Inspection on 31/10/05 for Spring Lane Care Home

This inspection was carried out on 31st 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

Spring Lane Care Home 27/11/08

Spring Lane Care Home 09/01/07

Spring Lane Care Home 20/07/05

Spring Lane Care Home 02/11/04

Spring Lane Care Home 06/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Spring Lane Care Home 168 Spring Lane Lambley Nottingham NG4 4PE Lead Inspector Rob Cooper Unannounced Inspection 31st 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 Spring Lane Care Home DS0000008765.V262029.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. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Spring Lane Care Home Address 168 Spring Lane Lambley Nottingham NG4 4PE 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) 0115 967 0341 0115 9674928 Spring Lane Nursing Home Limited Ms Nicola Jane Harrison Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named Service user may be under the age of 65 years. Service users shall be within category OP Date of last inspection 20th July 2005 Brief Description of the Service: Spring Lane Care Home is purpose built and is registered to cater for the needs of service users within the older people category. The building stands on the outskirts of the city of Nottingham in the village of Lambley. Accommodation is on the ground and first floor. The first floor is accessed either by stairs or by a passenger lift for those with a physical disability or infirmity. The care home has a semi rural location, although it is served with a good bus route, and is close to shops and amenities. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted approximately four hours through the middle of the day and was carried out by one inspector. The methodology used was to talk with six residents and three relatives, and to interview four members of staff. Together with case tracking of three residents files. There are currently 44 residents living at Spring Lane. There have been a number of areas of improvement since the last Inspection, although record keeping, particularly in relation to care records is still not being carried out to an acceptable standard. What the service does well: What has improved since the last inspection? What they could do better: Record keeping needs to improve. Security needs to be tightened in the area of the outside doors. All staff should be receiving formal supervision. All staff should be receiving training related to the Protection of Vulnerable Adults and Abuse. Spring Lane Care Home DS0000008765.V262029.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. Spring Lane Care Home DS0000008765.V262029.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 Spring Lane Care Home DS0000008765.V262029.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): 123&6 Prospective residents do have the information needed to make an informed choice about coming to live at Spring Lane. Residents do receive a copy of Spring Lane’s terms and conditions. Extended Community Care Assessments have been carried out for newer residents, but are not available for those residents who have lived at Spring Lane for more than twelve months. Spring Lane does not offer Intermediate Care. EVIDENCE: Five residents were spoken with and three said that they had been given information before they moved into Spring Lane, which allowed them to make an informed decision regarding living at Spring Lane. Three relatives were spoken with, and they said that they had been given adequate information before their relatives moved into the home. The Statement of Purpose and the Service User Guide for the home were seen, and these met the requirements of the National Minimum Care Standards. Three resident’s files were seen and each contained a statement of the terms and conditions of residence. Some of the residents have had a extended community care assessment, but these Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 9 were for people who have moved in to Spring Lane within the last 12 months. Spring Lane does not take residents for Intermediate Care. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 10 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 & 11 Every resident has an individual plan of care. Resident’s health care needs are being met. The medication procedures do not protect residents from potential risk. Residents at Spring Lane are assured of care and sensitivity at the time of their death. EVIDENCE: Three resident’s files were seen, and these each contained a plan of care and information regarding the health needs of the residents. Health care records that were seen were complete. The lunchtime medication round was observed. Spring Lane uses the Boots monitored dosage system. The monitored dosage system has ‘blister packs’ which contain the tablets and with identified days and times printed on them; the medication was not being dispensed in line with this, which is not best practice. There was no suggestion of residents not getting the medication they were prescribed. Residents have a risk assessment for self-medication within their file. The three residents files that were seen all identified the resident’s wishes for what was to happen at the time of their death. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 11 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 14 & 15 Leisure and social activities are organised within Spring Lane, but recording of those activities within resident’s files is not complete or detailed. Visitors are welcome, and family contact is encouraged. There is choice available to residents in a number of areas of Spring Lane’s activity. Spring Lane does offer it’s residents a balanced diet, and the dining experience is a positive one. EVIDENCE: Four residents were asked about their lifestyle and activities within the home. Each person said that there were activities organised, and that some of these were quite good – for example the ‘old time sing-a-long’ was very popular. However two residents said that they thought there could be more activities, and one said, “Sometimes there isn’t much to do.” During the inspection the main lounge was being re-decorated, and this had interrupted the planned programme of activities. There was a printed programme of activities displayed on the notice board and in the main reception area. Records of social activities in resident’s files were found to be lacking in detail and difficult to track. There were two separate relatives visiting during the inspection, both sets of relatives said that they were able to visit with few restrictions, and they could see their relatives in private in their bedrooms if they so wished. The lunchtime meal was observed. Five residents were spoken with about the food on offer and each person said they liked the food, and it was; “very nice”, and Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 12 “Oh yes, very good, very good indeed.” Record keeping regarding choice and food actually eaten, had improved since the last inspection, with much clearer records, that contained far more detail than when they were seen previously. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 13 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 17 & 18 Residents and their relatives are confident that their complaints will be listened to, and acted upon. Resident’s legal rights are protected. Residents are potentially at risk from abuse. EVIDENCE: Three residents were asked about Spring Lane’s complaints procedures. Each person said they had a copy, or had seen a copy. All three people said they knew who to complain to if they needed to complain. Both sets of relatives said they were aware of the complaints procedure, and how to use it. One relative who had some ‘issues’ with Spring Lane was attending a meeting with the Management team, and Social Services to discuss them. There was information in the resident’s files relating to their desire to vote, and everyone had been registered for a postal vote at the last election, although not everyone exercised their legal rights. Spring Lane has abuse policies and procedures in place, and two staff members who were asked about abuse issues were aware of the abuse policy, and they were also aware of adult protection issues. They did say however that they had not received any formal abuse training, and staff training records also confirmed this. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 14 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 & 26 Residents at Spring Lane live in a safe and well-maintained environment. The communal facilities are safe and comfortable both indoors and out. Residents do have suitable and sufficient lavatories and washing facilities. There is a range of specialist equipment to maximise resident’s independence. Spring Lane was clean and hygienic. EVIDENCE: On the day of the Inspection the main lounge was being re-decorated by professional painters and decorators, as part of an ongoing programme of refurbishment. The fixtures and fittings were seen to be of a high quality. There are ample lavatories, and a range of different bathing options, including different bathing options to assist those residents who are less physically able. The upper floor of Spring Lane is accessed via a passenger lift. There are hand rails fitted to assist mobility, but these are only on the ‘inside’ walls, so that a person who needed the hand rail for support, or who had a weakness on one side of their body, would have difficulties. The building appeared clean, and smelt fresh throughout. The cleaning staff were spoken with and cleaning Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 15 schedules seen. The sluice room now has a lock fitted, following a recommendation at the last Inspection. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 16 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 & 30 Resident’s needs are met by the numbers and skill mix of the staff team. Residents are potentially not in safe hands at all times. Residents are protected by Spring Lane’s recruitment policy and practices. Staff members are not fully trained to do their jobs. EVIDENCE: The staff rota was seen, and this showed sufficient numbers of staff on duty throughout the 24 hours of the days/weeks that were seen. The rota also identified staff roles, and the staffing structure. Two external doors – one in the conservatory and one in the main lounge were found to have no alarm attached to them, which would mean that potentially residents could leave the premises and there be a delay in their absence being realised. Two staff files were seen, and these contained all of the information required by Care Homes Regulations. The staff training records were seen, and while the range of staff training has improved since the last Inspection, Adult Protection and abuse training has still not been made available to all staff. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 17 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): 35 36 37 & 38 Resident’s financial interests are safeguarded by Spring Lane’s policies and procedures. Staff are not appropriately supervised. Spring Lane’s record keeping does not safeguard the best interests of the residents. The Health & Safety of the residents and staff is protected. EVIDENCE: Financial policies and procedures were discussed with three residents, who all said that members of their family managed their money on their behalf. The two relatives spoken with outlined how finances were managed, and said that Spring Lane did not act on behalf of their resident in any financial capacity. The Matron, who explained the policy and procedure for dealing with resident’s finances, supported these views. Two staff files were seen, and the records of formal staff supervision showed that staff members are not being regularly supervised. Record keeping within Spring Lane is inconsistent, and the three resident’s files had a number of examples of this. Night time records and Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 18 routines are not properly maintained. A number of Health & Safety records, including fire records, Control of Substances Hazardous to Health (COSHH) and Portable Appliance Testing (electrical items) were seen and found to be completed correctly. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 19 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 2 2 3 Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 20 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 OP18 Regulation 13 Requirement Timescale for action 31/05/06 2 OP36 18 (2) 3 OP37 17 The Registered person must ensure that all members of staff receive training in Adult Protection and Abuse issues. The Registered person shall 31/05/06 ensure that persons working at the care home are appropriately supervised. The Registered person must 28/02/06 ensure that records required by regulation for the protection of service users and for the efficient and effective running of the business are maintained, up to date and accurate. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 21 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 2 Refer to Standard OP3 OP9 OP36 Good Practice Recommendations Residents who have been in residence longer than twelve months should be re-assessed to ensure that their current needs can be met. When dispensing medication from blister packs staff should follow the logical day/time format. Members of staff should receive formal supervision a minimum of six times per year. Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Spring Lane Care Home DS0000008765.V262029.R01.S.doc Version 5.0 Page 23 - 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. 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