Inspection on 20/04/05 for Springfield House

This inspection was carried out on 20th April 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 but made no statutory requirements on the home.

Other inspections for this house

Springfield House 15/11/06

Springfield House 10/10/05

Springfield House 02/03/05

Springfield House 05/07/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Springfield House 95-97 Portsmouth Road Woolston Southampton SO19 9AF Lead Inspector Lorraine Parton Unannounced 20 April 2005 9:00 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 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 House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springfield House Address 95-97 Portsmouth Road, Woolston, Southampton SO19 9AF 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) 023 8044 2873 Mr Richard Kitchen and Mrs Elizabeth Kitchen In process of application Care Home 23 Category(ies) of Dementia - Over 65 years of age (23) registration, with number Old Age not falling within any other category of places (23) Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2/3/05 Brief Description of the Service: Springfield house is a care home situated in Woolston, Southampton. The home is registered for twenty-three people within the category of older persons. The home also offers accommodation for service users with differing levels of dementia. The home is owned by Mr and Mrs Kitchen and a application has been submitted to the Commission for social Care Inspection to register a manager. The home has a range of single and double bedrooms on two floors of the home and some of these rooms have ensuit facilities. The home also has a lounge which is divided into three areas, thus allowing service users to select a quiet area if they wish. To the front of the property is a small garden, which leads around the property into a well maintained enclosed rear garden. The home is situated close to local facilities and a short journey away from Woolston and the main city of Southampton. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Due to the number of requirements brought to the home’s attention at the last inspection the inspection was unannounced and the majority of the inspection was spent assessing compliance with these requirements. The inspection took place over 5.5 hours and the inspector was assisted by the proprietors and staff. The home had made a good attempt at meeting the required standard and had employed the services of another registered manager to assist the homes staff at ensuring the documentation supports the care that is being given by the home. A walk around the home took place and the inspector had the opportunity to speak to service users has they wished. The home was found to be homely and service user rooms contained personal belongings and furniture. During the inspection the inspector had the opportunity to speak to three visitors, who expressed their total satisfaction with the home and the staff. What the service does well: The home provides a homely environment for service users to live in. Service users wishing to personalise their rooms may do so and service users are able to have their possessions in the lounge area where they sit. The lounge was found to contain family pictures of the service users living there. The service users confirmed that they are able to participate within the home as they wish and are involved in the running of the home and there opinions are taken into account. The home offers a range of activities, which have been selected by the service users. The home has several visiting organisation who provide a wide range of activities including arts and crafts and church organisations. The home employs the services of a hairdresser who visits the home twice per week Service users spoken to confirmed that the homes staff are very good and service users stated “they can not do enough for me”, “staff are very nice and pleasant” and “I can not say a bad word about the home”. Staff were seen to interact with service users in a equal and sympathetic manner and visitors confirmed that their relatives were happy living in the home. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 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 standard(s) 1,2,3,4,5 Service users and their families are given adequate information about the home and are able to visit prior to agreeing to move in. All service users have a contract, which clearly state the terms and conditions of tenancy. Service users are only admitted into the home if their needs can be met and this is evident through the extensive admission procedures. EVIDENCE: The inspector audited the admission process in respect of a new service user admission and found that staff had visited and spoken to the service user prior to admission. A record of the assessment was found in the service user’s file and this had been completed prior to admission. The assessment included a needs assessment and preferences in care that the service user wanted. On speaking to the service user they confirmed that they had been assessed by the home prior to admission. The service user confirmed that they had been afforded the opportunity to visit the home and that their family had visited on their behalf. The service user also stated that they had been given a Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 9 copy of the home’s service user guide and this had been informative. A contract including terms and conditions had been given to the service user on admission and a signed copy was found in the service user’s file. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 The reviewed service user plans are extensive and reflected the wishes of service users. Service users have access to a wide range of health care facilities. Service users health care needs are being met, based on the assessments of relevant health care professions. Service users who require moving and handling have not been assessed by a suitably qualified person and this may pose a risk of injury. The medication practices are safe. Service users are treated with dignity and respect and all care is given in private. EVIDENCE: The inspector audited three service user plans. A requirement had been made at the last inspection (March 05) for the home to review and develop service user plans. The home had made an excellent start at developing the plans and had reviewed over a third of the service users living at the home. The home Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 11 advised the inspector of the arrangements to review all the service users care plans. The inspector audited two of the reviewed and developed plans and found them to be extensive and covering all areas of care. This included health, diet, skin care, mental state, hobbies, cultural needs, communication, mobility, falls, family involvement, personal safety, personal care and medication. The home had also completed risk assessments individual to service users needs. Service users spoken to are aware of their care plan and stated that they were involved in the production of them and that if they want a copy they have them in their rooms. Care plans were signed by the service user or their representatives. One relative spoken to stated that they were aware of the care their relative received and that the home keeps them informed of any changes. The inspector also audited a care plan of a service user who had only lived at the home a short while. This included a full assessment of needs, likes and dislikes and a plan that consisted of the service user’s wishes. On speaking to the service user it was confirmed that the home’s staff were meeting the service users wishes and needs. On speaking to staff they were aware of the needs of the service user and it was evident through conversation with the homes staff that information that was being found out was being passed on. All service users are registered with a general practitioner of their choice and through this a wide range of healthcare provisions can be assessed. Health care assessments, and advice had been incorporated into the service user plans where necessary. Service users confirmed that they receive any treatments or consultations in the privacy of their rooms and are able to see these visitors on their own if they choose. Service users spoken to stated that they are able to receive or be offered support with personal care when they wished and that staff always respect their wishes. During the inspection staff were seen moving and handling service users. The inspector observed staff to assist service users under their arms and on one occasion only one staff aided a service user to stand up and get into a wheelchair. The service user and the member of staff experienced some difficulties whilst doing so. The home is required to obtain a assessment by a suitably qualified person for the service users who require assistance with moving and handling. Some staff at the time of the inspection had not been trained or been refreshed for some time in safe moving and handling practices. The home advised the inspector that a course had been booked, this was confirmed by the staff. The home has a medication policy and has a copy of the Royal Pharmaceutical Guidelines. The home operates a monitored dosage system that is supported Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 12 by the local pharmacists. The home keeps a record of medication administered, received and returned to the pharmacist. The inspector did not identify any issues at the time of the inspection. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 Service users wishes for relationships are supported. Service users chosen lifestyles are supported by the home. EVIDENCE: The home has a visiting policy, which encourages visitors to the home at any reasonable hour. The inspector spoke to several service users who all confirmed that their relatives are able to visit the home and they are able to see them in the privacy of their rooms or else where in the home or garden if not in use. Several service users confirmed that they also go out with their visitors and that if they wished the home would support visits to family or friends. The homes staff advised the inspector that they would support service users choices not to see friends or families. The inspector spoke to three visitors to the home, who confirmed that they are made welcome by the homes staff and that if they wished they could see their relative or friends in private. Service user families are encouraged by the home staff in supporting their relative to the level they wish. One service user family visits the home and is involved in the personal care. Documented care plans support this. The inspector had the opportunity to speak to several service users who confirmed that the home support their wishes as to their daily routine. This Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 14 included what time they went to bed, getting up and when they receive personal care. The home provides every two weeks the facility of the local church visiting the home and individual religious needs are supported when required. The home offers a wide and varied programme of activities based on service user wishes, including games and bingo, quizzes, visiting entertainers, hairdresser twice per week, arts and crafts and in-house equipment of books (large print), audio tapes and games. The home supports individual hobbies and service users were seen to participate in a wide range of hobbies during the inspection including knitting, arts and crafts and reading. One service user advised the inspector that they had breakfast in bed and that the staff bring a drink to her room at the time they want to get up. Other service users discussed how the home meets their personal requirements including when they want a bath, particular menus and activities. The inspector noted that individual wishes are documented in the service user plans. All service users spoken to were positive about the home and the homes staff attitude to meeting their needs. One service user comment to the inspector was “I can not say a bad word against the home” and “that the staff are very nice and pleasant”. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17/,18 Service users were aware of how to make a complaint and to whom. Service users are afforded the right to vote. The home has policies to protect vulnerable adults and staff are aware of the procedures to follow in the event of issue. EVIDENCE: The home has a complaints procedure, which was on display in the home and service users stated they had been given a copy. On speaking to service users and visitors to the home they were aware of how to make a complaint and to whom. Service users stated they would speak to staff and the owners if they had a concern. On auditing the complaints procedure it was found to contain all the relevant information, however, it required up dating to include the current contact details of the Commission for Social Care Inspection. The inspector was advised that new contracts, with the complaints procedure is being supplied to all service users. A requirement has been made for the information to be up dated. Service users and staff confirmed that they are registered to vote and some service users take up this right either by postal or by support to attend in person if required. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 16 The home has a copy of Hampshire’s Adult Protection procedure and a whistle blowing policy, of which on discussion with staff they displayed their awareness. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: The inspector did not audit the environment during the inspection, however, due to previous requirements the following matters were assessed. The home had consulted with both their fire and environmental health departments and documentation produced by the home confirmed that appropriate action had been taken. The home had repaired the door closure in room 5 and repaired the bath seat in the upstairs bathroom. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29,30 The home has a thorough recruitment policy that protects the service users. Staff are not trained in some areas, which may be detrimental to service users and staff. EVIDENCE: Two staff files were seen by the inspector and were found to include all relevant information. At the time of the inspection the home was working towards a recruitment policy and the setting up of new staff files to ensure all the required information is included. The proprietor advised the inspector that the home had not employed any new staff since the last inspection and that they were aware of the requirements to undertake a CRB and POVA check, two references prior to employment. The home had started to facilitate training and staff confirmed that they had attended the basic food hygiene and fire training since the last inspection and that the home had booked a moving and handling course for all staff. The staff advised the inspector that the proprietors had been researching other courses including NVQ courses and that when arranged they would be attending. The home is required to ensure that such courses are service user specific for example dementia. The home had started to implement an appraisal system for its staff, which had been completed for one member of staff. This was also found to include staff training. The home has not started staff supervisions. A requirement has been made. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home does not keep a clear record of the transactions for service users monies. EVIDENCE: The proprietors advised the inspector of the changes they had made to the financial records of the service users whose money is held by the home. The home was found to be keeping individual records and receipts for any expenditure that are made. On auditing the records the inspector found discrepancies in one record, which monies in and out and not been clearly documented. The home has agreed to review all its financial procedures and implement clear records of its service users transactions. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 21 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 8 Regulation 14(1) Requirement Obtain moving and handling assessments for the service users who require this assistance from a suitably qualified person. Amend the homes complaints procedure to include current details of the Commission for Social Care Inspection. Implement a staff training programme that takes into account service user needs. Moving and handling training must be undertaken by all staff. Fit another call bell point to the area of the lounge required by service users. Implement a suitable point for recording service users money. This remains outstanding from the last inspection. Timescale for action 31/8/05 2. 16 22(7) 31/8/05 3. 30 18(1) 31/8/05 4. 5. 38 35 13(2) 17(c) 31/8/05 31/7/05 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. Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 22 Refer to Standard Good Practice Recommendations Springfield House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 23 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 House H55 H03 S12321 Springfield House V218527 200405 stage 0.doc Version 1.40 Page 24 - 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!