This inspection was carried out on 11th January 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.
CARE HOMES FOR OLDER PEOPLE
Springfield Care Home Wylam Avenue Darlington Durham DL1 2YN Lead Inspector
Bridgit Stockton Unannounced Inspection 04:14 11 January 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 Home DS0000000753.V267527.R01.S.doc Version 5.0 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 Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Springfield Care Home Address Wylam Avenue Darlington Durham DL1 2YN 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) 01325 468048 01325 354415 Tamaris Healthcare (England) Ltd (wholly owned subsidiary of Four Seasons Health Care Limited) Jean Rhona Reaney Care Home 48 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (48) of places Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: Springfield Care Home is a well established home, built in 1987 and situated in the Springfield area of Darlington. The home is registered to provide residential care for 53 people Accommodation is on two floors with a lift at access the upper floor. All bedrooms are single occupancy, personalised and equipped to meet the needs of the individual service user. There are a number of separate communal lounges and dining rooms available on both the ground and the first floor together with sitting areas. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 3 hours on 11th January 2006. The plan for the inspection was to check whether the home had met previous requirements and recommendations made from the unannounced inspection and from an additional visit that was made by the Commission following a protection of vulnerable adults strategy meeting. Talking with service users about living in the home; looking at the environment and inspecting records was also included in this inspection. What the service does well: What has improved since the last inspection?
Since the last visit to the home the manager and staff have worked hard in improving they way in which peoples care is documented. Now staff are aware of what peoples care needs are and this is properly recorded. The communal areas on the upper floor of the home have been refurbished and redecorated and look nice. Several rooms have had the vanity units replaced and new carpets are ordered for some bedrooms. All service users bedroom doors have now been fitted with a suitable lock. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 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 Home DS0000000753.V267527.R01.S.doc Version 5.0 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): None of these outcomes were assessed on this occasion EVIDENCE: Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 The recording in care plans has improved since the last inspection. However service users cannot be guaranteed that medication administered by the home is correct. EVIDENCE: The recording in service users care plans has improved and gave a true picture of the service user, they also gave instructions to staff on how to meet service users assessed needs. The plans need to be kept under constant review by all staff and this must be monitored by the manager. The plans sampled did not contain any social/recreational care plans and highlighted all the negative aspects of care. It is recommended that care plans be developed to incorporate how service users social interests and leisure pursuits are met within the home and by the staff team. The manager said that some service users use to bake cakes and other service users liked to knit; this had not been evidenced in the care plans. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 10 How service users medication is managed and administered in the home requires urgent attention. Several service users medication was audited. One service user had been prescribed some additional medication. This medication was not dispensed from the monitored dose blister pack, but from a bottle. This medication had been endorsed by a signature on the medication record as being administered, however on counting the remaining tablets it was found that some tablets had not been given. This is not acceptable and the manager must take action in order to safe guard service users to ensure that all prescribed medication is administered correctly. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 11 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): None of these outcomes were assessed on this occasion EVIDENCE: Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Service users can be assured that appropriate safeguards are in place to protect them from abuse EVIDENCE: Staff training takes place in the protection of vulnerable adults from abuse. Staff recruitment procedures are adequate and staff were employed and deployed only with CRB and POVA checks. The manager was clear and confident in the protection of vulnerable adults procedures. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users live in a safe, clean and homely environment. EVIDENCE: All of the communal areas of the home were inspected and some individual service users bedrooms. The upper floor at Springfield has been refurbished and decorated and looks nice. The upstairs dining area has been relocated to a more suitable area, and this room has now been altered to make a lounge. Some of the bedrooms have new furniture. Several vanity units in need of replacement were identified at the previous inspection, these have now been renewed. The home was clean and tidy. Some carpets in service users bedrooms are to be replaced within the next few months. All service users bedrooms now have suitable door locks fitted. One resident was delighted with this and said she felt very happy and safe and had “peace of mind” that nobody would go in her bedroom. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27&30 Service user can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs. EVIDENCE: Eight out of seventeen staff are trained in NVQ level two in care or above. A further six members of staff are currently working towards obtaining this qualification. Most of the care staff have attended a course on looking after people with dementia and found it very beneficial in improving practice and standards in this area of care. There was sufficient care staff on duty to meet the assessed needs of service users. The manager is hoping to recruit an activities coordinator for the home, which will benefit the client group. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 15 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): 31 &35 Service users can be assured that the care home is managed properly and their best interests safeguarded EVIDENCE: Mrs Reaney the homes manager has obtained the NVQ level 4 in the management of care services and a registered managers award. Staff, residents and visitors to the home have open access to the manager at Springfield; this was evident during the inspection. Some service users personal allowances are held at the home. Financial policy and procedures are in place to ensure that all transactions can be accounted for. Receipts are retained and signatures obtained for any financial transaction regarding service users money. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 16 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X 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 3 3 X X 3 X X X Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 17 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 OP9 Regulation 13(2) Requirement The registered manager must ensure that all prescribed medication is administered to service users Timescale for action 11/01/06 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 OP7 Good Practice Recommendations It is recommended that care plans be developed further to incorporated social and recreational activities. Of the individual service user. Springfield Care Home DS0000000753.V267527.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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