Inspection on 27/04/07 for Springfield House

This inspection was carried out on 27th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 23/09/05

Springfield House 09/05/05

Springfield House 18/08/04

Springfield House 12/05/04

Similar services:

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Anchorstone Services Limited

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

CARE HOMES FOR OLDER PEOPLE Springfield House 6 Stoke Road Cobham Surrey KT11 3AS Lead Inspector Lesley Garrett Unannounced Inspection 27th April 2007 10:00 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 DS0000013352.V333121.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 DS0000013352.V333121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield House Address 6 Stoke Road Cobham Surrey KT11 3AS 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) 01932 862580 01932 867809 fothergills@aol.com Mr and Mrs G Fothergill, T/A The Springfield Partnership Mrs Ann Mary Higgins Care Home 27 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (27) of places Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd September 2005 Brief Description of the Service: Springfield House is a privately owned care home which provides nursing care for 27 residents with old age. The home is a large detached property situated on a busy road in Cobham and within good road links to main routes and motorways. The home is well maintained and decorated in a homely way. It also has a car park for visitors and a garden. The home engages the community in providing useful activities and outings for those able to take part. There are many other health care professionals who help the care staff to deliver care in the home. The fees for this service range from £850 to £880 per week. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 0930 and was in the service for four hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. We looked at the home’s records and completed a tour of the building. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. What the service does well: All the survey forms returned to the commission and all the people who use the service that we spoke to were very complimentary about the home. They commented on the good care they received and the friendliness of the staff and manager. One person who uses the service told us ‘I go out for a walk everyday but have difficulty with the door when I return but there is always someone there to help me’. Another said ‘As you can see I am entirely happy with the way the home is run by its excellent matron and friendly helpful staff’. The home has a stable staff team which benefits the people who use the service as they are able to build relationships with them and family members. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The people who use the service were complimentary about the standard of food available to them. We observed the lunch time period and found that choice was given and the food looked and smelt appetising. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 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 DS0000013352.V333121.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. EVIDENCE: All people that use the service that are admitted to the home have a preadmission assessment. The manager stated that either herself or her deputy carry these out but they also take their registered nurses for experience so that any trained member of staff can do this. The home has a pre-admission form that is completed and care plans are then generated from this information. When sampling the care plans we observed these assessments and found them to contain all the information that is necessary to provide the care for prospective service users. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. People who use the service have individual plans, which reflect the care and support they require and their health care needs are fully met. The medication policies and procedures that are in place and implemented by staff protect these people. The privacy and dignity of the service users is respected. EVIDENCE: We sampled two individual plans of care and found them to contain a good variety of individual plans and risk assessments. They were all reviewed every month and changes made where necessary with risk assessments also in place. The plans also contained daily notes and information regarding other visiting professionals. We observed evidence that both service users and their representatives had also been consulted. The manager stated that the home has good support from two local general practitioner (G.P.) surgeries. They will visit the home every week and in Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 10 between if necessary. The manager also said that people who use the service might retain their own G.P. if they want to. The manager stated that there is also good health care support from other practitioners, which include the occupational therapist, physiotherapist, dietician, opticians, chiropody and the dietician and speech and language therapist. The manager stated that the home has the support of a local pharmacy for all their medication needs. We observed that blister packs are used and their supplies are delivered every month. The manager stated that as part of their quality system the pharmacist visits the home every year to do an audit. The manager told us that privacy and dignity is a topic discussed on induction for all new staff. This subject is also discussed during staffs’ regular supervision sessions and yearly appraisal. Staff were observed to be knocking on doors prior to entering and the preferred name of people who use the service was documented in the care plans. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 11 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 & 15 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. Social and recreational activities meet the people who use the service expectations and they receive a varied diet according to their assessed requirements and choice. EVIDENCE: The manager stated that the home has a full time activities organiser who arranges a variety of events which include large group activities and one to one for the less able. A relative of a person that uses the service stated ‘there is a good range of services and activities offered. Parties are organised which include family and friends of the residents’. Another stated ‘During my mothers last years the therapist found suitable poems to read to her and discussed literary topics to stimulate her mind’. On the day of the site visit we observed many family and friends visiting the home. The manager stated there are no restrictions on visiting. One relative stated ‘they have helped mother make phone calls whenever she found it difficult’. Most relatives and people who use the service stated that their Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 12 families visit regularly at least two to three times per week. Visits are arranged in the mini bus every month and the manager said this was very popular. On special occasions schools will visit to entertain the people who use the service and the manager said this was usually at Easter and Christmas. The manager told us that the people who use the service are given choice in all that they do. They are asked when they would like to get up and where they would like to eat their meals. A survey form returned to us stated that her mother requested not to be bathed by a male carer and this has happened ever since. The home employs a full time chef and another chef to cover days off and annual leave. We observed the lunchtime meal and people who use the service all said they were enjoying their meal and had been given choice. On the day of the visit lunch was fish and chips but alternative was available and a soft diet for those requiring this. Survey forms returned to us also stated that the food was of a good quality and in plentiful supply. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. The people who use the service are protected by the homes complaints policies and safeguarding procedures. EVIDENCE: The manager stated that the home keeps a complaints log but she has received no complaints since the last inspection. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Survey forms returned to us all stated that they knew how to make a complaint and one reply stated ‘there are notices clearly displayed which sets out exactly what one should do if a complaint is necessary’. We observed that the home has the local authorities procedures for safeguarding adults and the homes own policy follows these procedures. The manager stated that the home has had no referrals under these procedures since the last inspection. Documentation observed by us demonstrated that staff have had training in safeguarding adults and this takes place regularly. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. People who use the service live in a well-maintained environment, which was clean and hygienic. EVIDENCE: The manager and her staff encourage the people who use the service to see the home as their own home. Rooms have been personalised and the communal areas are well decorated. A comment received on a survey form stated ‘they make the place feel comfortable and make it feel like a home from home as much as possible’. It was observed that there was a good selection of hoists and variable height beds, which meets the needs of the people who use them. The bedrooms have en-suite facilities and communal bathrooms are also available. The manager employs a full time maintenance person who is responsible for the repairs and painting of the home. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 15 The people who use the service have access to a safe well maintained garden, which the manager said in good weather is well used and table, chairs and shade was available for their use. We met the laundress who had recently come into post. She had a good understanding of infection control procedures and had received training. This ensures that people who use the service are kept clean and their clothes hygienically washed. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of people who use the service. EVIDENCE: In conversation with the manager and observation of the staff rota it was apparent that the home has sufficient numbers of staff to meet the needs of the people who use the service. The manager stated that she looked at the skills, gender and age to ensure a good mix of staff on the rota and that there was extra staff at peak times of the day. The manager stated that the home rarely uses agency staff and that all night staff are waking. A survey form returned to us stated ‘the staff show great awareness of people’s needs and show this with a kindly gentle manner in all their dealings with residents’. Another comment was ‘there appears to be a very low staff turnover’. The manager stated that staff are encouraged to participate in the national vocational qualification (NVQ) training available and more than 50 of the staff have this qualification at level 2 or 3. A survey form returned to us said ‘as well as employing appropriately qualified staff the home also has a NVQ training programme’. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 17 We sampled two staff recruitment folders and found that all the necessary documentation to enable the home to employ staff were in place. A pre-inspection questionnaire was returned to us, which showed us the training that has taken place in the last twelve months. The manager stated the training included medication, management of aggression, wound care and care of the dying. Mandatory training had also taken place and this included moving and handling, food hygiene and safeguarding adults. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 18 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 & 38 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including visits to this service. The management and administration of the home is based on openness, has effective quality assurance systems developed by a qualified competent manager. EVIDENCE: The manager has been in post for five years and has the necessary qualifications and experience to run the home effectively. A deputy manager supports her and they work closely together. The manager stated she has an open door policy and during the site visit we observed relatives coming to the office to speak with the manager and people who use the service keen to speak with the manager. A survey form stated ‘I have always found the staff Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 19 friendly but particularly the manager’. Another said ‘Matron is always available with an open door policy. She is welcoming and can discuss care and exchange information’. The manager stated she has an effective quality audit system in place. Resident meetings are held regularly and minutes kept. The manager stated that any problems are acted upon as they arise which contributes to the lack of complaints that she has received. The managers stated that no service user manages their own finances but the home provides a personal allowance account. All transactions are documented and individual records kept and all receipts are kept. All necessary health and safety checks have taken place and we looked at the records provided on the pre-inspections questionnaire and also spoke to the manager. All certificates are current and no health and safety issues were identified by the manager during the site visit. Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Springfield House DS0000013352.V333121.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 DS0000013352.V333121.R01.S.doc Version 5.2 Page 23 - 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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