Inspection on 19/10/05 for Springfield Care Home

This inspection was carried out on 19th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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.

Other inspections for this house

Springfield Care Home 18/10/06

Springfield Care Home 11/01/06

Springfield Care Home 01/02/05

Springfield Care Home 07/07/04

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

CARE HOMES FOR OLDER PEOPLE Springfield Care Home Wylam Avenue Darlington Durham DL1 2YN Lead Inspector Bridgit Stockton Unannounced Inspection 19th October 2005 11:30 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.V255864.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.V255864.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) Limited (wholly owned subsidiary of Four Seasons) 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.V255864.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2005 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.V255864.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 19th October 2005. The plan for the inspection was to check whether the home had met previous requirements and recommendations; to talk with service users about living in the home; to meet with staff and to look at records. What the service does well: What has improved since the last inspection? Since the last inspection the home has undergone refurbishment to the ground floor. This includes re carpeting and redecoration of lounges and dining areas and residents bedrooms. There is a plan for the upper floor also to be redecorated. Residents have now being given a contract telling them about the terms and conditions of living at the home. Locks have been fitted to bedroom doors and the grounds have been made safe. Springfield Care Home DS0000000753.V255864.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.V255864.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.V255864.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): 3 Assessments of all new residents takes place prior to them living at Springfield. This is to ensure that individual care needs can be met within the service. EVIDENCE: The assessment documentation and recording of a new resident was good. The assessments were in sufficient detail so as to make it possible for the care needs to be identified and from which a care plan has been developed. The manager confirmed that she visits all new residents prior to admission, and takes into consideration the equipment they require and the dependency of the other residents living at the home and the bedroom available with regard to location and size of room. Springfield Care Home DS0000000753.V255864.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 &10 Whilst all service users have a plan of care that also contained risk assessments in some instances they did not give an accurate account of the care required to meet residents needs. Service users can expect their privacy and dignity to be maintained. EVIDENCE: Four care plans were examined. The manager had clearly put a lot of work into developing these, and lots of good information was available. Staff were updating and recording in the contact sheet on a regular basis. It was obvious that service users needs were being met, however the actual plan of care detailing instructions to staff had not been updated when the service users needs had changed. For example in one of the plans, the mobility care plan stated that this person was mobile with the use of a walking stick. Whilst in the daily record and from observation of this resident it was clear that this resident was now immobile and relied on staff to assist them. One service user was incontinent of urine but there was no recorded strategy on how to manage this. Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 10 Some of the care plans did contain risk assessments, but these need further development. One resident’s bedroom did not have a pull cord for the nurse call system. The manager explained that this resident might harm themselves with the cord. Upon checking the care plan this risk was not documented. During the inspection several doctors visited the home, and care plans indicated that residents had access to other health care professionals such as district nurses, opticians and chiropodists. Care and support was given to residents in a discrete and sensitive way ensuring that privacy and dignity was maintained. Springfield Care Home DS0000000753.V255864.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): 12,13,14, &15 Flexible visiting arrangements allow the residents to maintain good and regular contact with family and friends. Residents living at the home are supported to have choice and control over how they choose to live. EVIDENCE: There are no restrictions on visitors to the home, and residents can either see visitors in the communal areas or else in there own private bedroom. Generally activities take place in the afternoon, and during the inspection some residents were enjoying watching a video. The manger confirmed that other activities take place in the home, often on a one to one basis. It was evident that residents’ routines were flexible and that staff respected the choices being made. Some residents had chosen to take lunch in there own rooms. One resident was sat on her bed watching television and said she wanted an afternoon in her room. Residents said that the food was good and “very tasty”. Observation of the lunchtime meal provided evidence that residents were able to make choices about the meals they wished to eat. The cook was knowledgeable about service users dietary requirements and preferences. Springfield Care Home DS0000000753.V255864.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): 16 People can be confident that complaints about the service will be dealt with properly EVIDENCE: There are written policies and procedures in place to deal with complaints. The care staff spoken to confirm they were aware of these. Staffs knowledge will help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. All complaints are investigated properly with outcomes recorded. Springfield Care Home DS0000000753.V255864.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): Generally the maintenance of the building was satisfactory. Infection control and cleanliness in some areas of the home was poor. EVIDENCE: The ground floor of the home has been refurbished to a good standard and refurbishment is ongoing to include the upper floor. The communal areas on the ground floor were pleasant and residents were very comfortable. The dining room on this floor was bright and spacious. Plans are in place for the upper floor dining area to be moved to a more suitable area. This will make an improvement, as the existing one is small and service users looked cramped. Not all of the bedrooms were inspected however it was found that three of them smelt of urine, this is unacceptable. The ground floor rooms were cleaner that the upper floor. The bath seat on the upper floor was caked in dried soap that needs scrapping off. Several bars of used soap were on the bath side and toiletries on the window ledge of the bathroom suggested that service users are using communal toiletries. This must stop. Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 14 The laundry was inspected it was clean and fresh and well organised. The laundress said she liked her job and obviously took a great pride in her work. All the residents clothing was clean and well ironed. Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 15 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): 29 Service users are protected by the recruitment procedure and policy at the home. EVIDENCE: Staff files were inspected, all staff has a valid criminal bureau record (CRB) check. A new starters file contained all appropriate checks such as two valid references and a record of the CRB check undertaken. The staff files were well maintained with records of supervision, appraisal and training. Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 16 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): 38 Service users safety is compromised by the use of faulty equipment and lack of documentation. EVIDENCE: During the inspection several wheel chairs were being used that did not have the footplates fitted. This is unsafe and an immediate action notice was issued to either make safe the wheelchairs or stop using them. One resident had bed rails fitted. The risk assessment for the bedrails was in the residents care plan. However, there was no evidence available to ensure that the bed rails were checked on a regular basis to ensure they were mechanically sound or that they were still fitted correctly. Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 17 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 1 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 1 Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 18 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(2)(b) Requirement The manager must review all care plans to ensure that the plan is up to date with the care that service users are receiving. In addition risk assessments and strategies need to be documented clearly when an area of risk has been identified that may effect the safety and well being of a service user. Unless risk assessment suggests otherwise all service users must have access to a nurse call bell in order to summon assistance. The manager is required to take action on the following: • The bedrooms that smelt of urine, identified at the time of inspection must be cleaned thoroughly and floor covering replaced. Any furniture or equipment that continues to smell following cleaning must also be replaced. 30/11/05 • The bath seat identified at the time of inspection that was dirty requires cleaning. 07/11/05 • Springfield Care Home Timescale for action 02/01/06 2 OP7 13(4)(c) 30/11/05 3 OP26 23(2)(d) 30/11/05 13(3) Service users must have Version 5.0 Page 19 DS0000000753.V255864.R01.S.doc 4 OP38 13(4)(c) there own individual toiletries, and the use of communal toiletries must cease. 07/11/05 In order to maintain service 19/10/05 users safety the wheelchairs that did not have footplates fitted must be made safe or else withdrawn from use Immediately19/10/05 And maintained forthwith 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 OP38 Good Practice Recommendations It is recommended that the manager has in place a system for recording when service users bed rails have been checked to ensure they are still mechanically safe and compatible with the bed. Springfield Care Home DS0000000753.V255864.R01.S.doc Version 5.0 Page 20 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 © 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 DS0000000753.V255864.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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