Inspection on 04/10/05 for Springfield House

This inspection was carried out on 4th 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 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 05/11/09

Springfield House 27/10/08

Springfield House 19/09/06

Springfield House 20/02/06

Springfield House 14/02/05

Springfield House 15/09/04

Springfield House 11/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Springfield House Wheyrigg Wigton Cumbria CA7 0DH Lead Inspector Cath Wilson Announced Inspection 04 October 2005 10:30 Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 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 DS0000022611.V255664.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 Adults 18-65. 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 DS0000022611.V255664.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Springfield House Address Wheyrigg Wigton Cumbria CA7 0DH 016973 45530 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Margaret Blair Mrs Margaret Blair Care Home 3 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1) of places Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 2 people over 18 years of age with a learning disability (LD) Registered for 1 named person over 65 years of age with a learning disability (LD(E)). The registration will revert to LD ONLY when the named person is no longer in the home. 14th February 2005 Date of last inspection Brief Description of the Service: Springfield House is a former farmhouse that had been adapted to accommodate up to three people with a learning disability. Accommodation is provided in a domestic setting with service users living as part of the registered manager’s family. The home is located in a rural area and is set in its own grounds. The home provides wheelchair accessible transport. The home is registered to take up to three people with a learning disability. At present one of these is an older adult. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place during the morning and early afternoon period and two people in the home were met. The manager and senior care staff were present throughout the inspection and the inspector met with the relative of one of the residents. This inspection also included an assessment of the home’s documentation and a look around both the private and communal areas used by service users. What the service does well: What has improved since the last inspection? What they could do better: Complete the training update for adult protection and for dementia training. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 6 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 DS0000022611.V255664.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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 and 9 People in the home are provided with the support and attention they need to make choices and decisions about their lives. EVIDENCE: People are comfortable in their surroundings and supported in their individual lifestyles. There are also many communal activities that people can be involved in and there are many visits taken away from the home. The home involves specialist assistance in their ongoing support of meeting people’s needs. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14, 15, 16 and 17 Social activities and meals are both well managed, include personal choices and provide variation and interests for people living in the home. EVIDENCE: People are provided with appropriate personal care and support in a manner that maintains their dignity. Arrangements are in place for contact to be maintained with family members. A relative informed the inspector that the home is a comfortable and welcoming place to visit. People’s individual preferences are recorded and the manager and staff are fully conversant with these. Personal choices, likes and dislikes are catered for and meal times whether these are taken in the home or in the community respected. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 The manager and staff have detailed knowledge pf people’s needs and requirements. This greatly limits any possible or potential risk to people in the home. EVIDENCE: People’s personal, social and health care needs are recorded and the manager and staff have been committed and supportive in attending to people’s individual needs. These needs are also supported by community health and social care staff. Medication is securely stored and administered. The manager is presently reviewing the policy and procedure regarding this. The manner in which people’s health and personal care is provided shows that at the time of this inspection people are protected and safeguarded. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home has been provided with information about vulnerable adult procedures and the manager and staff are aware of these matters to protect people in the home. EVIDENCE: The manager and staff have been provided with the appropriate information regarding adult protection. They would greatly benefit from training in these matters and informed the inspector they will contact their training assessor regarding this. Staff training regarding this will ensure the continued protection of people in the home. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 People are provided with a safe and comfortable environment. EVIDENCE: The home provides a comfortable and homely place that is well maintained and clean. The manager and staff are currently arranging the re-assessment and purchase of a hoist in the bathroom with the involvement of the occupational therapist to ensure that this is safely and appropriately managed. People’s bedrooms are arranged in the way they want them and are supported by staff in doing this. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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 and 36 People in the home are supported by the manager and staff who have their interests uppermost and who have training and experience to meet their needs. EVIDENCE: There was evidence to show that the home continues to have effective staff that are experienced and trained in meeting people’s needs. The manager and staff are knowledgeable about people’s individual needs and wishes and provide care that people are comfortable with. Staff are involved in ongoing training and development programme to enhance their skills to meet the needs of residents. Staff supervision is undertaken regularly and records of these are kept. In addition to arranging training for staff in adult protection matters there is also the need to update staff training in dementia which the manager is attending to. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 40, 41 and 42 Service users benefit from a well run home that safeguards their rights and best interests. EVIDENCE: The manager and staff have very informative and detailed information regarding people’s personal matters and the home’s practices and procedures. The home, although organised and orderly is arranged in a homely and relaxing manner with people’s individuality respected. The records assessed during the inspection also ensured that people’s confidentiality is also respected. Health and safety matters are appropriately recorded and dealt with. Springfield House DS0000022611.V255664.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Springfield House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X X 3 3 3 X DS0000022611.V255664.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? 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 DS0000022611.V255664.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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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