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Inspection on 18/01/06 for Springfield House Nursing Home

Also see our care home review for Springfield House Nursing Home for more information

This inspection was carried out on 18th January 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The care planning records were well documented and ensured that staff had clear information about the needs of the service users and how to meet those needs very well. Health care records in particular were very good and a high standard of nursing care was evidenced from these. Service users stated that they were very happy in the home and were very complimentary about the staff. The environment was safe, clean and accessible for the service users and bedrooms were bright and homely. Overall, the home was well-maintained and provided a pleasant environment for the service users. Very good systems were in place to protect the financial interests of service users and were found to be thorough and robust. Service users were also protected well from the risk of abuse and the health, safety and welfare of the service users and staff was protected and promoted.

What has improved since the last inspection?

One of the dining rooms had been improved and was seen to be more homely and comfortable. Two new toilets had been fitted and new flooring had been laid in several rooms. There had also been new furniture in some bedrooms which included whole bedroom suites and an addition of eight new nursing beds. Broken soap dispensers in toilets and bathrooms identified at the previous inspection had been replaced.

What the care home could do better:

No requirements or recommendations were raised as a result of this inspection.

CARE HOMES FOR OLDER PEOPLE Springfield House Nursing Home Oaken Nr Wolverhampton West Midlands WV8 2EE Lead Inspector Lynne Gammon Announced Inspection 18th January 2006 09:30 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 Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 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 Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfield House Nursing Home Address Oaken Nr Wolverhampton West Midlands WV8 2EE 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) 01902 847272 01902 844022 Springfield House (Oaken) 2001 Limited Mrs Lynda Warden Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (36) of places Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. It is a condition of the registration that the number of persons received into the Home shall be over 60 years 18th August 2005 Date of last inspection Brief Description of the Service: Springfield House Nursing Home was opened in 1995 sharing the site with a residential facility and Four Seasons Health Care headquarters, accommodating thirty six elderly service users; offering twenty-four hour nursing care for long and short stay visits. The home is set amidst outstanding Staffordshire countryside, convenient for public transport and the local village of Codsall, a few miles from Wolverhampton. Four Seasons Health Care, one of the largest independent care providers in the UK, operates the home offering a high standard of nursing care with maximum comfort and security, in a pleasant and safe environment. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on 18th January 2006 at 9.30 am. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to six hours. The inspection included a tour of the building, inspection of records, observation, and discussions with service users and staff. What the service does well: What has improved since the last inspection? One of the dining rooms had been improved and was seen to be more homely and comfortable. Two new toilets had been fitted and new flooring had been laid in several rooms. There had also been new furniture in some bedrooms which included whole bedroom suites and an addition of eight new nursing beds. Broken soap dispensers in toilets and bathrooms identified at the previous inspection had been replaced. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 6 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 Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 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 Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 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): 1, 2 and 4 Potential service users received detailed information about the home and the service it provided to make an informed choice about the suitability of the home for them. Each service user had a contract with the home and they were assured that the home could meet their assessed needs before moving into the home. Prospective service users and their relatives were able to visit the home prior to moving in. EVIDENCE: The inspector examined the home’s Statement of Purpose and Service User Guide. The literature was held within a professional folder and found to contain all of the required elements to provide service users with a clear understanding of the service provided at Springfield House Nursing Home. This included: a copy of the recent inspection report, company profile, philosophy of care, care planning and review, consultation, complaints procedure, etc. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 9 Copies of both terms and conditions for social services and privately funding clients were seen. Both contained details of the terms and conditions of admission and residency. These included: fees and the scope of the fees, those items/services not included in the fees, termination conditions, personal finances and belongings, etc. From discussions with staff and service users it was clear that prospective service users and their relatives were able to visit and determine the suitability of Springfield House to meet their needs. Service users were admitted for a trial period to allow all parties to determine whether the home was an appropriate placement. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 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 and 11 The care planning processes were very well documented and provided staff with sufficient details to have a clear understanding of service user’s needs. All health care needs were met and service users had access to a range of health professionals. A resuscitation policy was being considered and would ensure that individual service user needs in terms of death were clear. EVIDENCE: Individual care plans were examined and seen to include all aspects of health, personal and social care. They were detailed and informative enabling staff to have a clear understanding of needs, how those needs should be met and were reviewed monthly. Risk assessments were carried out for each individual service user, well documented and also reviewed monthly. Records evidenced that service users received visits from other health professionals and that health care needs were assessed and met very well. The Regional Manager confirmed that a resuscitation policy was in the process of being considered by the company to provide clarity regarding end of life needs for the service users and their families when and if required. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Service users were observed making their own decisions over their day-to-day lives and received a nutritionally balanced and varied diet in pleasant surroundings. EVIDENCE: Throughout the inspection, it was observed that service users were enabled and supported to make choices and have control over their lives. Service users were observed making their own decisions and some of them chose to eat their lunch in their bedrooms; staff were seen to support this request. Catering standards were very good and all the documentation regarding food probe temperatures and fridge and freezer temperatures were seen to be upto-date and correct. Lunch was served during the inspection and appeared to be well presented, nutritious and balanced. Service users who required assistance to eat were treated in a discreet and respectful manner. A choice of menus was available and the food storage areas were clean, tidy and well stocked. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 12 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, 17 and 18 A comprehensive complaints procedure was in place and service users felt listened to and their views taken into account. Service users were able to participate in the electoral process and were protected from abuse by staff training on abuse awareness and knowledge of the home’s Adult Protection procedure. EVIDENCE: The Commission nor the home had received any formal complaints since the last inspection. Discussions with service users confirmed that they were happy that if they did have any complaints, they would be dealt with quickly. It was confirmed that each year registration forms were received from the Local Authority and were completed by staff for each service user to ensure that they could participate in the electoral process if they so wished. No incidents or allegations of abuse had been received by the home or the Commission for Social Care Inspection. The home had an Adult Protection procedure and all staff had recently received training in the protection of vulnerable adults in November 2005. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 13 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): 23 All other standards had been inspected at the last inspection and were, overall, found to be satisfactory. The layout of bedrooms was such to meet the needs of the service users and the communal areas, both external and internal were well maintained. EVIDENCE: The dimensions and layout of the bedrooms provided accessible room to meet the needs of the service users. Shared rooms were only occupied by no more than two service users who had made a positive choice to share with each other. One of the dining rooms had been improved and was seen to be more homely and comfortable. Two new toilets had been fitted and new flooring had been laid in several rooms. There had also been new furniture in some bedrooms which included whole bedroom suites and an addition of eight new nursing beds. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 14 Broken soap dispensers in toilets and bathrooms identified at the previous inspection had been replaced and the home was very clean with no malodour in any area of the home. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 15 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 and 30. Staff were qualified and competent to do their jobs and ensured that service users were in safe hands at all times. EVIDENCE: The registered manager stated that in addition to the trained nurses working within the home, the qualifications of the care staff included: two staff members in the process of completing NVQ Level 2 in care, two had already achieved this and two members of staff had applied to do the training. In total there were 10 care staff and once the current applicants had completed NVQ Level 2, the home would have more than 50 of its care workers trained to NVQ Level 2 or above. The inspector examined the records of the type and frequency of training undertaken by the staff within the home. Training records included the following: Manual Handling January 2005, Basic Food Hygiene September 2005, Protection of Vulnerable Adults November 2005, Fire Safety Awareness November 2005, and First Aid and Infection Control training was planned over the next few weeks. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 16 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): 32, 33, 34, 35, 37 and 38 There was an open and positive atmosphere within the home for the benefit of the service users. Service users were encouraged to attend group meetings to effectively contribute to the running of the home. Financial recording within the home was robust to safeguard the financial interests of service users and also for the protection staff. Records were stored safely and securely and the health, safety and welfare of both service users and staff were protected. EVIDENCE: There was an open and friendly atmosphere in the home and the service users and staff benefited from an inclusive and approachable management style in the home. Records showed that service users and relatives were involved in the care planning processes and signed the relevant care plans as evidence of this. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 17 Residents meetings took place regularly and minutes from these meetings were seen and showed that service user views were taken into account and appropriate action taken. An annual questionnaire also took place and the last one undertaken in August 2005 was a very clear, easy to understand and complete survey of service user satisfaction. A summary of comments made by service users and their representatives evidenced a high level of satisfaction of the service provided and the staff, with very positive comments overall. Records of service user’s personal allowances were examined and found to balance with monies held. Receipts were seen for each financial transaction undertaken in the home and when responsibility for valuables transferred from service user or relative to the home and vice versa. Records for the protection of service users, individual records and home records were seen to be secure, up to date and in good order. Policy and procedural documentation was inspected and found to be extensive and informative. The inspector examined a range of records and documentation, which evidenced that the health, safety and welfare of service users and staff were protected. Fire safety records showed that the fire alarms and fire extinguishers service check took place in April 2005, a fire drill had taken place on 03/11/05 and the fire alarm was tested weekly. An Environmental Health Inspection had taken place on 21/03/05 and most requirements from that inspection had been actioned, the gas and central heating service was carried out on 06/06/05, water tanks had been chlorinated in October 2004 and the regional manager confirmed that this would be booked to be carried out as soon as possible within this month. The electrical wiring certificate was issued on 15/04/00, the emergency lighting was checked on 11/10/05, the lift was serviced on 04/08/05 as well as the hoists on the same date, and the emergency call system was serviced on 11/10/05. Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 18 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 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X 3 X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 3 X 3 3 Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 19 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 Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springfield House Nursing Home DS0000022375.V278586.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!