Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 28/07/05 for Springfield Care Home

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

This inspection was carried out on 28th July 2005.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Service users have a large degree of control over their daily lives, and there was evidence that they are involved in the day-to-day running of the home. Staff demonstrated a good understanding of their roles and responsibilities, and were seen to have built up good relations with service users. Care plans were of a good standard.

What has improved since the last inspection?

There have been considerable improvements to the home since the previous inspection. This is illustrated by the number of requirements set, which has come down from nineteen at the last inspection to nine at this inspection. In particular there have been improvements to the health and safety management within the home, for example the Local Fire Authority has visited the home and found things to be satisfactory, and accidents and incidents are now been recorded. Other areas of improvement include supervision procedures and the recording of medical appointments.

What the care home could do better:

Despite improvements there are still some areas that need to be addressed. The home must ensure that staff receive all appropriate training, such as fire safety training and adult protection training. Medication must be stored appropriately, and the home must tighten up its recruitment procedures to be in line with the Care Homes Regulations 2001.

CARE HOME ADULTS 18-65 Springfield Care Home 45 Grove Road Walthamstow London E17 9BL Lead Inspector Robert Cole Unannounced Inspection 28th July 2005 10:00am 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springfield Care Home Address 45 Grove Road, Walthamstow, London, E17 9BL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 520 7429 0208 520 9131 Mr Mahendra Pratap Rambojun Mrs Ozgur Khan CRH - PC 3 Category(ies) of LD - Learning Disability (3) registration, with number of places Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th March 2005 Brief Description of the Service: Springfield Care Home is a residential home providing care and support to three adults with learning disabilities. The home is situated in a residential area of Walthamstow in the London Borough of Waltham Forest, and is close to shops, transport networks and other local amenities. The home is in keeping with other homes in the area. The home is privately run. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place n the 28/7/05. The inspector had the opportunity of speaking with service users, staff, the homes manager and the proprietor. Overall the inspector was satisfied that the home is able to meet service users needs, and service users spoken to informed to the inspector that they are happy with the level of care and support provided. There are a number of issues that need to be addressed, and these are highlighted within the report. What the service does well: 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 Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4 and 5 The inspector was satisfied that prospective service users are given sufficient information to enable them to make an informed choice about the home. This information is provided through documentation and the opportunity of visiting the home. EVIDENCE: The home has both a Statement of Purpose, and Service User Guide. The Statement of Purpose includes the aims and objectives of the home, details of the manager, the organisational structure and all information required by Schedule 1 of the Care Homes Regulations 2001. The Service User Guide includes details of fees payable, what they cover, and what is extra and a copy of the homes complaints procedure. Both documents have now been produced in audio form as well as written form, and the inspector was informed that they are now accessible to all service users. All service users have a written contract/statement of terms and conditions. These included details of fees payable, services provided by the home, periods of notice required, and all information listed in National Minimum Standard 5. Contracts have been signed by the service users and the homes manager. Although there have been no new admissions to the home since the last inspection, the home has an admissions procedure, which states that any prospective service users would be able to visit the home, including for Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 8 overnight stays prior to making any decisions as to move in or not. The policy also states that the placement will be reviewed after an agreed period. From observation and discussion with service users there was evidence that the home is able to meet the individual and collective needs of service users. Staff were able to communicate effectively with service users in their preferred language. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 and 10 It is the view of the inspector that service users have a large measure of control over their daily lives. Care plans are of a good standard, and geared towards meeting service users individual needs. However, the home must ensure that risk assessments cover all areas of potential risk to service users and others. EVIDENCE: All service users have care plans in place. There was evidence that plans are regularly reviewed and that they are clear and comprehensive. Plans cover personal care, health, medication and social and leisure needs, and there are programmes in place for developing service users independence. Service users are involved in drawing up their care plans. Daily logs are also maintained. Risk assessments are in place for all service users, and these are regularly reviewed. The format of these has improved since the last inspection, and they now clearly set out the risks, and also strategies for minimising and reducing the risk. However, these are still not as comprehensive as they could be, for example, at the review meeting for one service user it was highlighted that they are at risk from substance misuse, and that due to the prescribed medication they were taking this risk was particularly acute, yet there was no risk assessment in place around this, and this must be addressed. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 10 From observation and discussions with service users there was evidence that they are supported to have as much control and choice over their daily lives as possible. Service users were able to get up as and when they chose, and are able to choose what they wear. Limitations on choice are clearly recorded, for example one service user is not able to make hot drinks on their own. The reasons for this are clearly stated on their care plan, along with a risk assessment around this issue. On the day of inspection one service user informed staff that they wanted to go the shops and buy a new phone, and this was subsequently arranged. The manager informed the inspector that service users were regularly consulted over the running of the home on an ad hoc basis, for example over menu planning. More formal arrangements are also in place to seek service users views on the running of the home, such as regular service user meetings. These are minuted, and evidenced discussions on activities and the purchase of new furniture. The home has a policy in place on confidentiality, which makes clear that on occasions a confidence may have to be broken in the health, safety and welfare interests of service users and others. The home also has a policy on Data Protection. Staff spoken to by the inspector demonstrated a good understanding of issues around confidentiality. Confidential records are stored securely, and staff and service users have access to them as appropriate. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 and 17 The inspector was satisfied that service users are supported to live valued and fulfilling lives. Service users have regular access to the community, and are involved in a wide range of social and leisure activities. EVIDENCE: Service users are involved in various programmes to develop their independent living skills, for example with food preparation and laundry. Service users have the opportunity to develop social and emotional skills through access to the local community, and day services that they attend. One service user attends a local church. Service users attend college, where they study drama, gardening, sewing and independent living skills. Service users have regular access to the community, on the day of inspection two service users went out to local shops, while one went to a café for lunch. All service users have their own bank accounts, and go the bank to draw out their money. Service users use public transport, including busses, trains and local mini cab firms. Two service users are involved in “Eastsiders”, a group organised by MENCAP. Both service users are on the committee of this group, Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 12 and regularly participate in its meetings. The group also organises a range of social and leisure activities which service users participate in, including day trips, nightclubs, parties and restaurants. The home also arranges various leisure activities, such as bowling, cinema and the pub. In house service users are supported with a variety of social and leisure activities, including card games, karaoke and exercise classes. Service users are offered an annual holiday as part of their basic contract price, earlier this year two service users went to Spain for a week. It is planned that there will be a further holiday in September of this year, and that service users will be involved in choosing and planning this holiday. Service users are able to maintain contact with family and friends. Service users are able to visit family, including for overnight stays, while one service user has a boyfriend who is able to visit the home. Service users are able to maintain contact by telephone, and two service users have their own phones. From observation and discussion there was evidence that service users rights and dignity are promoted. Staff were observed to knock and wait before entering bedrooms, and subject to risk assessments service users have been offered keys to their bedrooms. Staff were seen to interact with service users in a friendly and respectful manner, and not just with other staff members. At times service users demonstrated a wish to be left alone, and this was respected by staff. Service users are involved in the daily routine of the home, for example they are responsible for keeping their bedrooms tidy. Service users are able to plan the homes menu, and records are maintained of menus. These indicated that service users are offered a varied, balanced and nutritious diet. Service users are involved in food preparation, and were observed to help themselves to drinks and snacks throughout the day. Fresh fruit was available on the day of inspection. The kitchen was clean and tidy, and food was stored appropriately. Records are maintained of fridge and freezer temperatures, and since the last inspection the home has obtained a set of colour coded chopping boards. The manager informed the inspector that all staff have received training in food hygiene. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 and 21 The inspector was generally satisfied that the home is able to meet the personal and health care needs of service users. However, it must ensure that medications are stored and recorded appropriately. EVIDENCE: Staff informed the inspector that service users are encouraged to manage their own personal care as much as possible, and this was in line with their care plans. Service users were able to choose what they wore, and were appropriately dressed on the day of inspection. All service users have a designated keyworker, and service users informed the inspector they had a good relationship with their keyworkers. All service users are registered with a local GP. Since the last inspection the home now maintains records of all medical appointments, including any follow up action required. Records indicated that service users have access to other health professionals as appropriate, including opticians, CPN’s, psychiatrists and dentists. The home has a comprehensive medication policy in place, and all staff receive training from the supplying pharmacist before they are able to administer medications. Medications were stored in a locked cabinet within the office. However, other medications were stored in the fridge in the kitchen, and these were not in a locked container, and this must be addressed. Records are maintained of all medications entering the home and those that are returned to Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 14 the pharmacist. MAR charts are maintained, and those examined by the inspector appeared to be accurate and up to date. However, the home did not have any guidelines in place for administering individual medications prescribed on a PRN basis, and this must be addressed. The home has a policy in place on death and dying, and the manager informed the inspector that service users would be able to stay in the home with a terminal illness, a long as the home cold meet their medical needs. Since the last inspection the home has sought and recorded the wishes of service users on arrangements to be made in the event of their death. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The inspector believes that the home has adequate polices in place around complaints and adult protection. However, the risk to service users would be further reduced by all staff receiving training in adult protection issues. EVIDENCE: The home has a complaints log, although the manager informed the inspector that no complaints have been received in the past year. There is also a complaints procedure, which included timescales for responding to complaints, and contact details of the CSCI. Service users spoken to demonstrated a good understanding of whom they could complain to if they so wished. Since the last inspection the home has obtained a copy of the Local Authorities adult protection procedures. The home also has its own policy on adult protection, which has been amended since the previous inspection and now appears to be in line with current legislation. However, as yet not all staff have received training in adult protection, and this must be addressed. The home holds money on behalf of service users in a locked cabinet, and systems are now in place to check monies. The inspector checked the records of service users finances held in the home, and these appeared to be satisfactory. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30 It is the judgement of the inspector that the home is suitable to meet its stated purpose. The home was generally well maintained both internally and externally. Service users are provided with adequate communal and private space. EVIDENCE: The home is situated in a residential area of Walthamstow, in the London Borough of Waltham Forest, and is indistinguishable from other homes in the vicinity. The home is close to shops, transport networks, and other local amenities. The home has recently been extended, and now has a new kitchen, toilet/shower room and laundry room, and the dining room is now just a dining room, where as it had previously doubled up as the kitchen. The home was generally well maintained, both internally and externally, and on the day of inspection was clean and tidy. The homes communal areas consist of a lounge, dinning room, kitchen and garden. Service users were observed to move freely around communal areas as they wished. The garden had appropriate garden furniture. Furniture and fittings throughout the home were generally well maintained and domestic in character. The home has one shower room and toilet, and one bathroom and toilet, this had been refurbished since the last Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 17 inspection. Bathing and toilet facilities are adequate to meet service users needs. On the day of inspection bathrooms were clean, tidy and free from offensive odours. Since the last inspection an emergency override device has been fitted to the lock on the downstairs shower room. All service users have their own bedrooms. On the day of inspection bedrooms were clean and tidy, and service users informed the inspector that they are responsible for keeping their rooms tidy. Rooms were personalised to service users individual tastes. Bedrooms had appropriate natural light and ventilation. Carpets, bedding and curtains were well maintained and domestic in character. Bedrooms had wardrobes, tables and chest of draws. Bedrooms meet National Minimum Standards on size requirements. The home has a small laundry room, which includes washing and drying facilities, and is separate from the kitchen. Hand washing facilities were situated throughout the home. Protective clothing is available to staff such as latex gloves. COSHH products were stored appropriately on the day of inspection, and the home has a policy on infection control. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 and 36 The inspector was satisfied that the home is staffed in sufficient numbers to meet the needs of service users. However, staff and service users would benefit from a more comprehensive training programme for staff. Further, recruitment process need to be tightened up to ensure all necessary checks are carried out on prospective staff. EVIDENCE: The home has policies in place on equal opportunities and recruitment and selection. The inspector checked several staff employment files at random, these contained evidence that references, passports and birth certificate checks were carried out on all staff. However, the most recent staff member was employed in April 2005, yet their CRB check was dated from 2003, and did not include a POVA check. It is required that CRB checks are carried out on all staff prior to them commencing work in the home. Further, there was not a full written employment history for this staff member, and it is required that the home has a full written employment history, including an explanation of any gaps in employment, for all staff employed in the home. All staff are given a copy of their job description, and staff questioned demonstrated a good understanding of their roles and responsibilities. From observation there was evidence that staff have developed good working relationships with service users, and were seen to interact with them in a friendly and professional Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 19 manner. The home has a grievance procedure, and all staff have been given a copy of the General Social Care Council codes of conduct. The home provides 24-hour support, including a waking night staff and an emergency on-call procedure. When the inspector arrived at the home, they found two care assistant to be on duty, when asked who was in charge at that time, the care assistants did not know. A staffing rota was on display within the home, and while this accurately reflected the staff on duty, this did not indicate who was in charge at that time or at any other time. It s required that at all times there is a designated responsible person in charge of the home, and that this person is clearly identified on the staffing rota. The home holds regular staff meetings, these are minuted, and the agenda is set jointly by all staff. The home provides a structured induction programme for staff, this includes service user issues and the environment. Records are kept of staff training, and this indicated that staff have recently had training in health and safety and food hygiene. However, staff have not received any training in fire safety in the past twelve months, and this must be arranged. One service user exhibits challenging behaviour, it has been identified in staff supervisions that staff need training in working with challenging behaviour, and this must be addressed. Of the nine care staff employed at the home, the manager informed the inspector that four have successfully completed a relevant care qualification, and that two further staff are due to commence care qualifications later this year. Since the previous inspection the homes manager now receives regular supervision from an outside consultant. Staff supervision is divided between the homes manager and deputy manager, and all staff receive regular supervision. This includes discussions on training needs and service user issues. The manager informed the inspector that they are currently in the process of introducing an annual appraisal system for all staff. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 and 43 It is the view of the inspector that the homes manager is sufficiently experienced and competent to carry out their roles and responsibilities. Appropriate mechanisms are in place to promote quality assurance and health and safety within the home. EVIDENCE: The manager has nine years experience of working in the care field, including five years in a managerial capacity. They are currently working towards the Registered Managers Award, and informed the inspector that they hope to have this completed by the end of the year. Service users informed the inspector that they found the manager to be approachable, and on the day of inspection staff were observed to interact with the manager in a relaxed manner. Care plan reviews, service user meetings, staff meetings and staff supervision all contribute to the quality assurance within the home. Copies of previous Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 21 inspection reports were available to view in the home, and there was evidence of monthly unannounced Regulation 26 visits taking place. Questionnaires are issued to service users to gain their feedback on the running of the home. Policies and procedures appeared to be in line with National Minimum Standards, those checked by the inspector included recruitment and selection and complaints, and all appeared to be satisfactory. The home has an in date employers liability insurance certificate on display. The inspector saw evidence that business and financial plans have been produced as appropriate. However, there was no evidence of an annual development plan been produced. It is a repeat requirement that an annual development plan is produced based on a systematic cycle of planning, action and review reflecting the aims and outcomes for service users. The home has various policies in place around health and safety issues, including fire safety and infection control. The Local Fire Authority has visited the home since the last inspection, and found fire safety arrangements to be satisfactory. Fire alarms are tested weekly, and fire drills held every three months. Fire fighting equipment was situated around the home and last serviced in December 2004. The home carries out various routine health and safety checks, for example the testing of hot water temperatures and fridge/freezer temperatures. Appropriate safety checks have been carried out on gas and electrical appliances. Since the previous inspection the home now keeps records of all accidents and incidents. Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 2 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Springfield Care Home Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 23 YES Are there any outstanding requirements from the last inspection? 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 YA43 Regulation 24 Requirement The registered person must ensure that the home has an annual development plan in place. (Timescale 31/5/05 not met) The registered person must ensure that all service users have comprehensive risk assessments in place, covering all areas of potential risk to themselves and others. (Timescale 31/5/05 not met) The registered person must ensure that all staff employed in the home receive training in adult protection issues. (Timescale 31/5/05 not met) The registered person must ensure that all medications held in the home are stored securely. The registered person must ensure that there are guidelines in place on the administration of all individual medications prescribed on a PRN basis. The registered person must ensure that the staffing rota clearly identifies who is in charge of the home at any given time. The registered person must ensure that the home carries out Timescale for action 30/11/05 2. YA9 13 30/11/05 3. YA23 13 and 19 30/11/05 4. 5. YA20 YA20 13 13 30/11/05 30/11/05 6. YA33 17 30/11/05 7. YA34 19 30/11/05 Page 24 Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 8. YA34 19 9. YA35 18 satisfactory CRB checks on all new staff prior to them commencing work at the home. The registered person must ensure that the home has a full written record of staffs employment history, including any gaps in employment. The registered person must ensure that staff receive appropriate training in challenging behaviour and fire safety. 30/11/05 30/11/05 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 Good Practice Recommendations Springfield Care Home G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 4th Floor, Gredley House 1-11 Broadway, Stratford London E15 4BQ 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 G56 G06 S7315 Springfield Care Home V243063 280705 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!