CARE HOME ADULTS 18-65
Springfield House Perrancoombe Perranporth Cornwall TR6 0JA Lead Inspector
Lynda Kirtland Unannounced Inspection 1st February 2007 09:30 Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 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 DS0000062591.V329175.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 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 DS0000062591.V329175.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Springfield House Address Perrancoombe Perranporth Cornwall TR6 0JA 01326 371000 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) mail@dcact.org Spectrum Miss Louise Margaret Warrell Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Springfield is a care home providing accommodation and care for up to five adults with a learning disability. The registered provider is Spectrum, an organisation that provides specialist services for people with Autistic Spectrum disorders. Spectrum employs a manager, who is registered with the Commission and a team of staff to run the home on a day-to-day basis. External, on-call managers are available to provide specialist input, support and advice where necessary. The home is located in the village of Perrancombe on the outskirts of Perranporth, a large seaside village with a variety of shops and a popular beach. There are shops within walking distance of the home and the home has a vehicle to provide transport for service users who need to access resources in the wider community. The home is a two-storey building. All the bedrooms have en suite bathroom facilities. There are good facilities for staff sleeping in and the home has a dedicated office on the first floor. Most of the bedrooms are on the first floor, with one on the ground floor. Access arrangements could be made suitable for service users with physical disabilities if necessary. The home has a large lounge/ dining area with French doors leading off onto a paved patio area and extensive gardens. The upper part of the garden is securely fenced. The home has ample parking space at the front of the building. There is a communal kitchen and ample storage space in the home. Laundry facilities are located in a separate area to the kitchen and dining facilities. The fees range from approximately £1950 to £5000 per week Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a key inspection, which was unannounced. It took place on 1st February 2007 and lasted for approximately seven hours. The purpose of the inspection was to ensure that service users’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that service users’ placements in the home result in good outcomes for them. Information received from and about the home since the previous inspection has also been taken into consideration in making judgements about the quality of outcomes for the service users living there. The inspection included meeting with all four of the service users currently living at Springfield House. Members of staff were interviewed and there were opportunities to directly observe aspects of service users’ daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with the registered manager. The principle method of inspection was “case tracking”. This involves interviews with a select number of service users; staff caring for them and examination of records relating to their care. This provides a useful impression of how the home is working for service users overall. One service user was case tracked in detail at this inspection. Springfield House is registered to provide care and accommodation for up to five Service users, however they currently provide this service to four residents. The Registered Manager stated it is not envisaged at this stage that the fifth placement will be occupied. What the service does well:
The four service users living in the home have been there for several years and are very familiar with the services it provides. They have written information about it, which they are all able to access easily. They generally get on well with each other and the home operates like a shared domestic dwelling with staff support provided where it is needed to assist them to develop and maintain their skills and independence. One Service user said “it’s lovely here” and another “I like it here”. Assessments prior to moving into Springfield House are undertaken and based on the individuals health, social and personal care needs, including needs relating to their religious, ethnic and cultural backgrounds, to ensure they can be met in the homes setting. Transitional work is undertaken when a service user moves from another Spectrum home to Springfield House. Service users are encouraged and supported to develop their skills and independence in many ways. They are involved in developing their own care plans with assistance and support from staff. Service users attend reviews regularly, so that they know why they are placed at the home and what aspirations they are aiming to achieve e.g. developing a particular element of
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 6 self-care to promote their skills and independence. They have opportunities to make decisions about important aspects of their lives, with assistance from staff, if they need it and are supported to take risks so that they can enjoy fuller and more active lives in and out of the home. Service users have clear information on what is expected of them and their rights as residents of a care home. They are aware, for example, that they will be expected to help out with household tasks such as cooking and cleaning, so that they can develop their skills and independence and know what to do if they wish to make a formal complaint about something they do not like. Lunchtime was observed during the inspection, which showed that service users had a choice of lunch. Service user ate their lunch with staff in a relaxed atmosphere and was a social occasion. Service users take it in turns to choose menus and buy food for the household and help staff to prepare the main evening meal. They have free access to the kitchen so that they can make drinks and snacks for themselves when they wish and are encouraged to live and eat healthily. Service users are appropriately supported with their personal care so that they maintain their dignity. Staff were observed to assist service users with their needs quietly and unobtrusively. The home’s environment is suitable for the service users living there. It was clean and tidy throughout at the time of the unannounced inspection. The home’s staff team has sufficient numbers of qualified staff to meet service users’ needs and they have access to regular training to maintain their knowledge and skills. Newly appointed staff confirmed they had a comprehensive and valuable induction to Spectrum. Staff confirmed access to training is available. The home is well managed by an experienced and competent manager. Staff were complimentary about her management style and stated they could approach her with ideas or concerns. Service users appeared comfortable in her presence. The inspector was welcomed to the home in a friendly manner by staff and service users. All were aware of the reason of the inspection. What has improved since the last inspection?
The previous inspection did not identify any statutory requirements. Recommendations were identified, two specifically in the areas of staff training. The Registered Manager and staff confirmed that they have all attended training courses in the safe handling of medicines, basic food and hygiene and infection control courses. Recommendation to ensure that a stock of dissolving sacks for the safe transport of heavily soiled laundry has been purchased to promote infection control throughout the home.
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 7 A recommendation to update the homes procedure of vulnerable adults from abuse has been undertaken. Staff are aware of this policy. The Registered Manager confirmed that the Management team at Spectrum are continuously reviewing all Spectrums policies and procedures. The Registered Manager stated that she felt that the stable staff team has had a positive effect on Service users and on staff morale. Service users experiencing less anxiety have evidenced this. The Registered Manager said she felt relationships with relatives have also developed positively and believes relationships with the local community are improving. It was evident that there is a large range of activities for Service users, which the Registered Manager stated has expanded. Service users have a busy social life with a variety of activities ranging for example from sports, college, work placements, eating out, walks and attending clubs. Service users confirmed that these activities take place and that they have a choice as to which activity they wish to join in with or pursuer in the future. All activities service users engage in and the home’s environment are kept as safe as practicable for them. 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 DS0000062591.V329175.R01.S.doc Version 5.2 Page 8 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 DS0000062591.V329175.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed prior to their admission so that they can be confident it will meet their health, personal and social care needs, including needs relating to their age, religion, cultural and ethnic backgrounds, abilities, gender and sexual orientation. EVIDENCE: There have been no changes to the service user group since the previous inspection and the home’s records confirm that all the service users have lived in the home for several years. From observations and talking with service users it was evident that they are settled in the home, and that they get on well with each other and with the staff. A copy of the home’s statement of purpose and Service Users Guide is placed on the individuals file. From documentation inspected it was evident that admissions are made following a full assessment and in consultation with the service user, their family or advocate, and relevant professionals. Transitional work for the service user moving into the home is undertaken in a planned manner and at the service users pace. Staff confirmed that the current resident group views on a new person coming to live at the home are taken into consideration.
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are aware of their care plans, which fully address their health, personal and social care needs, including needs relating to their individual and diverse backgrounds (age, religion, culture and ethnicity, abilities, gender and sexual orientation). They are able to take safely managed risks and make important decisions about their lives so that they develop their skills and independence. EVIDENCE: Service users, their family, advocate and relevant professionals are involved in the development of individual care plans and their subsequent reviews. The reviews record service users views so that they are aware of the purpose of their placements in the home and are able to contribute to the ongoing care planning process. The care plan has specific headings to address their health, personal and social care needs, including their individual and diverse needs. These are in written form plus in Widget (pictorial) form. Care plans provide service users with specific goals to work towards, and inform and direct staff in how to support the service user to achieve this goal to encourage them to fully maximise their skills for independent living. New staff to the home confirmed
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 11 they were able to understand the care plans and that the detail of how to assist in a particular task allowed consistency of care. Service users participate in making decisions about important aspects of their daily lives, according to their individual abilities and this was observed during the inspection. Staff were observed supporting service users who required it, to make decisions about what to do during the day. Service users’ written care plans formally consider their abilities to make decisions for themselves and daily care records provide further evidence of the choices they make in their daily lives. Service users can choose the level of privacy they wish to enjoy in their private accommodation. Service users are able to take managed risks, backed up with written risk assessments and risk management plans, particularly with regard to their engagement in higher risk activities. Service users monies could not be inspected on this occasion as they were being audited at Spectrum Headquarters. In addition the Registered Manager said that the policy had been amended as per previous recommendation but she was unable to locate it. She did arrange for a copy to be sent on which it was. However at all times a copy of this policy must be available in the home. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in a wide range of activities in and out of the home, which are appropriate to their ages, individual needs, interests and cultural backgrounds so that they develop their skills and confidence. They are supported to maintain valued social and family relationships so that they are not isolated or institutionalised. They are informed of their rights and responsibilities so that they are aware of what is expected of them. They are provided with a wholesome and varied diet so that they enjoy their meals and stay healthy. EVIDENCE: Service users’ care plans and daily care records provide good evidence that their interests and abilities are fully considered in planning their daily activities, which are planned with them individually. This is then displayed in either word or widget formation so that service users can follow their routine more easily. Some activities include assisting them to access voluntary employment opportunities and college, for example. Service users said that they are
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 13 satisfied with the activities provided for them and were able to explain the ‘token economy system’ that is in place. Each service user has a daily chart, when they have had a ‘good day’ they receive a letter which will spell out their chosen reward for that day i.e. Photo, burger. When the word is spelt out then the task is put into practice. After 31 ‘good days’ then a further ‘treat’ is undertaken which the service users has chosen i.e. Karaoke night. At the time of the inspection service users were engaged in a variety of different and appropriate activities in and out of the home, with staff support provided as necessary. Service users’ daily care records show that they access a wide range of community resources with staff support, depending on their individual needs and abilities. All of the service users maintain valued relationships with their families and friends, with staff support as necessary, which their daily care records confirmed. They are able to make telephone calls in private if they wish Service users are supported and encouraged to eat healthily. They undertake shopping, planning for and preparing meals with assistance from staff. In addition service users have a rota for washing up, drying up, setting the table or having a night off. From a lunchtime observation it was evident that service users choose what meal they wanted, assisted in its preparation, setting the table, and that eating with staff was a social, relaxed and usual occasion. Nutritional needs and preferences are considered as part of the care planning process. Service users take it in turns to choose the main meal each day and a week’s menu is on display. All the service users looked healthy and well nourished. The home has an ordinary, domestic kitchen, which they can access freely, to prepare drinks and snacks when they want them. Fresh fruit was available at all times. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ personal and healthcare needs are well met so that they are able to live full and active lives in and out of the home. There are systems in place to support them with medication. EVIDENCE: Service users’ individual care plans address their personal care needs. The Registered Manager confirmed that if a service user requested a particular staff member to undertake intimate care this would be listened too and where possible acted on i.e. dependent on if that staff member was on shift. Each service user appeared to be attractively and fashionably dressed and were well groomed so that they can comfortably take part in community life. The home has suitable bathroom facilities so that they can attend to their personal care in private. Service users’ care plans also consider their healthcare needs. There are separate healthcare records for each of them, which indicate that they access a range of healthcare services, according to their individual needs. Staff interviewed during the inspection confirmed this and commented that there is a good relationship with the health professionals.
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 15 There are satisfactory facilities for storage of medicines and records appeared to be accurate. Service users in this home are on low levels of medication. A recommendation was identified at the previous inspection for all staff to undertake the safe handling of medication course; this has been complied with, confirmed by staff and certificates of attendance seen. The written procedures to guide staff on how to safely administer medicines were available. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are listened to and respected so that their views, concerns and complaints are taken seriously and acted upon. There are formal and informal systems in place to ensure that they are able to feel safe in the home. EVIDENCE: All the service users were encouraged to speak to the inspector if they wished in private or with staff present so that they could make their views known or raise any concerns. It is acknowledged that this was the first time they met the inspector but they remembered the previous inspector and what her role was. Each service user is provided with written copies of the home’s formal complaints procedure and has formal and informal opportunities to raise any concerns with staff before they become serious complaints. They expressed satisfaction with the care and services provided to them at the home, comments such as “it’s lovely here” and “I like it here” were made. The home has received seven complaints in the last year that the home has investigated and CSCI have been made fully aware. These have been unfounded and the home is attempting to forge more positive community relationships. There have been no complaints received from service users, their representatives or professionals about the day-to-day care of service users at Springfield House. The home has written procedures to guide staff on what to do if they suspect a service user is at risk of abuse. These have been updated and improved since the last inspection. There are records to show that staff are recruited on the basis that they are suitable to work with vulnerable adults in a care setting and
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 17 appropriate checks are made. Service users are not isolated in the home, but take part in a range of activities in the local community and have relationships with people from outside of the home that they can communicate serious concerns to. Spectrum has a whistle blowing policy. The Registered Manager has attempted to gain a place on the Multi Disciplinary Adult Protection course, but as it is oversubscribed she has not managed to gain a place on it yet. Therefore this recommendation remains ongoing. In addition at the time of the inspection the Registered Manager had an old copy of the Multi disciplinary procedures when this was noted she immediately organised for an updated copy to be forwarded to her. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s environment provides service users with an ordinary, domestic setting so that they can develop their skills and independence in a noninstitutional setting. It is safe and clean so that service users are protected from risks of cross-infection. EVIDENCE: The home looks like an ordinary, domestic dwelling. It is well decorated and comfortably furnished throughout and all the service users said that they liked living there. The home appeared clean and tidy throughout at the time of the inspection, which was unannounced. Previous recommendations for staff to attend basic food hygiene, and infection control have been complied with as well as ensuring that dissolving sacks for the safe transport of laundry throughout the home is now in practice. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, 35 . Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have ready access to ongoing training so that service users can have confidence in their knowledge and skills to work with them in a competent manner. Staff are recruited on the basis of fair, safe and effective recruitment and selection policies and practices so that service users can have faith that they are suitable to work in a care setting. Staff attends regular supervision to ensure ongoing care practice and training needs are effectively monitored and managed. EVIDENCE: Records of staff qualifications indicate that seven staff have completed NVQ at a minimum level 2, two staff members are awaiting verification and four staff members are in the process of nearing completion. The Registered Manager stated all staff are working to achieve the NVQ 2. The majority of staff have recently attended first aid training, all have completed food hygiene and moving and handling training. Eleven staff members have completed a Makaton course. Spectrum provides an annual programme of training courses, which staff confirmed they are encouraged to attend. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 20 From observations of staff interaction with service users it was evident that they communicate with Service users in a competent, fair, patient manner and work with the service users at their pace. The inspector attempted to look at staff recruitment records. However on the day of inspection the computerised system was slow and therefore only one newly appointed member of staff was inspected. This member of staff had been working for another Spectrum home and had been promoted. Due to this the inspector recommended that a further CRB was undertaken as she is now employed in a different post. The Registered Manager agreed to address this immediately. From inspection of this staff members file, all others records appeared to be accurate in accordance with equal opportunities legislation. Interview records indicate that they are selected on their suitability to work in the care sector. It was noted that Service users are not currently involved in the recruitment process but newly appointed staff felt that service users views were being sought during her probationary period of work. The Registered Manager stated that Spectrum organisation is considering how service users can be involved in this process. Staff training records indicates that they undergo induction training on commencing work with Spectrum and have good access to ongoing training so that they can update their knowledge and skills continuously during their employment. A staff member who was interviewed confirmed this. Staff, confirmed by documentation, stated that there is regular formal supervision. Staff found this to be beneficial. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,40,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is competently managed for the benefit of Service users. There are formal and informal systems in place to ensure that service users’ views are taken into account in the ongoing management of the home. The home is maintained to a good standard to ensure that it is safe for all those who live, work and visit the home. EVIDENCE: The Registered Manager has gained the RMA and NVQ 4 in care. All staff spoke highly of her skills and felt that she was approachable and listened to their ideas or concerns. From observations service users communicated with the Registered Manager in a relaxed manner. Spectrum has a quality assurance process, which involves collating views of Service users, their relatives, advocates, professionals and staff. This is
Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 22 included in the care planning process and its reviews as well as more generalised monitoring of the service. Currently Spectrum is gaining views from its entire staff. In addition the homes have a monthly monitoring process, known as regulation 26 and these reports are sent to the Commission. The home’s environment appeared safe and there are written individual environmental risk assessments in place to minimise risks to service users staff working in the home. Records of fire safety equipment tests evacuations occur regularly. Maintenance of the home and its equipment inspections undertaken by Environmental health are all satisfactory. and and and and Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 2 Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 24 No 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. 1 Standard YA34 Regulation 19 (7)(b)(8) Requirement A CRB must be gained when a staff member is promoted within the organisation. Timescale for action 30/03/07 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. 2 Refer to Standard YA7 YA23 Good Practice Recommendations The homes written policies and procedures in respect of handling and managing service users personal finances should be available at all times in the home. Staff and managers should undergo multi-agency training in the protection of vulnerable adults from abuse to enhance their knowledge and skills of working together with key agencies involved in this. This is re notified to you. The registered manager should draw up a business and financial plan for the home in accordance with the National Minimum Standards. This is re notified to you. The homes annual development plan should be completed to demonstrate how Service users views and those of their representatives contribute to the ongoing development of
DS0000062591.V329175.R01.S.doc Version 5.2 Page 25 3. 4. YA43 YA39 Springfield House the home and services provided to them. This is re notified to you. Springfield House DS0000062591.V329175.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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
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