Inspection on 30/01/06 for Sevenfields Resource Centre

This inspection was carried out on 30th January 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

Sevenfields Resource Centre 10/06/09

Sevenfields Resource Centre 26/06/07

Sevenfields Resource Centre 14/09/05

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 Sevenfields 239 Ben Lane Wisewood Sheffield S6 4SB Lead Inspector Mr Rob Curr Unannounced Inspection 30th January 2006 09:00 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 Sevenfields Resource Centre DS0000036147.V279371.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. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sevenfields Resource Centre Address Sevenfields 239 Ben Lane Wisewood Sheffield S6 4SB 0114 234 8993 0114 231 1650 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) Sheffield City Council Mrs Janet Cann Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The Service User Guide must be submitted to the Sheffield Office of the NCSC by 01/05/03. 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. 14th September 2005 4. 5. 6. 7. 8. Date of last inspection 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 Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 5 accepted for permanent care beds, as the home is to concentrate on specialist rehabilitation and respite care. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 9.00 a.m. and lasted 4 hours. All but one of the key standards were inspected during the last inspection therefore progress on requirements and recommendations made during recent visits to the home were assessed. Many of the home’s residents had good communication abilities and the main inspection method was observation of daily routines and the quality of interaction between staff and residents. The inspector was escorted on a partial tour of the home. A variety of policies, procedures and records were checked. The Team Leader was present during the inspection and the inspector also discussed practice at the home with her and the other staff. The residents were very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. In all – 6 residents, 3 staff members, and a nurse were spoken to. The Team Leaders The management and support staff were extremely helpful and assisted the inspector throughout the visit and support staff were extremely helpful and assisted the inspector throughout the visit. What the service does well: What has improved since the last inspection? The team as a whole have worked hard to maintain and enhance the service delivery. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 7 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 DS0000036147.V279371.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 Sevenfields Resource Centre DS0000036147.V279371.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): 1,2, 4 and 5. Residents needs were assessed prior to admission. Residents and their relatives were fully involved in the assessment process, so this ensured that the home was able to meet their needs. EVIDENCE: Copies of full needs assessments were in the residents files. All the relevant information from the assessments had been built into the care plan. There was also a ‘contract of care’ which highlighted the terms and conditions of residence. Residents said that they had been invited to view the home and attend a variety of meetings prior to moving into the home. Staff training records indicated that they had undertaken relevant training required to assist them in caring for the people that reside at Sevenfields. However the nursing service that works within the home were in discussions with the management to promote the ethos of independence at a personal care level. Sevenfields Resource Centre DS0000036147.V279371.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 and 11. The information within the care plans was very clear. Health care was monitored and care plans were reviewed. This ensured the well-being of the residents. A range of health care professionals worked within the home to assist in meeting the needs of the residents. Residents could choose their GP and could see them in private so that their privacy and dignity was respected. All medication administered was signed for. Resident’s wishes regarding dying and death were recorded. EVIDENCE: The care plans were checked. They were comprehensive and contained detail of the action required by staff to meet the residents needs. The plans contained records of health assessments such as moving and handling, and included an individual health and safety monitoring sheet. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 11 All the residents said that their health needs were met. Four residents said that they were ‘very happy’ with the care they received and that they had a named ‘key-worker’. Medication Administration Records (MAR) were checked. Staff had signed to indicate that medication had been administered. Staff were observed respecting residents privacy by knocking on bedroom doors before entering and closing bathroom and toilet doors when in use. During the lunchtime meal, staff were seen and heard treating residents kindly and respectfully. Sevenfields Resource Centre DS0000036147.V279371.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 and 15. The home creates a varied programme of social and recreational activities. The routines at the home were flexible. The home had an open visiting policy in order to develop and maintain good relationships with resident’s friends and relatives. Residents were enabled to make choices. Some residents use the postal voting system during local and national elections, enabling them to exercise their civil rights. Phone calls can be made without permission in a private area. All the residents were happy with their personal bedroom. There was a clear choice of menu. EVIDENCE: Residents were seen to walk freely around the home. One resident said her daughter was ‘always made to feel welcome’. There was a programme of activities on display. During the lunchtime meal, staff were heard encouraging residents to make choices. One resident invited the inspector to see her bedroom where she could take meals and have visitors in private. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 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 the following standard(s): 16 and 17. Residents were aware of how to make a complaint and were confident that they would be listened to and their legal rights are protected. EVIDENCE: The complaints procedure was on display in the foyer, which contained relevant information and provided the reader with details of who to contact outside the home, to ensure complaints were taken seriously. The residents and staff all stated that they had confidence in the homes manager. They said that she would listen and respond to any concerns they raised. One resident said that she had recently had a positive outcome to a complaint. All the residents spoken to said they felt safe at the home. Two residents said that they acted upon their right to a ‘postal vote’ during election campaigns. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 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 the following standard(s): 19,20,21,22,23,24, 25 and 26. The home was clean and well maintained. Communal areas were homely, and were well decorated. Sufficient bathing facilities were provided. The bedrooms seen were personalised by residents and their relatives. The home was free of any offensive odours. Systems for the control of infection were in place. A call system was available in all rooms used by the residents so that they could summon assistance at all times. EVIDENCE: The inspector carried out at tour of the home. One resident said that her wheelchair had not been serviced for a number of years. All of the residents spoken with were happy with their bedrooms and the furniture provided. They said that they ‘struggled’ to access the communal outdoor garden area. The home was well decorated and maintained, to provide a comfortable environment for the residents. Staff said that the laundry system was in fully working order. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 15 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 and 30. Sufficient staff were provided to meet the needs of the residents. The manager could identify the training needs of the staff group. EVIDENCE: All the residents felt that there were enough staff on duty during the day and night to care for their needs. Three residents said that the staff were ‘very good’ and ‘nothing was too much trouble’. A group of staff were currently undertaking National Vocation Qualification (NVQ level 2) in direct care. Staff spoken to confirmed that they received more than 3 days paid training each year. The Operations Manager maintains a training matrix that enables the manager to monitor the training needs of the staff. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 16 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, 32, 33,36, 37 and 38 There was a very positive style of management in the home and staff moral was good. This clearly benefits the residents, their relatives, and representatives. The resident’s finances and personal monies were well managed. There was a quality assurance system in place, which gave residents and visitors an opportunity to express their views and suggest ways in which the service may be improved. Staff supervision systems were in place to ensure best practice was maintained. All records were securely stored. Health and safety checks were in place to ensure residents were safe. EVIDENCE: Staff said that the manager was approachable, supportive and was a ‘good listener’. One resident said that there were questionnaires that she could complete to express her level of satisfaction of the care she received. Although Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 17 she felt that the ‘long-term’ residents could be more involved the development and management of the service. Fire records were maintained of fire alarm tests. All staff spoken to confirmed that they had undertaken a fire drill practice. There were no records available for the monitoring of accidents throughout December 2005. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 18 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 3 3 X 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 18 X 3 2 3 3 3 3 3 3 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 3 3 3 X 3 3 3 2 Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 19 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 OP37OP38 Regulation 13 Requirement A copy of the ‘monthly monitoring sheet’ for December 2005 must be forwarded to the local office of the CSCI. Timescale for action 27/03/06 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 3 4 Refer to Standard OP6 OP20 OP22 OP28 Good Practice Recommendations Staff should be motivated to promote service users to maximise their independence. Serious consideration should be given to improving independent access to the outside garden areas. The wheelchair allocated to he identified service user should be serviced. Action must be taken to ensure that 50 of all care staff has a qualification of NVQ level 2 or equivalent. Sevenfields Resource Centre DS0000036147.V279371.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Sheffield Area Office 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 DS0000036147.V279371.R01.S.doc Version 5.1 Page 21 - 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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