CARE HOME ADULTS 18-65
Springfield House Perrancoombe Perranporth Cornwall TR6 0JA Lead Inspector
Lowenna Harty Announced Inspection 8th November 2005 09:00 Springfield House DS0000062591.V253118.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 DS0000062591.V253118.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 DS0000062591.V253118.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Springfield House Address Perrancoombe Perranporth Cornwall TR6 0JA 01326 371000 01326 371099 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) Spectrum Miss Louise Margaret Warrell Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th May 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 and a team of staff to run the home on a day-today 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 and the home has vehicles to provide transport for service users to access a range of facilities and services in the wider community. The home is a two-storey, modern, detached house. All the bedrooms provide service users with en suite bathrooms and there is additional accommodation for staff to sleep in overnight. The home has a dedicated office and ample communal space for service users, including a large, private garden, accessible by French doors from the main lounge/dining room. There is a communal kitchen and ample storage facilities. Laundry facilities are sited separately to the kitchen and dining room. There is one bedroom on the ground floor and the home could be adapted to meet the needs of people with physical or sensory disabilities, if necessary. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on 8 November 2005 and lasted for approximately six 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. The inspection focused on an inspection of the premises, examination of care, safety and employment records and discussion with the registered manager. A staff member was interviewed and there were opportunities to observe the daily life of the home and staff interaction with the service users. The registered manager completed a pre-inspection questionnaire prior to the inspection, which provided useful information on key aspects of the home’s operation to inform the inspection process. Two relatives returned comment cards direct to the Commission, prior to the inspection, providing their views on the quality of the services provided at the home. Four of the service users were interviewed. The fifth was out at their college placement at the time of the inspection. Service users were either interviewed alone or with the home’s manager, depending on what they preferred. The home provides a good standard of care to the service users placed there, which they confirmed during the interviews and there is evidence of ongoing work to improve it further for them. What the service does well:
Prospective service users are provided with good written information so that they and their representatives can decide whether the home is suitable for them before they move in. Admission to the home is based on detailed assessments of their health, social and personal care needs, including needs
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 6 relating to their religious, ethnic and cultural backgrounds, to ensure they can be met in the home’s setting. All of the service users have detailed written care plans, based on their assessed needs, which set out their personal goals and are regularly reviewed and updated with them and their representatives to ensure they are clear about the purpose of their ongoing placements in the home. These consider their skills and abilities to make decisions for themselves. Service users are encouraged to make choices about their weekly activities and menu plans and other aspects of their lives that are important to them, with staff assistance when they need it. Any necessary restrictions to protect their best interests are included in detailed written risk assessments, which are shared with their representatives, including independent advocates, if they wish to have them. Service users are helped to access a wide range of activities in the community so that they have opportunities to meet people outside of the home in ways that are safe for them and others. Some attend local colleges and they regularly attend social clubs and social events at other Spectrum homes or Spectrum’s head office. Senior Spectrum staff are available to provide staff with advice and guidance on how best to support service users in their relationships with other people and maintain positive contacts with their families and friends. Service users are well fed and healthy. They are encouraged to take part in shopping, preparing meals and choosing menus. Their food likes and dislikes are recorded and taken into account when planning meals. They are encouraged to take regular exercise and eat well-balanced, varied diets. Service users are encouraged to make their views known to staff and they are regularly formally consulted on the quality of the services provided to them at the home. Service users have independent advocates and or family representatives who oversee their best interests. Relatives who returned comment cards prior to the inspection indicated that they are mainly satisfied with the services provided at the home. There is a formal complaints procedure, contained in the home’s statement of purpose and service users’ guides, which has been provided to service users in formats that they can access directly, should they feel the need to do so. In practice, however, they are encouraged to state their concerns before they develop into formal complaints so that they can be directly resolved at an early stage. The home is a comfortable, modern, domestic dwelling, set in its own grounds in a pleasant, rural area. It is located on the outskirts of a large seaside town and provides a safe environment in which service users can develop their skills and independence. It was clean and tidy throughout at the time of the inspection and service users are encouraged to personalise their own rooms by choosing their furniture, soft furnishings and decoration. They all appeared to take real pride in their individual bedrooms and the home looks as if it is well looked after by them. There are systems in place to ensure that only people who are suitable to work with vulnerable adults in a care setting are employed to work at the home and they have good access to ongoing training so that they develop their knowledge and skills in the best ways of caring for the service users. The home’s manager is registered with the Commission, qualified and experienced
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 7 and generally manages the home competently, for the benefit of the service users. Records are well maintained, securely stored and ensure that service users’ confidentiality is protected. The home is well maintained and kept safe for service users, with regular tests and checks of safety equipment and systems and detailed risk assessments to protect them from fire and other hazards. Spectrum is a registered charity and provides annual reports on its business to the Commission to demonstrate the accountability of the service as a whole, to its service users. What has improved since the last inspection?
Information given to service users and prospective service users to help them to make a more informed choice about the home has improved. Their service users’ guides are available in alternative formats, which they can access directly, if they need them. Spectrum has introduced new policies, procedures and record keeping to ensure that service users are better protected from medication errors, when their medicines are retained and administered by staff. The new written guidance for staff allows for service users to take control of all or part of their medicines, if they are able to. The broken window latch on a service users’ bedroom on the first floor has been fixed and made secure for them to protect them from the risk of injury from falling and ensure their room is adequately ventilated and the downstairs room which service users make use of when they need time alone has been made more private for them. The most notable improvement has been the introduction of a computerised record system across the Spectrum organisation to ensure that the home’s manager has direct access to information about staff working in the home and can be more assured of their suitability to work with vulnerable adults in a care setting. Records of visits to the home by Spectrum’s senior managers to review the quality of the service provided there are now regularly sent to the Commission and provide a detailed and useful account of how service users’ needs are being met. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 8 What they could do better:
Written procedures for staff in relation to the management of service users’ personal finances should be reviewed and updated. Currently, they lack detail, particularly in relation to ensuring that service users’ welfare rights are protected and they are provided with choices about how they manage their personal allowances. More staff should undergo training in the safe handling of medicines to ensure that there are sufficient staff on duty who have done this, to fully protect service users from medication errors. The home’s manager should undertake multi-agency training on the protection of vulnerable adults from abuse, neglect and self-harm, which they should them cascade to all staff working in the home to ensure that they are fully informed and confident in working together with other agencies locally to protect service users from harm. The home’s written procedures to guide staff on the protection of vulnerable adults from abuse should be reviewed and updated, to fully reflect current and best practice and enhance existing in-house training provided to them. Whilst staff have good access to ongoing and regular training, training in basic food hygiene and infection control should be prioritised to ensure that service users are well protected from the risk of food borne and other infections and there are sufficient numbers of trained staff to cover the home at all times. There should also be a stock of dissolving sacks available for the transport of heavily soiled laundry through the home at times when this is necessary, to protect service users and staff from infection risks. The registered manager should complete the home’s annual development plan, to include the views of service users and their representatives in the ongoing plans for development of the home and services provided there. Spectrum is in the process of reviewing and updating all its written policies and procedures to guide staff in their day-to-day work with service users in the home. This work should be completed so that staff are fully informed on how to work effectively with service users, in accordance with best care practices. The registered manager should complete the home’s annual business plan, in conjunction with the annual development plan so that service users’ views and those of their representatives are fully accounted for in ongoing plans for the development and improvement of the service. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 9 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 DS0000062591.V253118.R01.S.doc Version 5.0 Page 10 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.V253118.R01.S.doc Version 5.0 Page 11 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): 1&2 Prospective service users are given enough information to help them to decide whether the home is suitable for them. Admission to the home is based on an assessment so that they can be sure their needs can be met there. EVIDENCE: The home’s service users’ guide, which also functions as a statement of terms and conditions for service users, provides prospective service users with useful information about the home. Copies of the home’s statement of purpose and service users’ guides were sent to the Commission with the pre-inspection information, prior to the inspection. Both these documents are informative and the service users’ guide has been translated into formats that service users can access directly. The service user most recently admitted to the home was provided with good information about it, before moving in, including opportunities to visit and meet the other service users. There are clear records of this on their personal file in the home, including a copy of their service users’ guide in a translated format. The home’s statement of purpose clearly states that admission is on the basis of assessment to ensure that only people whose needs can be met there are admitted. One new service user has been admitted to the home since the previous inspection. There is in-depth assessment information on their personal file, which clearly sets out their needs, including a detailed risk assessment. The home’s registered manager completed the assessment with the service user, which has been shared with their placing authority Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 12 representative, family representatives and will be shared with their advocate when they visit in the next few days. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 13 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): 6&7 Service users have detailed individual care plans, which reflect their needs and personal goals. They are able to make decisions about most issues that affect them although a specific area in which this could improve was identified at the inspection. EVIDENCE: Copies of service users’ individual care plans are held on their personal files. Care plans address all their personal; health and social care needs and are translated into meaningful formats for them to follow up on a day-to-day basis. Care plans are shared with service users and/or their family or placing authority representatives and reviewed at least six monthly, with records held on their files. They are detailed and set out service users’ immediate, intermediate and long-term needs, including needs relating to their religious and cultural backgrounds. Service users’ care plans consider their skills in making independent choices. Staff work with them individually to help them to choose their activities for each week and decide on menu plans for the household. Any necessary restrictions on them, to ensure their safety, are included in detailed written risk assessments. Copies of these are sent to service users’ representatives for agreement, with records held on their personal files. Service users’
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 14 management of their personal finances is considered as part of the care planning process on an individual basis, but there is no overall written policy or procedure that fully accounts for their differing financial circumstances or welfare rights issues. This is needed, to guide the home’s manager and staff so that they can effectively protect service users’ rights and best interests. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 15 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): 15 & 17 Service users are helped to maintain and develop appropriate family and personal relationships in accordance with their rights and best interests. Service users are well fed so that they remain healthy. EVIDENCE: Service users’ individual care plans and risk assessments address issues relating to their social relationships, including their relationships with their families. This includes risks attached to them developing close personal relationships and Spectrum’s senior managers are available to provide staff with support and advice on this if necessary. Service users are able to access independent advocacy if they wish and two have this, to oversee their best interests. Whilst service users’ risk assessments clearly state that they all need staff support at all times, they are helped to access a range of community resources so that they can mix and socialise with a variety of people, including local colleges and clubs. They also visit other homes within Spectrum’s organisation for parties and social events. There are records of service users’ dietary needs and individual food preferences. They all assist with shopping, menu planning and food preparation for the home and are encouraged to eat healthily and take
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 16 exercises to remain physically healthy. All of them said that they are satisfied with the food provided to them and menu plans indicated that they have a varied and healthy diet. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 17 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): 20 Service users’ medicines are mainly managed in ways that protect them although specific improvements to training are needed. EVIDENCE: The home has written procedures that address the receipts, recording, storage, handling, administration and disposal of service users’ medicines and allows for service users to manage all or some of these tasks for themselves, depending on their abilities to do so safely. There are safe and secures storage facilities for service users’ medicines and clear records of all medicines administered to them in the home. Some staff have undertaken training in the safe handling of medicines and training in the specific systems in use in the home has been arranged, to be held shortly although more staff should undertake the more indepth training to ensure that there are sufficient numbers to cover the home. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 18 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): 22 & 23 There are formal and informal systems in place to ensure that service users’ views are heard and respected. Service users are well protected from abuse, neglect and self-harm, subject to specific improvements identified at the inspection. EVIDENCE: The home has formal systems in place to listen to service users’ views in the form of the written complaints procedure, which is published and provided to them in suitable formats, in their service users’ guides. Their views are considered as part of the care planning process and they are asked to give their opinions on the quality of the services provided to them each month as part of the home’s quality assurance programme. Less formally, they are encouraged to interact with staff and maintain contact with their families. They are able to access independent advocates if they wish and two have advocates currently. There are written records of their likes and dislikes and they meet with staff on a weekly basis to plan their activities and talk about their preferences. The home has written procedures to guide staff on multi-agency arrangements for the protection of vulnerable adults from abuse although Spectrum’s internal policies and procedures need to be reviewed and updated to reflect recent changes in the law. Staff are employed on the basis of fair, safe and effective recruitment and selection practices, undergo formal induction training before they enter the home and are trained on how to protect vulnerable adults from abuse and self-harm although the home’s manager should undertake multiagency training in this respect. There are detailed records on each service user, including interventions by staff to ensure their safety and welfare. Service users retain contact with representatives from outside of the home,
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 19 including relatives, social workers and advocates, who are able to provide independent monitoring of their general wellbeing on an ongoing basis. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 20 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 & 30 Service users benefit from safe, comfortable and homely accommodation where they can develop their skills and independence. The home is clean and hygienic subject to specific improvements identified at the inspection. EVIDENCE: The home is a comfortable, modern, domestic dwelling, well located to meet service users’ needs. It is well maintained and safe, with records of fire safety and general environmental risk assessments, tests, checks and maintenance of safety equipment. The home is well furnished and tastefully decorated throughout. Service users appear to take a genuine pride in their home, have personalised their bedrooms to their own tastes and decorated parts of it with their own artwork. The home appeared clean and tidy throughout at the time of the inspection. There are written policies and procedures to guide staff on the prevention of infection and all staff are booked to attend training in basic food hygiene shortly. Some staff have undertaken training in infection control and this should be extended to ensure that there are sufficient staff with this on duty at most times. A stock of dissolving laundry sacks for the safe transportation of heavily soiled laundry through the home should be obtained to ensure that infections are not spread, bearing in mind the number of people in the home.
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 21 Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 22 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): 34 & 35 Staff are recruited on the basis of fair, safe and effective recruitment and selection policies and practices to ensure they are suitable to work with service users. They have good access to training to ensure that they are able to work effectively with service users. EVIDENCE: Spectrum has invested in a computerised records system and full recruitment records are available for all staff working in the home. Staff recruitment is based on written procedures that fully address equal opportunities for job applicants. Records reviewed at the time of the inspection demonstrated that staff are selected on the basis of written application forms, formal interviews and checks to ensure that they are suitable to work with vulnerable adults in a care setting. All new staff undergo structured induction training at Spectrum’s head office prior to commencing work in the home. This is followed by in-house induction. Staff have individual training plans and there is a training plan for the whole staff team to ensure that their training needs are identified and training is prioritised according to the needs of the service users. Staff duty rotas are drawn up to ensure that there is a suitable mix of skilled and qualified staff to care for service users at all times. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 23 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, 39, 40, 41, 42 & 43 The home is competently managed for the benefit of the service users. There are systems in place for them to make their views known formally so that they can influence planning and development of the home. The home’s policies and procedures are in the process of being reviewed and updated, and this work needs to be completed. There are good arrangements to protect service users’ health, safety and welfare. Specific improvements are needed to improve direct accountability to service users. EVIDENCE: The home’s manager is registered with the Commission, qualified to NVQ level 4 in care and has achieved the Registered Manager’s Award. She is engaged in ongoing training to update her knowledge and skills. There are records on service user’s files of formal consultation with them, conducted on a monthly basis, on the quality of the services provided to them. Senior managers regularly visit the home and send detailed reports of these visits to the Commission. Service user’s families and representatives are invited to reviews to ensure that their views are taken into account. The registered manager is in the process of completing an annual development
Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 24 plan for the home that includes the views of the service users and their representatives. There are clearly written policies and procedures for the home, which are readily available to staff. Spectrum’s senior managers are in the process of reviewing and updating these and have completed work on the home’s medication policies and procedures. This work needs to be completed to ensure that staff have up-to-date guidance to support the best interests of the service users. Service users’ personal records are held securely and their confidentiality is maintained. Records reviewed demonstrated that there is clear communication across the staff team and service users’ best interests are protected. Service users are protected by detailed individual risk assessments and there is a staff training plan to ensure that staff training needs in relation health and safety are identified and addressed. There are suitable arrangements to protect service users from fire hazards and the home’s general environment is risk assessed to ensure it is safe for them. Copies of safety equipment and maintenance records are retained and reviewed to ensure that safety checks are completed at regular intervals. Spectrum is a registered charity and submits an annual return to the Commission on its services as a whole. The registered manager is in the process of drawing up an annual business plan for the home to account for the needs of the individual service users in this particular home and this work needs to be completed. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 25 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 3 3 X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Springfield House Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 2 3 3 2 DS0000062591.V253118.R01.S.doc Version 5.0 Page 26 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. 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. 1. 2. 3. 3. 4. 5. 6. Refer to Standard YA7 YA20 YA23 YA23 YA30 YA30 YA39 Good Practice Recommendations The home’s written policies and procedures in respect of handling and managing service users’ personal finances should provide more detailed guidance for staff. There should be sufficient numbers of staff trained in the safe handling of medicines to ensure that only suitably trained staff manage service users’ medication. The home’s manager should undertake multi-agency training in the protection of vulnerable adults from abuse and cascade this to staff working in the home. The home’s procedures for the protection of vulnerable adults from abuse, self-harm and neglect should be reviewed and updated. Plans for staff to obtain training in basic food hygiene and infection control should be followed through. There should be a stock of dissolving sacks for the safe transport of heavily soiled laundry through the home. The home’s annual development plan should be completed to demonstrate how service users’ views and those of their
DS0000062591.V253118.R01.S.doc Version 5.0 Page 27 Springfield House 7. YA40 8. YA43 representatives contribute to the ongoing development of the home and services provided to them. The review of the home’s policies and procedures should be completed to ensure that staff are provided with clear and up-to-date guidance to assist them to work effectively with service users. The home’s annual business plan, which can incorporate the annual development plan, should be completed. Springfield House DS0000062591.V253118.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 DS0000062591.V253118.R01.S.doc Version 5.0 Page 29 - 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!
