Inspection on 14/12/06 for Springfield

This inspection was carried out on 14th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Springfield 21/01/08

Springfield 20/01/06

Springfield 27/10/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Springfield 14 Elms Road Bare Morecambe Lancashire LA4 6AP Lead Inspector Ajam Auckburally Unannounced Inspection 14th December 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfield DS0000062334.V311978.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. 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. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Address 14 Elms Road Bare Morecambe Lancashire LA4 6AP 01524 426032 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) Springfield Retirement Home Ltd Mrs Michelle Grosse Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All radiators and pipework within the home must be covered with suitable guards by December 31 2004. A suitably qualified and experienced manager must be employed at all times who is registered with the Commision for Social Care Inspection. The home must not accommodate any more than 15 people in the older person (OP) category at any one time. 20th January 2006 Date of last inspection Brief Description of the Service: Springfield is registered with the Commission for Social Care Inspection to provide care and accommodation for up to 15 people of both sexes who are 65 years old and over. The home is situated in the Bare area of Morecambe. It is close to a number of facilities and amenities. The Promenade and Happy Mount Park are within easy reach. Accommodation is provided over two floors and there is a stair lift available for the residents to use. All the accommodation at the home is offered on a single room basis. Two of the fifteen bedrooms have en-suite facilities. Care is provided on a 24-hour basis including waking watch care throughout the night. Most of the carers have National Vocational Qualifications in care at level two or above. There were fourteen residents residing at the home at the time of the inspection. They all said that they are well cared for and that all the staff are kind and considerate. Current weekly fee is £355.50 and additional extras like hairdressing, private chiropody and newspapers are paid for by the residents. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Springfield was assessed as requiring a statutory key visit (inspection) between April 2006 and March 2007. An unannounced key site visit was carried out on 14th December 2006 which lasted for 5.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the owner, the staff and the residents. During the inspection, some records were looked at and all the residents and the staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. Evidence about the inspection was gathered firstly by sending out a questionnaire for the owner of the home to complete and return. The completed questionnaire gave information about several areas such as staffing, checks that the owner has made about the safety and maintenance of the building, information about residents and other useful information. Questionnaires were also sent to residents and their families. Four residents and four relatives returned their completed forms. When they were analysed, they showed that everybody was happy with the quality of care provided and the facilities at the home. During the inspection, case files of residents were looked at to check that records of needs and action taken were recorded and reviewed. Residents and staff were spoken to and their comments noted. There were 14 residents living at the home at the time of the inspection and there were the owner and 3 care staff, (1 of whom was doing the cooking) on duty. The number of staff on duty was sufficient to look after the residents. The staff were observed to be polite and attentive when talking and dealing with the residents. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 6 What the service does well: 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. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 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 Springfield DS0000062334.V311978.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The procedures and practices to admit new residents are excellent. Prospective residents are given adequate written and verbal information to make an informed choice about the home. EVIDENCE: The file of the last person admitted was examined and it showed that a pre admission assessment was carried out. The assessment showed that several areas of needs were identified and that the staff at the home were able to meet them. The areas include mobility, personal hygiene, social needs etc. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 9 The owner said that part of the assessment is to ensure that staff can deliver a full service to the residents. She also said that residents’ cultural and individual needs are assessed to ensure that any special needs are met. Prospective residents and their families are encouraged to visit the home prior to admission. The owner said that they are encouraged to spend time in the home meeting other residents, having a meal and looking around. Written information about the home in the form of a Residents’ Handbook containing the service user guide is given to prospective residents and/or their families. The owner said that no residents are admitted to the home unless an assessment has been carried out to ensure that the person’s full needs can be met. The owner said that either herself or a member of the senior staff would visit prospective residents either in their own homes or in hospital. Intermediate care is not provided at the home. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessments and care plans to meet the health and personal care of the residents are good. Residents are well cared for by a team of good staff and their health care needs are met by involving health professionals. EVIDENCE: Two residents were case tracked to discover how the staff care for them and whether the services they receive meet their expectations. This means that two residents were selected by the inspector and the care they receive examined closely. Their assessments and care plans were examined and they were spoken to. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 11 One of the residents being case tracked was the last one to be admitted. The resident said that her family and herself had no hesitaion in choosing the home. She said that everybody was so friendly and explained everything clearly The other resident said that she likes living at the home and that she is well looked after by the staff. The records of the two residents were examined and they showed that full assessments were carried out and that the care plans identified needs and how they were being met. The other residents in the home said that they like living at the home and that the staff are kind. They said that they can do what they want and that the staff would assist them when required. The staff said that they are involved in the care plans of residents by delivering services and writing notes in the daily diary sheets. They said they care for all the residents with respect and dignity. They also said that they treat everyone as an individual and accept that people are different and have different needs. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. New residents are allocated a key worker. A key worker system is operated at the home. This means that a small group of residents is allocated to a member of staff. The staff has responsibility to ensure that the residents are well cared for and that if they have any problems they can talk to the staff. The key worker system does not exclude other staff from caring for the residents. They were observed being polite, patient and caring when dealing with the residents. All the residents are white British, but the owner said that if a resident who is not white and British was to be admitted to the home, she will make sure to have as much information as possible by doing some research in order to meet their care, their cultural and dietary needs. Resident’s health care needs are met by involving health care professionals. GP’s, District nurses and chiropodist visit when required. Four survey cards were received back from relatives. They were positive about all aspects of care and staffing. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 12 The medications records were examined and they were found to be accurate. The inspector observed the senior staff dispensing medications in accordance with good practice. Medications are only dispensed by senior staff who have had training on medications.. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practices to meet the social and recreational needs of the residents are good. Residents are encouraged to remain independent and are helped to do what they like. EVIDENCE: When the inspector arrived to start the inspection at 10 am, most of the residents were sitting in the lounge after their breakfast. One resident was still in the dining room finishing hers. The staff said that although there is a guide time for breakfast, residents are not obliged to stick to it. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 14 The residents spoken to said that they like to get up early and enjoy their breakfast. They said that there is no pressure by staff for them to get up at any specific time. The inspector spoke to all the residents during the inspection and they said that they are very happy living at Springfield and that everyone is nice and caring. They said that they can do what they like and do not have to join in activities if they do not want to. The residents said that nothing is too much trouble for the staff and that they would help and assist when required. Activities in the home include Keep Fit sessions, Bingo, board games, entertainers etc. The home benefits from being very close to the promenade and Happy Mount Park and the owner said that weather permitting, residents who wish are taken there for walks. On the day of the inspection, the owner took 3 residents out to lunch as a part of the Christmas activity. Three other residents went out the day before. They were the only residents who wanted to go out to lunch. The residents said that there is enough to do if you like to join in communal activities. Several of them said they like to do their own things and join the activities they like. They said that no one is forced to do anything. The staff said that they try and meet residents’ individual needs. They said that if residents wanted to go for a walk or do something, they would try to oblige. The residents said that the food is very good and that they are offered plenty to eat and drink. A choice of food is not provided at lunchtime when the main meal of the day is served. However, the owner said that if a resident does not like something, a substantial alternative is provided. On the day of the inspection, the main meal for lunch was Toad in the Hole which all the residents had. They all said that they enjoyed it very much. Meals are served in the dining room which is well furnished and decorated. Residents may eat in the lounge or in their rooms if they prefer. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 15 There is a good choice of food to choose from at breakfast and teatime. A cooked breakfast is available for those who want it. Records of meal served examined show that a good variety of meals are offered to the residents. The owner said that within reasons, the home could cater for every taste. She said that food to suit ethnic and cultural preferences would be offered to residents if required. Residents are offered hot drinks at regular intervals during the day. They said that they find that the regular drink rounds are adequate for their needs, but would ask the staff for a drink if they wanted one at other times. The owner said that within reasons, residents can have what they want to eat. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are robust policies and procedures to protect residents from abuse and to inform about how and who to complain to. Residents are able to speak freely and live in a safe environment. EVIDENCE: The owner has produced policies and procedures for dealing with complaints and abuse. The complaint procedure is included in the Service User Guide. It is available to residents and their families. Written information about how and who to complain to is given to residents or their families. The owner was advised to record any complaints and concerns she may receive in a book and also to record the outcome of any investigations. The residents said that if they had any complaints, they would speak to the owner and have every confidence that their concerns would be dealt with. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 17 The owner said that she is always available to speak to the residents or their families. There are systems in place for staff to report any incident of abuse they may observe. All the residents appeared to be safe and free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. The staff spoken to were aware of different types of abuse. They were able to describe abuse as being physical, emotional and financial. Several staff have attended a course on abuse awareness. The residents said that they are well looked after and that all the staff are kind and helpful. There were no visible signs of abuse or neglect in the practices carried out by the staff. The staff spoken to said that that they would not harm the residents in any way and care for them with respect and dignity. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a well-maintained and safe environment for the residents to live in. EVIDENCE: During a tour of the building, the home was found to be clean and in good hygienic order. Some residents were in their rooms and they said that they like to stay in their rooms to read or watch television. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 19 The bedrooms vary in sizes, but are of a good proportions. All bedrooms are singles and two of them have an ensuite facility. All the bedroom doors have been fitted with suitable locks to give residents added privacy. There is a large lounge and a dining room which the residents can use freely. The home is well maintained and the colours are light and pleasant. All of the central heating radiators have been fitted with low heat surface covers to prevent residents from coming into contact with very hot radiators. The cleaning of the home is done by the care staff. They said that they have enough time to do this task, as there is always an adequate number of staff on duty. The residents’ general comments were that the home is clean and homely. Grab rails have been fitted to some of the toilets to help residents who are disabled. A bath hoist is available to assist residents in and out of the bath. A stair lift and is available for the residents to use independently if they wish. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a robust recruiting and training procedures to ensure that staff employed are fit to care for the residents. Residents are cared for by a team of long serviced staff who ensures continuity of care. EVIDENCE: The number of staff on duty has been maintained to a good level to meet the needs of the residents. At the time of the inspection, there were 3 care staff and the owner on duty. Staff rotas checked showed that the staffing level is maintained to a good level ensuring that there is always an adequate number of staff on duty. The staff files examined show that appropriate checks had been carried out before offers of employment had been made. Such checks included CRB (Criminal Records Bureau) checks and a POVA (Protection Of Vulnerable Adults) checks. Two references are also taken. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 21 Training records show that the staff at Springfield have attended several courses. These include: Abuse, Moving and Handling, First Aid, Medications, etc. The written recruitment policy gives detail of the way a member of staff is employed. When there is a vacancy for a job, it is advertised locally and interested parties are given application forms to complete. From information received, prospective staff are selected for interviews. Once a new staff has been selected, two written references are taken and POVA (Protection Of Vulnerable Adults) and CRB (Criminal Records Bureau) checks are done. No staff starts work until satisfactory checks have been done. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting residents and staff. Training also include, Fire Procedures, Moving and Handling and many other relevant courses. Staff spoken to said that they treat all the residents with respect and accept any difference people may have. CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff achieved NVQ (National Vocational Qualification) level 2. The percentage of care staff at Springfield with this qualification is 50 and is commendable. The staff spoken to said that they enjoy working at the home very much. They said that the owner is very supportive and listens to what they have to say. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home has a good management team and a group of well motivated staff to provide a good and safe service to the residents. EVIDENCE: Springfield is owned and managed by Michelle Grosse . She has owned and worked at the home for many years. She is supported by several senior staff. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 23 The inspector found that the home is well managed and that the residents are well looked after. The staff said that the owner is approachable and that they can talk to her when they want. The home has a written health and safety policy in place which is supported by a number of associated procedures such as COSHH (Control Of Substances Hazardous to Health) and infection control. The home was awarded ISO (International Standards Organisation); and this involves an annual assessment of the operation of the home. Quality control of staff performances and their caring attitudes are done by each staff assessing another. The owner said that the system is good and it shows weaknesses and strengths of the staff. The staff said that they always learn something from this exercise and it assures that all the residents are cared by a team of well motivated staff. Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 24 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 4 X X 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 25 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. 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 Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Springfield DS0000062334.V311978.R01.S.doc Version 5.2 Page 27 - 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. 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