Care Home: Field View Residential Care Home

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What the care home does well The home continues to have a pleasant and welcoming atmosphere. The owner plays a prominent part in the home visiting monthly and spending time talking with the residents and seeking their views about the service. The home always ensures that an assessment of needs is carried out before offering someone a place in the home. This ensures that no one is admitted inappropriately. The manager organises training for staff that is appropriate to their work and this means that staff are kept up to date with good practice. Resident`s views are sought about the services being offered and how this can be improved. Discussions held with residents confirmed that they are satisfied in the home and they said, "staff are very good". What has improved since the last inspection? Better records are in place to demonstrate how an assessment of needs is carried out before someone moves into the home. Residents individual care files are in the process of being updated and when completed will be in much better order making the retrieval of information easier. Individual written plans of care that are also under development will also be easier to follow by staff and will ensure that care practices are consistent.A new application form for employment in the home has also been introduced this is more detailed and ensures that a good range of information is gathered before offering someone employment in the home. A new manager has been appointed and they take an active role in the home. The manager has appointed a person to carry out general maintenance and decoration and this means that repairs are dealt with quickly. Refurbishment is being carried out and the upper floor has had new carpets fitted. What the care home could do better: The manager should ensure that individual plans of care continue to be developed. These should contain enough detail of what actions staff has to take in order to ensure that care practices are consistent. The assessment document that is used to assess resident`s needs should always be dated when it is completed. The mealtime practices particularly on the first floor and the arrangements in place for informing residents of what meals are available should be reviewed. A programme of staff formal supervision should be implemented which ensures that staff receives supervision at least six times per year. A copy of the complaints process should be on display in the home. When ordering repeat prescriptions from the G.P. staff in the home must see this before sending it to the pharmacist for dispensing. This will reduce the potential for any errors to occur. A programme of social activities should be implemented particularly for those residents who have dementia and suffer from impaired memory. This will ensure that they have the opportunity for stimulation that suits their needs. CARE HOMES FOR OLDER PEOPLE Field View Residential Care Home Thompson Park Thompson Road Sunderland SR5 2SH Lead Inspector Clifford Renwick Key Unannounced Inspection 23rd December 2008 09:15 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 Field View Residential Care Home DS0000015748.V373900.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. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Field View Residential Care Home Address Thompson Park Thompson Road Sunderland SR5 2SH 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) 0191 549 7272 0191 549 7373 Julie12-@tiscali.co.uk Memory Lane Care Homes Limited Manager post vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (40), Physical disability over 65 years of age (6) Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user is below pensionable age with the registration category PD 30th November 2007 Date of last inspection Brief Description of the Service: Field View provides care to older people over the age of 65 years, twelve of whom may have dementia or mental health needs and six people who may have a physical disability. It provides personal care only and any health care needs are dealt with by the Community Nursing Services. The house is purpose built and occupies a site on which previously stood a nursing home and is well known in the area. All areas of the house offer disabled access and a passenger lift offers access to the first floor accommodation and facilities. The home is detached and stands in its own grounds with well-established trees and is approached by its own walled entrance; this leads to a private car park. Though it is located in the heart of the Southwick community it has a feeling of seclusion due to its location and large expanse of external space. There is a large garden to the rear of the home that can be used by service users and their visitors. There is access to a bus service, which offers easy access into the city centre where a range of services and shops can be accessed. Close by there is a range of shops within both the Seaburn and Southwick areas and there is easy access to the metro station at Seaburn. Information about the home is available in its ‘Statement of Purpose’; in the form of a brochure (‘Fieldview Residential Home’) available in the entrance to the home; and in information posted on the home’s notice board in the entrance lobby. These last two need to be updated. The weekly fees charged are from £381 to £405. Field View Residential Care Home DS0000015748.V373900.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 2 stars. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit: We looked at: • • • Information we have received since the last visit in November 2007 and other visits carried out in 2008. How the service dealt with any complaints & concerns since the last visits. Any changes to how the service is run. The Visit: An unannounced visit was made on the 23rd December 2008. During the visit we: • • • • • • • • Talked with a number of the people who live in the home and also staff who were on duty. Held discussion with the acting manager and also the owner who was present during part of our visit. Observed staff working practices. Looked at information about the people who live in the home & how well their needs are met. Looked at other records, which must be kept in relation to health and safety and staffing. Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Looked around the home to make sure it was well maintained, safe and free of any hazards. We also gathered information from looking at care records to assess how staff supports the residents with their assessed needs. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 6 • We also focused upon looking at care files for 3 residents as a part of the inspection we refer to this as “case tracking”. And this involves looking at all records of the care for a named individual. The people who live in this home prefer to be known as residents therefore this term of reference is used throughout the report. At the time of our visit there were 31 people living in the home. The person who is currently managing the service is in the process of applying to the commission for registration and is referred to in the report as the manager. What the service does well: What has improved since the last inspection? Better records are in place to demonstrate how an assessment of needs is carried out before someone moves into the home. Residents individual care files are in the process of being updated and when completed will be in much better order making the retrieval of information easier. Individual written plans of care that are also under development will also be easier to follow by staff and will ensure that care practices are consistent. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 7 A new application form for employment in the home has also been introduced this is more detailed and ensures that a good range of information is gathered before offering someone employment in the home. A new manager has been appointed and they take an active role in the home. The manager has appointed a person to carry out general maintenance and decoration and this means that repairs are dealt with quickly. Refurbishment is being carried out and the upper floor has had new carpets fitted. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Field View Residential Care Home DS0000015748.V373900.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 Field View Residential Care Home DS0000015748.V373900.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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one is admitted to the home until an assessment has been completed and this ensures that peoples need’s can be met by the homes staff. And the home supports and encourages pre-admission visits to the home by prospective residents and or their relatives. This provides the opportunity for them to see the home for themselves before making their decision about coming to live there. EVIDENCE: At the time of our visit there were 31 people living in the home, 18 upstairs and 13 downstairs. Three care files were looked at and this confirmed that homes staff prior to admission carried out an assessment of need. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 10 The detail of the homes assessment varied with some containing basic information whilst another file contained a comprehensive assessment. Some sections of the assessment documents were not dated so this made it difficult to establish when this information had been obtained. Overall however staff had gathered sufficient information during the assessment that enabled them to identify what support people needed with their care needs. Discussion with the manager and staff confirmed that they also try to obtain an assessment form the social services if they are involved with the placement. However at times social services do not always provide an assessment. In addition to the assessment document the home also have a document called “This is Your Life” which is used to obtain information about a persons previous lifestyle, background, family and interests. Staff confirmed that this is still under development as they rely on receiving information from the family/ relatives of the resident wherever possible. This document is normally completed after admission and the information is used to assist with the care process. Intermediate care is not provided so this standard was not assessed. Field View Residential Care Home DS0000015748.V373900.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. While clear improvements have been made to the care planning process, this needs further development. Health care needs are effectively met and medication procedures follow good practice to ensure that residents’ general health and wellbeing are safeguarded and promoted. Good staff interactions with residents confirms that residents are treated with dignity and respect at all times. EVIDENCE: Each resident has an individual written care plan that is completed by staff and is a process that is used to demonstrate how staff will assist residents with their assessed needs. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 12 Three care plans were looked at for residents who have a range of different needs. The care plans use pre printed pages and are easy to read and staff write information into boxes that set out the goals they wish to achieve with the different areas of needs. For one person who was recently admitted a comprehensive assessment was carried out but no care plan was available. Discussion held with staff confirmed that they had strategies in place to demonstrate how this person would be supported. As the home have implemented a new range of care plan documents most of the information form the previous records is being transferred into the new documents. And discussion with the manager confirmed that this is an ongoing process until all records are updated. As such it is to early to fully assess the effectiveness of the new care plans. In discussion with staff it was clear that they had a good understanding or residents individual needs and knew what actions to take to support them. Good records are kept of residents health needs and this confirms when a resident has been seen by a health professional. It was positive to see that appropriate referrals had been made to the relevant health professional for one person who is prone to falls. And this has resulted in additional support being made to this person with a view to reducing the amount of falls. Records of weight are maintained and all residents undergo a nutritional assessment to ensure that they are supported in this area. Good systems are in place for the administration of prescribed medicines. Staff who are responsible for administering medicines have received appropriate training. Administration records are well kept and any issues are picked up on by the manager during regular audits with appropriate actions being taken. At present when medication is ordered from the G.P the prescription is sent direct from the GP to the pharmacist for dispensing. This does leave the potential for error to occur even though staff keeps a copy of what has been ordered. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 13 Staff should see the original prescription that is issued by the G.P before it is sent to the pharmacist and this would ensure that any potential for error is ruled out. Field View Residential Care Home DS0000015748.V373900.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents lead fulfilling lifestyles through exercising choice and control over how they spend their day and people’s lifestyle is good with regular contact being maintained with relatives. The lack of activities and insufficient information available to residents about the menus means that they have limited opportunities to exercise their choices. EVIDENCE: Discussion held with residents confirmed that they are able to spend their day as they wish. And those residents who are more able tended to spend time in their rooms pursuing their own activities. People tended to get together at mealtimes particularly on the ground floor and this was used as a social occasion to catch up on what was happening in the home. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 15 Good contact is maintained for those residents who have relatives and it was confirmed by residents that there are no restrictions on them visiting the home. At the time of the visit staff were involved in afternoon activities with the residents that consisted of cards and dominoes. However discussion with the residents confirmed that at present there are not enough activities provided to interest them. There are no lists of what activities take place on a regular basis and information is not circulated to residents to inform them of what activities have been planned. Similarly there is little information recorded about resident’s leisure interests. The residents did confirm that there had been 2 Christmas parties both of which had a very nice buffet and good entertainment. Discussion held with the manager confirmed that activities are an area that needs to be developed in the home and this is an area that is currently under review. One resident is in the process of having their bedroom decorated and was pleased that the owner had consulted with them and had offered them the opportunity to become involved in choosing colour schemes. The resident went on to say that they had been fully involved at all stages and had also involved their family. This was a good example of how residents were able to exercise choice. Lunch was taken with the residents on the first floor and with people who generally have been assessed as having dementia and problems associated with memory loss. Tables were set with tablecloths and placemats and though functional were not as nice as the items used in the ground floor dining room where tablecloths were made of cloth. The meal was served from a hot lock trolley by catering staff and the food was piping hot. The meal was well presented and tasty and hot and cold drinks were available throughout the meal. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 16 However the menus that were on display on the wall are difficult to read due to the size of print and the meal that was served on the day did not match what was on the menu. Similarly the menus on display in the ground floor dining room differed from what was served at mealtimes. The size of print used and having menus that do not correspond with the meals being served does not assist residents in making choices. And this was discussed with the manager. During the mealtime staff spent time in the dining room but did not sit with residents unless they needed physical support. Observations made indicated that some residents would have benefited from staff sitting with them even if it was only to converse with them during the meal. Particularly as a number of residents needed some verbal encouragement to eat their meal. Overall however the mealtime was a pleasurable experience and residents indicated that they liked the food. The meal was unhurried enabling residents the time to eat at their own pace. And for those residents who wanted second helpings sufficient food was available. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. A clear complaints procedure gives residents and their relative’s confidence that they will be listened to and taken seriously. And the manager and staff have a good understanding of local adult protection procedures, which helps to ensure the protection of residents from abuse. EVIDENCE: Though the home’s complaints procedure is not on display there is a complaints policy and procedure that is given out to new residents and their families. People who are currently residing in the home have in the past been issued with a copy of the complaints procedures. In discussion with residents they confirmed that they are aware of how to complain and to whom if they have any concerns. In discussion with people they said that they had no complaints about the service. A complaints record book is kept that logs any complaints that may be made and this demonstrates what actions are taken in the event of a complaint being made. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 18 A number of the staff team (12) have recently completed updated safeguarding adults training. Sunderland Social Services representatives provided this training in the home. And ensures that staff are up to date with current practices in order to protect residents from the potential of abuse occurring. Arrangements are in place for other staff to attend similar training in the New Year. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. The home is clean and safe and provides a comfortable environment with appropriate aids and adaptations to meet service users’ needs. EVIDENCE: The home was free of any unpleasant odours and there were no noticeable safety hazards. Parts of the building are now showing signs of wear and tear and the manager who is implementing a programme of refurbishment is addressing this. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 20 Large colourful signs on bathroom, dining room, toilet doors and personal signs such as photographs on bedroom doors assist residents with finding their way around the building. The home have a maintenance person who deals with repairs quickly end ensures that the building is kept in a safe order. Many of the residents have personalised their bedrooms with items of furniture and other small effects and this has given character to those rooms. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 21 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 good. This judgement has been made using available evidence including a visit to this service. Sufficient experienced and trained staff is available to meet service users care needs. And furthermore the homes recruitment policy and practice safeguards service users. EVIDENCE: The new manager has been reviewing staffing levels and as a result of this has adjusted staffing levels in the morning in order to ensure that resident’s needs are met. The manager has also ensured that staff training needs have been assessed and has and is ensuring that training is provided. A number of staff have completed a dementia awareness course and have also received training in infection control. Some of the staff who works in the kitchen is about to start an NVQ Level 3 course in hospitality and catering. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 22 Fifteen staff have been allocated to undergo training in nutrition and other staff have been signed up to receive training in equality, fire safety and mandatory training. Robust procedures are in place for the recruitment of staff and the manager ensures that all of the information that is required is obtained as part of the recruitment process. This ensures that only people who are suitable to be employed to look after vulnerable people are offered a job in the home. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 23 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 good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and the home is well managed to ensure that the health and safety and well being of residents is promoted. EVIDENCE: The manager is new in post and not yet registered with the commission. The manager has a good range of experience of working in care homes for older persons and has previously held a management position. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 24 Since commencing work in the home the manager has been instrumental in ensuring that staff health and safety training has been updated. This has included almost all of the staff receiving updated fire safety training that was carried out by an external trainer. It was good to see that during our visit that staff followed the correct safety procedures when the fire alarm sounded unexpectedly. New staff that has been employed received fire safety training before they commenced work. The manager has commenced formal supervisions with staff and though only a few have been completed so far arrangements are in place for this to be more regular in the New Year. In the interim however the manager has been dealing with a number of practice issues that needed to be responded to and these were dealt with using formal supervision. General maintenance and refurbishment is being carried out in the home to address some of the general repairs caused by wear and tear though there is no maintenance plan in place. The person employed to carry out maintenance has implemented a repairs book that staff enter details in when they notice any matter that needs addressing. This ensures that repairs are dealt with quickly. Records for monies held on behalf of the residents were not looked at during this visit. However the manager confirmed that appropriate records systems are in place. The owner of the home visits monthly and during these visits spends time talking with residents. And it was good to note that the residents with who we spoke to knew of the owner’s visits. They said that it was good that he spent time talking with them. Since taking up post the manager has continued to make a number of improvements in the home and is actively seeking the residents and their families view about how the service can continue to be improved. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 25 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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 OP9 Regulation 7, Schedule 4 Requirement When ordering repeat prescriptions for prescribed medicines. The original prescription issued by the G.P must be seen by staff before it is sent to the pharmacist for dispensing. (Immediate) Timescale for action 23/12/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP7 OP3 OP15 OP12 Good Practice Recommendations Individual care plans should continue to be developed to ensure consistency of care practices. Individual assessment documents should always be dated when they are completed. Mealtime practices should be reviewed as discussed during the inspection. Structured social activities should be developed to ensure that residents have the opportunity to receive stimulation. These activities should take into account individuals interests and varying needs. A copy of the complaints process should be on display in DS0000015748.V373900.R01.S.doc Version 5.2 Page 27 5. OP16 Field View Residential Care Home 6. OP36 the home. All staff should receive formal supervision at least 6 times per year. Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Field View Residential Care Home DS0000015748.V373900.R01.S.doc Version 5.2 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!