Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 07/12/05 for Spring Lodge Care Home

Also see our care home review for Spring Lodge Care Home for more information

This inspection was carried out on 7th December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents told the inspector that: "We`re very well looked after here," and "The staff work very hard." There is a homely atmosphere, and the staff show professional commitment and care for the residents. The home does not use agency staff, as its own staff are prepared to cover any absences. The staff are well trained and their competence is regularly checked by a senior member of staff. In these two areas the home exceeds the minimum standard. The owner is committed to the ethos of the home and takes a close interest in its management. The home is caring well for the residents with dementia which it has approval to admit from the Commission up to a total of seven.

What has improved since the last inspection?

All the radiators which were a safety hazard because of their hot surfaces have now been replaced. A modular programme on caring for people with dementia has been completed for all care staff by Age Concern

What the care home could do better:

"I am happy here. There is nothing needed to improve it," said a resident. However the home must follow the procedure in the Care Homes Regulationsconcerning the checking of all prospective staff against the Protection of Vulnerable Adults list held by the Department of Health, and the records of the Criminal Records Bureau.

CARE HOMES FOR OLDER PEOPLE Spring Lodge Care Home Main Road Woolverstone Ipswich Suffolk IP9 1AX Lead Inspector John Goodship Unannounced Inspection 7th December 2005 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 Spring Lodge Care Home DS0000024492.V270692.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 Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Spring Lodge Care Home Address Main Road Woolverstone Ipswich Suffolk IP9 1AX 01473 780791 01473 780969 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) Spring Lodge (Care Home) Limited Miss Susanna Boar Care Home 27 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (27) of places Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2005 Brief Description of the Service: Spring Lodge is situated in the small village of Woolverstone about five miles from Ipswich. The home is a registered care home for 27 people, including up to seven people with dementia. The accommodation is situated on two floors. The majority of the bedrooms are on the ground floor and provide single accommodation. Each bedroom has a wash hand basin and two rooms (one double and one single) have a WC en-suite. Bathrooms are situated on both floors. Communal areas are all on the ground floor and include a main lounge and three other areas. There is also a central dining room. The home is situated within its own grounds with parking for visitors. There is a large, attractive and enclosed garden at the rear of the property, which is well maintained and provides a variety of seating areas for service users. A major refurbishment programme is underway, and an additional bedroom is planned. Spring Lodge Care Home DS0000024492.V270692.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. It lasted five hours with all the senior management present. (It was the day of the Christmas party). The announced inspection had taken place on 18th May 2005. The national minimum standards not covered then were assessed this time. The home is applying to the Commission for Social Care Inspection for an additional place. Work had started on the building of a conservatory, which will replace some existing communal areas which are to change their use. Improvements are planned to a bathroom upstairs, and to all the bedrooms through refurbishment. The inspector also spoke to a number of staff either separately or in the course of their duties. Residents were also spoken to, and were very happy to talk about the home and themselves. All their comments were favourable to the home and its staff. What the service does well: What has improved since the last inspection? What they could do better: “I am happy here. There is nothing needed to improve it,” said a resident. However the home must follow the procedure in the Care Homes Regulations Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 6 concerning the checking of all prospective staff against the Protection of Vulnerable Adults list held by the Department of Health, and the records of the Criminal Records Bureau. 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 Lodge Care Home DS0000024492.V270692.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 Lodge Care Home DS0000024492.V270692.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): 3,4. No-one is admitted without an assessment of their care needs to ensure that the home can provide for them. EVIDENCE: Pre-admission assessments were seen in the care plans for two recent admission, both of whom had dementia. The assessments were done by the manager. There were also assessments by the referring service. Spring Lodge Care Home DS0000024492.V270692.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. Residents’ health is continuously assessed, reviewed regularly, and monitored to make sure that emerging as well as continuing needs are being met, both by the home and by health professionals. EVIDENCE: Care plans contained appropriate information and assessments. Reviews were done monthly and were recorded. The resident who was currently needing the most care was seen to be provided with all the specialist equipment for their own comfort and for staff undertaking care. These included a special chair which was designed to reduce pressure on the toes. The home took monthly blood pressure and weight readings for all residents with the agreement of the local surgery. A special weighing chair was used. All results were faxed to the surgery. The manager reported that the new dedicated drug room was working well. The MAR charts were examined and were fully signed and up-to-date. The stock of two medications was checked against the record of administration and was correct. One resident medicated themselves at night as they needed a Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 10 tablet at 3am. Staff had made arrangements for the resident to record this. This was confirmed by the resident. Spring Lodge Care Home DS0000024492.V270692.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): 12,14 A variety of communal areas give residents choice of where to go when they leave their rooms according to their preference for access to company. This also allows for activities to take place without disturbing those who do not wish to take part. EVIDENCE: One of the senior carers had responsibility for the development of activities and there was evidence of a variety of activities that the home provides. These included quiz boards, drawing, and card making. Examples of the results of some of this craft work were on display in one of the communal areas that was used for this. The manager said that some residents enjoyed playing chair football. The main lounge was decorated for Christmas and had a large tree in the window. Staff were reminding residents that there was a party that night, and several residents clearly intended to enjoy themselves. One resident started playing a small accordion and singing. Rooms were personalised with items of residents’ own furniture or smaller items. Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 12 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): 17. Residents are supported to exercise their legal rights. EVIDENCE: It was noted that there was a leaflet about an Advocacy service on display in reception. None of the residents spoken to believed they needed any help. In addition, some residents had initially been referred to the home by Age Concern who maintained a link with them for assistance. The manager confirmed that all residents were registered for voting and those who wished were able to vote by post. Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 13 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): 19,24. The home provides a safe and comfortable individual and communal environment for residents. EVIDENCE: The radiator replacement programme had been completed and all were now safe for residents. One resident said that the window in their room was still draughty, even though the carpenter had been in twice to try and rectify this. The manager was aware of this. A major refurbishment programme was underway. The new conservatory was nearing completion, and work had started on reshaping an upstairs bathroom. The next stage was to turn a front lounge into a single bedroom. Application for this had been made to the Commission for Social Care Inspection. The lift had been fitted with an automatic retraction system for the doors to prevent accidental injury to anyone entering. Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 14 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. Residents are cared for by well trained staff, through the home’s excellent training programmes and competence assessments. The lapse in the recruitment check for one staff member did not in the circumstances put any residents at risk. EVIDENCE: There had been a requirement at the previous inspection that no new member of staff should be employed until either a CRB Enhanced Disclosure certificate had been received, or, in special circumstances, until the PovaFirst letter had shown no match. It was noted that a new member of staff had started on 26 September 2005. and had presented to the home a CRB certificate dated 20 September 2005. The manager had believed that this was so recent that it was acceptable. The inspector explained the reasons why this was not so, and that in all cases a new employer had to obtain a new certificate. In order to accept and verify a recent Disclosure from a previous care work employer, the home would have t follow the steps laid out in the CRB advice on Portability, and ensure this was included in their recruitment policy. A member of staff confirmed the on-site training that they had undertaken. They were also doing NVQ Level 3. They described the two residents who needed two carers for personal care, and believed that the staffing levels on each shift were right for the current workload. Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 15 The organisation and delivery of training was rated highly in the last report. This standard continued at this inspection. Recent training had included a modular programme for all staff on caring for residents with dementia. This had been arranged to take place on site by the trainer, to enable all staff to attend. The training organisation, Age Concern, had issued certificates to all attenders. Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 16 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): 31,32,35,36,38. Management accountabilities and the supervision of staff care practices ensure that residents’ best interests are protected, and their health and safety promoted. EVIDENCE: The home had clear management arrangements, between the owner and the senior posts. Responsibilities were clearly defined, with one person for example project managing the building and refurbishment programme. There was regular reporting to the owner, who visited weekly. The home did not keep any monies for residents. Some kept their own in their rooms in lockable drawers. Otherwise the home paid for all incidental expenses and invoiced the payees monthly. The home had a system of monthly supervision which covered all areas of practice and training needs. The deputy manager who is responsible for Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 17 supervision rostered herself on the shift of each person, including night staff, to ensure that practice was seen in context. The system covered practice audits and training needs analysis with regular reviews of competence. Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 18 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 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 X X X X 3 X X STAFFING Standard No Score 27 3 28 3 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 4 X 3 Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 19 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. 1. Standard OP29 Regulation 19 Requirement The registered provider must ensure that no employee starts work until all Disclosure checks have been obtained by an approved process. Timescale for action 07/12/05 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 Spring Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Lodge Care Home DS0000024492.V270692.R01.S.doc Version 5.0 Page 21 - 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!