Inspection on 15/05/08 for Southfield Care Home

This is the latest available inspection report for this service, carried out on 15th May 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Southfield Care Home 23/03/06

Southfield Care Home 23/09/05

Southfield Care Home 13/07/05

Southfield Care Home 04/03/05

Southfield Care Home 06/08/04

Southfield Care Home 16/06/04

Southfield Care Home 13/05/04

Southfield Care Home 22/04/04

Southfield Care Home 11/12/03

Similar services:

Snydale Care Home

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Larchfield Manor

Hawkhills

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Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

CARE HOMES FOR OLDER PEOPLE Southfield Care Home Belton Close Great Horton Bradford BD7 3LF Lead Inspector Sughra Nazir Key Unannounced Inspection 15th May 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Southfield Care Home DS0000029256.V364658.R04.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. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southfield Care Home Address Belton Close Great Horton Bradford BD7 3LF 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) 01274 521944 southfield@btconnect.com Southfield Health Care Limited Miss Shirley Yvette Barrow Care Home 42 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (32) of places Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th June 2006 Brief Description of the Service: Southfield is a care home offering personal care and support to older people including those who have dementia. It is a Grade 2 listed building; the premises were formerly a school and opened as a care home in 1995 following conversion of the property. It is located in the Great Horton area of Bradford and is within a short walking distance of local shops and amenities. Accommodation is provided on two floors and there is a lift that makes the home suitable for people with mobility problems. The home has 32 single and 5 double rooms, 24 rooms have en-suite facilities. Communal space is provided on the ground floor and consists of a large dining room, a spacious conservatory and a small lounge. The small lounge is a designated smoking area. People also have access to a summerhouse and a well-planned sensory garden. The garden is suitable for people who use wheelchairs and also provides a secure walkway for people with dementia. Car parking is provided at the side of the building. Information about the services provided can be obtained from the home in information packs that contain the Statement of Purpose, Service user Guide and complaints procedure. The home also makes inspection reports available to people who live at the home and their relatives. The fees range from £341.18 to £424.97 per week as at May 2008. Additional charges are made for services such as hairdressing, private chiropody, toiletries, newspapers etc. Southfield Care Home DS0000029256.V364658.R04.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 3 stars. This means the people who use this service experience excellent quality outcomes. This report is based on information gathered in a number of ways. • • • A review of the information held on the home’s file since its last inspection. Information sent to us by the registered provider in a document called the Annual Quality Assurance Assessment (AQAA) 9 surveys sent back to us by people who live at the home, 19 surveys sent to us by relatives or carers and 8 surveys completed by General practitioners and other health professionals. An unannounced visit to the home, which lasted about nine hours. This visit included a tour of the premises and talking to people who live at the home, their friends/relatives, staff and management. We spoke to two district nurses and a GP who were visiting the home. We also looked at menus, staff rotas, and people’s care plans. We watched staff looking after people in the morning and over the lunchtime period. • The information we received helped us to form a judgment about the quality of care people who live at the home receive. In each of the sections in the main report we look at whether the quality of care is poor, adequate, good or excellent. Overall, this home provides an excellent quality of care for the people who live there. Feedback about the visit was given to staff, the manager and owner. What the service does well: People who live at the home told us, • • “I love it here” and “All the staff are lovely” “Everyone is very helpful if you need help from coming in to going home.” In the surveys relatives said, Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 6 • • • • • “Southfield (Care) home is the best I have ever come across! All are treated as individuals, the care is both professional thorough and caring. My mother is safe and cared for and I feel assured at all times that she is ok and looked after.” “Adds a very personal touch to individual needs. The care home is not a “care home” it is like a proper home.” “It is obvious to us all that the home carers go beyond expectations to ensure that he receives the best possible care.” “The home does “everything” well.” “The garden is absolutely wonderful.” All the comments about the home made by health professionals including GPs were very positive, for example, • • • • “Excellent communications between care service and healthcare providers. Staff respond appropriately if they have concerns” “Southfield is a lovely care home with excellent care staff” “All aspects of the care provided is of a high standard” “Loving attentive person-centred care with real attention to detail for individuals, excellent communication to GPs, have made real efforts with lovely decoration in the residence – corridors memory room etc. Highly recommended home. Excellent care” People who live at the home have their needs assessed before they come to stay. Relatives are involved. Care files and other record keeping are consistently of a high standard. This helps the manager and staff make sure that the home can meet people’s needs and that they are providing the right care. The home is clean and homely. Signs and colour-coded décor help people with dementia find their way round. There is a memory area and people also have access to a safe sensory garden to walk round. Food and activities meet individual needs. We saw that staff are caring and that they are provided with comprehensive training to improve their knowledge and skills. This means that people receive care from staff trained to meet their needs. People who live at the home have regular meetings and have been able to make changes so that their needs are met. The home is well managed and the manager has established close working relationships with other health and social care professionals to make sure that the people receive the best possible care. What has improved since the last inspection? We saw that all contracts/terms and conditions are now signed by the person themselves or their representative. This means people have a clear picture of Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 7 what to expect, what the home will pay for and what they need to pay for themselves. Pre-admission assessment reports have been revised and provide a more detailed description of the person’s needs. This means staff and people who are moving in can be sure that the home can meet that person’s needs. Staff now have access to a wide range of resources to help them understand the diverse needs of people. This helps staff provide care to people from different backgrounds or different expectations. The objects and items from the 1940s and 1950s have been moved from one room to the upstairs landing, which can be seen by everyone. This helps more people to see the items and share their memories of that period. A new sensory garden has been created. This provides a stimulating outdoor sitting space and a secure and safe walkway for people with dementia. The programme of refurbishment has carried on with many areas of the home being redecorated. This means that people live in a home that is clean, fresh and well maintained. What they could do better: We asked relatives and people who filled surveys in to tell us how the care home could improve. They said, • • “I don’t think that the care home can do anything to improve, they do more than enough” “The home does virtually everything well. “The overall quality in all areas is exceptional, food, accommodation is first class. Most importantly, though, is the fact that my (relative) receives genuine “ care and support, Just a big thank you for being there for my (relative.)” “Carry on with present system which seems to give constant improvements “How do you improve on a 5 star service?” • • The home told us they would like to develop more activities and the support and choices offered to people with dementia. They will continue to carry out their plan to improve the decoration in bedrooms. We did not identify any requirements or recommendations as a result of this inspection. 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 Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 8 be made available in other formats on request. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 9 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 Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. The service does not provide intermediate care. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People receive up-to-date information about the home so that they can be sure that the home suits them. People who are coming to live at the home have their needs assessed before admission to make sure that the service can deliver the care they need. EVIDENCE: People who want to come to live at the home get very clear information telling them about the services, the accommodation, qualifications and experience of staff and how to make a complaint. All the surveys we got back told us that people had the information they needed to make sure that the home was right for them. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 11 All the files we looked at had a contract that was signed by the person themselves or their relative. People get a new contract every year this gives them information such as the what services are covered by the fees and what they need to pay for themselves. Before agreeing admission the service carefully considers the needs assessment for the new person and looks at whether the home can meet their needs. The home will not offer a place to anyone if they feel they cannot meet their needs. This is good practice. All the files we looked at contained a comprehensive social services assessment and a thorough assessment form completed by the home. We saw that people and their relatives contribute to the assessment and planning of care. One relative told us “With close discussion- we are very involved in all aspects of our mother’s care” People who come to look round are encouraged to speak to people who already live at the home. One relative we saw during the visit told us that the home had also asked them to choose the décor, bedding and carpet for their relative so that the room could be decorated ready for admission. This relative said that they had a named member of staff who supported them and the person moving in. One relative who sent us a survey said that the home had made their relative “very welcome.” They “formed new friends at the home and has settled very well, with support of all the staff” Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 12 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 and 10 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Staff know how to look after people properly because they have detailed information that tells them about the person’s background, their abilities and their needs and how to meet them EVIDENCE: We looked at 6 care files. They were very detailed and up-to-date. Individual communication needs are recorded and there is good detail showing exactly how care is to be provided. This means that staff know what they need to do, to meet individual people’s needs in a consistent way. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 13 All the files we looked at had information about what risks there might be looking after that person and what staff should do to keep them safe. We saw that people are involved in their care plans and one person has reviewed all their own care plans. There are regular review meetings with relatives this helps the home make sure that everyone is happy with the care. The manager told us that some people had joined in with staff training sessions on stroke awareness training, the prevention of falls, dementia training, diabetes training, palliative care training and nutrition training. This means they know what care, staff should be providing and is excellent practice. Staff have access to information files on different religions covering festivals, diet, dress, visiting and end of life care. They have lists of key contacts and agencies for further information and lists for translators and interpreters. This is excellent practice. One person’s files we looked at told us about the care they needed because of their religion. This included dietary requirements, personal care and very detailed information about their wishes in respect of their end of life care. We spoke to 3 members of staff including kitchen staff who were all able to tell us in a lot of detail about how the food this person needed, should be bought, stored and cooked. We spoke to this person and they told us that staff respected their religion, their diet and personal care needs. Another person’s relative told us, “I am extremely happy that my mother is treated as a whole person and individual” A health professional told us “Individual needs are recognised and met at all times”. Relatives are fully involved in care; this includes telling the home what the person likes and want. The surveys we received told us that relatives are very pleased with how the home communicates with them. One relative said, “Irrespective of whether he has been admitted to hospital or simply had a fall we are always kept in the picture.” Another said “The care home is excellent for keeping us in contact by telephone” The home has been assessed and has passed local authority quality standards in the following areas; • Delivery of high quality care • Tissue viability • Falls prevention • Nutrition and hydration Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 14 • End of life care. The manager told us they work closely with external professionals and specialists for advice and support to help people. We saw that people had raised toilet seats, toilet frames and other aids and equipment they need to manage their own personal care where possible. We spoke to 2 district nurses who were visiting people at the home. They told us that staff always accompany them when they see people. All the staff are knowledgeable and will always act on advice given. A doctor who was also visiting told us the care home was “awesome” and that there is a “lot of love here”. Nine health professionals sent us surveys back, some of their comments were: • • That the home delivers high quality patient centred care and that staff have the “ability to detect illness and deterioration in a resident’s overall condition and a “flexible approach to meeting residents needs” “The district nurse team have a very good working relationship with Southfield. They provide a warm and friendly and safe environment for their clients and staff” The home has put together a clear medication policy that staff see and understand. We saw that medication records are fully completed, contain required entries, and are signed by appropriately trained staff. Where the amount of medication changes, the amount given is clearly recorded, also any changes to medication are either recorded by visiting GPs directly onto medication records or the home asks for a fax. This is excellent practice because it means people always get their medication, as prescribed by their doctor. There is also a policy and procedure to support people who take their own medication. This includes arrangements for ordering medication, providing secure facilities for storage and daily, weekly and monthly checks to make sure the arrangements are still working. Everyone who comes to live at the home has an assessment to see if they can manage their own medication. This is good practice as it helps people to stay as independent as possible. We saw that all staff knock on bedroom doors before entering. A health professional told us that they are always taken to the person’s bedroom so that routine blood tests are done in private. We met two relatives who come to the home to help bathe their relative. This is at a time that suits them and staff will assist where needed. They told us that this helps them to stay involved in their relative’s care and also helps respect their relative’s need for privacy and dignity. This is excellent practice. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 15 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): People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People have access to nutritious food and drink and stimulating activities that meet their individual needs and preferences. EVIDENCE: Staff find out what people like to do and provide activities to meet those needs, for example, there are boxing videos for someone who did the sport when younger, classical music for someone else and one person has completed a course in food hygiene. People have access to a very wide range of films and music cds. There are organised activities such as music therapy, shopping trips and themed nights for occasions such as Halloween, Easter, etc. Relatives told us that they are made welcome and that they enjoy the “excellent social evenings.” One relative told us that there is always music and that evening staff spend a lot of time giving individual attention. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 16 The new sensory garden provides a secure and stimulating place for people with dementia to walk. There is lighting for safety and the garden has raised flowerbeds, fragrant plants and musical objects in trees that make it enjoyable for people who have problems seeing, hearing or walking. This is excellent practice. There is also a memory area with lots of objects from the 1940s and 1950s that help people to discuss their memories of that time. The manager told us that local Alzheimer’s Society plans to use the home as an example of good practice in dementia care. People are supported in religious and cultural activities for example, visiting the church, attending a club and praying in the home. Some people have telephones in their rooms and people have a computer in the lounge and this helps people maintain contact with family and friends. We watched care staff at lunchtime. We saw that tables were set and that people had a choice of hot and cold drinks. The information we got from the home told us people also have a choice of food at mealtimes. We saw that people were having a range of food for lunch including, shepherds pie with vegetables, salads, curry and naan bread, soups etc. For dessert people had pineapple pudding, fresh fruit salad with yoghurt and fruit and ice cream. Kitchen staff we spoke to told us about how they catered for people who need diabetic, celiac or halal diets and for people who have dementia or a small appetite. People told us: “The food is unbelievable” “We always have choices” “Easter Sunday we had an incredible roast turkey and buffet for people and their relatives.” The home gets advice from speech and language therapy about equipment people need to help them eat on their own. People who need help with eating sit with other people and staff talk to them and join in with conversations at each table. This helps make mealtimes more relaxed and homely. Nearly all the staff have done training on nutrition. People are asked about the menu at meetings and they encouraged to share recipes. They are invited into the kitchen to assist or bake items of their choice. Everyone has a nutrition assessment and two district nurses we spoke to told us that the home meets people’s nutritional needs. They said there are jugs of juice and water available all the time. We saw that there were baskets of fruit in the lounges. Southfield Care Home DS0000029256.V364658.R04.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, 17 and 18 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure. They are protected from abuse, and have their rights protected. EVIDENCE: People who use the service are given a complaints procedure that they can understand. Copies of the procedure are displayed in the home; one copy we saw was in large print making it easier for people to read. All of the people who live at the home, who sent us surveys back or spoke to us during the visit told us they knew who to complain to if they weren’t happy. We looked at a complaints file that told us that all complaints made and the actions taken in response are fully recorded. We have not received any complaints about the home. A large number of people went to the local polling station to vote in recent elections. Other people used postal votes. This means the home helps and supports people to maintain their legal rights. All staff including domestic staff receive training on adult protection. This is good practice. Staff have clear guidance on what action to take if they suspect abuse. From the information the home sent us, we know staff have used this training to report poor practice they have seen in other homes. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20,21, 24 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a home that is clean and fresh and is decorated and equipped to meet their needs. There is good attention to the needs of people with dementia EVIDENCE: One health professional said, “The care service offers a homely, friendly and relaxed environment for residents.” We saw that the home is divided into areas called Emmerdale Close, Coronation Street, Queens Road and Famous Face Row. There are lots of pictures of these programmes, people or the Queen and corridors are painted in different colours. This helps people with dementia find their own way. This is excellent practice. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 19 Staff at the home have now created a memory area on the main landing. This has lots of household objects belonging to the 1940s and 1950s such as washing and laundry items. This helps people talk about the past and hold onto important memories. This again is excellent practice which will be used as an example by the local Alzheimer’s society. We saw that as well as the large conservatory and quiet lounge the home also now has a new sensory garden. This means that people using the service have a choice of places to sit quietly, meet with family and friends or be actively engaged with other people who use the service. Bathrooms have been made more homely by staff adding colourful towels and plants. There are signs that help people find their way to bathrooms. This helps people manage some of their own care for longer. We looked at several bedrooms and saw that people have made their bedrooms special by choosing the décor, the bedding and bringing their own pictures and furniture. Two relatives told us that they had been asked to choose décor and bedding before their relative moved in. Most bedrooms we saw had been redecorated to a high standard, with new flooring and bedroom furniture. A small number of bedrooms we saw need redecorating. In the information the home sent us they told us they plan to carry on updating bedrooms. They respect the wishes of people who do not want to have their room changed. One relative told us “There have already been excellent improvements since my (relative) came to live here. For example, the home has been fully refurbished to meet the residents needs.” People we spoke to told us that they have been involved in choosing carpets in the main areas of the home. They also told us that the home is always clean and fresh. One person said “its clean and tidy always”, “my room is done every day” We looked at the shared spaces and people’s bedrooms and all were clean and smelt fresh. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are cared for by staff who are highly trained to meet their needs. EVIDENCE: We saw that the home has good staffing levels and that there was a friendly and homely atmosphere in the home. Surveys we got back from relatives told us, • “The staff always add a personal touch to their work. The staff are always friendly and helpful with any questions or queries I have. It is an excellent home” • “The entire staff team at Southfield are extremely caring and skilful in their care…” • “We find management and staff to be caring and friendly putting residents at ease” • “I visit very often and all the staff are very good they do all they can to help the residents and always seem very cheerful” Comments we had from health professionals included, • “Staff appear caring and well motivated” • All staff are very committed to providing first class care” Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 21 • • • “Highly qualified and enthusiastic” Staff are prompt and efficient and friendly knowledgeable and flexible “ The home has a core of staff who have worked at Southfield for a very long time. These carers know the residents extremely well and have attended numerous training courses to extend their knowledge of service users needs, which they in turn teach the new care staff.” We spoke to staff throughout the visit. One member of staff we spoke to told us that she had done training on moving and handling, dementia, challenging behaviour, palliative care, and COSHH. (Control of Substances Hazardous to Health) More than 50 of staff have had care training called National Vocational Qualification (NVQ). Other staff are doing this course at the moment. Two domestic staff are now doing care qualifications. All staff including domestic staff and the handyman have had training on dementia. This helps everyone involved with the home to understand people’s needs and is excellent practice. People who live at the home have joined in with staff training on stroke awareness training, the prevention of falls, dementia training, diabetes training, palliative care training, and nutrition training. This helps everyone make sure that staff are acting on what they learn. This again is excellent practice. We looked at 4 staff files and they contained all the information they should have to make sure that staff have the right skills and are safe to work with older people. The home provides employment opportunities for people with disabilities and we saw that one person was very well-trained in fire safety and that there was excellent interaction between them and people at the home. This is very good practice and shows the home is committed to valuing individual rights and abilities. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33,35, 37 and 38 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home is based on openness, and respect. There is a qualified and very competent manager who operates the home in the interests of the people who live there. EVIDENCE: The manager of the home has made significant improvements to this home. One health professional sent us a survey saying, “ I think Yvette should be entered for a national award in recognition of her leadership innovation and enthusiasm for trying to raise the profile of high quality care in care homes” Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 23 The manager communicates well with us and with health professionals. We asked the home to send us some information to help us with our inspection. The document they sent us was clear and relevant and was supported by a wide range of evidence. The manager told us about the changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. There are regular meetings with people at the home and they decide on food, activities, decoration and plans for the home. We saw documents that told us that the home has used external advocates to help people make their views known. Changes are made to the home based on people’s views and good practice. We looked at some records to check if safety checks are up-to-date and found that recordkeeping is of a consistently high standard. All policies and procedures are regularly updated. Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 4 3 4 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 3 4 3 X X 3 X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X 3 3 Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 26 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 Southfield Care Home DS0000029256.V364658.R04.S.doc Version 5.2 Page 27 - 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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