Inspection on 26/10/05 for Springfield House

This inspection was carried out on 26th October 2005.

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 25/06/06

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 Carol Makin Unannounced Inspection 26th October 2005 10:00a 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.V254281.R01.S.doc Version 5.0 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.V254281.R01.S.doc Version 5.0 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.V254281.R01.S.doc Version 5.0 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) 14th June 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. The home is operated by Master Palm Properties Limited, who own 3 other residential care homes within the Oldham area. 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.V254281.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 25th October 2005. Action had been taken in relation to many of the requirements, which were made as a result of the last inspection. Some had been fully addressed, and progress had been made regarding a number of others, where further work was required to achieve full compliance with the standards. The inspector spoke with some of the residents and members of staff, carried out a partial inspection of the premises, and examined records. It was noted many improvements had been made since the last inspection. Verbal feedback of the findings of the inspection was given to the manager, during the inspection, and to the deputy manager at the end of the inspection. What the service does well: What has improved since the last inspection? Some new lounge furniture and a coal effect electric fire had been provided. There had been redecoration and new curtains in some communal areas. New weighing equipment had been provided for staff to monitor residents’ weight. There had been an improvement in the recording of information about the care which is provided for residents. Staff recruitment procedures had improved. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 6 A report of the owner’s visit to the home had been completed, to provide comments on the running of the home. A survey had been conducted to find out what visiting health and social care professionals thought about the service provided at the home. 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 DS0000005520.V254281.R01.S.doc Version 5.0 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 DS0000005520.V254281.R01.S.doc Version 5.0 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): 2&3 Residents had a written contract, but improvement in the content was needed to include all the relevant information for privately funded residents. Assessments of prospective residents care needs were not consistently completed before they moved into the home. EVIDENCE: Contracts of residency were in place on the files which were inspected. Residents who are self funding pay a higher fee than those funded by a local authority, but information about what is provided for the extra cost was not included in their contract of residency with the home. A sample of residents’ care files, were examined during the inspection. One file contained needs assessments, which had been done by the home and social services, before the prospective resident was admitted to the home. The needs assessment on another file was completed by the home on the day of admission, and the assessment from social services was 3 months out of date and referred to community services not residential care. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 9 The manager said that the resident had in fact visited Springfield House twice before admission, but written assessments of needs had not been done at the time. In this particular instance staff had found it difficult to meet the resident’s needs since admission. It is essential that homes have comprehensive, up to date, information about prospective resident needs, so that an informed judgement can be made about the home’s ability to meet the needs. Intermediate care is not offered at Springfield House. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,& 10 The health, personal, and social care needs of residents were met overall. Improvement was needed in the system used for monitoring the ability of residents to manage their own medication. Residents’ rights were respected and maintained by the staff in the home. EVIDENCE: Good progress had been made in relation to residents care plans, risk assessments and health care records, and the requirements made as a result of the last inspection had been addressed. New equipment had been purchased to enable staff to monitor residents’ weight, although specific dates were needed, rather than just the month when they were weighed. There was detailed information about resident’s dietary needs, and where necessary referrals had been made to relevant health professionals and food /fluid charts were provided. A sample of medication and administration records was inspected, and details of matters that needed attention were passed on to the deputy manager. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 11 These included the need to monitor and review resident’s ability to manage their own medication, and recording variable doses of medication in detail. During interviews with staff they said that the importance of ensuring resident’s rights to privacy and dignity are maintained, is included in their training. Residents also confirmed that staff treated them with respect, and their rights to privacy and dignity were maintained within the home. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 12 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): The standards in this section were not assessed on this inspection. EVIDENCE: The standards in this section, all of which were met on the last inspection, were not fully assessed on this inspection. Reference was, however made to certain aspects of these standards during the inspection, and the comments subsequently made by residents, and observations made by the inspector, were positive. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 13 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 Service users confirmed that their complaints are listened to. EVIDENCE: A complaints procedure, which met the national minimum standards was in place in the home, and was available on the files, which were inspected. Service users confirmed they knew who to talk to if they had any concerns about the home and felt they would be listened to. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 14 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): 19,22,24,25 & 26. The home was clean, and the owners were maintaining the property, and providing equipment and pleasant accommodation, for the people who live there. EVIDENCE: Since the last inspection the small lounge had been redecorated, and had a new three-piece suite, a coal effect electric fire, and new curtains. Another lounge was being redecorated at the time of the inspection, and new curtains had also been provided. Residents were satisfied with the decoration, furnishings and cleanliness of their rooms, which they were able to personalise to suit their needs. The manager reported that it had not been possible to obtain safety locks for four bedroom doors that are larger and thicker than the other bedroom doors. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 15 The doors are therefore to be replaced and the owner was consulting the fire authority to ensure that they choose doors which meet with their requirements. A new timescale of 1st March 2006 was agreed for the completion of the work. The manager said that she had carried out risk assessments on radiators in communal areas, which showed that they posed a risk to residents and therefore needed to be enclosed, and established the order of priority for doing the work. Since the last inspection new weighing equipment had been provided to enable staff to monitor residents’ weight. The parts of the home that were inspected, were clean and free from offensive odours. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 16 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): 28,29 & 30 Procedures for recruiting new staff were satisfactory. Overall, the training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: The manager said that six members of staff had achieved NVQ qualifications, and the remaining care staff were undertaking the training. The staff files which were inspected, contained POVA first checks and 2 written references, which had been obtained prior to employment commencing. A staff training programme was available, which included safe working practices and other mandatory training. The programme showed dates of training provided and staff attending, and details of future training. Additional training in relation to the Protection of Vulnerable Adults was due to take place on 27/10/05. Five members of staff had received training in relation to dementia since the last inspection, and the training for one member of staff also included challenging behaviour. The manager said that there was to be further training regarding dementia, for all staff in January 2006, and she was seeking training for all staff in relation to challenging behaviour. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 17 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): 33,34,35, & 38 The system for residents’ relatives and friends to comment on the running of the home needed to be improved. Residents’ financial interests were safeguarded. Business and financial plans were needed to demonstrate the financial viability of the home. Improvement was needed in the systems for monitoring fire precautions procedures and arrangements for the storage of food. EVIDENCE: Progress continues to be made in relation to the system for monitoring the quality of the service provided at the home. A survey had been conducted in August and September 2005, which involved sending questionnaires to health and social care professionals who visit the home. Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 18 The response was positive, and included additional comments such as: “a very good service”; “staff are always helpful and friendly”, and “ I am always treated in a professional manner”. The quality monitoring system could be further developed by carrying out a similar survey of resident’s relatives and friends, to obtain their views about the service provided at the home. Business and financial plans were not available for inspection. Records of money held in safekeeping for residents were selected at random for inspection and were found to be in order. A report of the registered person’s recent visit to the home had been completed in accordance with Regulation 26, by one of the directors of the company, and it was available in the home for inspection. An examination of the fire precautions records identified the a number of shortfalls, specifically: • • • • Weekly tests of the fire alarm had not been done since 5/9/05. Means of escape from fire need to be inspected and recorded each week. Fire extinguishers need to be checked by a nominated person in the home once per month to ensure that access to them is not obstructed and they are readily available for use. Checks of the emergency lighting need to be recorded each month. Deficiencies in the maintenance of fire precautions records also have an impact on Standard 37, which relates to specific records that are required by statute. The following matters relating to food storage needed attention: • • • All food must be effectively resealed after opening. Temperature gauges must be provided in fridges and freezers. Fridge/freezer temperatures had not been recorded since April 2005, and daily recording is needed to demonstrate that food is being stored at the correct temperature. Fridges and freezers need to be defrosted more frequently. • Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 19 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 2 2 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 3 X 2 2 3 STAFFING Standard No Score 27 X 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 2 3 X 2 2 Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 20 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 OP3 Regulation 14 Requirement The registered person must ensure that a pre-admission assessment of residents needs are completed to ascertain whether the home is suitable for meeting the resident’s needs in respect of health and welfare. The registered person must ensure that variable doses of medication are recorded in detail, and that resident’s ability to manage their own medication is reviewed. The registered person must ensure that residents are able to lock their room door, and that staff are able to gain access to the room in an emergency. The registered person must ensure that radiators in communal areas are enclosed with safety guards. The registered person must ensure that the quality assurance and monitoring systems are improved to meet the National Minimum Standards. Timescale for action 14/11/05 2 OP9 OP37 13,17 14/11/05 3 OP24 13 01/03/06 4 OP25 13 31/12/05 5 OP33 24 01/03/06 Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 21 6 OP34 17 7 OP37OP38 17 8 OP38 13 The registered person must ensure that business and financial plans for the home available for inspection. The registered person must ensure that tests and checks in relation to fire precautions are carried out at the prescribed intervals. The registered person must ensure that food products are correctly stored at all times. 01/01/06 14/11/05 14/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP2 Good Practice Recommendations The registered person should ensure that the contract of residency for resident’s who pay for their own care, includes details of the additional services that are provided for the extra cost that they are charged. The registered person should ensure that specific dates are recorded when residents are weighed. 2 OP8 Springfield House DS0000005520.V254281.R01.S.doc Version 5.0 Page 22 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. 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