CARE HOMES FOR OLDER PEOPLE
Springfield House Residential Home Bunker Hill Philadelphia Houghton-le-spring Tyne And Wear DH4 4TN Lead Inspector
Mrs Elsie Allnutt Unannounced Inspection 15th December 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Springfield House Residential Home Address Bunker Hill Philadelphia Houghton-le-spring Tyne And Wear DH4 4TN 0191 512 0613 0191 512 0614 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) Northumbria Care Limited Mrs Penelope Jane Kristiansen Care Home 36 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number disorder, excluding learning disability or of places dementia (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (5), Old age, not falling within any other category (36), Physical disability over 65 years of age (1) Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th November 2005 Brief Description of the Service: Springfield House provides care to older people over the age of 65 years, some of whom may have dementia or mental health needs and there is one place for a person who may have a physical disability. It has a variation to its registration to enable it to take one person under the age of 65 years. The home provides personal care only and any health needs are dealt with by the Community Nursing Services. The home is purpose built and offers ground floor accommodation to all areas with staff facilities being sited on the first floor. The home is detached and stands in its own grounds. There is a large garden to the rear of the home that is used by service users and their visitors. The home is situated in a cul-de-sac, which overlooks the cricket field, as well as being close to a local college and housing estate. There are a number of other community facilities within the area. A regular bus service operates from the front of the home enabling easy access to the Galleries in Washington or to Sunderland City Centre. The home has developed a Service User Guide that is attractively illustrated with photographs and offers information to current and prospective service users in a way that is easy to understand. The current fees charged by the home are £359 per week. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This scheduled unannounced Key Inspection was carried out over one day in December 2006. The inspection included the examination of information provided by the manager in a pre inspection questionnaire and comment cards received from service users and their relatives before the inspection. The care experienced by a sample of service users was ‘case tracked’ and time was spent chatting with service users and observing life in the home. A tour of the building took place, and a sample of staffing and service users’ records was inspected. A meal was taken with service users. The judgements made are based on the evidence available to the inspector during the inspection, the pre-inspection questionnaire supplied by the registered manager and the comment cards completed by service users and their relatives. What the service does well:
A great strength of this home continues to be its lively, bustling atmosphere that is both warm and welcoming. Staff interact with service users in a lively and stimulating way, encouraging conversation and response by using the knowledge of the service users’ interests and also using humour with respect and sensitivity. As a result of effective cleaning and maintenance routines the home maintains a high standard in relation to cleanliness, tidiness and safety. Service users commented on their attractive surroundings, one said “this lounge has just been decorated, we think it’s lovely and feel very comfortable in it.” The home has an enthusiastic staff team who aim to provide a good and supportive service. One member of staff commented, “ I love working here, everyone works as a team it’s good.” Staff are well trained which means that service users are supported appropriately and skilfully. Service users continue to be well cared for and this is reflected in their appearance, this promotes their dignity and self-respect. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 6 Several cards, recently received from family members demonstrate compliments to the staff in relation to the care given. The home also keeps a record of compliments given from visitors on a daily basis. These include several positive comments made by visiting GPs, community nurses and other health professionals that reflect the positive care delivered and the “warmth and sensitivity given.” A variety of activities are offered within the home. This means that stimulating activities encourage service users interests. Service users discussed the Christmas activities that were planned for the forth-coming weeks with enthusiasm and spoke positively about their Christmas party that had taken place the night before. Service users are given choices in relation to their daily routines, one service user said, “ If we want a lie in we only had to say” and others confirmed that they are offered choices in relation to meals, what they want to do and where they want to sit. The meals are well planned nutritious and nicely presented and service users with special dietary needs are effectively catered for. One service user commented, “you get a choice of meals, and they’re good.” What has improved since the last inspection?
The home’s registered manager has worked hard to positively promote the service. She stated that she aims to dispel the negative myths about care homes by going into community-based groups and positively promoting good care practices. To enable this to happen she gives talks at local community groups in hope that they will visit the home and talk about their experiences and the expertise of their groups. This will promote a positive image of people living at the home and in return will to promote integration with the local community. Senior staff are delegated different managerial responsibilities, for example in relation to monitoring training needs and health and safety practices within the home. This means that the manager is supported in her managerial role and has time to develop different ideas, resulting in service users benefiting from a well promoted and developing service. All complaints are now logged in the home’s Complaints Book and the outcome is recorded. This means that service users and their relatives can be confident that their complaints are taken seriously. All staff have attended training in relation to moving and handling and in relation to the local authority’s POVA (Protection of Vulnerable Adults) procedures. This means that staff have the appropriate skills and knowledge to carry out their role competently and service users are protected from harm.
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 7 So that staff are reminded of the Principles of Care as set out in the GSCC Codes of Practice and are aware of the accepted ways of working with service users, the accepted values everyone working at the home must demonstrate are discussed regularly at staff meetings. 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 Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 8 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 Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. Service users are admitted to the home only after a comprehensive preadmission assessment is carried out and a current care plan is received from the referring agency. This means that the home has the relevant information on which to base a decision and they can confidently inform the prospective service user that they can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care files was examined. This included two files of service users who had recently moved into the home. All included preadmission assessments from the referring agencies and assessments that the home had carried out. The assessments included identified risks and these had been appropriately included in the individual service users’ care plans.
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 10 It was evident therefore that the service makes every effort to ensure that, prior to a person moving into the home, the home is confident that they can meet their needs. Copies of letters that had been sent to the new service users confirming that the home could meet the service users needs were evident in the care file. This home does not provide intermediate care. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. The healthcare needs of the service users are generally well met and risks are addressed appropriately. This means that the welfare of the service users and their independence is safely promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that care plans are in place for all service users, a sample of which was examined. All include relevant information in relation to service users’ health care needs. The care plans are clearly set out and include the individual identified need, the goal/aim and the action to be taken to support the individual to meet the need. Improvements have been made in relation to addressing risks. Risk management plans now include adequate information to guide staff in relation to minimising the risk.
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 12 The information found in those care plans examined was clear and concise. The action to be taken for one service user includes guidelines for staff to follow in relation to minimising the risk imposed as a result of challenging behaviour. Another care plan includes guidelines for staff to follow in relation to managing needs in relation to dementia with particular information how the person is to be supported with eating. Staff confirmed that they support service users in relation to the guidance in the care plans. The manager would like to improve the care plans further and confirmed that there are plans for a senior nurse from the Primary Care Trust to visit the home to deliver staff training in relation to developing care plans. This was encouraged and the idea of making them more person centred was discussed. The manager stated that it is the aim of the home to build up positive relationships with healthcare professionals so that important information relating to healthcare needs can be accessed directly. Staff confirmed that they work closely with health professionals and notes included in the care plans confirmed this. The dates of visits, with the outcomes, from the chiropodist, dentist and optician are included as well as visits to the GP and from the district nurse. Service users confirmed that if the GP does not visit them in the home staff support service users to attend the local surgeries. They also confirmed that their privacy and dignity is promoted at all times. The home continues to follow their comprehensive policies and procedures in relation to the Administration of Medication and all staff that administers medication have received training in relation to this. Service users are encouraged to maintain their independence and risk assessments are in place in relation to 3 service users who administer their own medication. All 3 have locked facilities to store the medication in their individual rooms so no other service user is put at risk. The risk management plan identifies how the medication is checked so that the risk of missing medication is minimised. Observations were made when a senior member of staff administered the medication at lunchtime. This was carried out following the homes appropriate procedures. The medication is kept in a locked trolley that is taken around the home and from which the medication is directly administered and signed for. A full audit of medication was not carried out on this occasion. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Service users are supported by staff to live an active lifestyle and to maintain contact with family and friends. At the same time they are supported to make choices about their own lives and as far as possible to take control, both in their daily routines in the home and in the local community. Service users receive a wholesome and balanced diet that meets their nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users confirmed that they are supported to live interesting lifestyles. One person stated “lots goes on here, there is always something to take part in.” Many of the service users and staff were observed discussing with interest and delight the Christmas party that had taken place the night before. All said that it had been a well-organised and enjoyable party. One service user commented “we all had a great time.”
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 14 One service user described a visit to Sunderland to the German Christmas Market that they had enjoyed the previous year and was disappointed that due to extreme bad weather conditions it had been cancelled this year. A member of staff stated that so service users did not miss out an opportunity to do their Christmas shopping a trip was planned to take service users to a local shopping centre later in the week. Service users stated that they do not regularly use local community services, however the manager stated that she is currently in the process of further developing contacts between local community groups and the home. For example in the New Year there are plans for representatives of the Ex-Miners community group to go into the home to give a talk, this she hopes will be the start of more community contact. The manager, in return and with the assistance of service users from Springfield House, plan to give talks to different groups in the community in relation to residential care. The food served at lunchtime was tasty and nutritious. Service users confirmed that generally the food is good and they have a choice of menu each day. The cook confirmed that everyone who works in the kitchen has attended training in relation to food hygiene and the cooks have achieved the Intermediate Food Hygiene Certificate, she also stated that she is working towards NVQ 2 in Food Preparation and Cooking. The cook also confirmed that care staff bring information about individual service user’s dietary needs to the kitchen staffs’ attention, who make a record of the different needs and address them appropriately. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. So that the service users are appropriately protected from abuse this home effectively implements the local authority’s adult protection procedures in relation to the protection of vulnerable adults. The home also has a satisfactory complaints system that addresses concerns and complaints appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has relevant policies and procedures in place to address complaints. Several concerns and complaints were recorded and responded to appropriately. The manager stated that it was the home’s aim to address concerns with service users and visitors on a daily basis and she felt that this helped to avoid issues developing into complaints. She also felt that this promoted more positive relationships with service users and their families. However one complaint recorded and that was made by a service user in relation to faded numbers on the public telephone in the home, had not been addressed. This was brought to the attention of the manager. Service users and families confirmed that they are aware of how to complain.
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 16 The manager confirmed that the local authority’s POVA (Protection of Vulnerable Adult) procedures are followed and all staff have attended training in relation to them. Senior staff confirmed that they have also attended training in relation to being “The Responsible Person” for reporting allegations of abuse to the local authority. Such action had recently been taken by the home and the local authority and the home are currently responding appropriately following the procedures. Service users’ pocket money is stored securely by the home if required and appropriate records are kept. Any build up of money is paid into service users’ individual bank accounts. A relative of one service user commented that a more regular account of the pocket money balance would be appreciated. This was brought to the manager’s attention who confirmed that this is available at any time at the request of the service user or their representative. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is clean, warm and well maintained offering service users a homely and safe environment in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Many areas of the home had been redecorated and refurbished prior to the last inspection resulting in a bright and attractive environment. These include the dining room and the hairdressing room that was completely refurbished to provide a facility equal to a good hairdressing salon. The manager stated that in addition to this one of the lounges and four bedrooms have been refurbished and decorated since the last inspection. All gave a clean and attractive appearance. The bedrooms were particularly tasteful with small furnishings to compliment and coordinate with the main décor and new furniture.
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 18 The home has a clear and detailed maintenance programme that identifies the area, the maintenance requirements and the date it is to be addressed. The maintenance person was evident on the day addressing such requirements. Service users referred to the quick response made by the maintenance person and the good relationship they had with him. The manager stated that there are plans to decorate the remaining parts of the building that have not yet been decorated. All areas of the home that were viewed reflected good cleaning schedules. Such good routines provide a clean and hygienic environment for service users to live in. The gardens around the home are accessible to service users. They were tidy and attractively stocked with different plants and shrubs. Staff confirmed that they have attended training in relation to infection control and they were observed wearing appropriate and different protective clothing when assisting service users with personal care tasks and when serving and assisting service users with food. Clinical waste is disposed of appropriately in yellow bins that are emptied and restored by a contracted professional company. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 19 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is Good. The home employs a competent and qualified staff complement that effectively meets the needs of the service users. The robust recruitment procedures followed ensures that the interests of the service users are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was sufficient staff on duty to effectively meet the service users needs, this included 5 care assistants 1 activity organiser, 1 cook, 1 kitchen assistant, 2 domestics and a handy person. The manager is in addition to this number and works Monday to Friday. An examination of the rotas and discussions with service users and staff confirmed that this number is consistent. However one relative commented that in their opinion there was not always enough staff on duty as “staff are always run off their feet.” The manager, who confirmed that she continually monitors staffing numbers, was encouraged to ensure that the needs of the service users continue to be effectively met. Staff were observed to interact with service users with sensitivity and respect and service users spoke in a complimentary way in relation to how they are
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 20 treat. Some comments included; “the girls are so good,” “they are kind and will do anything for you,” “they are well trained to do their job and do it well.” Staff records and a training matrix confirmed that the home has a good training programme for all staff. All staff are up to date with mandatory training and have attended training courses relevant to the needs of the service users, for example issues related to diabetes, dementia, nutrition and falls prevention Staff confirmed that they felt they receive appropriate training in relation to their roles. 70 of carers are qualified in NVQ, another 1 is almost complete and another 3 are ready to register. In addition to this the laundry assistant has qualified in NVQ in Cleaning and 2 domestic staff and the cook are currently working through NVQ 2 in relation to their individual roles. Senior staff are delegated responsibility in relation to monitoring training needs. The manager explained that so that this works effectively the staffs’ individual interests are taken into consideration, for example one person is a member of the Dementia North network, another a member of the Sloppy Slippers a falls prevention group and another’s interests lies in fire safety. The manager stated that they all attend individual meetings in relation to these issues and return to the home with up to date information in relation to current good practice that they share with the staff team. A sample of staff files was examined; this included the recruitment records of staff recently employed. All included appropriate documents, for example an application form identifying a clear up to date record of employment, 2 written references and a satisfactory CRB (Criminal Records Bureau) check. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 21 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is excellent. The manager offers clear leadership and direction to the staff team. This has resulted in a well-trained workforce that offers consistency of care and a home that is run in the best interests of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager is well experienced in this line of work. She is a Registered General Nurse and has successfully completed the Registered Manager’s Award (RMA) and NVQ4 in Care. She is also a qualified NVQ Assessor and a Moving and Handling Facilitator. The manager stated that she is the Chairperson for Care Alliance, a training organisation for the Sunderland
Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 22 region. The manager also stated that this position allows her to network with senior officers in Sunderland’s Council Health and Social Care Team, which she feels benefits the home in respect of gathering appropriate information in relation to the running of and developing of the service at Springfield House. There is a clear administrative system that supports a well run home. Records are accessible, clear and stored securely. Observations and discussions with service users and staff confirmed that effective relationships continue to develop between service users, staff and the manager. Service users and staff spoke about the manager and the running of the home with confidence and respect. There are good quality monitoring systems in place and evidence that these are carried out appropriately. It was noted that 2 store cupboard doors, although closed were not locked. The manager explained that this was due to domestic staff accessing cleaning materials. However this presents a potential risk to service users, who maybe confused, and unaware of situations that could cause harm. All store cupboards therefore must be kept locked when staff are not directly accessing them. Apart from this minor issue no other noticeable hazards, in relation to health and safety, were found during this inspection. Fire and accident records were satisfactory. Springfield House Residential Home DS0000015764.V319606.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 Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 2 Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP16 Regulation 22(3) Requirement The manager must make sure that the complaint in relation to the fading numbers on the public telephone in the home is appropriately addressed. The manager must make sure that all store cupboards are kept locked in line with fire safety recommendations. Timescale for action 31/01/07 2 OP38 12(1) 13(4) 31/01/07 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 Refer to Standard OP7 Good Practice Recommendations The plans that the manager has to improve the service further, for a senior nurse from the Primary Care Trust to visit the home to deliver training to staff in relation to developing care plans, should go ahead and the suggestion to make care plans more service user led should be considered. The plans that the manager has to improve the service further, to refurbish and decorate the remaining individual bedrooms, to the same standard of the four completed,
DS0000015764.V319606.R01.S.doc Version 5.2 Page 25 2. OP19 Springfield House Residential Home 3 OP27 should go ahead. The manager should continue to monitor the staffing ratio to ensure that the needs of the service users continue to be effectively met. Springfield House Residential Home DS0000015764.V319606.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South of Tyne Area Office St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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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