Inspection on 21/03/06 for Springfield House

This inspection was carried out on 21st March 2006.

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 30/01/07

Springfield House 14/09/05

Springfield House 23/02/05

Springfield House 22/09/04

Springfield House 04/03/04

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Springfield House Springfield Avenue Morley Leeds West Yorkshire LS27 9PW Lead Inspector Hebrew Rawlins Unannounced Inspection 10:15 21st March 2006 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 House DS0000001507.V283428.R01.S.doc Version 5.1 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 House DS0000001507.V283428.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfield House Address Springfield Avenue Morley Leeds West Yorkshire LS27 9PW 0113 252 1969 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) Mrs Susan Elizabeth Hart Care Home 22 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (6), Old age, of places not falling within any other category (22) Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2005 Brief Description of the Service: Springfield House provides accommodation for up to 22 older people who are in need of personal care rather than nursing care. It was first established in 1985 by the owner and her late husband and has always been managed by the owner. The home is a large, stone-built detached property, which stands in its own grounds, situated in a quiet residential area of Morley, on the outskirts of Leeds. It is fairly close to shops and public transport links into Morley town centre and to Leeds. The original house had a large ground floor extension added in the late 1990s, constructed in stone to blend in with the original building. The home now provides 18 single bedrooms in total (9 with en-suite facilities) and 2 doubles (1 with en-suite). Communal living space is in four large rooms on the ground floor of the original house, providing flexible dining and sitting arrangements. Many of the service users are from the local area, which enables them to maintain contacts within the community. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was announced and took place on the 14th September 2005. There have been no further visits until this inspection, which is unannounced. The purpose of this inspection was to monitor progress in meeting the requirements made at the last inspection and to look at the standard of care for people living in the home. One inspector between 10.15am – 4.00pm on the 21st March 2006, carried out this inspection. The people who live in the home prefer the term resident therefore this will be used throughout this report. During the inspection, I looked at records, saw staff carrying out their work and spoke with residents and staff. Comment cards/questionnaires are left for residents, visitors and other professionals at each inspection. These provide an opportunity for people to share their views of the home with the Commission for Social Care Inspection (CSCI). Comments received in this way are shared with the manager, without revealing the identity of those completing them. What the service does well: What has improved since the last inspection? Records of maintenance throughout the building are now kept e.g. electrical certificate. The manager has brought in a system, which provides evidence of documents checked when recruiting staff. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 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 House DS0000001507.V283428.R01.S.doc Version 5.1 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 House DS0000001507.V283428.R01.S.doc Version 5.1 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): 1, 3, 4 and 5. The home provides sufficient information to allow prospective residents to make an informed choice about moving in. All residents are assessed before admission to make sure that the home can meet their needs. EVIDENCE: Residents spoken with during the inspection gave insight into their decision making in respect of admission to the home. This included the information they were provided with about the service in the form of service users guide and Statement of Purpose, which provides detailed information about the service and facilities. The manager assesses all residents before they move into the home and offers a trial visit. Residents I spoke with said that they had been happy for their relatives to look round on their behalf. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9,10 and 11. Care plans need to be reviewed regularly and residents’ wishes at time of death must be recorded and respected. Residents’ are treated with respect. EVIDENCE: The four care plans seen provided detailed and personalised information clearly showing how care needs are met. The care plans had been agreed by residents and relatives, however not all have been reviewed regularly. There is no recording of residents’ wishes at time of their death. The manager is aware of the shortfalls and said that she is working with the staff to make improvements. Arrangements are in place for residents to access health care services such as the dentist, chiropodist and optician. Staff were seen using the hoist in accordance with the moving and handling assessment. Residents said that they felt well cared for and said that staff treated them with respect. Residents said that they could get up and go to bed when they wanted and felt that staff respected the choices they made. One resident said, “staff are very good and all seem to get on well together which creates a nice, happy atmosphere”. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 10 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 and 15. The level of recreation was good residents appear to have meaningful and fulfilling daily lives. Contact with relatives and friends is encouraged and supported. Residents enjoy the food. EVIDENCE: Residents were very complimentary of the home’s environment and the manner in which they supported in their daily lives. Residents said that they had control over their daily lives in relation to how they spent their days. Activities are planned on a weekly basis. Residents said, “There’s plenty going on if you want to join in”. One resident said how much she enjoyed the flower arranging session and another was looking forward to the entertainer who was visiting that afternoon. Some residents said they were content entertaining themselves by watching television, reading or listening to the radio. During the inspection residents received visitors. These were all comfortable entering the home and were offered refreshments during their stay. Residents praised the food and made the following comments “the food’s very good”, “lots of choice”. Residents confirmed that it was generally accepted that Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 11 the cook would respond if they did not like a meal. Residents said the manager and cook welcome constructive feedback on the quality of meal provision. On the day of the inspection the meal of the day was roast turkey, roast potatoes, mix vegetable, treacle sponge and custard, rice pudding and jam, juice, tea, or coffee. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 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): These standards were not inspected at this visit. EVIDENCE: Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 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): 19, 20, 23, 24, 25 and 26. The home provides a clean and pleasant environment. Bedrooms and communal areas are decorated and furnished to a good standard. Some bedrooms windows need to be released so that they can be opened. EVIDENCE: Only some areas of the home were inspected at this visit. Communal areas are furnished and decorated to a good standard providing light and spacious accommodation. Bedrooms seen were decorated and furnished to a high standard. Residents said that they were pleased with their rooms and were glad to have many of their own personal belongings with them. Several of the bedrooms windows were stuck and could not be opened by residents to allow natural ventilation into the room. The manager said this was because they had recently been painted. She will ask the maintenance man to free the windows that are stuck. All areas of the home were clean with no unpleasant odours. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30. Formal staff supervision does not always take place. Staff were confident, courteous and respectful towards residents. EVIDENCE: The comments made by residents were very positive about the staff and they complimented their care and kindness in meeting their personal needs. Staff spoken to and observed during the inspection appeared relaxed and confident. They displayed a commitment to the service and an understanding of the residents in their care, which demonstrated efforts they had made in responding to residents as individuals. Although staff supervision has commenced this is still not regularly done. The manager agreed to address this. Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected at this visit. EVIDENCE: Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 3 X X 3 2 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 17 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 OP19 Regulation 23(4) Requirement The registered person must make sure the building complies with the recommendations of the Fire Officer (raised at last inspection, manager is waiting a starting date for work to be done from builders). Care staff must receive formal supervision at least 6 times a year (raised at last inspection work has started to address this). Service users care plans must be reviewed at least once a month and in response to changes to circumstances (this standard must be maintained at all time, raised at last inspection). Residents must be assured that at the time of their death their wishes will be respected. Residents’ must be able to open their bedroom windows to allow natural ventilation into the rooms. Timescale for action 01/04/06 2. OP30OP36 18(2) 01/04/06 3. OP7 15(2) 01/01/06 4. 5. OP11 OP24 12 16 01/05/06 13/05/06 Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Springfield House DS0000001507.V283428.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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. 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