Inspection on 10/02/06 for Springfield Care Centre

This inspection was carried out on 10th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springfield Care Centre 21/09/06

Springfield Care Centre 04/05/05

Springfield Care Centre 02/02/05

Springfield Care Centre 02/06/04

Springfield Care Centre 28/01/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

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

CARE HOMES FOR OLDER PEOPLE Springfield Care Centre 20 Springfield Drive Barkingside Ilford Essex IG2 6BN Lead Inspector Ms Gwen Lording Unannounced Inspection 09:30 10 February 2006 th 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 Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfield Care Centre Address 20 Springfield Drive Barkingside Ilford Essex IG2 6BN 0208 518 9270 0208 518 0813 manager.springfield@lifestylecare.co.uk 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) Life Style Care Plc Mrs Mary Edwin Oniah Care Home 80 Category(ies) of Dementia (15), Mental disorder, excluding registration, with number learning disability or dementia (15), Old age, of places not falling within any other category (55), Physical disability (10) Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: Springfield Care Centre is a purpose built care home registered to provide nursing care. The home can accommodate up to eighty people, in three categories: older physically frail people (55); older people with dementia/ mental disorder (15); and younger people who have physical disabilities (10). The home is operated by Lifestyle Care plc. All residents have single rooms with ensuite facilities. The building is divided into units, where smaller groups of people with similar care needs share communal rooms. The home is situated close to shops and public transport - buses and underground. There is ample parking space within the grounds. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day, commenced at 9.30am and lasted four hours. The inspection was undertaken by two Inspectors, with one Inspector focusing specifically on the care of residents on the dementia unit – Sparrow. Discussions took place with the registered manager, deputy manager and several members of nursing and care staff. The Inspector also had the opportunity to visit the main kitchen and laundry to speak to the Head Cook and Laundry Manager. A tour of the home took place and the Inspectors were able to speak to several residents during the course of the visit. A number of staff and care records were inspected. This was the second statutory inspection visit in the inspection programme for 2005/2006. Over the course of the two visits, all key standards have now been assessed. The Inspectors would like to thank the residents and staff for their input during the inspection. What the service does well: Those residents who were able to express a view, were very happy with the care they were receiving in the home. Several residents spoke very positively about the nurses and care staff. During the inspection staff were seen to be providing good personal care and all residents appeared well groomed. Residents appeared unhurried and are given sufficient time and support in their everyday activities. One resident who has lived in the home for a number of years commented: “The nurses here look after me very well”. Another resident commented: The staff are very good, very helpful and friendly”. 80 of care staff are qualified to NVQ level 2 or above and this demonstrates a very positive commitment to training from both the organisation and the care staff. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 6 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. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 4 Pre-admission assessments are undertaken for all residents prior to their admission to the home. However, the religion, ethnicity and social/ cultural needs of individual residents must be identified so that staff understand and are able to meet such needs. The home does not offer intermediate care. EVIDENCE: The home is registered to provide 15 places for people with dementia and/or mental disorder. Currently the 15 places are occupied by people with a diagnosis of dementia. Individual records are kept for each resident and a number of records were inspected on each unit of the home. The records showed that residents and their relatives/ representatives are involved in the process. Where appropriate, information provided by the placing authority was also included. At the initial pre-admission assessment the religion, ethnicity and social/ cultural needs are identified to a limited degree, and this area does need Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 9 expanding so that staff understand, and are able to meet such individual needs. The manager and staff have made good progress in addressing the specialist needs of residents living with dementia, and acknowledge that still more work needs to be done in this area. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 10 and 11 Resident’s health and personal care are set out in individual care plans. The care plans are generally comprehensive but need to be more specific with regard to the recording of outcomes for residents around the personal, cultural, religious and social care needs of the individual. There are clear medication policies and procedures for staff to follow. Discussions with staff and the review of medication records show that staff are following the policies and procedures. The Inspectors were satisfied that residents are safeguarded with regard to medication. Residents are treated with respect and the arrangements for their personal care ensure that their right to privacy is upheld EVIDENCE: Sparrow Unit Individual care plans were available for each resident and the records of four residents were examined. The format of the care planning documentation is currently being reviewed. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 11 The records for these residents were found to be fairly comprehensive, but need to be more specific with regard to the recording of outcomes around the personal, cultural, religious and social care needs of residents. For example, it was recorded that one resident enjoyed listening to cultural music and watching cultural films but there was no evidence on the file that this was happening. Another resident’s religion was being recorded but, there was no evidence on the care plan as to the impact of a person’s religion on the method and type of care provided. One resident was recorded as being a Jehovah’s Witness but in discussions with the nurse in charge of the unit, he had no other knowledge of what this meant in terms of care and activities for this individual. With regard to the personal needs of residents, the care plans need to be more specific with regard to hair, nail and oral care. Residents living with dementia may not remember to clean teeth/ dentures, wash/ comb hair or cut fingernails, but this was not recorded on the care plans other than in the context of health care needs. It was evident from examining care plans that these are being reviewed and updated regularly. However, it is recommended that care plans are re-stated on an annual basis and not just reviewed monthly, as some of these were last updated in 2004. Some care plans did identify the need for oral hygiene but there was not always a recording that such a task had been carried out. It is important that staff record the care needs actually carried out. All of the four files examined showed evidence of nutritional screening on admission and subsequently on a monthly basis with a record of weight gain or loss, and any action to be taken. Records showed that residents have access to other health care professionals such as dentist, chiropodist, GP; specialist nurses, for example Tissue Viability; and care from community health services and hospitals. General Individual care plans were available for each resident and a number of care plans were examined on each of the remaining four units i.e. Nightingale, Robin, Kingfisher and Starling. The care plans seen were found to be generally detailed. Care plans were being reviewed on a monthly basis and updated to reflect changing needs. However, some care plans need to be re-stated, as they were last updated in 2004. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 12 The documentation/ health records relating to wound management and the involvement of the Tissue Viability Nurse were detailed and being adequately maintained, together with the appropriate interventions being recorded. Care plans need to be more specific with regard to the recording of cultural, social care needs and leisure activities of residents. The resident’s wishes around illness, dying and death are recorded. However, it is not always evident that it is the wishes of the resident that have been recorded or those of their relatives. It is essential that the wishes of the resident are recorded wherever possible, and if not possible the reasons why this was not possible. It is extremely important that the religious and cultural needs of residents are met at this important stage of end of life, and as such should be recorded and known to staff. General Staff talked about and were observed to treat residents in a respectful and sensitive manner. Staff understood the need to respect an individual’s dignity through practices such as in the way they addressed residents and when entering bedrooms, bathrooms and toilets. Residents spoken to said that staff were respectful considerate when attending to their personal care. One resident who has lived in the home for over 5 years commented:”The nurses here look after me very well”. Another resident commented:” The staff are very good, very helpful and friendly”. In view of the new development of apartments on the land directly opposite the home, it is essential that the privacy and dignity of residents be assured for the future by the provision of either net curtains or blinds to the bedroom windows, which are overlooked by this development. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 14 and 15 Although the range of activities has improved with the employment of an additional activity co-ordinator, it is important that this progress is maintained. Some activities should be undertaken individually and other activities adapted for those residents with a specialist need such as dementia. The meals in the home are well presented and there is always a choice of meal. Residents on the dementia unit may benefit from the use of, for example picture menus, finger foods, small nutritious snacks and more flexible eating times to maintain independence, exercise choice around food and eating and still provide a health balanced diet. Standard 13 was not tested on this visit. However, evidence from the last inspection was that: • Visiting times are flexible and people are made to feel welcome in the home so that residents are able to maintain contact with their family and friends as they wish EVIDENCE: The above standard was not specifically tested on this visit, as there were no outstanding requirements in relation to this standard. At the time of the last Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 14 inspection, all of the outcome standards were assessed as met. This standard will be re-tested at a future inspection. Sparrow Unit It was evident that leisure and social activities are being undertaken with groups. However, it is also important that such activities are undertaken individually as well. For example, one resident who originated from India used to enjoy cultural books, music and films. Fortunately, some of the staff are able to communicate in her native language of Gujerati, and she may benefit from having a person read to her from either a suitable book or newspaper. The care plan for this resident indicated that a relative was asked to bring in some cultural video’s etc. but there was no indication that this had happened. During the inspection some residents were participating in a music session and seemed to enjoy playing different instruments. The religion of another resident was recorded but there was no evidence that religious observance was being encouraged or enabled. On discussion with the nurse in charge it would appear that there are some religious services but this would seem to be mainstream Christianity such as Church of England. It is important that the religious needs of all residents are maintained through encouragement and support by staff and families. Contact should be made with the various religious communities in the area to ensure that if a resident wishes to attend a religious service, or have a visit from a minister, priest, rabbi or elder etc., that this can be arranged. On Sparrow Unit there is one large lounge and one dining room. During the visit the majority of residents were in the lounge, which was very noisy with the television on, musical instruments being played and staff talking to other residents. Other than residents going to their bedrooms or to the dining room, which had no comfortable lounge chairs, there was nowhere else to go if residents wanted to be quiet. It is strongly recommended that the manager review the use of the communal areas in order to provide a quiet area for those residents who may choose this. General A visit was made to the main kitchen and the Inspectors discussed the storage, preparation and menus with the head cook. It was evident that religious or cultural dietary needs are being catered for but the storage arrangements in the main kitchen need to ensure the separation of kosher foods, halal foods etc. Although there was evidence in the kitchen of a daily menu and provision of special diets, there was no evidence on Sparrow Unit to show how residents are encouraged to make a choice as to the menu. This area does need to be developed through the provision of for example, pictures or other methods such as making available to residents before the actual mealtime, small Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 15 portions of the meals so that they can see, smell or touch the food and thereby make a more informed choice. Meals are served in the dining rooms or residents may choose to eat in their rooms. Menus were found to be well balanced and a choice is offered each day. Staff are on hand to assist individuals with eating when necessary. A discussion took place with the manager and deputy around peg feeding and supplementary nutritional drinks being suitable for residents requiring, kosher, halal and vegetarian diets. The manager has agreed to discuss this with the suppliers and her senior managers, as it was not clear if such needs were being met. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were not tested on this visit. However, evidence from the last inspection was that: • The manager and staff make every effort to sort out any problems or concerns and makes sure that residents and their relatives feel confident that their complaints and concerns are listened to and will be acted upon. • Staff working in the home have received training in Adult Protection/ Abuse Awareness to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to both these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be re-tested at a future inspection. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Generally the standard of the environment within the home provides residents with an attractive, safe and comfortable place in which to live. The environment has improved considerably in meeting the needs of people living with dementia. EVIDENCE: The standard of the décor, furnishings and fittings are generally maintained to a good standard. There is an ongoing programme of refurbishment and redecoration. The home employs a full time maintenance person and there is an effective system on place for staff to report items requiring repair or attention. Since the last inspection the environment on the dementia unit and the home generally has improved considerably in meeting the needs of people living with dementia. This includes new signage and décor throughout the home. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 18 As previously highlighted in this report (see Standard 12). It is strongly recommended that the manager review the use of the communal areas on Sparrow Unit to best utilise the existing layout and design. The building was toured, unaccompanied by the two inspectors at the start of the inspection. Some bedrooms were seen either by invitation of the residents, whilst others were seen because the doors were open or being cleaned. All areas of the home were clean tidy and free from odour throughout. The main laundry was visited and staff had the appropriate Personal Protective Equipment (PPE) such as goggles, gloves and facemasks. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28 and 30 Staffing levels are satisfactory and there is sufficient staff on duty to meet the individual assessed needs of the residents. Resident’s benefit from a committed staff team who have the skills and training to meet their needs. Standard 29 was not tested on this visit. However, evidence from the last inspection was that: • The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. EVIDENCE: Standard 29 was not specifically tested on this visit, as there were no outstanding requirements in relation to this standard. At the time of the last inspection, all of the outcome standards were assessed as met. This standard will be re-tested at a future inspection. Sparrow Unit In discussions with the manager and staff it was evident that nurses and care staff have undertaken appropriate training in the care of people living with dementia. This was a certificated course organised by the Alzheimer’s Society. There are plans to ensure that all ancillary staff undertakes some training in the care of people living with dementia. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 20 General A requirement was made at the last inspection for a review to be undertaken of the staffing levels and skill mix of staff on Nightingale Unit. The staffing on this unit has now increased by one additional member of qualified nursing staff. Staff files showed that staff had done training in essential areas such as fire safety, manual handling, infection control and health and safety. 80 of care staff are qualified to NVQ level 2 or above and this demonstrates a very positive commitment to training from both the organisation and the care staff. There is a very comprehensive in house training programme for carers, adaptation nurses and qualified nursing staff. Topics covered include, pressure sore prevention, hydration in the elderly, oral care and drug administration. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 33, 35 and 38 Resident’s best interests are safeguarded by the home’s record keeping. Monitoring visits are undertaken regularly by the responsible individual to monitor and report on the quality of the service provided in the home. Standards 31 and 32 were not tested on this visit. However, evidence from the last inspection was that: • The home is being managed well and provides a safe environment for the residents in the home. EVIDENCE: A wide range of records were looked at. Certificates and other documents were seen which evidenced that, there was regular servicing of boilers and central heating systems, maintenance of electrical systems and equipment, regulation of water temperatures and risk of Legionella and fire safety. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 22 Resident’s financial affairs are managed by their relatives/ representatives. The home has responsibility for the personal allowance of several residents. There is a computerised financial system in place, which is managed by the home’s administrator. Through discussion with the administrator and records inspected, there was evidence to show that resident’s financial interests are safeguarded. Secure facilities are provided for the safekeeping of money and valuables held on behalf of residents’. Regulation 26 visits are undertaken by the responsible individual on a regular basis, to check the quality of care being provided and ensure that care is being delivered in accordance with the individual care plans and wishes of residents. It also includes asking residents and their relatives, and staff what they think about the service the home offers. A copy of the report is submitted to the Commission. The Quality Assurance department of the organisation undertake satisfaction surveys twice a year, through seeking feedback from residents, relatives, staff and stakeholders. A copy of the annual report should be sent to the Commission. Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP4 Regulation 14 Requirement During the initial pre-admission assessment the religion, ethnicity and social/ cultural needs of the resident must be identified. Care plans need to be more specific around regard to the recording of cultural, social acre needs and leisure activities of residents. Residents’ wishes around illness, dying, death and any religious or cultural needs must be recorded and known to staff. Where this is not possible, the reasons why must be recorded. The activities provided for residents must be reviewed to provide some individual activities and adapt other activities for those residents with a specialist need such as dementia The manager must review the storage arrangements in the main kitchen to provide adequate separation of kosher and halal foods etc. In view of the new development of apartments on the land DS0000025962.V280107.R01.S.doc Timescale for action 31/03/06 2. OP7 15 31/03/06 3. OP11 12 31/03/06 4. OP12 16 31/03/06 5. OP15 12 & 16 31/03/06 6. OP10 12 31/03/06 Springfield Care Centre Version 5.1 Page 25 directly opposite the home, it is essential that the privacy and dignity of residents be assured for the future, by the provision of either net curtains or blinds to the bedroom windows, which are overlooked by this development. 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 OP20 Good Practice Recommendations It is strongly recommended that the manager review the use of the communal areas on Sparrow Unit, in order to provide a quiet area for those residents who may choose this. Residents on the dementia unit may benefit from the use of, for example picture menus, finger foods, small nutritious snacks and more flexible eating times. This will maintain independence, exercise choice around food and eating and still provide a healthy balanced diet. 2. OP15 Springfield Care Centre DS0000025962.V280107.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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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