Inspection on 25/06/06 for Springfield House

This inspection was carried out on 25th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 25/06/07

Springfield House 26/10/05

Springfield House 09/11/04

Springfield House 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Springfield House 79 Waterworks Road Waterhead Oldham OL4 2JL Lead Inspector Michelle Haller Unannounced Inspection 25 July 2006 10:15 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 DS0000005520.V294546.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield House Address 79 Waterworks Road Waterhead Oldham OL4 2JL 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) 01616204794 01616204794 Masterpalm Properties Limited Mrs Bernadette Kerwin Care Home 24 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (11), of places Physical disability over 65 years of age (3) Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 11 OP, up to 10 DE(E) and up to 3 PD(E) 26th October 2005 Date of last inspection Brief Description of the Service: Springfield House is a privately owned care home, which has 24 registered places for people over 65 years of age and whose needs fall within the following categories: dementia, physical disability and old age. Master Palm Properties Limited, who owns three other residential care homes within the Oldham area, operates the home. The building, which is a detached property, is located in the Waterhead area of Oldham. It is approximately 2½ miles from the town centre. Accommodation comprises 18 single bedrooms, and three double bedrooms. All the rooms have en-suite toilet facilities. Lounge/dining facilities comprise three lounges and a separate dining room, the latter being situated next to the kitchen. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection which included an unannounced site visit to the home. The inspection took place on one day, over a period of eight hours and ten minutes. The inspection was carried out through examination of files, records and correspondence concerned with the care of service users, the running of the home and the management of staff. Interviews with service users, their representatives and staff were also conducted. Observation of the interactions between service users, the staff and other relationships in the home took place. The inspector looked around the garden and inside the home, including the bedrooms, the lounge and dining rooms. What the service does well: The home provides calm and clean lounge, bathrooms, dining room and bedrooms. Comments from services users and relatives included: ‘The home is always clean.’ ‘Activities are good if you can join in; I enjoy the singer; no complaints. The food’s good and plenty of it.’ ‘The best thing is that you are looked after, less to worry about. There are enough staff on duty. I get the medical support need, hospital visits and doctors visit when needed. The activities suit me - I like the television and I like music. I enjoy the meals most of the time.’ The home ensures service users and their relatives receive ample information about the home and they make sure that they have sufficient information about each person before they accept them into the home. Service users and their representatives were pleased with the process of moving into the home and were very content with the care provided by staff. Comments included: ‘The family received plenty of information about the home’ and ‘I’ve got no problems at all’. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 6 The home provides an appropriate number of trained staff who are dedicated and eager to please service users. The home’s systems are flexible and ensure that service users are given choices about what they do and when, and relatives are confident that they can approach the manager and staff with any concerns. Comments included: ‘The staff are all friendly, helpful and do a good job, never had any concerns at all’ and ‘Can’t say anything against the home’. The range of activities provided, both in the home and community, is good and ensures that services users remain stimulated and interested in life. Furthermore, the home understands the importance of religious observance and ensures that this need is fulfilled for those who want to participate. What has improved since the last inspection? What they could do better: The home needs to introduce specialist assessments to identify those who need additional preventative pressure area care. Care plans must include information about all the identified needs for service users, including how to manage psychological and emotional needs. The food and drink consumed by service users needs additional monitoring and the weight of services users should be recorded in a manner that makes it easy to assess whether or not they have lost weight. The manager needs to ensure that staff adhere to the policies and guidelines of the home as they go about their work. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 7 The home needs to be able to demonstrate that service users are taken seriously when they complain or voice concerns, and a full version of the complaints procedure should be included in the service user guide. The home would benefit from the introduction of a refurbishment plan that includes replacing beds when needed, carpet cleaning and modernisation of the laundry area, so that it meets minimum standards. The service would benefit if everyone involved with the home was given the chance to comment, confidentially, on the home and any changes they might like. 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 DS0000005520.V294546.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in the outcome area is good. This judgment has been made using available evidence, including a visit to this service. Service users and their representatives are provided with enough information to help them to make an informed choice about moving into the home. The home gathers sufficient information about all service users to determine whether they can meet the needs of potential services users. EVIDENCE: The contents of the service user guide provided detailed information about the facilities and activities undertaken by the home, and gave a good picture of what life in the home could be like. It included a sample of the menu and weekly activities, as well as information about how to make a complaint or voice a concern. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 10 Each service user’s file examined contained a completed needs assessment that was comprehensive, and provided information about the health, social and psychological needs of a service users. Those with social services involvement had been admitted with comprehensive assessments completed by a social worker and reassessment takes place yearly. The home completes its own needs assessment checklist for services users who are self-funding and these gather information about the physical, social and psychological needs of services users. Each file also contained a contract of residency that had been signed by the service user or their representative. In addition, the admission checklist used by the home indicated whether a service user guide had been provided. Relatives were keen to confirm that they had been given useful information about the home before they decided about moving in. It was also stated that they were encouraged to visit the home before moving in and the manager had visited services users in their home or while in hospital. All remarks were positive and included ‘We were given as much help as we needed by the home.’ Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in the outcome area is adequate. This judgment has been made using available evidence, including a visit to this service. The information about service users provided to care staff is sufficient for staff to know, for the most part, what actions they need to take in order to promote the health of service users. The home’s policy and procedures for dealing with the administration and storage of medication is, for the most part, safe and promotes the wellbeing and safety of service users. In general, the wellbeing of service users is promoted because care staff preserve their privacy and the dignity. Furthermore, the choice of service users is upheld at all times. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 12 EVIDENCE: Five service user files were examined. All contained care plans that had been reviewed monthly. The quality of the information in the care-plans varied. Overall, they provided sufficient information about the steps to be taken by staff to meet the basic needs of services users, however, specialist needs of services users were not always fully documented in care plans. For example, there were no assessments concerning pressure area care, although pressure care equipment was in place and used. No assessments had been carried out in response to changes in mood or prolonged emotional upset. This omission meant that care plans did not provide information so that staff would always work consistently. The dates on which service users are weighed are recorded, however these weights are not documented in a manner that allows staff to easily identify when weight has been gained or lost. The home also needs to record in detail the food and drink consumed by all, but particularly frail service users. Body maps showing the condition of the skin or the position of sores, grazes or cuts were not in use. The recordings made in the daily reports demonstrated that staff worked towards meeting the needs of service users, in a respectful manner and were mindful that each person was an individual. Records, reports and correspondence also verified that services users had timely and appropriate access to district nurses, general practitioners, podiatry, dental care, eye-care and other peripatetic health services. Moving and handling and falls prevention risk assessments were also in place. Staff who were interviewed stated that to find out the care needs of service users, they received verbal handovers and read through care-plans and daily records at the beginning of each shift. The home’s medication policy is satisfactory and those who administer medication have received training. Observation indicated it is administered and stored safely. The manager must put the picture of service users on the medication cassettes, as well as on the medication record sheet, and make sure that the date eye drops and eardrops are opened is written on the bottles or package. Observations throughout the day demonstrated that staff use specialist equipment, such as pressure area mattresses and cushions, and aids that assist with independence. Moving and handling equipment is also used correctly. The service users were clean and well groomed. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 13 Although areas for improvement were identified, the service users and their relatives expressed a high level of satisfaction with the health care received and comments included: ‘He gets brilliant care - I’ve no problems at all’ and ‘You are looked after. The doctors come whenever I need them’; ‘Staff are very good, I was surprised how quickly the doctor attends.’ Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in the outcome area is good. This judgment has been made using available evidence, including a visit to this service. Service users at Springfield experience a good standard of living and they are happy with routines that they find flexible and easy to deal with. EVIDENCE: The organisation employs an activities co-ordinator. At the entrance of the home were pictures and a display of the activities that had been enjoyed by service users. Activities included trips to country houses, parks, enjoying theatre shows, sing-along, planting up pots, dominoes, quiz, memory books, bingo, manicures and make-up sessions, arts and crafts, card games, crochet and knitting and community days when service users went out with staff on an individual basis. Service users were also observed reading newspapers and magazines. Many of the services users follow a religion and this need was catered for on a weekly basis. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 15 Service users and their families stated that the home provided plenty of activities. Service users described the activities they enjoyed which also included completing crosswords. Observations of the routine of the home confirmed that service users were able to participate in activities and given the appropriate support as required. Service users were observed mobilising around the home independently and having their breakfast, lunch and tea at different times and situations. Comments included: ‘The activities suit me - I rest more than anything - I like the television and the music.’ Service users and their relatives indicated that there were no problems visiting the home one relative stated ‘I can visit at any time, sometimes I come between 8 and 9 in the evening and it’s not a problem.’ Furthermore, relatives and friends were observed accessing the home and speaking to the manager throughout the inspection period. The service user guide states that visitors can come at any time, although requests some prior arrangement would be appreciated if visits were to be very early or late. Service users stated that they are able to go to bed and get up at whatever time they liked. In the course of the inspection, it was observed that service users were able to get-up and go to their rooms freely. Meals could be taken at whatever time they liked and in their rooms, although the manager was mindful of services users becoming isolated. The home has arranged for Age Concern to facilitate service users meetings, but unfortunately no notes of the most recent meetings were available. The home has initiated a keyworker system by which members of staff will take a special interest in a small group of service users. This process needs to be firmed up, especially for services users who do not have regular family contact. The dining areas in the home were clean and pleasant. The food provided in the home is of a good standard, varied, wholesome and meets the needs of the service users. The lunchtime meal was choice of corned beef hash and dumplings or meat pie and vegetables. Cold drinks were being served throughout the day. The menu included a variety of traditional foods, including meat casseroles, sandwiches, soups and pies. Staff stated that service users were able to choose what they ate. All those interviewed stated that service users enjoyed the food provided in the home. Comments included ‘Loves them and has put on weight’, ‘I like what is given most of the time but I can choose.’ And ‘The meals are very very good.’ Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 16 Service users were complimentary about the care staff and the routines in the home. They indicated that they could go to bed when they liked and get up when they were ready. Comments included, ‘The staff are all friendly, helpful and do a good job, never had any concerns at all.’ The staff were observed supporting service users in a manner that was respectful and provided them with time to complete tasks according their ability. Service users were not hurried. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 17 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 and 17 Quality in the outcome area is adequate. This judgment has been made using available evidence, including a visit to this service. Service users are clear about the complaints process, however the home does not always identify when a complaint is made and so cannot demonstrate whether their response is fair and consistent. The home’s policy and procedure concerning adult protection is robust and should protect service users against abuse. EVIDENCE: All services users and relatives who were interviewed stated they were confident that if they had any concerns the manager or the deputy would treat them fairly and listen to any concerns. All files examined contained a copy of the complaints procedure and the manager stated that a copy was also provided in the information pack given on admission. The manager was unable to provide a record of complaints because she had not received any. Further discussion indicated that the manager was reluctant to record minor complaints, preferring instead to refer to them as ‘concerns’. The need to record comments, concerns and complaints was discussed. Furthermore, it was noted to the manager that complaints could be dealt with on a number of levels but must all be documented. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 18 In order to improve in this area, the home must ensure that comments and concerns voiced by service users are recorded in a format that makes it easy to see the action and the outcome of any action taken and a copy of the complaints procedure should be included in the services user guide. The home’s adult protection policy was examined and informed staff of their responsibilities in relation to this concern. Staff who were interviewed were clear of the behaviours and omissions that constituted abuse and were confident in the action they would take if they identified or suspected abuse. Certificates confirmed that staff have received adult protection training. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 19 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, 22, 23, 24, 25 and 26 Quality in the outcome area is adequate. This judgment has been made using available evidence, including a visit to this service. The home, for the most part, is well maintained and clean, and so provides a safe, comfortable and pleasant environment that is accessible to and enjoyed by service users. EVIDENCE: The gardens are very pleasant, well maintained and accessible to service users. The home was comfortably furnished and free from unpleasant odours. Service users were observed accessing all parts of the home independently or with assistance from staff. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 20 Handrails, heightened throughout the home. toilet seats and other adaptations were noted Service users were positive about the living accommodation and the majority of the bedrooms contained some personal items, such as furniture, trinkets and pictures or photographs Comments included ‘the home is clean.’ By the conclusion of the inspection all shared bedrooms had privacy curtains. A number of bed-bases were examined and it was noted that a significant number of these were stained. This was pointed out to the manager who agreed to initiate a replacement programme following negotiation with the registered provider. The carpet in the downstairs hallway, though free from odours, was discoloured and required cleaning. The main concern in the home was the laundry room. This area was very dirty, dank and unpleasant. There was an inaccessible hole in the floor that soiled pads and tissues had fallen down and left. Furthermore, neither the walls or floors were washable. The washing machines had the correct sluice and disinfection washing programmes. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 21 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): 27, 28, 29 and 30 Quality in the outcome area is good. This judgment has been made using available evidence, including a visit to this service. The home provides skilled, qualified and experience staff who have enough knowledge and support to provide a good standard of care to services users users. EVIDENCE: The staff complement on the day of inspection was one manager, three care staff, two domestic staff, one cook and the handyman meeting the needs of 23 service users. The duty roster confirmed that this was the usual number of staff. Service users were keen to confirm that there were always sufficient staff on duty. Comments included ‘There are lots of staff’; ‘Yes there are enough staff on duty’ and ‘Yes I think there are enough staff on duty.’ Furthermore, when questioned, staff judged that there were enough staff on duty at all times. The home ensures that there is a senior care assistant or manager on each shift. An on-call system is also in operation at night and during the weekend. The manager stated that all established staff had achieved National Vocational Qualification (NVQ) in care level 2. The staff who were interviewed confirmed this. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 22 Certificates confirmed that training undertaken by staff since the last inspection in October 2005 has included: moving and handling; introduction to challenging behaviour; NVQ 2 in care; Parkinson awareness; oral health and health and safety. Other training included control of substances hazardous to health; fire safety; Parkinson, dementia care, basic first aid and infection control. There was ample evidence that the recruitment and selection process was satisfactory and protected services users and included: completed application forms, two references, proof of identification and evidence of Criminal Record Bureau check had been completed. Pictures of all staff were also in place. The file for the most recent recruit also contained an Induction into Care workbook that she had completed. The notes from staff meetings demonstrated that general and specialist training needs were discussed and planned for. Policies and procedures were also discussed and the need to follow them reiterated at these meetings. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 23 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): 31, 33, 35, 36 and 38 Quality in the outcome area is adequate. This judgment has been made using available evidence, including a visit to this service. A competent and conscientious manager, ensuring that the needs of the service user are paramount, runs the home. The quality assurance system needs to be further developed to ensure everyone involved in the home is given an opportunity to comment on the quality of the service. The financial arrangements in the home safeguard the interests of services users. The health and safety of service users and others who access the home are, for the most part, promoted by the policies, procedures and actions taken by the home. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 24 EVIDENCE: The training record confirmed that the manager had undertaken additional training to supplement and update her knowledge. Courses undertaken by the manager included challenging behaviour, health and safety and safety compliance. When questioned, the manager and staff all stated the aim of the home was to ensure that services users were content and safe living in the home. When asked to describe the best aspect of working in the home, each person said that the residents were the best things about working in the home. All staff indicated their commitment to service users and none could suggest anything that would improve the home. There were two areas in the home that demonstrated closer staff supervision was required. These involved the management of service users’ clothes and adhering to food hygiene guidelines. It was noted that service users’ clothes were not always labelled and so it was not possible to guarantee that the correct clothes were returned to service users when they had been laundered, this was contrary to laundry guidelines. In addition, the kitchen was not as clean as would be expected, food was left uncovered and the fly screen and doors left open, this occurred in breach of policies, guidelines and signs on display in the kitchen area. The manager acknowledged that further supervision was required and would be initiated for all staff. The quality assurance system in the home requires further development so that all involved in the home are able to comment on the quality of care. The result of the quality monitoring should be analysed and the home able to demonstrate how the results are used to influence any changes that take place in the home. For the most part, health and safety and infection control in the home appeared adequate. Staff had been provided with aprons and gloves to use when dealing with service users. Health and safety training had been provided and the home is enrolled on the Safer Food better business protocol that is being monitored by the local authority’s environmental health team. Staff were clear about the fire safety policy and described the actions stipulated in the event of a fire. Records in the fire safety logbook confirmed that all safety checks were completed alternate weeks and records confirmed that all fire equipment had been recently maintained and checked. The maintenance worker was responsible for ensuring that maintenance checks were completed on lifts, hoists, gas, electric and other equipment used in the home. Records confirmed that these were up to date. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 25 The financial records for five service users were examined; no discrepancies were noted and regular payments were recorded, although individual receipts were not always available. The home did not manage the main finances of service users but requested money from the family, individual solicitors or local authority procurement unit. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 26 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 2 17 X 18 3 3 3 X 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 27 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 Requirement The registered person must ensure that care plans are written that reflect the actual needs of service users. The registered person must ensure that specialist assessments and records are completed and maintained so that all the needs of service users are recognised and met. The registered person must ensure that staff are given the maximum assistance to prevent the incorrect administration of medication. The registered person must ensure that radiators in communal areas are enclosed with safety guards. (Timescale 01/03/06 not met). The registered person must ensure that complaints are recorded and dealt with in a transparent manner. The registered person must develop a refurbishment programme that includes bringing the laundry area up to the national minimum standards. DS0000005520.V294546.R01.S.doc Timescale for action 01/11/06 2 OP7 14 01/11/06 3 OP9 13 01/11/06 4 OP25 13 01/11/06 5 OP16 17 schedule 4 (11) 23 (d) 01/11/06 6 OP26 01/11/06 Springfield House Version 5.2 Page 28 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. 7 Standard OP36 Regulation 18 (2) Requirement Timescale for action 01/11/06 8 OP38 13 The registered person must develop a system of supervision to ensure that staff adhere to the policies, procedures and guidelines concerned with the running of the home. The registered person must 01/11/06 ensure that food products are correctly stored at all times. (Timescale 14/11/05 not met). 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 OP16 Good Practice Recommendations The registered person should consider talking through the complaints procedure with everyone involved in the home and placing the complaints form in the service user guide. Springfield House DS0000005520.V294546.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 DS0000005520.V294546.R01.S.doc Version 5.2 Page 30 - 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!