Inspection on 21/01/08 for Springfield

This inspection was carried out on 21st January 2008.

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

Springfield 14/12/06

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 Mrs Joy Howson-Booth Unannounced Inspection 10.00 21 January 2008 st 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.V351046.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.V351046.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.V351046.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All radiators and pipe work 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 Commission for Social Care Inspection. The home must not accommodate any more than 15 people in the older person (OP) category at any one time. 14th December 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. The current weekly fee is £400.00 and additional extras like hairdressing, private chiropody and newspapers are paid for by the residents. Further details over fees can be obtained from the registered owner/manager of the service. More information about the service can be found in the home’s Statement of Purpose and Service User Guide. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is excellent. This means that the people who use this service experienced excellent quality outcomes This site visit and was unannounced so the registered owner/manager, staff and residents were not aware of the visit. The site visit forms part of the overall inspection for the home which makes sure people are being cared for properly and to make sure the home is a safe place for people to live in. As well as the site visit, judgements have been made about the service based on information supplied by the registered owner/manager. Comment cards were made available to residents, their relatives, GP surgeries, healthcare professionals and staff who work at the home. A very good level of responses were received. Comments made and feedback from the inspection was given to the registered owner/manager, and care was taken to protect peoples’ identity. The site visit took place over one and half days and included - spending time observing staff on duty performing the day-to-day care tasks, taking time to sit and speak with residents, speaking with staff, speaking with a visiting relative and speaking with the registered owner/manager. As well as this, a number of records and documents were examined. We looked around communal rooms, a small number of personal rooms to see first hand if the home was a comfortable, clean and safe for people to live in. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. The site visit was enjoyable with everyone welcoming, friendly and cooperative during the visit. What the service does well: The lead for the service clearly comes from the registered owner/manager who has a commitment to making sure the residents are well looked after, treat the home as their own and maintain links with their families and friends. Staff also take great pride in looking after the residents and making sure they are given a high quality service. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 6 The home is situated in a quiet residential area, close to local shops, amenities, the sea front and a local park. The home was a detached family residence, which means that residents can feel it is a home. All areas of the home are accessible to the residents. There are a small number of rooms on an upper floor in the older part of the home, and a stair lift is provided for residents to use. The home has a ongoing redecoration and refurbishment programme in place and the registered owner/manager makes sure all the necessary maintenance is carried out so that the home is a safe place to live in. Individual comments from residents and their relatives confirmed that the registered owner/manager and staff try hard to ensure new residents are consulted about their individual preferences and routines and that all the residents are made to feel that they are at home. Individual comments included : • • • “thoroughly well-run and caring home.” “staff are always very polite and friendly at the same time very professional” “Springfield care home provides a home as close as possible to an individual’s own home. The personal care given to each individual is very apparent which helps to keep dignity and self esteem.” “Staff are always attentive to my relative. A sense of humour is always there which gives everyone a lift from not always easy situations when elderly and infirm.” “They do seem to care!!!” “Generally we believe the staff at the care home are very good and provide excellent care and attention” “the staff at the care home treat the residents with respect. They take the time to understand each individual requirements and provide the appropriate personal care and attention.” “The standards of this care home are already high. We could not wish for a better facility for our relative” “provides a homely and friendly place to live.” “Every effort is made to achieve the impossible goal of pleasing “all the people all the time” • • • • • • • Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 7 • “the home and staff continue to enjoy my fullest confidence, admiration and appreciation without whose patience, understanding and expertise my relative’s quality of life would be immeasurably reduced .” The staff are very caring with the residents, they also take time with relatives. The observations during the site visit confirmed that dignity and respect are an important part of the care that is given at the home. The registered owner/manager understands the importance of ensuring the right staff are employed, and there is a formal recruitment procedure in place. As part of this recruitment, staff are vetted to ensure they are safe to work with vulnerable people. In addition, staff receive training appropriate to care work and there is an ongoing training programme in place. To date, 10 of the staff are trained to National Vocational Qualification (NVQ) Level II, included in this number 5 are trained to NVQ Level III and 1 to NVQ Level IV. This means that the residents are cared for by suitably trained and competent staff. There is a low staff turnover at the home, which means the residents can be confident that the care they are given is by staff who know about their needs. As the registered owner/manager works in the home on a full-time basis, this means she is there to pick up on any issues or worries and to make sure the service maintains its high standard. It was confirmed that any concerns or issues raised are treated seriously and dealt with promptly - “only minor concerns have been raised and these have always been handled in a positive and appropriate way” 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.V351046.R01.S.doc Version 5.2 Page 8 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.V351046.R01.S.doc Version 5.2 Page 9 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): Standards 1, 3 and 6 People who use this service experience excellent outcomes in this area This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information and opportunities to visit the home to enable them to make a decision as to whether or not they would like to live there. The home has very good arrangements to assess people who may like to live at the home, and to ensure their wishes and needs are identified, which means that only people whose needs can be met will be accommodated. EVIDENCE: The home’s Statement of Purpose and Service User Guide were examined and advice given to the registered provider to review and to update with our new contact information. Information for the resident (the Service User Guide) is an excellent document and provides, in a friendly-written way, information that is Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 10 important for people who are moving into care to know – it acknowledges the difficulties and provides written reassurance and support. The information also confirms that a trial period is offered so that people can have the opportunity to live in the home before making a final decision. The registered owner/manager also confirmed it is available in each residents’ room in a larger print format. Comment cards from residents and a relative spoken with confirmed that good information is provided. Three residents files were examined and all were found to have good assessment information obtained by the home. The registered owner/manager also confirmed that a personal visit is made to any prospective resident and they are free to visit the home at any time. It was also confirmed that following admission, each resident is allocated a key worker who obtains personal information from him or her. This means that people can be confident that staff know and can support them in their individual wishes and routines and social activities. Any specialist needs would be found out at the point of pre-admission assessment. Residents confirmed that they had good information about the home before moving in so that they could decide if the home was for them – comments included – “I visited the property before moving in” and “there were lots of leaflets to look through”. Staff spoken with and those who sent in survey forms confirmed that good information is passed on about new admissions to the home and communication within the home is excellent. The registered owner/manager confirmed that the home does not provide any intermediate care. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9 and 10 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides an excellent standard of care which takes into account individual needs and wishes, taking appropriate action where needed, which means that the health and personal care needs of residents are fully met. EVIDENCE: Three care files were examined which confirmed that the home ensures the health and personal care needs of the residents concerned are documented and acted upon. The information in each care plan is detailed and pertinent to that particular resident, each care file is well organised and information is easy to find. A visiting relative was also spoken with who confirmed that she was very satisfied with the care provided to her relative and if there are any healthcare concerns the home “always get the GP out”. Other relatives also confirmed that they are confident in the care provided by the home. Individual Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 12 comments included - “concern, care and affection has been maintained from the outset, augmented by regular telephone calls for advice, information and discussion” and “I have total confidence that I am informed whenever deemed necessary to discuss the trivia to the serious”. The practice of the home is not to maintain a daily record of care input and it was advised that there should be a daily record of the care provided and also any additional information which is important for staff to know. This means that care issues can be followed through and provide written evidence of the good care provided. It was not evidenced that residents are included in their care planning, although monthly reviews on care plans do take place. The registered owner/manager advised that the recording of residents’ input into their care plans had lapsed but would ensure that this is addressed promptly. The monthly reviews provide a good opportunity for the key worker to ask residents about the care they currently receive and any changes could be noted. This could then be signed (if wanted) by the resident at that time. This is a formal medication system in the home which is regularly audited by the registered owner/manager. Medication stocks and records were examined and were found to be accurate. Advice was given over the storage of additional medications, the need to replace the current notebook for controlled drugs with a more official book. Only staff who have been trained administer medications. It was noted that staff undertake blood monitoring for one resident and advice given to the registered owner/manager that staff who do this task should undertake a competency assessment which can be recorded on their training file. As part of the admission process, new residents are asked if they wish to keep their own medication and a secure place is provided in each room for this purpose. The registered owner/manager asks for a consent form to be signed and it was advised that a risk assessment should also take place. From observations and from talking with residents and comment cards received, the staff at the home work very hard to ensure that the residents are treated with the utmost dignity and their privacy is respected. Residents were spoken with and all confirmed they are very happy indeed with the home and the care provided, with lots of positive comment about the staff team - one resident said the staff were “very kind”. During this visit, one resident was seen in her room with the call bell on her lap and she made comment that this aided her confidence. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 13 Staff also felt well supported and the communication about health and care needs is excellent. From observations and talking with residents and staff, there is a real satisfaction and pride in the care provided to the residents. Relatives also provided very positive comments about the care provided which included – “the staff are lovely”; “staff are always very polite and friendly at the same time very professional”; “Springfield care home provides a home as close as possible to an individual’s own home. The personal care given to each individual is very apparent which helps to keep dignity and self esteem”; “staff are always attentive to my relative”; “They seem do seem to care!!!”; “I am very happy with Springfield Residential Home and more importantly my relative is too”; “Generally we believe the staff at the care home are very good and provide excellent care and attention“; “the staff at the care home treat the residents with respect. They take the time to understand each individual requirements and provide the appropriate personal care and attention” and “I am very happy with the care my relative receives, she is in a safe, caring environment” Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14 and 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Social contact and meals are good which means the people are provided with a good quality of lifestyle. Individual activities should continue to be developed to ensure people are given different social opportunities to maintain their wellbeing. EVIDENCE: Information in the care plans evidence that the residents are asked about their individual routines, wishes, preferences, social contacts, religious wishes, etc. The home also supports individuals to maintain their existing independence skills and, after admission, asks what they used to do at home and what they would like to continue to do (i.e. dusting, making their own bed, etc.) Information from the home also informs residents that there are four churches nearby that can be accessed and support is given if needed to do this. The residents’ case tracked had their own activities record which records what they do on a day to day basis. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 15 Residents and relatives confirmed that there are no restrictions on visiting and they are made to feel welcome at any time – “we can visit whenever we want” and “visitors always welcomed”. The home has a range of activities, residents being free to attend or not. The registered owner/manager confirmed that she is looking to develop activities further and is seeking ideas from both current residents and staff. Current activities include – bingo, music, watching TV, videos, nail care, films, skittles, dominoes, crafts, helping around the dining room (setting tables, folding napkins). Little touches mean that the residents can feel “at home” – for example, the home provides a selection of newspapers for the residents to read and dishes of sweets are available. The registered owner/manager feels the home is lucky to have a dedicated group of relatives and ex-relatives who visit the home, talk with all the residents and take people out as friends. Two ex-relatives have recently been to the home, reading poetry/monologues and generally socialising with residents. There is a family feel to the home with children of current staff visiting, involvement of residents in weddings/births/birthdays/Christmas celebrations, and even pets being a focus for discussion and enjoyment. At the time of this visit a resident was celebrating her birthday and was looking forward to the evening “party”. Outings was also discussed with the registered owner/manager who felt these had lapsed over recent months. It was agreed that the opportunity to get out into the local community was important to residents and this is something to be looked at alongside developing other activities. Residents who completed comment cards stated that there are “usually” activities to take part in. Comment was made that more one to one activities and outings could be provided. This has been noted earlier as a point of development for the home. Other relatives commented – “nice to have hairdresser, chiropodist, entertainer visit the home”; “a sense of humour is always there which gives everyone a lift from not always easy situations when elderly and infirm” and “every effort is made to achieve the impossible goal of pleasing “all the people all the time”.”. The home’s Service User Guide confirms that the home does not normally involve itself in residents’ finances but will offer support to access appropriate professionals, if needed. Financial files seen indicate that a number of residents have their finances either managed by relatives or by themselves. The Service User Guide also confirms that residents can bring in items of personal furniture, etc. - “we do encourage our residents to personalise their rooms by bringing in pictures, ornaments, TV, radio, stereo, etc. and small items of furniture, such as a table, favourite chair, etc. “ A number of rooms evidence that people do bring in treasured items to personalise their own rooms. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 16 Information provided by the home confirms that menus are generally decided by the residents and residents meeting minutes evidence suggestions being made and taken forward onto the main menu. One resident told us that she enjoys having her breakfast in bed each morning. The menus were seen and evidenced that a good range of food is provided. Discussions with the staff and registered owner/manager confirmed that choices are available and provided – sometimes the majority of the residents want something different at teatime, although the current records do not evidence that choices are been given. The registered owner/manager also advised that once a month those residents that wish have a “bought in” fish and chip supper and the home makes sure that one resident who likes curries and spicy food is given this. To demonstrate that choices are being provided, it was advised that the home review the recording of meals (perhaps by having a diary so that each individual choices provided can be recorded). Comment cards received from residents, and those spoken with, all confirmed they are happy with the food provided by the home. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 17 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): Standards 16 and 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents and relatives can be confident that if they raise any concerns these will be treated seriously and properly dealt with. Staff are trained in safeguarding adults which means that people are protected. EVIDENCE: The registered owner/manager confirmed that the complaints procedure remains in place and this was seen in the Statement of Purpose and the Service User Guide. A copy of the Service User Guide is in each of the resident’s rooms so they can refer to this, as needed. The registered owner/manager is looking to have the home’s inspection report available in the hallway for visitors to access. The home confirmed that it has had no complaints raised with them. We have not received any complaints, concerns or allegations regarding this service. Both residents and relatives all confirm that they know who to speak with if they are not happy about anything and they know about the home’s complaints procedure. Individual comments include – “any concerns are dealt with sensitively and sensibly” and “only minor concerns have been raised and these have always been handled in a positive and appropriate way”. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 18 Staff also confirmed that they feel able to speak to the manager if there is anything they are concerned about – “concerns put forward by residents/relatives and staff alike are dealt with as quickly as possible”. Information from the home confirms that there is a whistle blowing procedure in place and a number of staff have attended either safeguarding training or have covered this within their National Vocational Qualification training. This information also confirms that no safeguarding issues have been raised within the home. Staff spoken with during the site visit were clear about what to do if they had any safeguarding issues, either by contacting the registered owner/manager or by contacting us. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 19 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): Standards 19 and 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and pleasant environment, which is well maintained and meets the needs of the residents who live there. EVIDENCE: Not all private rooms were seen but most communal areas were seen. These provided a clean, warm, homely and very pleasant environment for people to use. The home is well maintained and evidence of a maintenance log was in place. Staff spoken with confirmed that any maintenance or health and safety issues are dealt with promptly. The layout of the home is in keeping with domestic premises, with one large lounge, a smaller quiet area just off this and a separate quiet area for people to sit in near the stairway. There is a separate dining room, bedrooms on the Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 20 upstairs and also on the ground floor of the home. Whilst not all rooms were seen, communal rooms and some private residents rooms were viewed. All were exceptionally clean and tidy, with personal treasured items to make individual rooms homely and familiar. The previous inspection report records that the home has a range of equipment to meet the needs of the current residents. Call bells are in place for residents to use to summon assistance. No issues were raised over the cleanliness of the home – comments included : “its always nice and clean”; “the home is clean and “homely”; “Springfield care home provides a home as close as possible to an individual’s own home”; “The environment is always clean, warm and welcoming”; “The standards of this care home are already high”; “provides a homely and friendly place to live” and “my relative has her own telephone which she is able to use on a regular basis”. Not all staff have undertaken infection control training but the registered owner/manager is aware of this and has training in hand in the next few months. There is a separate laundry and no issues have been raised over the cleanliness of the home to date. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 21 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): Standards 27, 28, 29 and 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents who live at the home are cared for by a team of experienced, trained and competent staff who are vetted to ensure they are suitable to work with vulnerable people. EVIDENCE: The registered owner/manager confirmed the staffing for the home and residents confirmed that there are sufficient staff on duty, they attend when needed and listen and act on what the resident says. The current staffing arrangements are : 5 staff (including manager) a.m. 3 staff (including manager) p.m. 2 staff from 6 p.m. management person on call 2 night staff (1 sleeping in, 1 waking watch) management person on call No specific issues were raised over staffing in the home, although one comment card stated “on very rare occasions staff sickness leaves limited carer. However, residents needs are prioritised over tasks which can be done Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 22 later on when more staff cover is available e.g. cleaning jobs”. This was discussed with the registered owner/manager who confirmed that there had been some limited problems but the staffing rotas had now settled down. The registered owner/manager confirmed that over 60 of the staff are trained to National Vocation Levels II, III or IV, with two staff currently doing this award. Guidance over current good practices, meeting the needs of different people, safeguarding, etc. are covered within the NVQ training and also by other specialist training attended. Information from the home confirms that all the required checks are carried out prior to starting a new member of staff in the home. Through examining files in the home this was confirmed. In addition, the home has a formal recruitment procedure to ensure only staff who are suitable to work with vulnerable people are employed. e staff file for the latest new member was examined and found to be well organised with evidence of – application form, health declaration, interview, 2 references, POVA and CRB, job description, contract, proof of identity, photograph and copy of home’s health and safety policy and risk assessment for the home. There was evidence of an induction programme and copies of certificates held, although some would require updating (Safe handling of meds 2002, First Aid 2001, Moving and Handling 2002). Staff confirmed that training is given “induction covered “very well” what I needed to know”. Staff who responded to questionnaires confirmed that appropriate checks had been made prior to them starting work – one commented - “I had to wait to start work while my CRB check came and my references were checked”. Information from the home indicates that there have been some problems with organising training and through discussion with the registered owner/manager it would appear this is now being addressed, with future training now being planned. Staff confirmed that training, including induction training for new staff, is given and is suitable for the care work they do on a day to day basis. A selection of training files were seen and a range of training has been accessed, although some training may now need updating. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 23 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): Standards 31, 33, 35 and 38 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The residents live in a home that is very well managed which means the home is a safe and comfortable environment to live in. EVIDENCE: The registered owner/manager has been in post for many years and is experienced and trained in the needs of older people. As well as being an SEN nurse she has also obtained the Registered Managers Award. The registered owner/manager is in day to day charge of the home. Comments that have come from residents, relatives and staff confirm that there is a high degree of confidence in the registered owner/manager – individual comments include – “thoroughly well-run and caring home”; “we have a good relationship with the Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 24 care home manager”; “the standards of this care home are already high. We could not wish for a better facility for our relative“; “the home and staff continue to enjoy my fullest confidence, admiration and appreciation without whose patience, understanding and expertise my relative’s quality of life would be immeasurably reduced”; “we can always meet with our manager to discuss things when we want. She always is available in between staff reviews”; “I feel very lucky to have a manger who is so approachable when every you need her” and “the owner/manager is always there to give help and advice to anyone who may need it”. The home has the ISO 9001 Quality Award in place which means that there is a formal auditing system in place for all areas of the home which ensure that, for example, policies and procedures, medication are audited on a regular basis. In addition to this, the registered owner/manager undertakes her own twice year audit of the home and also works full-time in the home so this enables her to see all the residents, addressing any issues or worries quickly. Residents and staff meetings are held on a regular basis and minute of these were seen on file. Comments from relatives’ evidence that there are no concerns about raising issues with the registered owner/manager. Staff confirmed that they constantly review their practices to ensure they provide good care - “we are always improving our service and are always updating”. The home does not normally manage finances for residents but will provide information and support to enable a resident to access an independent professional, if needed. Financial records held were examined were up to date and accurate. Advice was given to the registered owner/manager over notification of incidents/events in the home as two incidents had not been notified to us as the Care Home Regulations require. Advice was given to obtain an accident book that conforms to the Data Protection Act 1998 and that any accident is followed up to ensure no maintenance or other issue is present. The registered owner/manager confirmed that this will be addressed promptly. Information provided by the registered owner/manager confirms that she maintains the health and safety of both the service users, staff and generally within the home by adhering to legislation, training and good practice advice and by ensuring risk assessments are carried out. Maintenance and servicing of equipment and facilities is carried out as required. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 25 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 3 X 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 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 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 26 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. 1. 2. 3. 4. Refer to Standard OP1 OP7 OP8 OP9 Good Practice Recommendations Review Statement of Purpose and Service User Guide to ensure new contact information for the commission is included Ensure resident involvement in their care plan is recorded Ensure that daily records are maintained and follow up action is recorded on issues or concerns. Remind staff to record the time of the entry on any report. Obtain and “official” Controlled Drugs register. Review storage of additional medication. Ensure staff who undertake blood monitoring are assessed for competency. Include in medication systems that anyone who may wish to self administer has a risk assessment undertaken Look at developing 1 to 1 and other activities in the home, including outings Continue with training programme to ensure all staff are trained in infection control and all mandatory areas. Ensure commission is notified of events as outlined in DS0000062334.V351046.R01.S.doc Version 5.2 Page 27 5. 6. 7. OP12 OP30 OP38 Springfield 8. OP38 Regulation 37 of the Care Homes Regulations Obtain an accident book that conforms to the Data Protection Act. Ensure accident records include full names and times and any follow up action taken. Springfield DS0000062334.V351046.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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.V351046.R01.S.doc Version 5.2 Page 29 - 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. 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