Inspection on 02/06/08 for The Field House

This inspection was carried out on 2nd June 2008.

CSCI found this care home to be providing an Adequate service.

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

Other inspections for this house

The Field House 17/05/07

The Field House 09/05/06

The Field House 18/01/06

The Field House 15/06/05

The Field House 13/01/05

The Field House 23/07/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Field House 110 Harborne Park Road Harborne Birmingham West Midlands B17 0BS Lead Inspector Susan Scully Key Unannounced Inspection 2nd June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Field House Address 110 Harborne Park Road Harborne Birmingham West Midlands B17 0BS 0121 426 3157 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) Park House Care Ltd Ruth Bosworth Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered to accommodate 21 OP That a minimum of 2 care staff are on duty at all times with additional ancillary & support staff as necessary to meet the needs of the service users That the manager completes the Registered Managers Award and supplies a copy of the certificate to the Commission by 31st August 2006. 17th May 2007 Date of last inspection Brief Description of the Service: The Field house is a privately owned residential home for 21 older adults. The home is a Georgian house built in 1760 and retains some of its original features and appearance. Care facilities are provided on three floors and all areas can be serviced via a passenger lift. All rooms are for single occupancy and fourteen of these rooms have en-suite facilities. There is a split-level lounge, two dining rooms, and kitchen and laundry facilities on the ground floor. The home has pleasant gardens and a swimming pool in the grounds. The home has a separate hairdressing salon. The home is within a short walking distance of Harborne High Street and is on a main bus route. The home had yet to determine its fee level with social services for April 2007 to March 2008 previous years fees were for between £1416-£2600 per calendar month. The Field House DS0000059651.V363460.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 1 Star. This means the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for the people who use the service and their views of the service provided, meaning they tell us if the home is meeting their needs, if the home is flexible and suits their life style, and if the home enables them to maintain their independence, preferences and choice of how they want to be supported and the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development The inspection was completed over one day by one inspector. The home did not know that an inspection of the service was taking place. As part of the inspection process three people were case tracked this involves establishing individuals experiences of the service provided or observing practises of individual staff and how they have been trained to deliver a service that promotes the persons well being and choices. We also discuss people’s care and look at care files focusing on outcomes for people. Case tracking can help us understand the experiences of people who use the service. In addition to this, information is looked at during the inspection such as policy’s and procedures, and the general operation of the home in relation to meeting people’s needs. We also contact other professionals involved with the home such as contract monitoring officers for their views of the service provided. The home is also required to complete an annual quality assurance assessment (AQAA). The Commission sends this document to the provider before the inspection. The AQAA shows what the home is doing well and if and what the home could do better. The completion of the AQAA is a legal requirement that the provider must complete as part of the inspection process. This had been completed and some of the information has been included in the report. A safeguarding referrals been made and is currently under investigation. This will not be referred to in this report. The outcome will be referred to in the next key inspection report once the investigation has been completed. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 6 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 Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 7 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. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information that is provided to people enables them to make a decision as to whether to move into the home. People’s needs are fully assessed by a representative from the home. This means the people using the service can be confident their needs will be met. EVIDENCE: The information provided to the people who are interested in moving into the home is in the form of a statement of purpose and service users guide these documents tell the person what they can expect , the terms and condition of the service provided and the fees that would be payable. The statement of purpose and service users guide also tells the person the qualifications of the staff team, information about the organisation and the qualification of the manager. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 10 There had been three people admitted to the home since the last inspection. We looked at the admission processes for these three people and this involved looking at the pre assessment and the care plans that had been drawn up as part of the persons needs. The pre assessments are where representatives from the home and the individual have a meeting to assess what the person is looking for in terms of residential care and to see if the home can meet the person’s needs. The meeting also gives the person the opportunity to ask questions about the home and what they can expect from the service. At this meeting a decision is made where the person is invited to view the home and meet the staff and people who live there. The manager had completed all three pre assessments and two people had visited the home. The pre assessments gave details about the person’s health, their previous history, such as daily routines, likes and dislikes, family and friends and their medical conditions. From the pre assessment the manager had completed three interim care plans and these gave information to the staff to enable them to meet the person’s needs and maintain their independence. The manager said she completes interim care plans until the staff and the person using the service has had time to get to know each other where more information is added where required. This enables the individual person to give the staff further information about how they want to be supported. The manager said care plans take time to develop as the staff and management get to know the person better and the individual is able to see what the home is like. All people who move into the home have a 28 day trial period to ensure the home is the right place for them to live. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs, preferences and personal wishes of the people using the service are recorded in care plans to ensure they receive individual support to meet their needs. Risk assessment must be completed when people are admitted to the home this will ensure there is no delay in identifying risks to the person’s health and wellbeing that could potential put the person at risk of harm. Medication records showed us people using the service receive their medication safely. EVIDENCE: We looked at the care plans for the three people who had recently been admitted to the home. Care plans are documents where people’s needs are recorded to enable staff to provide a service based on the persons choices and preferences of how they want the service to be delivered. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 12 We looked at the interim care plan for one person, the care plan contained information about the persons health, medical condition mobility, the support required and their past history. When we looked at the care plan in depth it was identified that the person suffers with sight loss and this was one of the reasons they had come to live in resident care to receive extra support. The care plan said that the sight loss was the main need of the person and the care plan was based around assisting the person daily with problems that effect completing daily living tasks due to poor sight. There was no risk assessment to tell staff what and how guidance should be given, what it meant to the person who had a sight impairment and whether signs where to be provided or contact had been made with and occupational therapist for guidance on making the home more user friendly to a person with sigh loss. The manager said she had not completed a risk assessment as the person had only been in the home for a short period of time. We would have expected a risk assessment to be completed as the person main need is assistance with daily living tasks as a result of sight impairment. Risk assessments had been completed for the other two people who had moved into the home recently. There was some good information contained in one care plans about the person’s health and how staff could recognise when things were not right and the action to take. The care plans contained information about the people’s likes and dislikes, what other professionals are involved in their care and who is important to them in the way of family and friends. Medical appointments were recorded in all three care plans, including people’s weight, nutritional screening, diet control, medication and risk assessment for manual handling. The care plans contained information about what aids and adaptation were being used by the individual, such as Zimmer frames, sticks and whether the person needed assistance with bathing aids. The three care plans showed us that a review of the persons needs was completed regular and any variation was recorded with an interim care plan put in place until the change was resolved. We interviewed staff about the people living in the home in particular the three people we were case tracking. While staff knew the basics about the three people, one admitted to not fully reading the care plan when we asked what type of diabetes the person had they did not fully understand. This was disappointing as there was excellent information about the special type of diabetes this person had recorded in the care plan. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 13 It is recommended when the staff have their supervision residents needs are discussed to ensure staff have read and understand the care plans, are fully aware of the peoples needs and their medical conditions. Observation during the visit showed us staff interacted very well with the residents, asking questions and waiting for an answer from the person. When staff were assisting one person the inspector herd the staff say to the resident that’s brilliant you did it, this was a member of staff assisting a person to the bathroom who had difficulty in walking and was using a Zimmer frame This was excellent encouragement for the person. When we spoke with the resident who had been assisted very positive comments were made, the resident said “Staff always encourage me and I am getting better they help and they take their time with me which helps’’. One resident said “Its lovely, here staff are nice and the grub is good’’. One resident said “staff are nice and the manager is nice, we do activities I helped make the picture on the wall, I am comfortable and I like my room I am happy’’. One resident said “The staff do as I ask them to do and respect me when I say I don’t needs help, but they are always there if I do’’. Medication records showed us the home ensures peoples medications are administered safely with adequate records maintained. We looked at the medication for three people, each person’s medication was correct when we sampled the administration records (MAR charts) The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are able to exercise choices over their daily routines to promote individuality and independence. A wholesome and varied diet is offered and specialist needs are catered for. EVIDENCE: We looked at the activity records for the people living in the home, to see what activities the home offered to ensure people maintained an active life style. A person comes in once a week to do activities with the people living in the home, on the day of the visit residents were painting, one residents said , we do all sorts, such as bingo , arts and craft, making things , and pointed to a picture on the wall that they had made out of painting different things. The manager said the person who comes in to the home to do activities once a week has been asking residents what they want to do and is organising trips and the activities people have chosen to do over the coming months. One person said my family come regular and the staff always make her welcome. Relatives are encouraged to take part in any activities that the The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 15 home arranges. The home has an open door policy where visitors can come when they wish. We spoke with the majority of the people living in the home and their views told us that the staff encouraged them to make decision on a daily basis. This was observed through the visit when staff spoke with the people living in the home they treated them with respect and ensured the person made their own decisions. Menus and records of food consumed by individuals were sampled to establish that a balanced and varied diet is provided that meets peoples’ needs and preferences. There is a range of food available and people spoke to said the food was good. One person said “the grub is good and you get plenty of it, I can have want I want’’. Recorded in peoples care plans were likes and dislikes, religious and cultural needs. Specific dietary needs were well documented and it was noted that staff had consulted people about limiting certain foods for health reasons, which had been recorded. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living in the home can be confident their complaints will be listened to and an investigation completed, however records do not demonstrate the outcome is forwarded to the complainant. Some of the staff requires an up date in training for the protection of vulnerable adults. This will ensure the staff have up to date knowledge of the procedure to follow in the event of an allegation being made. EVIDENCE: We spoke with the people living in the home about complaints if they knew who to complain to if they had a problem, we asked if they felt the staff team would listened to their concerns and if they felt that they were taken seriously. One person said “I would speak with the manager’’. “One person said they would tell their relative’’. “One person said that they would tell the staff’’. “Another person said people who complain don’t know how lucky they are to live here’’. The home has a complaints procedure where each complaint is investigated. We looked at the complaints book, this contained complaints from the people living in the home, such as about food or amenities such as toilet roll, the action taken was recorded but it was unclear if the person making the The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 17 complaint was told about the outcome, and if they were satisfied in the way the manager had dealt with their concerns. There had been two adult protection referrals since the last inspection one had been dealt with appropriately by the manager through the disciplinary procedure after she had received instructions from the social worker team. The other is still under investigation and will not be referred to in the report until a conclusion had been reached. The outcome will be referred to in the next inspection report. The home also uses the complaints book to recorded complements. One complement received said “to tell the cook that his meal was lovely and he wished that the salmon was on the menu more often’’. There was no further entry to say if the home had acted upon the person suggestion. It is recommended when a complement is given the home uses this information as part of their quality assurance to improve the service further and use the complement as part of meetings to establish if other residents feel the same , like wise with complaints. We spoke with staff as part of the visit and asked about what they knew about adult protection or the protection of vulrnbakle people living in residential care, what this means to them. In particular what they would do if a person made an allegation of abuse. Staff said they would report the incident to a senior member of staff, or to the Commission for social care inspection. Staff were knowledgeable about the different types of abuse that could occur. Some staff are still to complete training in this area, however the dates have been arranged to ensure all staff have completed an update in the training of protecting people and how to recognise signs of abuse. The manager Ruth Bosworth has in the past demonstrated experience what to do where an allegation has been made and had reported to the appropriate authorities. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is suitable to provide accommodation to people that ensures they live in a secure, clean and comfortable environment. The domestic type kitchen needs a programme of maintenance to ensure the risks of cross infection are kept to a minimum. The water outlets identified during the visit where the temperature of water exceeds the recommended delivery to prevent scalds when residents use the water must be repaired to ensure the safety of the people living in the home. EVIDENCE: Since the last inspection a number of bedrooms have been decorated and new carpets for the lounges have been purchased. The home was clean and fresh with no offensive odours. The manager said there is an on going management programme to ensure the home is as comfortable as possible for the residents who live there. Residents spoken to said they were comfortable and were happy with their bedrooms. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 19 We looked at some of the bedrooms in the home and these were found to be personal to the individual with personal belongings, photos and pictures on the walls. The home has a small domestic type kitchen, while this was clean the kitchen cupboards needs replacing, the manager said that the home had received a 5 star rating for the kitchen from the environmental health. With the kitchen cupboards the way they are now it would be doubtful if they would achieve this rating again as the cupboards are very worn and the inside of the cupboards show signs where the debris inside the cupboard doors has deteriorated to an extent where part of the cupboard is missing. It is recommended the cupboards be replaced without delay to prevent further deterioration and possible cross infection on to food. The home had completed a check of the water outlets in the home that are used by residents, these were found to exceed the maximum temperature that would potentially cause scalding to residents the manager said action had been taken, and they had contacted some one to call at the home to regulate the water outlets, however the outlets were still being used and this is a potential risk to the residents living in the home. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home ensures there is an adequate system of recruiting staff that will protect the people who live in the home. Improvements have been made to the recruitment procedure and induction of new staff with ongoing mandatory training being completed. However some staff still requires training in the protection of vulnerable adults. EVIDENCE: Staff were observed interacting with people who live in the home. It was evident that positive relationships had been formed. Some people said, “The staff are good” and “They are kind and nice”. People who were unable to verbally communicate an opinion about the staff team were noted to seek them out during this visit and appeared very comfortable in their presence. Recruitment records sampled showed that appropriate checks had been made to make sure that staff were suitably experienced and qualified to work with vulnerable adults. Criminal Records Bureau checks had been made and written references received before the employee began work so that people were protected from the risk of having unsuitable staff work in the home with them. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 21 The home has a rolling programme for both mandatory training and that, which is relevant to the individual needs of people living in the home, such as dementia. We looked at three staff files and these showed us that there were certificates for, first aid, basic food hygiene, medication, moving and handling, infection control, adult protection. The manager had arranged future training in fire safety, moving and handling, Dementia care, mental health issues and first aid. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management of the home has improved however; further development of a quality assurance system where the views of the people living in the home will contribute to creating better outcomes for the people. EVIDENCE: The manager has worked at the home for many years and residents said that she was approachable and kind. The staff team gave a positive view of the support provided by the manager, about training, being approachable, and supportive. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 23 There have been some improvements with the general records held in the home about residents needs, and a significant improvement with care plans and the recording of information about people health and wellbeing. We looked at the accident records in the home, which was a cause for concern, because the information that is recorded on the accident records do not state what action is taken. For example one resident tripped, resulting in a cut. The accident records did not identify what action was taken, when we looked at the daily records for this person there was no mention of the fall or the action staff had taken, such as first aid. Another person sustained a cut to their forehead; again no information was recorded to say what action had been taken. There was inconsistence in recording information in daily records, as one accident report was recorded in the daily record giving clear information of what action had been taken. Systems need to be put in place to ensure that the quality of the service provided meets the needs and expectations of the residents who live in the home, such as ensuing when the residents have accident the information is information is recorded accurately and the residents’ is monitored for few days to ensure there are no underling problems due to the fall. The manager said that she is developing a quality assurance system where the views of the people using the service are recorded and used to help to improve the service further, she has sent questionnaires to relatives of the people living in the home. The comments received from surveys, residents and staff, were all positive and gave information about how pleased people were with the manager, staff and the care the home provides. We looked at the records for the money held on behalf of the residents, the manager said that she has not updated the records and put in order the invoices and records of receipts. Although the money held within the home balanced as per the residents records sheets. This needs to be done without delay so an adequate audit can be completed. Records of the maintenance and inspection of services such as gas safety and electric safety were found to be up to date. Qualified companies checked lifting equipment, electric appliances, fire systems and gas safety and these were found to be up to date. Fire alarms are tested routinely, drills were undertaken and staff interviewed understood their responsibilities. The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 2 x x 2 The Field House DS0000059651.V363460.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 OP8 Regulation 13(4)(c) Requirement Risk assessments must be in place without undue delay following a resident’s admission into the home to Ensure risks to residents are identified and steps taken to prevent or minimise these risks. Records of financial transactions with residents must be available in the care home for inspection. Timescale for action 01/08/08 2. OP35 17(2) Sch4 9 13(4)(c) 01/08/08 3. OP38 All accident records must identify 01/07/08 the action taken to ensure medical attention is sought immediately if required. 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 OP32 Good Practice Recommendations Staff meetings should be held on at least 2 monthly basis and be recorded DS0000059651.V363460.R01.S.doc Version 5.2 Page 26 The Field House 2. OP36 Staff formal recorded supervision should be a minimum of six times a year. All resident’s care plans should be organised and updated to ensure that information is set out in the same way can be collected quickly. A record must be maintained of the service users interests and the arrangements made to fulfil these needs. Individual plans must be devised for residents not able to benefit from group activities or those that spend their time in their room. 3. OP7 4. OP12 5. 6. 7. OP16 OP19 OP19 Small concerns should be recorded to inform the improvement of the service. A carpet in a dining room should be replaced and in the mean time must be monitored for any risks it can cause. The cupboards in the kitchen should have surfaces that are cleanable. This is to ensure that the kitchen can be cleaned appropriately and does not become a hazard to the health of the residents. A programme of ensuring that residents’ wash hand basins have hot water that cannot go over 43 degrees centigrade. This is to ensure that residents do not get scalded. The home must produce a matrix to demonstrate the care teams training and devise a training development plan. The manager must complete the Registered Manager’s Award and send a copy of the certificate to the Commission. A system should be implemented to take the views of those people using the service into account. This will contribute to person centred care. 8. OP25 9. 10. OP30 OP31 11. OP33 The Field House DS0000059651.V363460.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 The Field House DS0000059651.V363460.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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