Inspection on 14/09/05 for Sevenfields Resource Centre

This inspection was carried out on 14th September 2005.

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

Sevenfields Resource Centre 10/06/09

Sevenfields Resource Centre 26/06/07

Sevenfields Resource Centre 30/01/06

Sevenfields Resource Centre 08/02/05

Sevenfields Resource Centre 15/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Sevenfields Resource Centre 239 Ben Lane Wisewood Sheffield S6 4SB Lead Inspector Carol Makin Unannounced 14 September 2005 09:00am th 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. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sevenfields Resource Centre Address 239 Ben Lane Wisewood Sheffield S6 4SB 0114 2348993 0114 2311650 Not known Sheffield City Council 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) Mrs Janet Cann PC - Care home only 27 Category(ies) of OP Old age (27) registration, with number of places Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service User Guide must be submitted to the Sheffield Office of the NCSC by 01/05/03. 2. 3. Intermediate Care, if provided must be on the basis stated in 6.1 to 6.5 of the National Minimum Standards for Older People by 01/09/04. All areas of the care home used by service users must be in good repair internally and externally, furnished, decorated, heated and lit to the levels required by The Care Home Regulations 2001 and stated in the National Minimum Standards for older people by 01/09/04. Minimum staffing levels providing direct care to service users must be maintained as described in the supplement to the handbook of Guidance on Registration, Inspection and Management of Residential Care Homes in Yorkshire and Humberside dated 13/09/91. Pre-set valves of a type unaffected by changes in water pressure and which have fail safe devices must be fitted to water outlets which service users have access to, to provide water close to 43 degrees centigrade by 01/09/04. Lighting in rooms used by service users must meet recognised standards (lux 150) and be domestic in character by 01/09/04. Table level lamp lighting must be provided in bedrooms by 31/07/03. The kitchen must be refurbished and decorated to the standards required by relevant legislation by 01/05/04. Where additional services are provided e.g. day care, outreach, escort duty, staffing for this must be over and above that required by Condition 4. 8th February 2005 4. 5. 6. 7. 8. Date of last inspection Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: Sevenfields is a care home providing personal care and accommodation for 27 residents. The home also provides rehabilitation (intermediate care). Sevenfields is owned by Sheffield City Council and is situated in the Wisewood area close the shops and other local amenities and on a main bus route. The home is purpose built and has recently been completely refurbished.All bedrooms are for single occupancy none have en-suite facilities. There are lawned areas to the back of the property where residents can sit out. Although there are some permanent residents at the home no further referrals are being accepted for permanent care beds, as the home is to concentrate on specialist rehabilitation and respite care. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out over a four and half hour period. A brief tour of the building was carried out, two residents were spoken to in private and some were spoken to in the dining rooms. A selection of records was checked, no staff were interviewed on this inspection however observations were carried out of the interaction between the staff and residents, which was all positive. What the service does well: 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. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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 Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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) 2, 3, 6. The admission process is well managed and residents are given clear information regarding the service. This ensures that they are aware of the services and facilities provided by the home will meet their needs. All residents receive a contract which details the terms and conditions of their occupancy at the home. Full needs assessments are carried out before the decision is reached of if the home can meet the identified needs of prospective residents. Residents receiving intermediate care are helped to maintain their independence. Firm action plans are put in place with assistance from other health care professionals for them to return to their own homes. EVIDENCE: Two residents files checked contained a copy of the contract which contained the terms and conditions of occupancy at the home. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 9 Prospective residents have their needs assessed before a place is offered at the home. A record of these assessments is kept on each individuals file. Intermediate care and respite care is provided. The manager confirmed that a range of specialist services were used for example – occupational therapist, chiropodist, optician, dentist, dietician, physiotherapist and district nurses. There are separate rehabilitation facilities, including equipment for therapies and treatment. On the lower ground floor there is a therapy room and a rehabilitation kitchen. A qualified occupational therapist is present at the home for 2 ½ days per week. One resident’s file contained details of their discharge plan and action taken to re-establish them in the community, which included a home visit, carried out with the occupational therapist. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10. Care plans are development to ensure that staff has the full information needed to meet individual residents needs. Resident’s health and personal care needs are met thus maintaining their well being. Medication is administered according to the general practitioners instructions for the continued well being of the residents. Residents are treated with respect and their privacy and dignity is maintained. EVIDENCE: Two residents care plans were checked. One plan was for a permanent resident the second one was receiving intermediate care at the home. Both contained sufficient information on identified needs and what staff needed to do to meet these needs. Residents spoken to said their health needs were met. One resident receiving intermediate care said that their health had improved greatly whilst being cared for at the home. They said this had made them feel more confident about being independent when they returned home. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 11 Medication administration records checked contained clear instructions of how medication was to be administered. Medication administered by staff was well recorded. Risk assessments are in place for those who administer their own medications. Secure facilities are provided in each resident’s bedrooms so that they can lock away medications for safety. Residents spoken to said that their privacy and dignity was maintained. All praised the staff team and said that the staff treat them with respect. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15. Residents are motivated by the provision of a wide range of activities to maintain their lifestyle and social interests. Family involvement within the home is given priority to ensure that residents can maintain contacts with their relatives and friends in a comfortable relaxed environment. Residents are given sufficient information on advocacy services in case they do not have anyone to act on their behalf. A good diet is provided, residents are given choices on the menu, sufficient quantities are provided to meet their needs. EVIDENCE: In each bedroom seen there was a program of activities; these were varied to provide a choice that will suit different preferences and capabilities. There are weekly bingo nights and trips out arranged. One resident spoken to had been to Butlins recently with the home, two separate weeks holidays have been organised this year. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 13 In each kitchenette on the corridors drink making facilities are provided for visitors to help themselves. Residents spoken to said that staff makes their visitors welcome and they can see them in private. One resident spoken to said that the home handles their finances for them. They said they were happy with the arrangements in place and they could have access to their money anytime they wanted. Information is available giving details of how to contact advocacy services if needed or staff at the home would contact them on their behalf. Residents spoken to said they liked the food provided and they were offered a choice. One said they had no need for anything between meals as sufficient quantities were given. The inspector observed dinner being served, this was well presented and looked appetising. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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 standard(s) 16, 18. Residents have the information they need to know how to make a complaint and were assured that appropriate action would be taken. Staff are well trained in adult protection procedures to ensure that the residents well being and protection is safeguarded. EVIDENCE: The home has a complaints procedure and a copy was seen in resident’s bedroom. Residents spoken to said they had never made a complaint, as they had nothing to complain about, they knew who to speak to if they had any concerns. The said if they did have a complaint they were confident it would be sorted out to their satisfaction. The manager said that staff were trained in adult protection issues. Clear policies and procedures are in place to ensure that the correct action is taken in the event of an allegation of abuse being made. There have been no allegations of abuse made at the home. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 15 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, 24, 26. The home is furnished and decorated well to ensure the residents live in a safe and comfortable environment. All areas of the home are accessible to people in wheelchairs. The telephone alert bell on corridors is loud and intrusive for the comfort of the residents. There are various areas within the home for social activities to take place and there is also a large function room that can accommodate large gatherings. The home is kept clean and odour free to ensure the resident’s comfort is maintained and they live in pleasant surroundings. EVIDENCE: The refurbished of the home had been completed last year. There are two self-contained wings each with their own dining room with a small kitchenette, lounge, bathrooms, toilets and bedrooms. A new telephone system has been installed however the bells placed on the corridors where bedrooms are situated are loud and intrusive. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 16 Service users spoken to stated that it was lovely very homely, they liked their own rooms and they were comfortable. On the day of the inspection the home was clean and there was no unpleasant odours. Policies, procedures and equipment were in place to prevent the spread of infection. The home has a mechanical sluicing disinfector as well as a disinfection system for the baths, which is above what is required in this standard for a care home. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 17 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, 28, 30. Sufficient staff were on duty to meet the needs of the residents. NVQ qualifications training is provided for staff and 46 of the staff team have completed this ensuring that a well-trained and competent staff group is providing care for residents. Training is well planned and opportunities are provided for staff for their development to give them the skills and knowledge to meet residents diverse needs. EVIDENCE: Residents spoken to said that there was sufficient staff on duty to meet their needs. They said staff responded quickly to any call for assistance. Out of twenty-six staff that provide personal care twelve have completed NVQ qualifications in level 2 and 3. A further eight are in the process of completing this qualification. A full program of training is in place that meets the National Training Organisation (NTO) workforce targets. New staff receive induction on the principles of care, safe working practices and the workers role. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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) 31, 33, 38. The home is well managed and run by an experienced and qualified manager. Residents are given support with their financial interests by an independent advocacy service if they wish or they or their relatives can retain control of their own finances. An effective quality assurance system is in place, which includes feedback from those that use the service. The results of surveys carried out are published and made available at the home. The health and safety of residents and staff is maintained by systems and procedures in place. EVIDENCE: The registered manager has 14 years experience in management. She is to be congratulated as she recently completed her qualification for NVQ level 4 and the registered managers award. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 19 The home has a quality assurance system in place and the findings are published. These were seen on the notice board in the entrance to the home for the public to read. The home does have a health and safety policy. Training in health and safety, moving and handling, fire safety, first aid, food hygiene and infection control is provided. When the building was checked no fire exits were blocked, fire doors closed on their rebates. Generic risk assessments were in place these were thorough and covered a good range of areas that could be a risk within the home. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 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 3 3 x x 3 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x 3 x 4 STAFFING Standard No Score 27 3 28 3 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 3 3 x 3 x x x x 3 Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 21 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 19 Regulation 16, 23, 43. Requirement Action must be taken to reduce the level of noise from the telephone bell situated on the corridors near the residents bedrooms. Timescale for action 1 Feb 2006 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 28 Good Practice Recommendations Action must be taken to ensure that 50 of all care staff has a qualification of NVQ level 2 or equivalent by 2005. Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 Sevenfields Resource Centre J55 S36147 Sevenfields V247506 140905 UI Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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