Inspection on 25/06/07 for Springfield House

This inspection was carried out on 25th June 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springfield House 25/06/06

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 Key Inspection 25th June 2007 09:00 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.V339690.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.V339690.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 0161 6204794 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.V339690.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 2006 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 charges £328.00 each week. The previous Commission for Social Care Inspection (CSCI) report was available on request. Springfield House DS0000005520.V339690.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 and included an unannounced visit to the home. This means the manager did not know we were coming. Evidence was gathered through lookin at files, records and correspondence concerned with the care of service users, the running of the home and the management of staff. The manager returned a completed the Annual Quality Assurance Assessment (AQAA) and the information was also used to inform the final report. Interviews with people living at Springfield House, their representatives and staff were also conducted, and a district nurse was also spoken to briefly. Five CSCI surveys were returned and all were positive about the running of the home and care and supported provided. Three surveys had been completed in a lot of detail and provided helpful insight into the experiences of people living in and visiting Springfield House. These surveys contained no negative comments. Observation of the interactions between those in the home also took place and a tour of the building was undertaken. What the service does well: Springfield House has a calm and peaceful atmosphere, beautiful views over a valley and, a well-maintained and established landscaped garden. People at Springfield House have their health needs met efficiently and effectively, and staff understand how to relate to and reassure people and their families. People are supported in making choices about their lifestyle and treated with dignity, respect and consideration, and so a feeling of positive self-worth is promoted. The system for managing complaints and concerns in the home is accessible, and people are confident and empowered enough to make comment to staff when necessary. People enjoy the meals served in the home. Staff training and guidance is readily available and they are encouraged to sit and spend time sitting and speaking or just being with people, staff appear to be kind. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 6 Relatives commented ‘I often pop in and see staff just sitting and talking, having a joke, with people.’ The manager is approachable, has high expectations of staff conduct and competency, and she also cooperates fully with the, Care Standards Act 2000, inspection process. General comments about Springfield House included: ‘I love it here.’; I’m very glad to be here because I’m well looked after and my family know I’m safe and well-looked after.’ And ‘I’m happy here.’ 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. The summary of this inspection report can Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Springfield House DS0000005520.V339690.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.V339690.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 does not apply to this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are met because the manager ensures that enough information is gathered about them before they move into the home. EVIDENCE: Each person’s file contained a comprehensive needs assessment that provided information about the health, social and psychological needs. This was in the form of a checklist, and some of these had commenced prior to admission to Springfield. The manager confirmed that whenever possible people were visited in hospital or at home as part of the admission process. Information gathered includes: sensory and communication skills, mobility, personal care skills, eating, drinking and appetite,, likes and dislikes, social skills, family involvement and hobbies, interests and social history. Those with social services involvement also had assessments completed by a social worker and these were reviewed and updated yearly. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 10 Statements made concerned with assessing whether the needs of people would be met included: ‘I believe they visited ..…twice before she moved in.’ Springfield House DS0000005520.V339690.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at Springfield House are treated with respect and dignity, and they receive care that is based on their individual needs. EVIDENCE: All the care files that were examined contained care plans that had been reviewed monthly. The depth of the information in the care-plans varied, the plans continue to provide sufficient information for staff to meet basic and routine needs. Additional instructions is still required in some instances, to make sure that staff know what actions for people with more complex needs sometimes lacked the required detail. For example in one case the general comment ‘poor mobility’ is written but not how this is affecting a person, and neither are or the aids or support required, to prevent falls or promote independence, identified. This could have been because this person couldn’t mobilise without assistance, however this, and the risks associated was not clearly defined. Moving and handling risk assessments were in place for other Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 12 people and these were comprehensive and provided staff with instructions about the support they must provide. Assessments concerning pressure area care are now completed more routinely, these could be improved if care plans included the specific observations and records staff were to make in this area. However, it was observed that pressure care equipment was in and the district nurses supervised treatment and care when necessary. Observations concerning mood and emotional state were more detailed, although more attention needs to paid to providing specific guidance that relates to the individuals assessment, in how to motivate and engage people with emotional needs. The sparseness of some information makes it difficult for staff to relate to people in a consistently effective manner. The manager has revised the format used to record weight and this makes it easier to monitor, and a more complete record of food and drink intake is also kept. Daily reports were written respectfully and, in the main, related to the care plans being followed. 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. 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 District Nurse visiting the home during the inspection stated that there were know current concerns relating to health, stating that the manager was cooperative, always sought advice quickly and ensured that staff followed instructions and care plans relating to health. The home’s medication policy is satisfactory and those who administer medication have received training. Observation of the medication round indicated medication is, administered and stored safely. 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 in accordance with moving and handling assessments. People in Springfield House are able to maintain their dignity and feeling of self worth as, they are supported in achieving good level of personal grooming, and they were clean and well kempt. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 13 People and their relatives expressed a high level of satisfaction with the care and support provided in the home and comments included: ‘The care is very good.’; ‘Staff are very good.’; ‘doctors and nurses are there if needed.’; ‘They come and check on me regularly if I stay in my room.’ And ‘they give him all the physical support he needs and are friendly and caring towards him when he is bewildered or unhappy.’ Springfield House DS0000005520.V339690.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Springfield experience a good standard of living and they are happy with routines that they find flexible and easy to deal with. EVIDENCE: In the main people were pleased with the frequency and range of activities the home organises, this includes, dominoes, bingo, sing-a-longs, quizzes and compiling ‘memory books.’ People were also observed reading newspapers and magazines. Day trips to country houses, parks, and the theatre are also arranged. The training records and calendar suggests that there has been a reduction in daily activities since the previous inspection. The manager stated that staff are not maintaining an accurate record of the different activities in which people have participated. Activities have included a trip to Holmfirth, memory lane games, musical bingo and baking. The manager acknowledged that it was generally the same people who attended activities. Those who returned CSCI surveys wrote made complimentary remarks about activities including: There is Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 15 entertainment and craft sessions, visits and parties, and the staff put a lot of effort into all these things.’ There are three lounge areas and the manager expects a member of staff to be present in each room at all times. During the day staff were observed sitting and talking to people. Comments on the day of inspection included: ‘Activities are okay- sometimes a bit slow in organising it- I don’t mind a bit of television.’; and ‘I do what I want in my own room- I enjoy the little library, cross words and puzzles- we are very well looked after.’ Activities could be arranged on an individual as well as group basis if social history, hobbies, interests and aspirations were discussed with each person and then recorded. People are able to follow their faith while living at Springfield House. 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. Visitors were seen throughout the day and one person stated that it was possible to ‘Visit when you want’. The dining areas in the home were clean and pleasant. The stores were well stocked with a variety of foods and ingredients, the menu indicated that meals provided were varied and wholesome. People were positive when talking about the meals and snack provided. People were also observed enjoying their meals and being supported, in the main, with dignity and respect, with some staff choosing to converse with individuals at the same time. The lunchtime meal was choice of roast pork or lamb, peas, carrots, mashed potatoes and gravy. All the meals seen were presented in an appetising manner, and food that was pureed was kept separate on the plate. The meals provided reflected the instructions and preferences identified in care plans, so people were served the size of meals they wanted. Cold and hot drinks were served throughout the day. The menu included a variety of traditional foods, including meat casseroles, sandwiches, soups and pies. All those interviewed stated that the meals were enjoyable. Comments included ‘Nice meals, lots of choice.’; and over lunch people were saying that the meal was ‘really nice, the meat nicely done.’ And ‘No grumbles, I’m trying to lose weight- you can have what you want.’ Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager ensures that people who live at Springfield House are, able to express their concerns and have access to a robust and effective complaints procedures, and also protected from abuse. EVIDENCE: The complaints procedure was read through and provided information about how to make a complaint, the timescales for the investigation and steps to take if dissatisfied with the outcome. People who returned the CSCI’s confirmed that they were confident about making a complaint and felt that any concerns would be listened to and dealt with fairly. They commented ‘staff listen to you.’; ‘I would speak to the manager or assistant manager.’ And another explained that ‘There is a printed leaflet given when admitted and information is on the notice board.’ And ‘ Always willing to discuss anything at any time, very available to the families and to the people they care for.’ The manager was unable to provide a record of complaints because she had not received any. The manager remains reluctant to record comments and Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 17 concerns, however issues that arise do seem to be dealt with in a satisfactory manner. The home’s adult protection policy was examined and informed staff of their responsibilities in relation to promoting the welfare of vulnerable people. 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.V339690.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People in Springfield House benefit from an environment that meets their physical needs and, refurbishment of the fixtures, fittings and furniture continues. EVIDENCE: The home is set in well-maintained and spacious gardens, which can be safely used by people in the home. A tour of the building was completed. The bedrooms were personalised and seemed comfortable, a number of bed bases have been replaced and those inspected were clean. In the main furniture and carpets in the bedrooms were clean. En-suites were clean although the flooring in a number of these were cracked. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 19 People were observed accessing all parts of the home independently or with assistance from staff and, handrails, heightened toilet seats and other adaptations were noted throughout the home. None of the double rooms were been shared however privacy screens were readily available. The flooring and tables in the communal areas, such as the dining and sitting rooms were, in the main, clean. A significant number of chairs in the home, however, were stained, dirty and unpleasant to use. The manager agreed to develop a refurbishment plan that includes a program for replacing or cleaning stained, soiled or dilapidated furniture in the home. The laundry area has been cleaned out, the floors scrubbed and the walls whitewashed. This is an improvement since the previous key inspection. The washing machines had the correct sluice and disinfection washing programmes. Comments made about the environment included: ‘The place is clean, always clean- nice little room- I was given the chance to move out of a double.’; and ‘Nice home, fresh and clean.’ Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment process is robust and guards against employing unsuitable candidates, and ensures that people receive support from a sufficient number of staff who are skilled, qualified and experienced enough to a good standard of care. EVIDENCE: On the day of inspection there were 22 people living at Springfield House. There were 5 carers, a domestic, laundry and cook on duty. The duty roster confirmed that there were usually 6 staff on duty in the morning and early evening. Discussion with the manager indicated that she had a high expectations relating to staff conduct. The staff appeared approachable and in the main they followed instructions. All staff files that were inspected contained copies of their application forms, references and confirmation that Criminal record checks and Protection of vulnerable adults checks had been completed. Pictures of all staff were also in place. The file for the most recent recruit was examined and demonstrated that recruitment and selection remains robust, however more evidence is Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 21 needed to confirm that this person has commenced the homes induction process and the Skills for Care common induction into care if this is needed. Comments included, ‘Staff are very good.’; ‘they are trained and certificates on display. They also have training courses that the staff go on.’ And ‘very happy with standards of quality of management and staff friendly and feel at home!’ The manager ensures that there is a senior care assistant or manager on each shift and an on-call roster is in operation at night and over the weekend. According to information supplied by the manager, 10 out of 21 staff have attained National Vocational Qualification (NVQ) level 2 in care, and eight are completing the award. The training records in staff files confirmed that training undertaken by staff since the last inspection included: supporting continence; moving and handling; first aid; medication, dementia care; grief and loss; food hygiene, abuse awareness; safer food-better business; fire safety; infection control; diabetes awareness. The opportunity to attend all courses is extended to all staff. The notes of the previous staff meeting indicated that policies and procedures, training needs, changes in the roster; documentation; overtime, the laundry and activities were discussed. Staff were positive about their experience of working in Springfield House and remarked that ’Training is superb.’ The cook also commented that she was encouraged to attend courses concerned with care as well as diet and food preparation. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People involved with Springfield House benefit from a management and administration ethos that is based on openness and respect, and led by a competent and qualified manager. EVIDENCE: The manager has attained the required management training and continues to update her knowledge by attending courses, these include; oral hygiene, grief and loss, protection of vulnerable adults and an introduction to Parkinson’s disease. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 23 People were complimentary about the management in the home and were confident that the manager was competent and easy to access. Observations made about the ethos in the home included: ‘They always listen to our comments.’; ‘Always willing to discuss anything at any time- very available to families and to the people they are caring for.’ There was evidence that staff had received additional instruction and closer supervision in the areas highlighted at the previous key inspection. People’s clothes are now well laundered and checking confirmed that in the main clothing was been returned to the correct person. The manager should reconsider the manner used for labelling clothing, as the current system is impersonal and leaves clothes with unsightly marks. Food hygiene guidelines were being followed. The quality assurance system in the home has been developed and residents and family meetings have taken place. Notes confirmed that issues relating to the new non-smoking rules, plans for new purchases such as quizzes and games and discussion future activities. A suggestions box is also in place and people have suggested a car boot sale. 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 accident records were examined and no particular pattern involving one person or area of the home was readily identified, however the manager should introduce a process of analysing the accidents to ensure that these are taken into consideration when updating risk assessments in the home. The maintenance worker was responsible for ensuring that maintenance checks were completed on lifts, hoists, gas, electric and other equipment used in the home. The majority of the maintenance checks were up-to-date-however information about the mobile hoist suggested that the check for this piece of equipment was overdue. This was highlighted to the manager. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 24 The financial records for five service users were examined, regular payments were recorded. Money is requested on behalf of residence from the agencies or individuals managing their finance. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 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 3 X 3 X X 2 Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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. OP12 2. OP19 Refer to Standard Good Practice Recommendations The registered person should take steps to provide a variety of activities each day so that people remain stimulated and interested in what is happening about them and to prevent boredom The registered person should continue with the refurbishment programme so that all furniture in the home, particularly easy chairs, are clean and without stains and therefore pleasant for people to use. Springfield House DS0000005520.V339690.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V339690.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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