Inspection on 20/10/05 for Cold Springs Park

This inspection was carried out on 20th October 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 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

Cold Springs Park 08/10/08

Cold Springs Park 27/11/07

Cold Springs Park 28/09/06

Cold Springs Park 29/04/05

Cold Springs Park 25/10/04

Cold Springs Park 07/04/04

Cold Springs Park 27/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cold Springs Park Scaws Road Penrith Cumbria CA11 8EY Lead Inspector Cath Wilson Unannounced Inspection 20th October 2005 10:00 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 Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cold Springs Park Address Scaws Road Penrith Cumbria CA11 8EY 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) 01768 890360 lannigabupa.com Care First Care Homes Limited (BUPA Care Services) Mrs Lynne Diane Stanley Care Home 40 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (40) of places Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: up to 40 sevice users in the category of OP (Older people) up to 5 service users in the category of DE(E) ( Dementia over 65 years of age) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 29th April 2005 and 3rd May 2005 2. Date of last inspection Brief Description of the Service: BUPA Cold Springs Park provides accommodation and care for up to 40 older people, five of who may have dementia. The home is owned and run by Care Homes First Limited, a subsidiary of BUPA Care Services. The home is in a residential area approximately one mile from the centre of the market town of Penrith and local amenities. Single occupancy accommodation for service users is on ground floor level with en-suite toilet and hand wash facilities. There are three lounges, that can be used for activities and one permits smoking. The building and garden areas are very well maintained and there are sheltered patio areas. Car parking facilities are available for staff and visitors. People who use wheelchairs can access all parts of the home and grounds. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that started at 10am and took place over 7 hours throughout a two-day period. I met with service users and staff who were able to share their views and opinions about their life and work in the home. A number of records were assessed and I looked around all areas of the home. What the service does well: What has improved since the last inspection? What they could do better: Develop the recorded detail of people’s personal needs in the care planning records. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 6 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. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9, 10 People’s individual health, personal and social needs are recorded in an accessible manner. People are treated with respect and their privacy and dignity respected. EVIDENCE: People’s health and personal care needs are identified in their individual plan of care and staff are informed of these. The finer details of recording personal matters are being further developed by the home to ensure that people’s needs are quickly responded to. People benefit from receiving health care from local and specialist health services. Medication is handled safely, securely stored and appropriately recorded which reduces possible risks to residents. I observed staff providing exceptionally sensitive and dignified care to people during the inspection. Care was provided with the utmost dignity and respected people’s individuality and people I met confirmed this. Staff were seen spending time involved with residents and both service users and staff appreciated this. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 and 14 People can involve themselves in a variety of social interests and pastimes and observe their cultural and religious wishes. EVIDENCE: People choose how to spend their time in the home and whether to take part in the activities provided. An activities organiser is also employed in the home. People receive visits as they wish and choose where to see the family and friends who visit them. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 People know how to raise any matters of concern to them and the home provides policies and procedures that are available to service users and their families. The home follows the vulnerable adults procedure to ensure that people living in the home are protected from abuse. EVIDENCE: People in the home are aware of how to raise concerns and that are listened and responded to. Staff are aware of adult protection procedures and the practices needed to safeguard people in the home. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 People are provided with comfortable and relaxing surroundings that include specialist facilities and adaptations. EVIDENCE: The home has a programme for maintenance and this was ongoing at the time of the inspection. Arrangements for the use of bathrooms whilst work progresses, is under review by the home to ensure people’s safety and dignity continues to be respected. The home has a range of adaptations and equipment to assist people in their independence and a call bell system is accessible. People’s bedrooms are arranged in the way they want them and they are comfortable with this. The home is maintained in a clean and pleasant manner. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 There are robust procedures in place for the recruitment of staff. These offer protection to people living in the home as does the training and development programme for all staff. EVIDENCE: Staff are very committed to providing very positive experiences for people in the home. Staff are provided with a well-organised training programme that takes into account the overall needs of people living in the home. In addition to in-house training staff are also involved in NVQ Qualifications. Both their managers and colleagues support staff in their work. Senior staff to ensure people’s needs continue to be met monitors staff availability. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33,37 and 38 The home is well managed and people know their views are listened to. Care staff are supported to provide a high standard of care. EVIDENCE: Procedures are in place to gather the views and opinions of service users regarding the service and care they receive. People in the home feel their views are listened to and acted upon. Staff are informed of people’s care needs and the home’s policies, practices and procedures. The home is arranged in a homely and relaxing manner with people’s individuality respected. The records assessed during the inspection ensure that people are respected and their dignity upheld. Health and safety matters are appropriately recorded and dealt with and records also indicated that fire drills and instructions had taken place regularly. Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X X X 3 3 Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 16 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. 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 Cold Springs Park DS0000022545.V256028.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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