Inspection on 09/05/06 for The Field House

This inspection was carried out on 9th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 02/06/08

The Field House 17/05/07

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Field House 110 Harborne Park Road Harborne Birmingham West Midlands B17 0BS Lead Inspector Jill Brown Key Unannounced Inspection 08:30 9th May 2006 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.V289438.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. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 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.V289438.R01.S.doc Version 5.1 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 or equivalent by August 2006 18th January 2006 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 Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors Jill Brown and Sean Devine visited the home in May for an unannounced inspection. The inspection took about eight and half hours. During this time a tour of the building was undertaken. Care records of two residents were looked at in detail and another in parts. Two staff records were looked at and two staff were interviewed as well as discussions with the Registered Manager. Eight residents were spoken to. Some maintenance and inspection of the building and equipment records were looked at and the medication processes were inspected. One inspector had a meal with the residents. What the service does well: What has improved since the last inspection? It was clear that the home had done a lot of work in trying to improve the care plans for residents this needed to be consistent. Staff attitudes appear to have improved from the last inspection and residents were happy with their contact with staff. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 6 The home had ensured that all but one of the staff now has the appropriate criminal records bureau check (CRB). New staff were having a formal induction period and there was records showing that they had been shown policies and procedures and how to assist the residents. The home were not holding many residents’ money but those they held were recorded appropriately. What they could do better: The home had collected together lots of information and developed care plans since the last inspection. However it was not easy to find the actions that staff had to take to deliver the care in the way residents needed and wanted. In a number of cases plans were not in place to cover risks, such as those people who are more likely to get pressure areas or, people that are agitated on a night. The home reviewed the care on a monthly basis but did not always up date the care plans and did not state that the care plans were still working. The reviews however were in great depth and would be useful when residents needs appear to have changed. A number of small improvements could be made on medication and this could be picked up on routine auditing. A number of residents still felt that there were not enough activities in the home. Some residents spend their time in their room, others find it difficult to be involved in group activities; individualised plans would help the home ensure that residents have meaningful individual time with staff. Whilst the food was good on the day, the inspectors were told that it varied. The home needs to ensure that consistency of quality and presentation of food can be maintained. The home had not yet completed a food risk assessment and this is needed. The home is comfortable but some areas need redecoration and refurbishment now or soon. The home needs to have a plan for replacement, redecoration and refurbishment to ensure that it doesn’t miss the standard. Areas of risk were identified with a number of hot water taps not having thermostatic controls to prevent scalding and a number radiators being uncovered. The home needs to ensure that they have good audit systems and can gain the views of residents and staff routinely. Supervision and meetings of staff have not happened frequently enough and residents’ views must be captured as they happen for the home to move forward. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 7 Whilst the home has improved they need to focus on good audit systems and making care consistent and more individual to the resident. 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 Field House DS0000059651.V289438.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 The Field House DS0000059651.V289438.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): 2, 3, 4, 5 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. The home collects good information about residents and uses that information appropriately to determine whether they can provide a service to a resident. EVIDENCE: In the information sent to the Commission the home states that the fees for the home are between £1416-£2600 per calendar month. Residents in the home had a contract showing terms and conditions of their stay and this had recently been updated and copies given to residents or their families and this was commended. Residents had a full assessment prior to becoming resident at the home. Residents visited the home before deciding to stay. There was a clear trial period and stays were reviewed following this trial period. The home’s assessment information was comprehensive. A number of the forms used could be revised to ensure a little more clarity. There was some life history The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 10 information available and this can assist in making care plans more individual to the resident. Staff and the manager of the home were able to tell inspectors about the health needs and care of specific residents. Residents appeared to be appropriately placed in the home. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to the service. The residents appeared to be well cared for however care plans and risk assessments needed improvement to ensure that resident’s individual needs are met consistently. There was an improvement in the attitudes between staff and residents. EVIDENCE: Although information was collected, this was not always translated into care plans. The plans were not specific enough with details on activities, relationships(where appropriate) and night care plans (where appropriate) missing. Instructions to the care staff were amongst a lot of information and was hard to find. A reorganisation of this part of the care plan may prevent conflicting information for example there was an excellent prevention of falls plan in one part of a resident’s file but this was not the same as the mobility assessment. A simpler approach may assist in the delivery of care. In one situation the home needed to check the environment was not contributing to the residents difficulties. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 12 The manager completes a thorough review of each resident monthly but the information from that review is contained in the review format and is on occasions not put on to the care plan of the resident. The review did not always show whether the existing care plan was meeting the resident’s needs. An easier format was discussed with the manager, although, the inspectors thought the thorough re-examination of the residents needs was appropriate at times when residents needs appeared to have changed or at 6 monthly intervals. The residents in the home appeared well cared for with personal hygiene needs met. A number had risks identified such as a high risk pressure areas developing and so on without a plan to control these risks. Residents were assisted to see their GP when needed and had access to other professionals such as opticians, dentists and chiropody services. Residents appeared to be assisted to move from wheelchair to chair appropriately. The inspectors watched a resident that needed encouragement to move from wheelchair to chair and this was done with clear instructions being given. This indicated that moving and handling of residents was being approached well. The administration of medication was generally good. All controlled drugs were recorded and accounted for. The home needed to ensure that the correct name of the resident is kept on the controlled drug record rather than the resident’s preferred name. The home had some minor errors including not carrying forward numbers of medication in stock and not dating all medication when received on the Medication administration record. The home had the appropriate policies and procedures in regard to medication. The home needed to ensure that they check that residents that self-administer medication are safe to do so routinely and the manager needs to audit the competence of staff with medication routinely. The management of medicinal creams could be improved to ensure that they remain free from contamination. Residents said that they were happy with the care they received. Staff were seen to be kind to residents and approached residents appropriately. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 13 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, 15 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to the service. The home needs to develop its activities so that each resident has some meaningful leisure time with staff. The arrangements for visitors was good and the home did not appear to have restrictive practices. The meals could improve further by ensuring a good consistent standard. EVIDENCE: It was clear that some activities were happening in the home, such as card games, exercises and so on but this required further development and some attention was needed on recording. A number of residents did not like to join in formal activities and a number found it difficult to join in. For these residents the home needs to devise individual activity plans that shows some one to one time with staff. This is especially important for those residents that choose to spend their time in their bedrooms. Records of activity residents have enjoyed were poorly kept and it made it difficult to judge what residents were doing. One resident was using the home as a base and using ring and ride, another had an organisation that she was involved in. A number of residents felt they wanted more to do. Large print books were available for residents to read. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 14 Residents could have visitors when they wanted and the home has an appropriate amount of space for residents to see visitors in private if they wish. Residents of the home can receive their care and spend time in their bedroom if they wish and a number do. Residents that spend times in their room state that they are seen quite often and receive drinks when they want them. It was clear a number of residents felt restricted by their illnesses more than by any restriction of the home. One resident said the meals were good especially at teatime when there was a good choice of meal. When the inspectors arrived residents were having breakfast, which included a poached egg on toast for a number of residents. Tables were neatly laid out with condiments, flowers, linen napkins and so on. The atmosphere at meal times was good with residents talking amongst themselves. One inspector sampled lunch of chicken pie, green beans, peas and mashed potatoes. This well presented and cooked. Two residents were given a soft meal option and a third resident that didn’t want a cooked meal was given soup and a sandwich. The inspectors were informed that the quality of meals varied. One resident was not happy with the meals however it was clear that the home had tried to make arrangements for this resident but this had not been successful so far. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 15 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, 17, 18 Quality in this outcome area was good. This judgement has been made using available evidence including a visit to the service. The home had appropriate policies and procedures in place, staff had received training and this protects residents. EVIDENCE: There has been a long-standing complaint at the home, which has had some difficulty in resolving. There have been no complaints to the Commission about the home since the last inspection. The home had a good complaints policy and procedure. The home keeps a record of complaints made internally, keeps a record of the investigation and where necessary takes action. The inspectors discussed with the manager ways that grumbles and concerns could be recorded in a way to assist the home in continual improvement. Residents that wanted to vote were assisted and the inspector saw evidence of postal votes. The home has appropriate adult protection policy in place. Staff interviewed were clear on their responsibility if an allegation was made and in their expectations of the managers responsibility. The staff were clear about how they ensured good care for residents and stated that they were told if there were any changes to the care residents needed. Staff have had adult protection training. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 16 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, 25, 26 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to the service. The home is comfortable but some areas are beginning to need redecoration or refurbishment and some work on water temperatures and radiators is needed to improve safety for residents. EVIDENCE: The home was comfortable with several areas where residents could sit either to join other residents or quietly. For the most part the home was comfortably furnished and decorated. A bathroom on the ground floor has yet to be refurbished and when doing so the home needs to consider improvements for staff to be able to assist residents safely. The home has a number of level access showers on other floors. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 17 The homes corridors have uncovered radiators and these tend to be used by people as walking aids and should be covered to prevent the risk of burns. A number of the communal corridors and stairwells needed re decoration. The carpet in one dining room was showing threads and this must be made safe and scheduled for replacement in the near future. The resident’s rooms seen were individual in style and many showed that residents were able to bring in furniture, ornaments and so on. The mattresses and sheets that were checked were of good quality. Residents had access to an easy chair and where residents remained in their room there were tables, TVs and so on. There were no temperature restrictors on the hot water taps of the wash hand basins around the home, some showers and bath this potentially could allow a resident to get scalded. Residents spoken to were happy with the home’s environment. One resident’s room had an odour that needed investigation but the home was generally clean and fresh. The home appeared to have appropriate infection control in place; the laundry and the storage of cleaning materials were well organised. Appropriate hand washing and drying facilities were available. A lock on the staff toilet needed repair. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 18 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, 28, 29, 30 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to the service. The home needs to improve on the training for the staff to ensure that residents receive appropriate care. The home must continue to follow up any outstanding checks on staff. EVIDENCE: The home was staffed appropriately at the time of the inspection and rotas suggested that this was the case at all times. The home has 16 care staff of which 5 have now got NVQ2 in care making 31 of staff trained. The current staff training to NVQ 2 will only mean 44 staff will be qualified. Remedial action must be taken to ensure the standard of 50 of care staff NVQ2 trained is met. The home has a clear process for recruiting staff via application form references and interview. The home ensures that Criminal record Bureau checks are undertaken. One member of staff has not got CRB according to the pre-inspection questionnaire although this has been sent for as result of previous inspections. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 19 The home has latterly improved its induction processes and offered a good induction. It was clear that the home was offering training for staff but it is suggested that a matrix is kept so that mandatory updates of training are offered in a timely fashion. The home did not have any staff whose first aid training was in date and this is of concern. An immediate requirement was left about this. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 20 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, 35, 36, 38 Quality in this outcome area was adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The Registered Manager has appropriate qualifications in care and is now completing the Registered Managers Award. She has also qualifications in assessing and coaching. The home does not have a quality assurance system that covers the whole of the home’s business to produce an action plan to constantly improve the quality of the home. The owners are not producing reports of their required monthly visits and copies of those reports are not being sent to the Commission. The home needs to find ways of collecting residents’ views and show how they have acted on them. They need to have ways to review weights, accidents, injuries, falls, activities and so on across the resident group to inform future practice. The home need to show they have methods of The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 21 checking the building, food provision, and equipment such as linen, mattresses and so on so they can develop an appropriate improvement plan. The home only holds money for a small number of residents, the majority of residents managing their own money or, their relatives assist. The home tends to invoice residents for hairdressing and chiropody a number of residents have a float of money just in case they need anything in addition to these services. The balances checked matched the records kept of residents’ money. Supervisions and staff meetings were not being held often enough and this is some of the ways that good consistent care for residents is assured. The home had inspections by the West Midland Fire Service (WMFS) and by the Health and Safety Department since the last inspection. The WMFS were happy with the home and left only two requirements one of which has been attended to. The other extension of the fire alarm to the roof space was not inspected. The home was found to have appropriate training of staff in fire safety, emergency lighting and fire equipment tests, risk assessments and fire drills. The Health and Safety Department visited and the manager reports that the small number of requirements have now been completed. The home had appropriate maintenance and inspection contracts for services such as electrical wiring, gas, waste disposal and so on. The home did not have a completed food risk assessment or staff risk assessments in place. The home needed to make arrangements for the staff to have a lockable storage place for their valuables. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 22 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 X 3 3 3 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X X X 2 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 1 X 3 2 X 2 The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 23 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 OP7 Regulation 15(1) 15(2)(b) Requirement The manager must ensure that more details are included in the care plans. Care plans must cover all areas of identified need including oral, dental, foot and eye care. (Night care and relationships where needed) Care plans must be updated as soon as a change has been identified. (These remained outstanding since 01/08/05). Risk assessments must cover all areas of risk (such as development of pressure areas) and activities undertaken by residents. Strategies for the management of these risks must be in place. (These remained outstanding since 14/02/06). Instructions to staff about how resident’s needs are to be met must be easily found in the care records. DS0000059651.V289438.R01.S.doc Timescale for action 15/07/06 2. OP7 13(4)(c) 15/06/06 3 OP7 12(1) 30/06/06 The Field House Version 5.1 Page 24 4 OP9 13(2) The manager must carry out staff medication audits to identify any problems. (This was outstanding since the 14/02/06). Medication recorded in the controlled drugs register must recorded in the same name as the name as on the prescription. Compliance checks must be routinely undertaken for residents self-administering medication. The home must ensure that medication not used from a previous script is carried forward to the next Medication Administration Record (MAR) or returned. 30/06/06 5 OP12 Medicinal creams must be discarded 28 days after the date of opening to prevent microbacterial cross-infection. 16(2)(m,n) A record must be maintained of the service users interests and the arrangements made to fulfil these needs. (This was outstanding from 01/03/06). Individual plans must be devised for residents not able to benefit from group activities or those that spend their time in their room. Daily records for residents must show how they have spent their time in the home. (This remained outstanding from 01/03/06). The home must ensure that the quality of food preparation is consistently good. They must develop an audit tool to track DS0000059651.V289438.R01.S.doc 15/07/06 6 OP12 12(1)(b) 15/06/06 7 OP15 16(2)(i) 24 30/06/06 The Field House Version 5.1 Page 25 9 OP19 23(2)(d) 10 11 12 OP19 OP19 OP25 13(4)(c) 23(2)(b) 13(4)(c) 13 OP25 13(4)(c) 14 OP25 13(4)(c) 15 OP26 13(3) this. The home must devise a timed redecoration programme that incorporates the decoration of stairwells and corridors identified. A carpet in a dining room must be monitored for safety on an ongoing basis and replaced by A lock on the staff toilet door must be repaired. Radiators that are in areas where they can be used by residents to steady themselves, must be covered. The showers and bathing facilities that are in use or where a resident is likely to use must be restricted at the tap so that they cannot go above 43°c. A programme of ensuring that wash hand basins have hot water restrictor valves fitted must be devised. Fridge and freezer temperatures to be recorded on a daily basis and where they were found to be outside the normal limits this must be brought to the manager’s attention. Staff must not use the kitchen to access the smoking area during times of food preparation. (These requirements were not inspected on this occasion and are brought forward for the next inspection.) The odour control issue in one of the bedrooms inspected must be attended to. (This remained outstanding since 14/02/06). The home must demonstrate how they are to attain the requirement of 50 of staff DS0000059651.V289438.R01.S.doc 31/07/06 31/08/06 07/06/06 31/07/06 31/05/06 30/09/06 15/06/06 16 OP28 18(1)(c) 30/06/06 The Field House Version 5.1 Page 26 17 OP29 13(4)(c) 19 18 OP30 13(4)(c) 19 OP30 18(1)(c)(i) 20 OP31 9 21 OP33 24 22 OP33 26 23 24 25 OP38 OP38 OP38 13(4)(c) 13(4)(c) 23(3)(a) (ii) qualified to NVQ2 standard. The home must ensure that the one member of staff without a CRB check is followed a copy of the CRB must be sent to the Commission once it is obtained. The home must ensure that at least one person per shift is first aid trained and that training is in date. 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 by The home must have a quality assurance tool that collects together all areas of the homes working, service user and staff views to inform future practices and sustain improvement. The owner of the home must undertake unannounced monthly visits of the home and send a report of these visits to the Commission on a monthly basis. The home must ensure they have a food risk assessment The home must ensure that ensure there are staff risk assessments. The home must ensure there is lockable storage available for staff’s valuables. 30/06/06 31/05/06 30/06/06 31/08/06 31/07/06 30/06/06 30/06/06 15/07/06 31/07/06 The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 27 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 Refer to Standard OP32 OP36 Good Practice Recommendations It is recommended that staff meetings be held on at least 2 monthly basis and be recorded It is recommended that staff formal recorded supervision is no less often that 6 times a year. The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 28 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 The Field House DS0000059651.V289438.R01.S.doc Version 5.1 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!