Inspection on 27/04/05 for The Fields

This inspection was carried out on 27th April 2005.

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

The inspector 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 Fields 27/09/07

The Fields 25/05/06

The Fields 27/09/05

The Fields 18/11/04

The Fields 02/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE The Fields 123 Low Etherley Bishop Auckland Co. Durham DL14 0HA Lead Inspector Stephen Willcock Unannounced 27th April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Fields Address 123 Low Etherley Bishop Auckland Co. Durham DL14 0HA 01388 832 655 01388 835 796 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Robin Davis Care Home 25 Category(ies) of OP - Old Age (25) registration, with number of places The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18th November 2004 Brief Description of the Service: The Fields is a privately owned care home providing care and support for up to 25 Older People. The home is situated in Low Etherley and can be accessed via a small private road that opens onto a car park to the front of the building. The Fields has been extended from the original house to provide additional bedrooms and to improve and increase the number of communal areas. The home is in its own grounds with pleasant views across the local countryside. All but 2 of the bedrooms have en-suite facilities. In addition to residential care, the home also provides respite care. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 27th April 2005 over a 5 hour period and time was spent talking to service users, staff, management, looking at records and the building itself. The home had recently engaged a new manager who was busy developing a new service user care plan system. Service users comments were all positive about life at the home and about the staff and manager. What the service does well: What has improved since the last inspection? Since the last inspection the new manager has worked hard to meet the requirements and recommendations that were made although some are still to be met. Staff recruitment procedures have been improved and now meet the standard expected. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 6 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 Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 Information to assist service users making the decision to stay at the home is available. New service users are admitted to the home only after a thorough assessment of need is carried out. EVIDENCE: A Statement of Purpose and Service Users Guide was made available to service users and their representatives in order to make an informed choice in deciding to stay at the home. The documents were found to be generally satisfactory. Assessment documents, stating individual service user’s needs and how these needs were to be met, were seen. These had been completed prior to moving into the home and further assessments completed after admission were found to be in place and regularly reviewed. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 A system of care planning for individual service users is in place at the home and being further developed. Systems for the administration and handling of medicines are satisfactory. EVIDENCE: Individual service users care plans were examined and found to have sufficient information. The manager said that the format of care planning was under review and a new style plan was to be introduced. The manager said that meetings were to be arranged with service users, social workers and families to ensure that they were fully involved in the process. Currently none of the service users had expressed a wish to be in control of their medication. A policy on self-medication was available at the home that included the process of risk assessment that would be carried out should a service user wish to self-medicate. Medication records held by the home were found to be accurate and appropriately held. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 The home provides a satisfactory range of activities and encourages service users to join in. Food served at the home is appealing and offers choice. EVIDENCE: A range of activities, are available at the home including Bingo and monthly visits by entertainers. An activities co-ordinator is employed at the home and engages service users in joining in the many activities on offer that included a recent trip to the theatre. A service user said that they were looking forward to the summer outings Observation of the menus prepared at the home found them to be of variety and offering alternatives if required. In discussion, service users commented that “ the food is good” and “you are always asked what you would like”. Service users said that they could use the dining room for their meals but they could eat in their rooms if that was preferred. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a satisfactory complaints system in place. Information relating to the protection of vulnerable adults was in use at the home. EVIDENCE: A complaints policy and procedure is in place at the home and made available to service users and their representatives. In discussion, service users confirmed they felt safe at the home and knew how to make a complaint. A service user said, “If I had a complaint it would be treated seriously”. The home operates an Adult Protection policy linked to the Protection of Vulnerable Adults strategy “No Secrets”. It was noted that the information available at the home was not the most up to date version and the manager was asked to obtain the current “No Secrets” document. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is well maintained and plans being developed will improve access to the garden areas. EVIDENCE: Observation of the home found it to be generally well maintained and pleasantly decorated. Communal areas were well used by service users and appropriately furnished. The garden areas were pleasant but a problem of access to these areas had been highlighted at the last inspection. The manager said that this was to be resolved by the building of ramps to improve accessibility. The home was clean and tidy throughout and free from odour. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Records at the home show that staffing levels are maintained and staff recruitment processes are satisfactory. Staff are trained and competent to carry out their roles. EVIDENCE: Staffing levels at the home remain constant and meet the levels suggested by the Residential Forum Guidance for care homes. At present there are 16 care staff with additional catering and domestic staff. Recruitment to the home is conducted in accordance with the home’s recruitment policy. This policy was outlined by the manager and confirmed by the proprietors to include the obtaining of suitable references, Criminal Records Bureau checks and associated Protection of Vulnerable Adult checks, prior to the commencement of employment. Staff training records were examined and found to be up to date. A training matrix had been devised, giving details of training undertaken and future planned courses. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 Robust procedures for the safekeeping of service users money are in place. Records relating to health and safety are maintained and are up to date. EVIDENCE: Examination of service users personal allowance records found them to be accurately maintained and showed evidence of regular review and audit. Records relating to Fire Safety at the home were found to be up to date and accurately maintained. It was noted that the home did not have a fax` machine on the premises. The manager was able to demonstrate that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home were maintained. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 15 The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x 3 x x 2 The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 17 yes Are there any outstanding requirements from the last inspection? 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 7 Regulation 15 Requirement The registered person must ensure that the redevelopment of service users care plans is carried out. The registered person must ensure that the grounds are accessible to service users. (Timescale of 31st March 2005 not met) The registered person must provide a fax machine within the home. Timescale for action 22 July 2005 22July 2005 2. 19 23 3. 38 16 22July 2005 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 18 Good Practice Recommendations The manager should obtain an up to date copy of the Protection of Vulnerable Adults information document. The Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Fields B54_TheFields S7508 V223695 270405_stage 4.doc Version 1.30 Page 19 - 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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