Latest Inspection
This is the latest available inspection report for this service, carried out on 18th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Field House Care Home.
What the care home does well People are content to share a home together and they told us that staff are very helpful and kind to them. Some people told us on the survey forms that staff "look after us well". Some said the staff were good at "cooking" and other people told us about staff helping them to have good holidays. An interactive television game (the WII) was provided and people have told us that they enjoy using this when staff set it up for them. There is a consistent staff group with only one change during the last year. People benefit from staff knowing their needs and helping them to manage their own health. What the care home could do better: Some action was taken during this inspection visit, but the providers must now ensure all door entries are made safe with appropriate permanent door strips to hold the carpet in place. They must also remove or replace and permanently cover the exposed wiring in the entrance hall. This is to avoid any risks to the health and safety of people living in the home. They must ensure the premises are kept in a good state of repair externally and internally, and this includes bathroom facilities. This is so that they are fully maintained to provide a long term home for the people living there. There must be a system in place to ensure all furniture and fittings are repaired or replaced as needed so that all people have good quality items in their individual rooms. They still need to ensure all staff receive training in Infection Control so that sufficient action is taken to prevent the potential spread of infection. The registered providers must prepare a written report on the conduct of the home at least once a month. This is so that they can demonstrate they are monitoring and improving the quality of the service provided. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Field House Care Home 127 Foxhall Road Forest Fields Nottingham NG7 6LH one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Meryl Bailey Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Field House Care Home 127 Foxhall Road Forest Fields Nottingham NG7 6LH 01159603509 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Jacqueline Long Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Richard Stevenson,Mrs Alison Stevenson care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 12 Field House is situated in the Forest Fields area in the City of Nottingham, approximately one mile north of the city centre. The home is close to bus and tram routes, and there are some shops close by. The large semi detached house covers three floors, with a stair lift to the first floor and stairs to the top floor. Most people who currently live at the home are able to use the stairs. One ground floor bedroom is provided. Care Homes for Adults (18-65 years) Page 2 of 8 What we found:
When we carried out the last key inspection of Field House on 1st September 2009 we required action to be taken over the next three months in order to meet the Care Homes Regulations. We carried out this Random Inspection in order to find out what action had been taken. Before the visit we looked at information we had received since the last inspection. This included completed survey forms from nine people that live at the home and from five staff. We also received a completed Annual Quality Assurance Assessment form in March 2010, which gave us some basic information about how the home is run. During the visit we were able to see and speak with three people who currently live there. All others were either on holiday or at day services. We listened to their views, looked at the premises and examined some medication and health records. We also spoke with staff, who gave us information about their training. We found that some action had been taken to meet some of the requirements we had made, but there were still some areas that needed further action. Peoples personal support and health needs are met and improvements have been made in the way staff manage medication. Staff had started to use Health Action Plans with people and these will give individual people more control and understanding about their own health. People told us about going for walks and having exercise. Most staff had received further training from a Boots pharmacist trainer and the Medicine Administration Records showed that staff were recording their actions accurately. We looked at some creams people had prescribed to them and none of these were out of date as they had been when we last visited. As at the two last inspection visits we again found that the home is kept clean for people, but the premises and furniture are not fully maintained. We read in returned survey forms that decor, repairs and maintenance had been neglected. When we visited we found that nothing had been changed since our last visit. One person had still not been able to move back into his chosen bedroom, due to the ceiling damage there. In the ground floor bathroom there were still tiles missing and damp walls. Some people had good quality furniture in their bedrooms, but others still had old, damaged bedroom furniture, with some door handles missing and the top surrounding a washbasin in one persons room still had no edging. The carpet on a landing had still not been replaced and was very worn. In the doorways of two bedrooms we found the carpet to be causing a trip hazard and the senior support worker took some action during the visit to make a temporary repair with packing tape. We also found some wires exposed in the entrance hall and action was taken to make a temporary cover. We did not look into the cellar on this occasion, but staff told us that no changes had been made there. People benefit from consistent management of the home, but the quality of the service is still not fully monitored to ensure the home is run to promote the best interests and safety of people living there. The manager was not available during this visit as she was accompanying some people on holiday. A senior support worker assisted in her absence. There were no reports available from the provider about his assessment of the quality of
Care Homes for Adults (18-65 years) Page 3 of 8 the service, but staff told us that he still visits once a week to bring money. There was no evidence that the risks we found around the premises had been identified for action prior to our visit. Staff had received training in Moving and Handling since the last inspection, but none had received updated training in Infection Control. The manager had appropriately notified us of one incident when someone had attended hospital following an accident. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 24 23(2)(c) There must be a system in place to ensure all furniture and fittings are repaired or replaced as needed so that people have good quality items in their individual rooms. This requirement is outstanding from 31/12/08. 31/12/2009 2 39 26 The registered providers 31/10/2009 must prepare a written report on the conduct of the home at least once a month. This is so that they can demonstrate they are monitoring and improving the quality of the service provided. 3 42 13 Ensure all staff receive 31/12/2009 training in Infection Control so that sufficient action is taken to prevent the potential spread of infection. Care Homes for Adults (18-65 years) Page 5 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 41 13 Ensure all door entries are made safe with appropriate permanent door strips to hold the carpet in place. This is to avoid the risk of tripping and ensure the health and safety of people living in the home. 28/05/2010 2 42 13 Remove or replace and permanently cover the exposed wiring in the entrance hall. This is to avoid any risks to the health and safety of people living in the home. 28/05/2010 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 24 23 Ensure the premises are kept 30/09/2010 in a good state of repair externally and internally and this includes bathroom facilities. This is so that they are fully maintained to provide a long term home for the people living there. Care Homes for Adults (18-65 years) Page 6 of 8 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
