Inspection on 11/05/08 for Shirebrook Fields Nursing Home

This inspection was carried out on 11th May 2008.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Shirebrook Fields Nursing Home 15/05/07

Shirebrook Fields Nursing Home 17/05/06

Shirebrook Fields Nursing Home 21/09/05

Shirebrook Fields Nursing Home 22/04/05

Shirebrook Fields Nursing Home 13/01/05

Shirebrook Fields Nursing Home 05/09/04

Shirebrook Fields Nursing Home 16/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Shirebrook Fields Nursing Home Spa Lane Woodhouse Sheffield South Yorkshire S13 7PG Lead Inspector Shirley Samuels Key Unannounced Inspection 11th May 2008 08:30 Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 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 Shirebrook Fields Nursing Home DS0000021807.V364122.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 Adults 18-65. 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. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shirebrook Fields Nursing Home Address Spa Lane Woodhouse Sheffield South Yorkshire S13 7PG 0114 269 1144 0114 269 1133 sharonradford@shirebrookcaregroup.co.uk None Shirebrook Care Ltd 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) Mrs Sharon Radford Care Home 50 Category(ies) of Learning disability (50) registration, with number of places Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. The minimum staffing levels are agreed as proposed by Sharon Radford, Registered Manager, on 14th November 2005. This registration includes 10 nursing places at The Willows. This registration includes 6 nursing places at The Poplars. This registration includes 10 residential places at The Ferns. This registration includes 10 residential places at The Limes. This registration includes 10 respite places at The Acorns. One specific service user over the age of 65 years, named on variation dated 17/05/06, may reside at the home. 15th May 2007 Date of last inspection Brief Description of the Service: Shirebrook Fields is a care home providing residential and nursing care for up to fifty people who have learning disabilities. The people who live at Shirebrook Fields have differing levels of learning and physical abilities. The home is divided into five units, two of which provide nursing care for up to sixteen service users. Three units provide personal care for up to thirty service users on a long term, short term and respite basis. The home is owned by Shirebrook Care Ltd. It is situated in the village of Woodhouse, Sheffield, and it is close to public transport and shops. The home is a single storey building, which includes a day centre. The home has individual garden areas for each unit and two car parks. Weekly fees for each person ranges between £800 and £1500. On top of this those who receive one to one support are given extra funding. Further information about the service can be obtained by contacting the manager. The inspection reports and other written information about the service are displayed in the entrance to the home. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star. This means people who use the service experience good quality outcomes. This was a key inspection carried out by Shirley Samuels on Sunday 11/05/08 from 8:30-15:45 As part of this visit we looked in detail at how people were protected from harm. In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. The inspector sought the views of five people using the service; four staff the deputy manager and registered manager who assisted with the inspection. This visit was a key inspection and the inspector checked all the key standards. During this visit we looked at the environment, and made observations on the staffs’ manner and attitude towards people. We checked samples of documents that related to peoples support, care and safety. These included three assessments and care plans, three medication records, and three staff recruitment files. The inspector looked at other information before visiting the home. This included the Annual quality assurance assessment (AQAA). Completed by Sharon Radford the manager of the home. Surveys were received from Seven people using the service and seven relatives, who commented on the quality of the service, what they felt the service did well, and what they could do better. The inspector would like to thank everyone for their welcome and help in this inspection. What the service does well: People are given information and assessed before they move into the home. People are helped to make decisions about their lives and are able to take reasonable risks. This meant people were supported to reach their potential. People are able to take part in activities of their choice and are part of the local community. People are able to take part in the daily routines of the home for Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 6 example preparation of meals and cleaning. This means that people are able to be independent and have some control over their experience of live. People are given the support they need in a way they prefer and supported to access health care professionals for example Dentist, Optician GP. The medication procedures were safe and were monitored by the managers. This made sure that people’s health care needs are meet. Records were kept of complaints and in the main people said complaints were taken seriously. People said they felt safe at the home and had someone to talk to if they were upset. This means people are protected from harm and action was taken when issues were raised. People told us the home was clean they were happy with their bedrooms and they were able to help with domestic tasks. This made sure the environment was well maintained and hygienic. People told us that staff treated them with care and they are nice. Relatives were also complementary about staff and said, “staff do their best” “my relative has settled well this is mainly due to the caring input from the staff.” The home is well managed, the manager has several years experience. People using the service and the staff spoke positively about the manager and her contact with people. Staff were encouraged by the positive working relationship they had with each other and the improvement in the quality of the service they provided to people. What has improved since the last inspection? Specific training for staff working with people with learning disabilities had progressed for some staff. Care plans had been further developed to make sure they were more specific to individual needs and aspirations. The statement of purpose and the service user guide was in the process of being reviewed. The manager told us that the cooks and kitchen assistants had attended food hygiene training since the last inspection. There were procedures in place for the accurate recording of medication received into the home. The manager told us medication procedures were monitored and any issues were addressed with individual staff. Training was ongoing for staff regarding practical assistance and skills needed to support people facing end of life. There was written evidence of training provided to staff on health and safety, fire, infection control, moving and handling etc and dates were seen of further training and refresher training booked for staff. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People do not move into the home without having their needs assessed. EVIDENCE: In the AQAA the manager told us. “Shirebrook Fields ensures that all prospective service users are able to have informal visits to the home prior to admission to enable them to make an informed decision on where they live. Before moving into the home written information is provided. Staff told us in the main the information received was enough and were there were gaps in information this was quickly obtained. This made sure that staff had the information they needed, to make a judgement about whether they could meet people’s needs. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7and 9 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. There are care plans in place that detail peoples needs. People are encouraged to make decisions and choices and are able to take reasonable risks. EVIDENCE: People had a care plan. People told us that staff talked to them about what they liked and what their preferences were. Staff told us they consulted with relatives and other professionals who also contributed to care plans. This made sure staff had the information they needed to meet people’s needs. The care plans were detailed, however work was ongoing to make sure the care plan was written from the view of the person using the service making sure it was written in plan English individualised and specific to the persons needs and aspirations. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 11 With assistance and encouragement from staff people were encouraged to make choices and decisions. Observations were made of staff communicating effectively with people who had very little speech. Staff told us, getting to know people and knowledge of their care plan was essential. They added that they were able to read facial expression and behaviours, which also assisted with communication. In the surveys people told us their needs were met one relative told us the person using the service “had never been as happy” another said “people were treated with care and respect”. People, who were able to, told us they were able to choose how to spend their day. There was also evidence in the practise observed and the records of care given that people were in the main being supported and assisted in line with their care plan. People were able to take risk. Risk assessments were in place in people’s files and staff were able to tell us how they promoted reasonable risk while protecting people from being endangered or injured. This made sure that in the main people were supported to take risk as part of an independent lifestyle. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People are able to take part in appropriate activities, maintain links with the community and with their family and friends. There are some minor shortfalls in respecting people’s rights to privacy and dignity. EVIDENCE: There is evidence to show that some people continue to take part in education and training and take part in activities that are meaningful to them. The manager acknowledges that further opportunities need to be sought for people to access training and education. One person said “I am my own boss I can choice when to go out depending on the weather”. Staff said activities were arranged some people had just returned from a holiday another group were due to go the following week. People were able to keep contact with family and friends. On the day of the visit some people had gone to visit family others were getting ready to go out. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 13 People were seen going out to the shops on their own some people were escorted by staff. People also visited the local parks and Country Parks. Staff said other activities including coffee mornings; bingo and music therapy takes place at the home people using the service can choose whether or not to take part. In the AQAA the manager said, “Over the next 12 months relatives will be encouraged to take part in developing further the activities programme. This will make sure that people have more choice regarding activities. In the survey one person using the service told us “sometimes I go to town on my own at the weekend, I have just been on holiday with my friends”. People were able to choose who they wanted to see and were able to see people in private if they wished. One advocate told us when they visited they were constantly followed by a member of staff. The visitor also told us the person using the service was denied the opportunity to make a phone call in private. The visitor felt this was unnecessary and did not respect the persons right to privacy. People were seen moving freely around the home. staff were observed approaching assisting and speaking to people in a respectful manner. Staff were confident friendly and relaxed with people and we observed that people were intern relaxed with staff. Staff were seen sat talking to people and engaging in conversation and answering peoples questions. It was encouraging to see the reaction of people who had little verbal communication expressing though sign or facial expression their delight/satisfaction when a member of staff spoke to them or stopped to acknowledge them. This showed that people were treated with respect and valued as an individual. People told us they were happy with the meals. There were people on special diets and these were catered for. Staff were seen offering assistance with feeding, this was in the main done in a respectful and sensitive manner. Some people had their clothing protected with blue plastic aprons and some staff were seen wearing plastic gloves for serving meals and when assisting with feeding. The dignity aspect of this was discussed with the manager who said consideration would be given to this. Since the last inspection the catering and kitchen staff had attended training appropriate to their job. The manager told us in the AAQAA that people are consulted about the meals and their wishes taken into account during menu planning. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People are supported in the way they prefer, and their health care needs are met. The medication system is safe and protects people from harm. EVIDENCE: People told us they were happy with the way staff cared for them. People were age appropriately dressed some with modern hairstyles and makeup. People told us they enjoyed going shopping for clothes and were able to make choices for themselves. Staff said they were able to make some choices for people based on what they knew about the individual. Staff said, to some extent the routine in the home was flexible. People were able to choice what time they went to bed and what time they got up. Staff added that for some people regular routine was important to there feeling of wellbeing. Staff were able to give examples of how they promoted self help and independence and why this was important. People were able to tell us the Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 15 names of the staff that usually worked with them. Staff said efforts were made to have some continuity of staff working on the units. This would make sure that people had the same few people supporting them. The records showed where appropriate other health care professionals were involved in ensuring that people’s needs were met. Staff were able to tell us some of the specific needs of individual people. In the main staff said they met people’s needs and the service they provided was of a good standard. Records were seen of appointments with other healthcare professionals such as the GP, optician, physio, dentist etc. This showed that peoples health care needs wee met. One relative commented that there were occasions when peoples fingernails were not cut and people were not sufficiently protected from the sun. Staff were observed administering medication. This was done appropriately and people were supervised. The manager told us that procedures were in place to monitor the medication system and where gaps were found staff were approached individually and action taken. This made sure that the medication system was safe. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Peoples concerns and complaints are listened to and acted upon and there are procedures in place to protect people from harm. EVIDENCE: Records were seen of formal complaints they showed that complaints were dealt with in a timely manner and detailed if the complainant was satisfied with the outcome. Since the last inspection we have received one concern that related to privacy. People told us they had someone to talk to if they were not happy and staff were able to tell us what the complaints procedure was and what they would do if a complaint was made to them. In the surveys one relative told us, “There have only been a couple of niggles these were dealt with quickly”. A person using the service said,” If I have any problems I tell my key worker or go to the office”. Since the last inspection there has been on allegation of neglect this was taken though the safeguarding procedures. The outcome was that there was insuffient evidence to show that neglect had taken place. The manager said that lessons had been learnt and gaps in the homes admission procedure had been identified and amended to make sure there was a clearer picture of people’s condition/injuries at the point of admission. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 17 There was one visitor who felt their concerns were not taken seriously. The manager said in the AQAA that the home could improve the service by checking with relatives and visitors how they felt about the homes response when complaints and concerns are raised. Not all staff had received training in safeguarding adults. The manager showed us evidence that staff have been booked on the training. Staff were able to tell us what they thought safeguarding means. They were able to tell us the different forms of abuse that people needed to be protected from. The manager said the quality assurance system protected people and incidents were reported and investigated. Details of lessons learnt were explored and practice reviewed to make sure the risk to people is reduced. Staff told us that the home had a whistle blowing line that was accessible to them to report concerns at any time of the day or night. The manager told us she had received training in safeguarding and that policies and procedures are regularly reviewed to make sure they reflect current good practise. The manager told us in the AQAA that the home could better develop the knowledge of the people using the service to make sure they know what constitutes abuse. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. People using the service live in a safe comfortable and clean environment. EVIDENCE: Each person had their own room with an en suite toilet. Bedrooms were personalised and well decorated and reflected for most people there interest and hobbies. People told us they were happy with their bedrooms and were able to go to their bedroom whenever they liked. Each person was provided with the equipment they needed to promote dignity and to ensure they were moved and handled safely and seated in comfort. There are enough toilets and bathrooms and they were fitted with equipment assessed as needed for people using the service. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 19 There is ancillary staff employed in enough numbers to make sure the home is clean and hygienic. All areas of the home are clean, and there are suitable laundry facilities. This makes sure that people live in a comfortable clean environment. In the surveys people using the service told us “ The home is nice and clean I would tell all my friends”, another person said “I help to clean my home”. In the surveys relatives said, “the environment is clean and very pleasant”. Staff said they were provided with gloves and aprons and worked in a way, which promoted health and hygiene and reduced the risk of cross infection. Not all staff have received training in infection control. Staff were however able to tell us how they promoted safe working practise with regard to infection control. This made sure people are protected from cross infection. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35 People who use the service experience adequate outcomes in this area. We made this judgement using a range of evidence including a visit to the service. Trained and competent staff supported people. There are some minor shortfalls in the recruitment procedures and moving and handling practice. EVIDENCE: People told us they felt staff were competent to do their job. New staff told us they were on an induction programme records were seen of the areas that were covered. Staff told us they had attended training in the last 12-month that included, first aid, fire prevention, some were working though National Vocational Qualification level 2 in care. (NVQ) Since the last inspection there have been some staff changes. In the surveys some relatives have made comments about how this can be unsettling for people using the service. They acknowledged however the commitment of the staff and made positive comments about the way staff care and support people. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 21 People told us in the surveys “ The staff do their best”, “staff are very supportive”, “I am satisfied with the way I am treated” and “ staff on the whole do a good job”. Observations were made of poor moving and handling techniques. This placed people using the service and staff at risk of injury. There is some evidence from the records and from comments received from relatives. That there are occasions when the staffing level required is not being maintained. This means that on occasions people do not receive the support needed to allow planned activities to take place. In the AQAA the manager told us Staff are fully checked before they start work at the home. New staff, “shadow” existing staff that act as mentors. This makes sure that staff receive guidance and practical examples of the job and what is expected of them before they work on their own. Three staff recruitment files were checked they contained the majority of the information required. The records showed that criminal records checks and checking of gaps in employment history was made. Qualifications and experience was detailed on application forms. There was only one reference on file for one of the staff and there was no evidence that people’s health was check. This could place people at risk. Since the last inspection progress had been made with regard to training for staff on safeguarding adults, moving and handling, infection control and learning disability awareness. We saw written evidence that Training was booked for other staff to attend ongoing training. There were some shortfalls in the way training provided for staff was recorded. There was no system were training provided and training needed could be established at a glance. Information about staff training was kept in staff individual files only. This made it difficult to manage training needs. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good outcomes in this area. We made this judgement using a range of evidence including a visit to the service. The home is well run and there are safe working practices. EVIDENCE: People told us they knew who the manager was and added she was approachable and they could go to her if they had any problems. On the day of the visit the manager was observed interacting with people. The exchangers were relaxed and comfortable. Staff told us the manager is, very nice, co-operative, has contact with people using the service and staff. They added she has good contact with relatives aware of clients needs and is always around. Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 23 Staff and relatives said the home was run in the best interest of the people, a good standard of care was provided and staff felt good about the service they provided. Nursing staff and support workers were observed working closely together for the benefit of the people. Nursing staff appreciated and commended the support staff for their contribution in meeting people’s needs. This made sure that support staff felt valued. Support staff in tern spoke positively about the nursing staff and the positive team relationships. Some staff said communication could be better between the teams working in the different units of the home. Staff felt this would help at times when they needed to cover shifts in other units. The manager told us regular visits by the responsible person are made to the home and people are asked to comment on the service. Reports on the outcome of these visits were not available for inspection. The outcome of people’s opinion of the service is not published and made available. This prevents people from being informed about the opinions of others and how the service will respond to comments. Training in health and safety had been provided to staff. Staff were able to tell us how they promoted health and safety on a daily basis. Staff said there were procedures in place to make sure if hazards were noted they were dealt with quickly. Staff understood their responsibility for the own safety as well as the safety of others. Shirebrook Fields Nursing Home DS0000021807.V364122.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 Adults 18-65 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 3 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 2 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x x 3 x Shirebrook Fields Nursing Home DS0000021807.V364122.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 YA6 Regulation 15 Requirement Care plans must be further developed in line with a person centred planning approach. This means they must reflect the views of the person using the service and that they include the wishes and aspirations from the individual point of view. 2 YA15 12 The home must be conducted in a way that promotes the health welfare and privacy of people using the service. For example People must be able to see their visitors and use the telephone in private. Fingernails must be kept at the length they prefer. People must be protected from the sun to reduce the risk of sunburn. People must be moved and handled safely. The staffing levels must be determined according to the assessed needs of the people. 10/06/08 Timescale for action 10/10/08 3 4 YA32 YA33 13 17,18 10/06/08 10/06/08 Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 26 5 6 YA34 YA39 19 Schedule 2 26 The recruitment procedure must 10/06/08 include obtaining two references and a health check. The person carrying out the 10/06/08 visits to monitor the conduct of the home must prepare a written report. This report must be made available for inspection. 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 Refer to Standard YA1 YA17 YA23 Good Practice Recommendations People should be provided with written information in a format appropriate for them, to help them make a decision about whether the service is right for them or not. To promote peoples dignity alternative t plastic aprons should be used to protect clothing at mealtimes. The home should survey relatives and other stakeholders about their satisfaction regarding the homes response to complaints and make any changes necessary to the procedures. Staff training records should be kept on a training matrix so that training provided and training needed, can be monitored and the information retrieved easily. Consideration should be given to the comments received from staff about the needs for better communication between the staff working in the different units. 4 5 YA32 YA37 Shirebrook Fields Nursing Home DS0000021807.V364122.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Shirebrook Fields Nursing Home DS0000021807.V364122.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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