Inspection on 23/02/06 for Springcroft

This inspection was carried out on 23rd February 2006.

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

Springcroft 22/11/06

Springcroft 28/09/05

Springcroft 03/02/05

Springcroft 08/07/04

Springcroft 29/10/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Springcroft 58 Springfield Road St Leonards On Sea East Sussex TN38 OTZ Lead Inspector Caroline Johnson Unannounced Inspection 23rd February 2006 11:50 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 Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 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. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springcroft Address 58 Springfield Road St Leonards On Sea East Sussex TN38 OTZ 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) 01424-431856 Mr T Samy Mrs Rosemonde Marie-Josee Samy Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated at any one time is twelve (12) Service users should be aged sixty-five (65) and over on admission. Only older people who have been assessed as requiring nursing/residential care are to be accommodated. 28/09/05 Date of last inspection Brief Description of the Service: Springcroft Nursing Home is a detached property in a residential road in St Leonard’s-on- Sea. It is registered to provide nursing care for 12 service users. The home is on three floors. There is a shaft lift and in addition to this there are two stair lifts provided. Fire escape staircases evacuate to the rear garden. Service users have use of a lounge and conservatory for communal activities. There is level access to the home through the front garden. A gate at the side of the property gives security to a rear, neatly tended, walled garden providing a pleasant area for service users. The home offers nursing care in a relaxed, but professional environment. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second inspection in the year running from April 1 2005 to March 31 2006. The inspection lasted from 11.50am until 4.30pm. During the inspection there was an opportunity to meet with three residents in private and with a few residents generally in the lounge. Two members of staff were interviewed individually. A number of records were examined including the pre-admission documentation for one resident and the plans for the care to be provided for three residents were also seen. There was also an opportunity to meet with a friend of a resident who was visiting at the time of inspection. A full tour of the building was not undertaken. However, three of the bedrooms and the lounge were seen on this occasion. This report should be read in conjunction with the report of the inspection carried out on 28 September 2005. Standards not covered on this occasion may have been covered during that inspection. What the service does well: What has improved since the last inspection? Two good practice recommendations were made following the last inspection of the home. The first related to daily records and the need to write more information about how residents’ social and emotional needs are met. Progress has been made in this area but there is still scope to improve further in this area. The second recommendation related to the action to be taken by staff should fire alarms sound at busy times. Records showed that different scenarios were discussed with staff along with the action that should be taken. The owner provides in-house staff training on a monthly basis. The manager has attended a number of management courses and further courses have also been booked. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 6 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. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 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 Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 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): 3,5 There are good procedures in place to ensure that the home gains as much information as possible about prospective residents prior to making a decision about offering accommodation. EVIDENCE: Prospective residents and/or their relatives on their behalf are encouraged to visit the home prior to making a decision about accommodation. One of the residents spoken with confirmed that her relatives had visited the home on her behalf. She went on to say that they had made the right decision as she was receiving `very good care’. Pre-admission documentation was seen in relation to one recently admitted resident. The manager confirmed that she visited the resident in hospital prior to admission. The pre-admission assessment contained very limited information but there was a very detailed discharge letter from the hospital and further information was obtained from the relatives of the resident. The manager arranged for staff to receive specialist training prior to the resident moving into the home so that the resident’s assessed needs could be met. At Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 9 the time of admission, the resident received support from a physio, a speech and language therapist and a dietician. Following admission the manager carried out a very detailed assessment of needs and a plan of the care to be provided was drawn up. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 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): 7,8,9,10 Whilst there has been some improvement in recording details of the social and emotional needs of the residents the home should continue to work on improving in this area. There are very good arrangements in place to ensure that the healthcare needs of the residents are met. Staff feel valued and able to make positive contributions to care practices that can ultimately improve the quality of the health care needs of the residents. There are very good training opportunities for staff to ensure that they keep up to date with healthcare practices. EVIDENCE: Care plans were seen in relation to three residents. All included up to date information on the needs of the residents and detailed advice for staff to follow to ensure that individual needs could be met. Since the last inspection there is evidence that some progress has been made in respect of record keeping in relation to the work undertaken by staff to meet residents’ social and emotional needs. The owner confirmed that he had provided training for staff on medication the week prior to the inspection. In addition to this the home’s pharmacist visited recently to assess the storage of medication and the recording of medication Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 11 administered to residents. She is also to provide staff training in the near future on the administration, recording and safe disposal of medications. One of the adaptation nurses confirmed that as part of her studies they have compiled a list of the drugs used in the home and made a list of possible side effects. As part of this process they noticed that one resident was suffering from some mild side effects of one of her prescribed medications. This was then raised with the resident’s general practitioner for further discussion. She advised that although no action needed to be taken on this occasion it had heightened the awareness of the staff team of the need to observe closely for possible side effects to medications. The manager confirmed that staff have received training in wound care, which included assessment of wounds and dressings update. The Tissue Viability Consultant visited two residents in February to provide advice and guidance in relation to wound management. The owner confirmed that she is due to attend a venepuncture course update. Arrangements are made for residents to receive chiropody treatment on a regular basis. An optician provides a clinic in house on an annual basis. The manager advised that a dentist saw all residents last year and arrangements would be made for this to happen again this year. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 12 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): 12,13,15 The residents spoken with were happy with the activities that take place in the home. There is a varied and well-balanced menu in place and those spoken with stated that the food served in the home is very good. EVIDENCE: There is a weekly rota in place to ensure that time is set aside regularly for staff to spend with each of the residents doing an activity of their choice. This might include an activity or it could just be setting time aside for a chat. Residents spoken with stated that they enjoy reading and watching television. One resident has daily visitors through the week and they are taken out at the weekends. Musical entertainment is arranged periodically. Videos are shown in the lounge. Staff advised that a couple of the residents were taken on shopping trips recently. The owner advised that residents’ birthdays are always celebrated. Along with celebrating her birthday one of the residents will soon be celebrating her eighteenth year living at Springcroft and the home have arranged a special party with musical entertainment being provided. Records of menus seen indicate that residents receive a varied and well balanced diet. Residents spoken with stated that the food served was very Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 13 good. There was an opportunity to speak with a staff member who cooks at weekends. She advised that there are always alternatives on offer at lunchtime and even more variety in the evening meals. There is also a cleaning rota in place to ensure that all cleaning tasks are carried out regularly. A visitor to the home said that the food `couldn’t be better’. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: These standards were not inspected on this occasion. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 15 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): 19,20,23,24,26 All areas of the home seen were comfortable and furniture provided is homely in design. Some of the residents brought some of their own furniture with them on admission to the home and this has assisted in helping them to settle into the home. EVIDENCE: Three of the bedrooms and the lounge were seen during this inspection. Residents spoken to stated that they had all that they required to make their rooms comfortable. They had brought some of their own furniture with them when they moved into the home and each of the rooms were personalised with photos of family and friends. All areas of the home seen during the inspection were clean. There was an odour present in one room and when this was pointed out to staff it was attended to immediately. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 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 Staffing levels are assessed as good. There are very good training opportunities provided for all staff and the result of this is a well-trained staff team. Recruitment procedures are good and the home is thorough in checking out prospective staff prior to offering a position in the home. EVIDENCE: The staff rota seen indicated that there were satisfactory staffing levels in the home. Staff spoken with during the inspection stated that staffing levels were appropriate and residents confirmed that there are always enough staff on duty and that call bells are answered promptly. One of the owner’s jointly runs a school of nursing that is linked to Brighton University. The train nurses (adaptation nurses) who have trained in other countries and who need to update their skills and knowledge to work in Britain. At the time of inspection there were two adaptation nurses. They attend the school of nursing one day each week and work on placement in the home four days a week. They confirmed that they are fully supervised in all nursing practices. Part of their objectives whilst working in the home, includes working with relatives and general practitioners and gaining experience in ordering medication. In addition to the two adaptation nurses there was also a student nurse on placement in the home. Recruitment records were seen in relation to two staff recently appointed to work in the home. Both included detailed application forms, two references, Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 17 identification and details of previous qualifications. Criminal records bureau checks had been undertaken. The owner confirmed that she attended an assertiveness course and a time management course and that she hopes to attend further management courses on care planning, supervision and appraisal. In-house training is to be provided on manual handling. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 18 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 The home continues to have good procedures in place to ensure the health, safety and welfare of the residents and staff. Record keeping in kept up to date and records seen in relation to the management of residents’ finances were in order. Staff feel well supported in their individual roles within the home. EVIDENCE: The home has very limited involvement in the management of residents’ finances. Records were seen in relation to two residents’ finances and they were in order. Fire records were examined and it was noted that all tests were carried out in line with the home’s procedures. The manager reported that staff received training in fire safety in November 2005 and further training is to be provided in May 2006. The manager also advised that during an in-house training Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 19 session on fire safety they discussed the scenario of what would staff do if the alarms sounded when they were bathing a resident. There is a now a clear procedure in place so that should such a situation occur staff are aware of the action to be taken. Records showed that the lift and hoists in use in the home have all been serviced recently. There are contracts in place for the safe disposal of clinical waste and medications. The water was tested in relation to Legionella in May 2005. Hot water temperatures continue to be monitored monthly. Portable appliance testing was carried out in February 2005. Staff spoken with stated that they receive regular formal and informal supervision. Records showed that the majority of the staff team received supervision between January and February. Staff described the owners as `very supportive’. Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 20 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 X 3 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 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 3 3 Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 21 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 Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Springcroft DS0000014057.V273477.R01.S.doc Version 5.1 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. 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!