to Ellwood Place. 3 Up to 28 male and/or female service users in the category OP requiring personal care only may be admitted to Penn Court. 4 Only persons over the age of 65 years may be admitted to the home. 5 The total number of service users to be accommoated at Ifield Park must not exceed 71. Date of last inspection 13th October 2004 Brief Description of the Service: Ifield Park is a care home with nursing registered to accommode a total of seventy one elderly persons (over the age of 65 years). The registered provider is Ifield Park Housing Society Ltd for whom Mrs Gillian Lloyd is the Responsible Individual. Mrs Janice Bain is the registered manager. Residents are accommodated in three buildings known as Ellwood Place, Penn Court and Woodroffe Benton. Nursing care is provided in Woodroffe Benton. All rooms have en-suite facilities. The home is located in a residential area within a short distance of local shops and on the outskirts of the town of Crawley with its shops, train station and other amenities. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This annual announced inspection was carried out over 10.25 hours by three inspectors, one of whom, a pharmaceutical inspector, inspected the medication arrangements in all three units. Prior to the inspection the two previous reports and other documentation held on file for the last six months were read. A pre-inspection questionnaire competed by the Responsible Individual was returned to the Commission along with required documentation. This information contributed to the inspection process. Five completed comment cards and a letter were received from residents and any issues arising from these were followed up. During the inspection the inspectors spoke with 31 residents and 20 staff including three from the catering agency used by the home. Two visitors and a visiting professional were also spoken with. Their comments about the home were all positive. Discussion took place with the registered manager and responsible individual and a tour of each unit was undertaken. Records, policies and procedures were read. Residents were generally happy with the care provided but many were less than happy with the food particularly evening meals. Ellwood Court is in need of redecoration and some upgrading particularly in relation to the heating arrangements. Some health and safety issues were also identified Records are well maintained and the majority of essential policies and procedures in place. An aspect of medication handling/administration needs to be addressed. Staffing overall is generally sufficient but some difficulties arise when holiday and sickness cover is needed. National Vocational Qualification and other training is on-going in the home. What the service does well: The home has a very comprehensive training programme which means that staff have the necessary skills to meet the needs of individuals in their care. One comment made by a resident was “I feel safe and know the staff can give me the help I need”. Pre-admission assessments are thorough ensuring that the home is the right place for the individual and can meet his/her needs. Care plans are very comprehensive and set out each resident’s health, personal and social care needs. They detail the action which needs to be taken by care staff to ensure that all aspects of these needs are met. Resident meetings are held regularly which means that they are able to contribute to the way in which the home is run and put forward their views and ideas. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 All residents who move into the home have had their needs assessed and know that these will be met. Support is sought from the community services for any residents with special needs. EVIDENCE: Ten files examined showed that thorough assessments had taken place prior to those residents being admitted to the home. Residents said that staff look after them well and made such comments as “they give me the help I need” “I think they care for us very well”. Specialist support is available when needed, such as continence advice. Five residents who are registered as partially sighted receive talking and large print books, special telephones and clocks. A resident with specialist needs had been referred to the Parkinsons Disease Specialist. Training records showed that staff undertake training appropriate to the work they do Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9 The health, personal and social care needs of residents are set out in their individual plans of care. Medication in this home is generally well managed. A medicine not being available presented a potential risk to the resident for whom it had been prescribed. EVIDENCE: A total of ten care plans were examined in the three units. They were found to be based on the assessments of need and gave clear indication of what care and nursing staff needed to do in order to meet the needs of each person. Residents spoken with knew about their plans and said that they are involved in and consulted about the planning and reviewing of their care needs. One resident said “yes, I can read my plan when I want, when they review our plans we agree them and sign “. The care manager said that if a resident is unable to sign agreement, with that person’s consent a relative is asked to do so on his/her behalf. Medication policies and procedures had been updated. Storage was organised and tidy. Records of medicine receipt, administration and disposal were seen. One medicine had not been received with a resident’s other medicines and was unavailable to that person for a week. A requirement has been made in respect of this. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 10 Medicines are administered by registered nurses or trained carers. The application of barrier and moisturising creams is delegated to carers. Risk assessments are carried out for residents who wish to have responsibility for some or all of their medicines. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 15 Meals provided for residents are generally wholesome and sufficient in quantity but some are inappropriate for elderly people. The period of time between the last main meal of the day and breakfast the following morning is too long. This means that residents do not have anything substantial for many hours which could have adverse effects upon their health and well being, especially if someone is a diabetic. The dining room in Ellwood Place does not in its present state provide a congenial setting for mealtimes. EVIDENCE: Menus were looked at for a four week period. Several adverse comments about the food had been made in the comment cards and letter sent by residents to the Commission before the inspection. Some residents spoken with expressed entire satisfaction with the food, others were less than satisfied. Some of the comments received were as follows: - “the food is alright” “The food is edible, I would like a roast dinner” “The choice of food is not good” “we have good food” “we get too much ‘nursery’ food” (referring to mince or meals made from mince) “The evening meals are not substantial and are unsuitable for us” “we are supposed to get a cooked breakfast twice a week but we don’t”. Meals sampled sitting with residents in each unit during the inspection were found to be tasty and well balanced. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 12 Breakfast is served between 7.30 and 8.0am, lunch at 12.30 and evening meal at 5.0pm. A milk drink and biscuits only are served at about 7.30-8.0pm. A recommendation has been made in respect of this. The dining room in Ellwood place is in need of redecoration, wallpaper was seen to be peeling off one wall. The paintwork needed attention. A requirement has been made in relation to this. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 Service users know how and to whom they should complain if the need arises. They know their complaints will be listened to, taken seriously and acted upon. EVIDENCE: A complaints procedure is included in the Statement of Purpose and Service User Guide. All residents have been provided with a Guide. A copy is also displayed in each building. Residents asked said they knew who they should take their complaints to and felt very comfortable about doing so when necessary. One said “I see the manager a lot, I can tell her anything and everything, I can talk with every confidence” Another said “ I would and do complain if things aren’t right, yes they do whatever they can to put things right”. Resident’s meetings are held three monthly and they have every opportunity then also to raise any matters of concern. The minutes of the last meeting to be held in Penn House were read and it was clear that residents can and do voice their opinions at these. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19, 22, 25 The location and layout of the home is suitable for its purpose. It is in a pleasant residential area and can be easily accessed by visitors. Two out of the three units are generally well maintained and provide a comfortable and attractive environment for the residents living there. Ellwood Place is in poor decorative order, needs some new carpeting and provides a less pleasant home for its’ residents. The call bell system in Penn House and Ellwood Place is not always accessible and could place residents at risk. The heating system does not enable residents to select the level of heat in their individual rooms. The very restricted openings on all windows including fanlights means that residents have very little air circulating in their rooms. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 15 EVIDENCE: Two of the three buildings are on one level and the home is set in pleasant grounds. Woodroffe Benton and Penn House were seen to be generally in good decorative order although the corridor carpets in Woodroffe were soiled. In Ellwood Place the corridors are in need of re-decoration. Wallpaper is dreary and the paintwork badly chipped and worn. The wallpaper is peeling off one wall in the ding room. Corridor carpets were observed to be stained and worn. A requirement has been made in relation to this. The Responsible Individual confirmed in the pre-inspection questionnaire that all requirements of the local fire service made in the last report have been carried out. Some fire doors were seen to be wedged or propped open. These were removed and the manager gave her undertaking that this practice will cease. The call bell system in bedrooms of Penn Court and Ellwood Place provides call bells in bedrooms which are on a short length of cord. This means that they can only be used when the resident is in bed as they do not extend further. The consequence of this is that if a resident falls away from the bed and cannot get up he or she has no way of summoning help. One resident said that such a situation had arisen when she fell out of bed. As a result she had been given a small plastic whistle to blow in an emergency which she wore round her neck. When asked to blow it as a test, it was very obvious that this was completely inadequate and subsequently nobody came to her ‘assistance’. This resident was quite severely disabled. A requirement has been made in respect of this. Radiators in Ellwood Place cannot be controlled in the resident’s rooms as they are not fitted with thermostats. On the day of inspection the weather was warm and sunny and the rooms were very hot some of them stiflingly so. Residents were complaining of the heat and lack of air. There were comments such as “this room is too warm especially at night” “my radiator is too hot” “it’s so hot and stuffy we can’t get any air”. All windows including fanlights were seen to have short chains fitted to restrict their opening which had been fitted for security. The windows are old and therefore not fitted with locks. Whilst security is important the health and comfort of service users must also be a prime consideration and a requirement is made in this respect. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 Staffing levels in the home are generally sufficient to meet the needs of the residents although some problems arise when holidays and sickness have to be covered. If agency cover has to be brought in they do not know the residents and the routines. This interrupts the continuity of care and makes harder work for the permanent staff. There are adequate numbers of ancillary staff which means that communal areas and resident’s room are kept clean and hygienic. Staff are trained and competent to do their jobs which means that they know how to care for the residents and can meet their needs.. EVIDENCE: Duty rotas were examined which showed how cover is provided in the home. Extra staff are on duty at peak times. Residents stated that staffing levels generally are sufficient but at times of sickness and holidays, the use of agency staff makes thing more difficult. One said “when they bring in agency people it’s a bit difficult because they don’t know what to do and don’t know us”. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 17 Staff said that having agency staff can create more work for permanent staff as they don’t know the routines or the residents. A recommendation has been made in relation to this. Training records were seen to be maintained for all staff. There is formal induction training for newly recruited staff followed by Foundation training which leads on to National Vocational Qualification training at levels 2 and 3 for care staff. Trained nurses keep up to date with all necessary training to maintain their registrations and to provide the best care for the residents. In addition staff, including ancillary staff, receive training and updates in all matters relating to health and safety. Among the comments received from staff were “We have lots of training, they are excellent at providing that” “The manager has really arranged lots of training for us, it’s good” Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 36 37 The management and leadership approach of the home is open and inclusive. This benefits the residents because they are consulted and involved in decisions which affect their daily lives. Staff are appropriately supervised so that they have clear direction. It also means that individual training needs can be identified. Residents rights and best interests are generally safeguarded by the home’s record keeping, policies and procedures. A local policy and procedure for Infection Control has not yet been produced which is important to ensure the health and safety of residents. Someone from the Organisation other than the Responsible Individual who is involved in the day to day management of the home, should carry out the monthly unannounced visits and report back to the Committee. This would ensure that the conduct of the home is being properly monitored and provide residents and staff with opportunities to give comments directly to other members of the Organisation. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 19 EVIDENCE: Residents meetings are held three monthly to enable residents to raise any matters of concern, to put forward ideas and to generally be involved in what is happening in the home. Minutes of these meetings were seen. Residents are involved in planning and reviewing their care and have access to their care plans when they wish, as they confirmed. Staff said they have fortnightly meetings and can put any items they wish on the agendas for discussion. A system of formal staff/clinical supervision was seen to be in place. Staff said that they have now had their first supervision sessions with their respective supervisors and were aware that these will be repeated at two-monthly intervals. Records examined were well maintained and found to be up to date and accurate. Residents and staff spoken with said they have never been introduced to members of the committee. They were unaware of any official unannounced visits being made by any members of the organisation. A requirement has been made in respect of this. A resident said, “we are not introduced to any members of the Committee”. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 1 x x 1 x x 1 x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 x x x 3 2 x Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation 13(2) Requirement Systems must ensure the availability of medication to provide continuity of treatment when necessary. All parts of the care home should be kept reasonably decorated. Unnecessary risks to the health or safety of residents are identified and so far as possible eliminated. Ventilation and heating suitable for residents is provided in all parts of thr care home which are used by residents. Where the registered provider is an organisation the care home shall be visited in accordance with this regulation Timescale for action 14 June 2005 31 August 2005 31 August 2005 31 August 2005 30 June 2005 2. 3. 19 22 23(2)(d) (4)( c) 4. 25 23(2)(p) 5. 37 26(2)(b) or (c ) (4)(5) 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 15 Good Practice Recommendations Residents should be offered something substantial between the evening meal and breakfast or the timing of meals changed to ensure that there is not more than H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 22 Ifield Park 2. 27 twelve hours between these meals. More discussion with and supervision of the catering company staff should take place to ensure that the meals are suitable and in accordance with residents wishes. Efforts should be made to recruit more bank staff to reduce the need for agency personnel to cover holidays and sickness. Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Ifield Park H60 H11 S14583 Ifield Park V220507 310505 Stage 4.doc Version 1.30 Page 24 - 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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