Inspection on 05/01/07 for Spring Mount

This inspection was carried out on 5th January 2007.

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 Mount 15/02/06

Spring Mount 15/09/05

Spring Mount 16/11/04

Spring Mount 29/06/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Spring Mount Parsons Road Heaton Bradford West Yorkshire BD9 4DW Lead Inspector Karen Westhead Key Unannounced Inspection 5th January 2007 10.00a X10029.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 Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. 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 Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spring Mount Address Parsons Road Heaton Bradford West Yorkshire BD9 4DW 01274 541239 01274 772000 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) Mrs Janet Bell Mrs Jacqueline Taylor Smith Mrs Janet Bell Mrs Jacqueline Taylor Smith Care Home 24 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24) of places Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: Spring Mount was established and first registered in 1987. Janet Bell and Jacqueline Taylor Smith are the registered providers and also manage the home. It is an impressive detached house situated in it’s own half acre of well maintained garden. The grounds are secure in order to ensure the safety of the residents whilst enabling free movement. To gain access to the grounds callers have to ring an intercom at the gate for staff to open the automatic gates. Spring Mount aim is to provide a homely, family type environment for individuals of all ages suffering from memory disorder and dementia. Accommodation is provided on three floors. There are eight ground floor bedrooms; one attic bedroom (third floor) and the remaining rooms are on the first floor. Those with mobility needs have rooms on the ground floor, as there is no passenger lift. The local area has a variety of shops, pubs and Lister Park, a local feature used by local people. The home can be reached using public transport. The overall philosophy at Spring Mount is to care for people with dementia without the effects created by the administration of sedating medication. Staff in the home use a holistic, psychotherapeutic approach toward problems associated with dementia, enabling the person to come to terms with, and learn to live with their dementia in a positive way, regaining dignity and selfrespect. The fee being charged is £457.00 per week. This information was provided by the home on 16th October 2006 and confirmed during this inspection. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was done by one inspector and had not been prearranged with the owners. The inspector arrived at 10.00am and left late teatime. At the end of the visit the owners were told how well the home was being run and what needed to be done to make sure the home meets the standards. The reason for the visit was to make sure the home was being run for the benefit and well being of the residents and in line with requirements. Before the inspection information received about the home was reviewed. This included looking at the number of reported incidents and accidents, the action plan provided following the last inspection and reports from other agencies such as the fire safety officer’s report. The home also completed a pre inspection questionnaire. This information was used to plan the inspection visit. A number of records were looked at during the visit; all areas of the home were seen. The inspector also talked to residents, the owners and staff. CSCI comment cards and post-paid envelopes were left for residents, visitors and relatives to complete. Two responses were received from visitors and six from residents. Overall the responses were positive, direct quotations and outcomes are included in the body of this report. What the service does well: Residents have free movement within the home and the grounds. Residents spoken to said they feel well supported, by a staff team who are person centred and caring in their day-to-day work with them. A number of residents benefit from planned leisure activities. Residents, who were able to give a view, said they were confident that any concerns or complaints would be taken seriously and be dealt with by the staff team. Each resident is treated as an individual and their personalities, personal interests, cultural and religious preferences are accepted by staff and their needs are met. There is good communication and individual staff members know service users well. This allows for a good continuity of care and service. A large proportion of the staff have been employed at the home for many years. The team is committed and keen to make improvements. The level of commitment and loyalty of staff is commendable with staff working together as a team to make sure the home is properly covered. The environment is homely and comfortable. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 6 Residents were seen to be confident and relaxed. There was a lot of conversation and banter between residents and staff. Staff made sure that when anyone looked unsure, bored, upset or anxious they were offered reassurance, comfort or distraction. The level of involvement with the resident was clearly in keeping with the resident’s needs and wishes. Personal care was provided in private and staff were discreet to make sure residents dignity and self-respect were maintained. Residents have a choice of well-prepared and wholesome meals and are served their meals in a relaxed and friendly way. Residents have a choice of where to take their meals. Policies and information is to hand for staff and ongoing supervision, staff appraisals and training courses are a fundamental part of each employee’s duty. This leads to expectations being known and a good quality of care for residents. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 (6 N/A) (OP) 1, 2, 3, 4 and 5 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process makes sure residents needs are known and can be met in the home. Residents also benefit from good partnership working with other agencies. EVIDENCE: Spring Mount does not provide intermediate care. All placements are intended to be permanent. The home provides residents and other interested people with a statement of purpose and service user guide that gives the required information. Specific Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 9 details about the philosophy and aims of the home are clearly written. This gives ample information for people to make an informed choice about whether the home could be right for them or their relative. All residents are taken through a thorough assessment before they are admitted to Spring Mount. Information is gathered in a logical and systematic way and clearly recorded. The home uses a specific admission criteria that residents must meet to be considered for admission. All residents admitted must have a formal diagnosis of Dementia or similar condition. Residents with additional physical disabilities can be looked after but as there is no passenger lift have to use bedrooms on the ground floor. Four residents files were viewed in detailed and all contained a full preadmission assessment and a contract of terms and conditions setting out how much their fee was and what services were provided. Following the initial assessment, residents are encouraged to visit the home prior to admission. Two residents, who were able to recall their experiences prior to admission, talked about their first visit to the home and being given an opportunity to settle in before taking up the bed permanently. During the visit a doctor was carrying out a review of a recently admitted resident. The doctor worked with the staff on duty and took their evaluation of the situation into account when making changes to medication and care delivery. The person centred approach was the main point in the review. The six comment cards returned by residents showed that five had received enough information prior to moving in and that four knew they had a contract. Two residents were not sure if they had been provided with one. Comments included: ‘I visited with two members of my family.’ ‘I looked around a lot of care homes……Spring Mount was the only one that felt like a real home with a family atmosphere.’ Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 (OP) 6, 9, 16, 18, 19 and 20 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health care needs are fully met by the staff team, including the safe administration and storage of medication. Residents are encouraged to maintain control of their daily lives. Staff provide support in a sensitive way, which respects their dignity and privacy. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 11 EVIDENCE: Staff spoken to were clear about what they needed to do to meet the needs of the residents. Their knowledge and practice was reflected in the records seen. The management aims to involve residents and those who know them well in all aspects of their care if appropriate. This includes other professionals, family members and friends. It was clear talking to the staff team that they were proactive in getting as much relevant information as possible to make the residents move into the home successful but also to inform their long term care needs. Resident’s files included any medical needs, check-ups, observations, appointments and treatments. Staff are aware of their skills and abilities and when necessary call other professionals in to assist. All personal treatment is done in private. Case records showed regular and ongoing involvement from other agencies. Policies are put in place if residents are unable to give consent to treatments. The medical administration record is well recorded by staff. Medicines are kept safe and only those staff trained to do so, give out medication. The philosophy of the home is to keep intervention by medication to a minimum. This includes drugs used to modify extreme behaviours. Residents have access to a wide range of NHS services via the usual referral processes. All residents are registered with a local GP. Those admitted from out of the area are registered with one of two local practices. If the resident has lived locally they retain their doctor if they remain in that catchment area. Staff spoken to said they had a good relationship with the local doctors surgery and valued the way in which residents were treated as individuals by the doctors. Residents are accompanied when attending outpatient appointments. Community Psychiatric Nurses and District Nurses are involved in the treatment and monitoring of some of the residents. Assessments are undertaken in respect of the risk of falls, nutrition and skin viability. Residents, who were able to comment, said they were able to please themselves and become involved as far as they wished with things in the home. One resident said they followed their own routines and were given enough time alone if they wished. Different levels of engagement with staff were seen throughout the visit. Four care plans were viewed in detail and included monthly reviews. The information held, matched the resident it referred to. There have been no notifications from the home in the last twelve months. There had been six incidents where residents had been seen in the local Accident and Emergency department. However, these had not resulted in Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 12 there being any treatment. All future events, which could affect the health and welfare of residents or has meant some medical intervention, should be sent to the CSCI. One resident whose first language is not English is assisted with communication by the use of simple word prompts and sign language, staff note her responses. Her relatives visit and speak to her in her preferred language. In observation it was clear that staff knew the resident well and could read her facial expressions, which helped them to understand her wishes. The six comment cards returned by residents said that they always received medical support when they needed it. The two comment cards returned by relatives said they were kept informed about their relatives care and consulted as required. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 (OP) 7, 11, 12, 13, 14, 15 and 17 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the planned activities. Food is good and meets the dietary and cultural needs of residents. EVIDENCE: At meals times residents are given a real choice of what they want to eat. Food is displayed either plated or in dishes so that residents can chose from a display of attractively presented food. Some are guided, to make sure they Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 14 have a balanced diet. But the cook is knowledgeable about the presentation of food and the need for people to eat well. The cook serves the food and is keen to get direct feedback from residents about their likes and dislikes. A range of different tastes are catered for including vegetarians, diabetics and those needing a soft diet. Cultural and religious needs are also thought about and discussed when the menus are being planned. There is a hot dish served at all meals, including breakfast. Residents comment cards confirmed they liked the meals. Following a survey of relatives the home has produced a Newsletter, which they intend to repeat on a monthly basis. Relatives said they wanted a way of receiving information about the home and forthcoming events and this seemed the best way. The first one includes news of a staff wedding and births, promotion and retirements as well as information about the CSCI. Staff make sure there are age appropriate, educational and personal development activities available to all of the residents. Practices do not restrict the lifestyle choices of residents and take into account their wishes. Residents were seen taking part in meaningful activities, watching television, reading, chatting to one another and a group went out to the local pub. Staff use the principles of the Human Rights Act to make sure residents are properly represented in all the practices applied. One visitor said the staff were very good in their approach to residents and that they cared for the whole person. Relatives comment cards confirmed they were made to feel welcome when visiting and that they could see their relative in private. Their answers to questions showed they had choices about when they got up and went to bed. The laundry at the home has industrial sized machines and are not suitable for residents to use. The current group of residents are not required to deal with their own laundry. However, they are involved in keeping their own bedrooms clean and tidy if they are able and wish to. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 (OP) 22 and 23 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safe and protected from abuse. They are listened to and complaints are taken seriously. EVIDENCE: The complaints procedure is included in the information given to residents and their relatives. A recent complaint had been investigated by the owners and this had also been looked at by an outside agency, the Adult Protection Unit in Bradford. The outcome of the complaint was that the home had acted in the best interests of the resident and that the complaint was not upheld. The two comment cards returned by relatives said they were aware of the complaints procedure. They had not had reason to complain. The six comment cards returned by residents said they knew who to talk to if they were unhappy and that they know how to complain. The home follows the local social services department adult protection reporting and information sharing procedure. Staff said what they would do if an allegation was made or there was evidence of suspected abuse or harm. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 16 Staff showed a good understanding of what signs to look for, especially if the resident was not able to voice concerns or communicate. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24 and 26 (OP) 24, 25, 26, 27, 28, 29 and 30 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, safe and comfortable. privacy. EVIDENCE: The home provides a range of different seating areas. The layout of the building means residents can move around freely with little restriction. All Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 18 Bathrooms and toilets provide areas are well decorated and furnished to a good standard. However, the staff need to continue in their efforts to keep armchairs looking clean and stain free. Some arms to chairs were sticky and needed cleaning. The majority of rooms in the home were inspected other than three bedrooms, which were occupied at the time. There is no stair or passenger lifts. Therefore residents have to be physically fit and able to use stairs if they use first and second floor rooms. The home has one shared bedroom, with ensuite bathroom. are single. The remainder All bedrooms have a suitable door lock. These can be used by the resident using the bedroom and opened by staff from the outside, in an emergency. Some rooms were individualised and reflected the resident’s interests. Beds and bedding are of a good quality. Some redecoration had been carried out and a rolling programme was in place to make sure the home is being continually improved. Not all bathroom windows had curtains. Where windows are overlooked, consideration should be given to the privacy and dignity of those using these rooms. The home is clean, with good odour control. The six comment cards from residents said the home was always fresh and clean. The maintenance record showed that equipment was being checked as required. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 (OP) 31, 32, 33, 34 and 35 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff with the relevant skills to meet the current needs of the residents. EVIDENCE: There is a senior member of staff on every shift, who is supported by a team of staff. The home employs carers, domestics, a cook, laundry assistant and a caretaker. A physiotherapist and homeopath is also employed on a regular weekly basis. The owners are involved with the home on a daily basis and are known by the residents. The senior member of staff is the shift leader. Staff confirmed they knew what was expected from them and they were given direction and leadership. Staff were seen carrying out their duties in a calm and effective way. Residents, Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 20 according to six comment cards, said they always received the support they needed. The two comment cards from relatives said they felt there were sufficient staff on duty. Staff receive appropriate training in line with the Sector Skills Council requirements. The owners provide dementia training that includes the homes aims and philosophy. Since the last inspection three long-standing members of staff have retired. Two new members of staff have been recruited. One had had a police check, the other had not yet received a response. However, the home had made initial enquires with the protection of vulnerable adults register and appropriate supervision was in place until the police check was received. Four staff files were checked. These contained appropriate paperwork. Staff meetings are held and all staff are expected to attend. Minutes are kept of the discussion. The minutes seen of staff and senior staff meetings showed the level of discussion and the topics covered. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 and 38 (OP) 8, 37, 38, 39, 42 and 43 (YA) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 22 The owner’s qualifications exceed the standard required. They work closely with staff and residents and their experience and skill level makes sure the home is well managed. EVIDENCE: The two owners also manage the home. They share the duties of the registered manager and provide some of the training and supervision. They are involved in the management of the ongoing care of residents and assessment and admission of new residents. It is clear they maintain a high profile in the running of the home. The owners are both qualified nurses and have undertaken management and degree level training. This exceeds the required standard. The arrangements around residents personal money is dealt with by a third party whenever possible. Otherwise a small number of residents have money held on their behalf by the owner. All transactions are recorded and money is accounted for. As previously stated, staff are given clear leadership and guidance by the owners. This is carried through when the seniors are on shift. The owners are keen to promote good practice and encourage staff to be involved in the Bradford Dementia Group organised through Bradford University. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 23 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 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x 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 X 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 3 33 3 34 3 35 X 36 X 37 X 38 3 Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 24 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 Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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. Spring Mount DS0000001147.V321178.R01.S.doc Version 5.2 Page 26 - 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!