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Inspection on 14/08/07 for Springfield Care Home

Also see our care home review for Springfield Care Home for more information

This inspection was carried out on 14th August 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and staff are committed to providing good standards of care for the residents. There is a conservatory overlooking gardens, which provide a pleasant place for residents to relax in.All of the residents and relatives spoke highly of the staff saying, " the staff are very helpful and kind". One relative said," my mother really enjoys it here, she is always smiling, she looks ten years younger since she moved in." Relatives said they are usually kept well informed, were supported by the staff and managers and said they were `always made welcome`.

What has improved since the last inspection?

The provider and manager have worked hard to address issues raised at the last inspection. There is evidence that the home works more closely with the local authority when admitting new residents. Regular reviews are now held and this will help ensure the home is able to meet the needs of residents admitted to the home. More residents care plans have suitable risk assessments in relation to their health and daily activities. Residents care plans are reviewed at the required frequency and after incidents or accidents. Relatives are getting more involved and consulted over assessments and review, this is documented in the care plan. Some specialist chairs and flooring have been installed. Care plans instruct staff in the specific health and safety requirements of residents. This all helps in the process to prevent pressures sores and reduce the risk of falls. Residents are given more opportunities for stimulation through leisure and recreational activities in and outside the home to suit their needs, preferences and capacities. Some of these activities give some consideration for people with dementia and other cognitive impairments. Improvements to the dining area have been made, to ensure it is made a more appealing place to eat. Review of practices and procedures is now conducted following complaints or allegations. The staffing levels are reviewed to reflect the needs of the residents.

What the care home could do better:

Although care plans are being developed and a number have been completed, there are still a number outstanding which do not have sufficient information in relation to the care of the individual, the risks to the individual or person centred planning, in particular for those people with Dementia. This needs to be addressed to ensure residents are not placed at risk. There needs to be more evidence of consultation with residents over their preferences for daily routines, for example, when they wish to get up or go to bed. And also there should be consultation for gender specific care when there are male staff on duty. There is a malodour to the ground floor. This must be removed to ensure the health and hygiene standards are maintained. The noise from the call system sounding outside the office is very loud and intrusive. This is institutional and may cause anxiety for residents sitting in the nearby lounge, quiet room or entrance lobby, especially for those people who suffer from confusion. It is recommended that this is reviewed. It is recommended that staff receive individual supervision and that this is recorded, to ensure issues are addressed and they receive the right support and guidance.

CARE HOMES FOR OLDER PEOPLE Springfield Care Home Lawton Drive Bulwell Nottingham NG6 8BL Lead Inspector Andrew Sales Key Unannounced Inspection 14th August 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfield Care Home DS0000002305.V347057.R02.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 Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Care Home Address Lawton Drive Bulwell Nottingham NG6 8BL 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) 0115 927 9111 0115 979 4759 ckpatel1@tiscali.co.uk Annesley (Oldercare) Limited Mrs Eileen Hester Care Home 40 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (40) of places Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To accommodate one named out of category service user for respite care To include up to 7 elderly service users with Dementia. The registration reverts to 40 places for Older People when the placement of the one named individual ceases. 13th February 2007 Date of last inspection Brief Description of the Service: Springfield is a care home providing personal care and accommodation for 40 older people. The home has seven registered places for people with a diagnosis of dementia. The home is owned by Annesley (Oldercare) Limited. The home is located on the outskirts of Bulwell town centre which is approximately 4 miles to the north of Nottingham city centre. The home was purpose built and was opened in November 1989. It consists of a three-storey building with the lower ground floor being used to accommodate the dining room and conservatory, kitchen and laundry. All but four of the homes bedrooms are single. All bedrooms have en-suite facilities that consist of a toilet and wash hand basin. There is a passenger lift. The gardens are mainly laid to one side and the rear. They are easily accessible from the conservatory and consist of lawned areas. There is a car park to the front of the building. The fees for this service are currently £298-385 per week. More detailed information about services and charges can be found in the Service User Guide available at the premises. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started on Tuesday 14 August 2007 and a visit to the site was conducted on 15 August 2007 at 10.00am. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, to support our judgements. This may include notifications from the provider, complaints or concerns and the pre-inspection questionnaire, which the provider is required to complete prior to a visit to the service. We were unable to issue surveys on this occasion and were therefore unable to seek the views of residents and relatives in this manner. The primary method of inspection used during the visit to this service was ‘case tracking’. This involved selecting four residents and tracking the care they receive through review of their records, discussion with the care staff and observation of care practices. We were unable to communicate with these residents so evidence was gathered from making observations of their interaction with other residents and staff and from observing the support they received and activities they were involved in. We also spoke with three other residents and one relative, who were able to give us their views about the service. We also spoke with two members of the care staff who were also very helpful. We spent part of the day discussing records, documents and policies with the deputy manager. All of the key standards were inspected on this occasion. What the service does well: The manager and staff are committed to providing good standards of care for the residents. There is a conservatory overlooking gardens, which provide a pleasant place for residents to relax in. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 6 All of the residents and relatives spoke highly of the staff saying, the staff are very helpful and kind. One relative said,” my mother really enjoys it here, she is always smiling, she looks ten years younger since she moved in.” Relatives said they are usually kept well informed, were supported by the staff and managers and said they were ‘always made welcome’. What has improved since the last inspection? The provider and manager have worked hard to address issues raised at the last inspection. There is evidence that the home works more closely with the local authority when admitting new residents. Regular reviews are now held and this will help ensure the home is able to meet the needs of residents admitted to the home. More residents care plans have suitable risk assessments in relation to their health and daily activities. Residents care plans are reviewed at the required frequency and after incidents or accidents. Relatives are getting more involved and consulted over assessments and review, this is documented in the care plan. Some specialist chairs and flooring have been installed. Care plans instruct staff in the specific health and safety requirements of residents. This all helps in the process to prevent pressures sores and reduce the risk of falls. Residents are given more opportunities for stimulation through leisure and recreational activities in and outside the home to suit their needs, preferences and capacities. Some of these activities give some consideration for people with dementia and other cognitive impairments. Improvements to the dining area have been made, to ensure it is made a more appealing place to eat. Review of practices and procedures is now conducted following complaints or allegations. The staffing levels are reviewed to reflect the needs of the residents. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 7 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 Care Home DS0000002305.V347057.R02.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 Care Home DS0000002305.V347057.R02.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): 1,3,4,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed before moving in to the home and are confident the service will meet their needs. The home does not provide intermediate care. EVIDENCE: All of the resident’s files contained an extended social work assessment, which had been obtained prior to their admission. All files contained care plans conducted by the manager, or deputy manager. All of the assessments contained some information to enable staff to ensure that they could meet the residents assessed needs. There were some action plans for care workers. People were happy to explain how living at the home has improved their quality of life in terms of care, company and social stimulation. They said they liked the homely environment and services available. They all felt that prior to Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 10 moving into the home that it was suitable for their needs and a place they wanted to live in. Relatives we spoke with also supported these feelings. The home does not provide intermediate care. Springfield Care Home DS0000002305.V347057.R02.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): 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are not yet fully recorded in a way which is consistent and safe which may lead to some of their needs not being fully met. EVIDENCE: The care plans seen were of variable quality, some clearly detailing needs, and taking account of residents’ privacy, dignity and choices. Others were very basic, especially around the needs of people with Dementia and those around cultural and religious needs were adequate. This could lead to areas of residents’ need being inappropriately responded to by staff. The manager explained that new formats had been introduced and we were shown how these reflected resident’s needs and capabilities. These are a considerable improvement on old plans of care, but a number of files have not Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 12 been updated. This needs to remain a priority to ensure resident’s needs are properly planned for, particularly for people who have Dementia. There is evidence that people have been appropriately referred to health care professionals. Care plans contained records of visits by district nurses, General Practitioners and other professionals. Healthcare professionals were observed visiting on the day. We were told that people can register with a GP of their choice. Daily records are well maintained by care staff and professional input from district nurses and GP’s is well documented. We saw evidence that moving and handling assessments are now reviewed. We contacted the District Nurse Team who commented that there had been a significant reduction in incidences of skin tears and pressure sores and that their input had reduced over the last few months. This followed an incident in march of this year when a Safeguarding Adults Alert was made to the local authority, when a resident was found to have tears to the skin. The homes medication administration systems are well maintained. There is a policy and procedures for receiving, recording, storing, handling, administering and disposing of medicines. The home is registered with the Boots pharmacist and support and advice obtained as and when needed. The pharmacist visits and conducts and audit of the homes medicines. We were told that the manager and deputy managers have all attended updated medication training. Staff were observed during the visit interacting positively with individuals. Residents told us that staff provide a good standard of care and areas of concern would be discussed with the registered manager. Residents also commented very positively on the conduct and attitude of the staff. They said ‘the staff are wonderful, they are always on hand to help and they are always polite’. One relative said ‘ the home is excellent, the staff are wonderful and welcoming and take time to talk with her mother’. She also said the food is good and the managers are ‘approachable and always willing to talk over things and listen’. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents feel they retain some of their independence after moving into the home. Resident’s maintain contact with family and friends. Residents are supported to access some daily activities and day trips. EVIDENCE: Resident choices are recorded in some care plans as likes and dislikes, bathing preferences are recorded, but other information about preferred rising or retiring and are not recorded. Some male staff are employed on night shifts. We were told that the manager records the preferences of the resident in terms of the gender of the staff who help them with personal care. There are currently two who express a preference. Some people told us they were happy with the level of activities within the home and outside, some others said there they were unable to get out when they wished to. The manager described how these residents are assessed to Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 14 establish the risk they may expose themselves to if allowed out without support. The staff we were told, support these residents to access outside spaces that are more secure, the gardens for example and where resources allow, accompany them to the local shops. Resident’s commented that the philosophy of the home and the attitude of the staff enabled them to make some choices and felt they were generally well respected. Whilst care planning continues to improve, the service is still unable to demonstrate a positive person centred approach to plan for all individual’s social, religious and cultural preferences. People also felt that the staff were willing to sit and talk with them when they had time away from essential duties. The staff, residents and relatives told us that some games and stimulation are provided mainly in the afternoons. Staff described how they encourage residents to participate in events and outings and take time to sit with those who are less able to communicate. Planned trips and events are organised within the home. The dining area has been decorated and better lighting put in place and tables are now better presented. The kitchen appeared very well maintained. Resident’s spoken with commented positively on the standards and quality of food. Staff spoken with, were well aware of resident’s individual preferences. We saw menus displayed and staff were seen taking lunch orders with choices available. We saw records maintained for the cold storage and cooking temperatures of food, along with appropriate cleaning schedules. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded by the homes complaints and adult protection procedures. EVIDENCE: We looked at a satisfactory complaints policy and procedures, which are displayed throughout the home. We looked at complaints records, which are maintained with outcomes recorded. Residents and relatives told us that they would raise concerns with the registered manager if they felt the need to. We looked at an appropriate Whistle Blowing Policy and a policy detailing Adult Protection Procedures. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are generally satisfactory. The home has comprehensive policies regarding resident’s money and financial affairs. Two staff told us they had received training in adult protection issues and were fully aware of their responsibilities to safeguard older people. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally fit for purpose and maintained. The control of odour is affecting the level of hygiene and the comfort for residents at the service. EVIDENCE: There are two lounges at the home and a conservatory. Staff told us they are trying to encourage residents to use this area more to give residents more of a choice of where to sit, as much of the time is spent in the main lounge. Some residents said they enjoyed this, as “they could relax more and look at the garden”. One relative commented about the temperature in the main lounge saying, “it is so hot, you can hardly catch your breath”. All areas of the home which Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 17 residents have access to must be maintained at a comfortable temperature for them. We looked at the lounge and dining area, which have been recently decorated. We also saw some bedrooms that have had new carpets or flooring. Generally the home is kept fairly clean and reasonably well maintained. All private and communal areas now have bins provided with lids and waste bags. Residents said they felt it was homely and they felt comfortable with the surroundings. We spoke with a maintenance man, who is now employed full time to deal with repairs and decorating. Resident’s rooms are personalised and kept clean. Residents spoken with said they were comfortable in their private accommodation. All parts of the home were clean and tidy on the day of the inspection and appropriate hygiene practices were being followed to make sure residents and staff are safe. However, there was a pronounced odour on the ground floor near to the office and one person commented on the unpleasant odour near or in the lounge. On previous inspections we have not found the home to have malodours and the provider stated this was a recent single incident that had been overlooked and that it would be addressed immediately. We observed a number of mobility aids in use around the home and staff were able to tell us how individuals use them with staff support. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by trained and competent staff. EVIDENCE: The staff rota was inspected to check there are enough staff on duty to meet the dependency needs of the residents. The residents and their relatives spoken with stated that there were usually adequate numbers of staff in order to meet their support needs, and commented that the staff team are “wonderful” and “always willing to help”. All of the personnel files that were examined revealed that generally preemployment checks were carried out. The staff spoken with confirmed all the recruitment procedures had taken place. Though one file had one reference missing and another for maintenance staff did not have any, both were new employees. However these staff members had appropriate Criminal Records Bureau (CRB) checks and the manager confirmed that she was in the process of obtaining telephone references for them that day. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 19 The staff explained their roles and how each member of staff operated within the structure. They said all members of the staff team were supportive and offered new staff advise and help when required. Staff told us that they were registered to attend a nationally recognised induction program, as part of their introduction to care work. Staff also described how they were introduced to the residents and practices of the care home. We saw training certificates on staff files. These covered mandatory training subjects and other training subjects relating to the different support needs of older people. Staff spoken with, commented that training and guidance were commonplace at the home. This helps to make sure that residents receive appropriate and professional care and support. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home has improved to help ensure residents receive consistent quality care. This results in practices that promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Residents and relatives told us the home was well run and the management team are on hand for support and advice. Staff spoken with, confirmed that they felt supported by the manager and that they are approachable to discuss any issues. The manager is qualified to the requirements of the National Minimum Standards (NMS) and showed us training she attends throughout the year. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 21 People told us that they felt they were consulted about some day to day issues. We were shown a newsletter which has been developed by the manager with contributions from residents and relatives and that a meeting was due to be held to progress this. We were also shown a comments and suggestions box, which has recently been introduced and is on display. Staff spoken with stated they felt supported within their job role. The staff could not confirm they receive regular supervision but did say they attend regular team meetings. Staff files showed that they have undertaken training in mandatory health and safety subjects. Staff spoken with, were aware of health and safety procedures and commented positively on the training provided. Risk assessments were observed on some individual files. Records for Health and Safety monitoring and the servicing of systems and appliances were inspected on this occasion and were found in general, to be up to date. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 22 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 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 x 3 Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation 15.Sch 3 Requirement Ensure remaining care plans are developed to have sufficient detail of care and support required and abilities of residents. Timescale extended Ensure that all residents care plans have suitable risk assessments in relation to their health and daily activities. Timescale extended Ensure the malodour to the ground floor is addressed. Timescale for action 30/09/07 2 OP7 14 and 15 30/09/07 3 OP26 16(2,k) 30/08/07 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 Refer to Standard OP10 OP12 Good Practice Recommendations It is recommended that the call alarm is reviewed to consider the privacy and relaxation of residents. It is recommended that further consideration is given to DS0000002305.V347057.R02.S.doc Version 5.2 Page 24 Springfield Care Home 3 4 5 OP14 OP14 OP36 the individual social and cultural needs of residents and that planning is more person centred. It is recommended that consultation with residents is conducted to establish the preferences for gender care. It is recommended that consultation with residents is conducted to establish the preferences for daily routines, i.e time for getting up and going to bed. It is recommended that staff have individual supervision meetings and that these are recorded. Springfield Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Care Home DS0000002305.V347057.R02.S.doc Version 5.2 Page 26 - 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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