Inspection on 05/07/05 for Springdale

This inspection was carried out on 5th July 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

Springdale 26/01/09

Springdale 12/12/06

Springdale 01/02/06

Springdale 26/01/05

Springdale 19/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE SPRINGDALE Cucumber Lane Brundall Norwich NR13 5QY Lead Inspector Roger Andrews Unannounced 5 July 2005 06:20 th 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 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. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springdale Address Cucumber Lane, Brundall, Norwich, Norfolk, NR13 5QY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01603 712194 01603 717483 Norfolk County Council Community Care Mr Paul Mann Care Home 35 Category(ies) of DE(E) Dementia (1) - over 65, OP Old age (35) registration, with number of places SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Springdale can accommodate service users who require wheelchairs to assist with independent mobility at the point of admission into those rooms which are over 12 sq metres. This means tht only rooms numbers 1,2,12,13,14,18,19,20,21,22,23 and 33 are suitable for wheelchair users. 2 One (1) Service User, who is named in the Commissions records and who has dementia, maybe accommodated within the overall number of 35 Service Users. 3 Springdale is registered to offer personal care for up to 35 service users who are aged 65 and over. Date of last inspection 26 January 2005 Brief Description of the Service: Springdale is a Local Authority home catering for up to 35 elderly people. It is situated in the village of Brundall, a few miles east of the city of Norwich. The home is set in sizeable grounds with garden areas to the side and rear and parking space to the front. The home is operated by Norfolk County Council Social Services Department. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place in the early morning commencing at 6.20 am. A number of areas were looked at in relation to the early morning routine. The scores given represent those areas commented upon in the report. Previous inspections of the home have been generally positive and revealed a high degree of satisfaction expressed by residents about the care they receive. Springdale does not have a history of complaints being made and, to date, the Commission considers it to be a well managed home with caring staff. What the service does well: What has improved since the last inspection? What they could do better: From observations made during this inspection there are no requirements or recommendations made. However, there may be outstanding matters from the previous inspection that were not looked at during this inspection which still need attention, (this includes replacing the lift and improving some of the bedroom facilities for residents). These will be followed up at the next inspection visit. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 standard(s) 1 Residents and visitors have access to accurate information concerning the facilities available to them at Springdale. EVIDENCE: The Statement of Purpose is displayed in the main reception area along with a copy of the previous inspection report for visitors or residents to read. The Statement of Purpose has been amended in line with a recommendation made in the previous report. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 standard(s) 9 These standards were not inspected on this occasion. EVIDENCE: SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 15 Residents get up at a time and pace to suit them. Residents get to share their views, for example, about food choices, and their views are listened to by staff and acted upon wherever possible. EVIDENCE: At 6.20am only one resident was up and dressed. This resident stated that she usually got up early and was able to get out of bed and wash and dress herself. She was waiting for her morning paper which she has on a daily basis. She reported that sometimes a few other residents get up early. She said she liked to sit in the reception area during the early part of the day, and then retire to her room to read the paper. Another resident was brought through to the communal areas by a member of staff at about 7am. A member of staff reported that residents were free to lie in bed until they wished to get up and that many were still in their rooms when she went off shift at 7.30am. Staff were observed taking hot drinks round to residents who were awake in their rooms. Staff were observed knocking on residents’ doors and waiting for a reply before entering. The Statement of Purpose advertises breakfast as being served between 8.30am and 10am. A resident reported that there is a choice of cereals, toast SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 11 and porridge. The dining room tables were set ready for breakfast. Two bowls of fresh fruit were available. It was noted in the minutes of the residents’ meeting in March that the fruit basket did not always go round at teatime and leaving fruit out for residents to help themselves was decided upon as the solution. Residents also raised the matter of after dinner drinks which they asked to have served later on in the afternoon. Toasted sandwiches were also put forward as an alternative teatime meal and residents asked for a greater variety of fish to be available. Some other food related matters were also discussed. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected on this occasion. EVIDENCE: SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21 & 26 The home was clean and provided comfortable areas for residents to spend time. EVIDENCE: A tour of the premises was made, though residents’ bedrooms were not viewed due to the time of the visit. No obvious hazards were noted and all areas looked clean, tidy with no trace of any unpleasant odours. Wheelchairs and hoists were stored in areas out of the way of residents. Bathrooms and toilets were clean and tidy. One of the ground floor lounges was noted to have had all the armchairs replaced and new curtains. This is in line with a recommendation made in the previous inspection report. It was also noted that a number of birthday cards were displayed to celebrate a resident’s birthday. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 14 Since the previous inspection, crewmembers from HMS Norfolk have visited Springdale and decorated a number of areas. There are some photographs on the reception wall recording this visit. Possible improvements to the building, such as replacement of the lift, were discussed with residents at their last meeting with staff. Other issues relating to the premises were also discussed. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Sufficient staff were on duty for the 29 residents currently accommodated. The staff carried out their duties in a relaxed fashion and did not have to rush to help residents get up. This must be to the benefit of both staff and residents. EVIDENCE: Two members of waking night staff were on duty. One has worked at Springdale for 2 years, the other for a year and a half. Support was via the oncall manager and there is an on-call rota in the office. One of the care coordinators arrived for work at 7.15 am. The night staff gave a formal handover before leaving their shift. A member of staff reported that they had access to training and would shortly be undertaking further fire training, (on 7th July), and moving and handling training. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 & 38 Residents benefit from staff who are trained, including night staff who receive supervision to monitor their practice and training needs. Staff are conscious of the security of the residents during unsocial hours; which increases the feeling of safety by residents. EVIDENCE: A member of staff reported that she received formal supervision sessions. Night staff also have their own staff meeting as well as being able to attend the full staff meeting. Supervision is undertaken by one of the care coordinators. Staff asked to see identification before allowing access to the home given the time the inspection took place. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 17 Fire doors along corridors were closed. All fire doors are linked to the alarm system and close automatically if open. SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x 3 x 3 SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 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 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. 1. Refer to Standard Good Practice Recommendations SPRINGDALE I55 S36310 Springdale V235226 300605 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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