Inspection on 18/10/05 for Springfield Nursing Home

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springfield Nursing Home 15/02/07

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Springfield Nursing Home Springfield Nursing Home 26 Arthurs Hill Shanklin Isle of Wight PO37 6EX Lead Inspector Janet Ktomi Unannounced Inspection 18th October 2005 12.00 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 Nursing Home DS0000064757.V249261.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 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 Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Springfield Nursing Home Address Springfield Nursing Home 26 Arthurs Hill Shanklin Isle of Wight PO37 6EX 01983 862934 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) Scio Healthcare Limited Miss Lisa Holmberg Care Home 46 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (46), of places Physical disability over 65 years of age (30), Terminally ill over 65 years of age (15) Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2005 Brief Description of the Service: Springfield is a registered care home providing nursing care and accommodation for up to forty-six people. The home accommodates older people, up to thirty of whom may have a physical disability, up to fifteen of whom may have a terminal illness and up to fifteen of whom may have dementia. The home has ten intermediate care beds, contracted by the NHS, that may accommodate adults over the age of eighteen years, for which separate facilities are available. The home is located near the centre of the town of Shanklin with local bus stops and shops nearby. The home occupies an extended older property in its own grounds with limited car parking available to the front of the property. There have been a number of extensions to the original home, the most recent having been completed in the summer of 2003. All bedrooms except one twin room are for single occupation with many having en-suite facilities. Various communal facilities including several lounges and pleasant secluded gardens are provided. The home is owned by Scio Healthcare Limited and managed by the matron, Miss Lisa Holmberg. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection of this inspection year. Core standards not assessed during the first inspection were assessed along with additional core and non-core standards. The inspection lasted five hours during which a tour of the building was undertaken. Discussions were held with service users, visitors, matron and the nursing and care staff on duty. Many of the service users living within the home or using the intermediate care facility were met during the inspection and gave the inspector their views about the service. All the service users stated that they enjoyed living at the home and liked the staff. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? The home is continuing its programme of planned development with work to the front of the home in progress at the time of the unannounced inspection. The two front bedrooms are being developed to provide en-suite facilities and a new nurses’ office and reception area is being created inside the front door. The proprietor explained that automatic doors would then be fitted to the front entrance. A new laundry room and sluice room has been provided. The process whereby care and nursing staff receive an annual appraisal and regular supervision has been commenced. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 6. The home provides appropriate information to prospective service users or their representatives. Pre-admission assessments detail service users’ needs and ensure that appropriate people are admitted to the home. Service users admitted for intermediate care are helped to maximise their independence and wherever possible return home. EVIDENCE: The home has a comprehensive service users’ guide that the nursing staff confirmed is provided to all service users or their representatives prior to admission. The guide contains all the relevant information required in the National Minimum Standards. The inspector was shown the information folder provided to all intermediate care service users and this contains all the information required. The pre-admission assessments and care plans for recent admissions were viewed during the inspection. These indicated that potential residents and intermediate care service users were fully assessed prior to admission and that this information was then used to formulate care plans. Assessments were Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 9 based on a standardised format that covers all the relevant areas identified in the standards and includes specific assessments in relation to manual handling, nutrition and pressure area needs. The matron, care and nursing staff stated to the inspector that they felt able to meet the needs of existing residents and that appropriate numbers of staff are employed to ensure needs are promptly met. Due to the level of disability it was not possible to talk with all residents, however during a tour of the building the majority of residents were seen and all appeared happy and well cared for. Service users spoken with stated that they felt their needs were met and that appropriate numbers of care staff are employed at the home. The home has a variety of manual handling and pressure relieving equipment that was seen during the inspection. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. All long term residents and intermediate care service users have individual care plans detailing how health, personal and social needs will be met. The records of care, food and drinks provided to service users by care staff were not fully completed. Care plans indicated and visitors, service users and staff spoken with confirmed that health needs are met, that staff treat service users with respect and that privacy is upheld. Medication is appropriately stored and administered within the home. EVIDENCE: During the unannounced inspection a number of resident and intermediate care service user care plans were viewed. All service users have individual care plans compiled from information gained during pre-admission assessments and updated by named nurses, generally monthly and if care needs change. The care plan details the nursing and care the service user requires ensuring all aspects of health, personal and social care needs are met. Care plans are preformatted with individualised hand written additions where appropriate. Within the care plans are information and risk assessments to cover moving and handling, pressure areas, falls and nutritional needs. Some service users Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 11 spoken with were aware that written records and care plans are held by the home although due to cognitive limitations not all service users are able to participate in planning their care. The matron stated that where this is the case family members or representatives are involved in care planning. At the time of the unannounced inspection the manager stated that three service users had pressure injuries. During a tour of the building pressure relieving equipment was seen in use around the home. Service users within the intermediate care facility confirmed to the inspector that the home follows the rehabilitation and mobilisation guidelines. Care plans indicated that residents’ dental, chiropody and vision health needs are met. During the inspection care and nursing staff were observed knocking on residents’ and service users’ doors and to treat people with respect. Visitors and service users confirmed this to be the case, stating that the home’s staff are pleasant and helpful. The registered nurse responsible for training confirmed that new staff are instructed during their induction period as to how to appropriately treat residents and service users with respect at all times. Screening is provided within the two twin bedrooms. The home has a policy and procedure for the administration of medications, with medication found to be stored in an appropriate locked facility. Qualified nurses administer all medication within the home. Records are kept in regard to all medications. The inspector saw the arrangements for controlled medication, the storage and recording of which was found to be appropriate. Following changes in the pharmacy laws the home has now arranged a contract for the disposal of unused medication and has introduced an appropriate recording system. Medication awaiting disposal is appropriately stored within the provided containers and a locked facility. The home has a lockable fridge to ensure that medications that must be kept cool may be. Maximum and minimum temperatures are registered by an appropriate thermometer and recorded daily. Intermediate care service users are encouraged to self-administer their medication as part of their rehabilitation programme. A suitable lockable facility is provided within all intermediate care bedrooms. The home undertakes and records the assessment of the service user’s ability to selfadminister their medication and samples of these were seen during the inspection. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. The home meets service users’ social and leisure needs in a flexible and varied manner. Contact with family and friends is encouraged and supported and a varied, nutritious diet is provided which meets individual needs. Service users are actively encouraged to exercise control and choice over their lives. EVIDENCE: The pre-admission assessments seen included information about residents’ social and leisure interests and this is included in care plans. The home has an activities co-ordinator who is employed three days per week and was seen undertaking individual activities with service users during the unannounced inspection. Ministers and members from the local churches visit the home and individual residents. Service users are able to make choices about aspects of their lives including meals, where they spend their time and whether they join in activities or not. The home has two lounges within the traditional nursing home and a separate intermediate care lounge. There is also a pleasant patio and path around the outside of the home with level access from various parts of the home. The inspector was able to meet with a number of visitors during the unannounced inspection who confirmed that they are welcomed to the home Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 13 and able to visit at any reasonable time. Information about visitors is included in the service users’ guide and additional information provided at the time of admission. The contract/terms and conditions information makes it clear that service users can bring in items of a personal nature and includes advice about insurance of valuable objects. During a tour of the building it was evident that many people had brought personal items with them into the home. Service users and visitors spoken with during the inspection were positive about the food they receive at the home. Service users reported that they have a choice at all meals that may be taken wherever they wish, within their own rooms, or one of the lounges. The inspector was able to see the menus provided to service users to select their meals for the following day. Menus seen provided a choice of different main meals with the chef confirming that fresh fruit and vegetables are used whenever possible. Meals served during the inspection were well presented and had appropriate portion sizes. On admission a food sheet is completed detailing individual likes and dislikes as well as special dietary requirements. Special diets and requests were catered for appropriately. Service users confirmed that they have access to snacks and hot and cold drinks in between meals and these were seen within the lounges around the home. Support is required by some service users and was seen to be provided in an unhurried, discreet manner. All required records were viewed during the previous unannounced inspection undertaken in April 2005. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Service users or their representatives are able to complain if they are unhappy with the service provided at the home. Staff are aware of adult protection issues and would respond appropriately if they had concerns in relation to adult protection. EVIDENCE: The home provides service users with information as to how to make a complaint within the service users’ information. The home’s complaints policy and procedure fully complies with the requirements of the Care Homes Regulations 2001. Information as to how to complain via the Commission for Social Care Inspection is included in the service users’ information. Discussions with service users and visitors indicated that they felt able to complain and indicated that they would do so to either the manager or administrator. Care and nursing staff spoken with during the inspection were aware of what they should do if a service user or relative wished to complain. At the time of the unannounced inspection no service users or their visitors had any complaints or concerns to report to the inspector. The home has an adult protection policy which links to the Isle of Wight Adult Protection policy and procedure. The home has appropriate policies for whistle blowing and gifts to staff. Discussions with the matron, nurses and care staff showed that they had an understanding of adult protection issues and were clear about their responsibilities and actions that should be taken if abuse is suspected. Discussion with staff confirmed that they had received training about adult protection during both induction and NVQ courses. The home Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 15 encourages service users or their representatives to manage individual service users’ personal finances. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home is warm, clean and well maintained providing appropriate accommodation, both private and communal, to meet service users’ needs. EVIDENCE: The majority of the environmental standards were assessed during the previous unannounced inspection undertaken in April 2005. During the unannounced inspection a tour of the building was undertaken and the majority of bedrooms and all communal rooms were seem. At the time of the unannounced inspection building work was being completed at the front of the home to provide en-suite facilities and changes to the position of doors of two bedrooms that would provide greater privacy for people using these rooms. A new nurses’ station and reception/administration area is also being provided. Following the completion of the work at the front of the building the responsible individual for Scio Healthcare Ltd informed the inspector that automatic doors would be fitted. The planned improvements to the home’s telephone systems have been completed and people using the Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 17 intermediate care facility are now able to make and receive telephone calls to telephones located within their bedrooms. Information about the cost of external calls is clearly provided for service users and would seem fair and appropriate. Following completion of the above work the proprietor informed the inspector that en-suite facilities are to be provided to eight additional bedrooms that will result in all but two of the home’s bedrooms having en-suite facilities. The home was found to be clean, tidy and free from offensive odours at the time of the unannounced inspection with visitors and service users spoken with confirming that this was always the case. The home employs a domestic staff team who work under the direct supervision of the housekeeper. The housekeeper has been provided with a large lockable storage room where all cleaning chemicals and supplies were seen to be stored. A new laundry room has also been provided with a range of industrial washing machines capable of meeting the needs of the home and service users. Appropriate policies are in place for the infection control and management of clinical waste with sluicing facilities in place. A new second sluice room including facilities for soiled laundry are being provided and should be completed shortly after the inspection. Liquid soap, paper towels, plastic disposable aprons and gloves were seen located around the home. Discussions with the matron, trained nurses, care staff and ancillary staff showed a clear understanding of the need to maintain good infection control procedures. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28. The home employs appropriate numbers of registered nurses, care staff and ancillary staff to meet the needs of service users. Care staff are actively encouraged to undertake NVQ training to a minimum of level 2. EVIDENCE: The Department of Health has yet to publish staffing guidelines for Nursing Homes. The manager, staff and duty rotas confirmed the staffing numbers as follows: 7 am one Registered Nurse and four care staff 8 am two Registered Nurses and nine care staff 9 am additional Registered Nurse and office/admin/ancillary staff. 4 pm two Registered Nurses and seven care staff Night cover one Registered Nurse and three care staff with a twilight worker from 8-11pm, and an additional care worker commencing at 6am. In addition to the nursing and care staff the home also employs catering, domestic, maintenance and administrative support staff. The home employs an activities organiser for three days per week. Service users and visitors spoken with during the inspection reported that staff are prompt in answering call bells and that they felt care staff had sufficient time to meet their needs. Staffing rotas seen during the inspection confirmed the manager’s statement concerning staffing numbers. Care and nursing staff stated that there were Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 19 adequate numbers of staff employed at the home to meet service users’ needs and that every body worked together as a team. The matron and training co-ordinator confirmed that seventeen of the home’s thirty-three care staff have at least NVQ level 2 with three having a level 3 qualification. This equates to just over 50 of care staff having at least level 2 NVQ. At the time of the unannounced inspection additional care staff were undertaking level 2 and 3 training. Care staff confirmed that they are encouraged to undertake both NVQ and other core training. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 36, The home has a management structure which all staff are aware of and creates an open, positive and inclusive atmosphere. The home has initiated a procedure to ensure that all staff have an annual appraisal and supervision sessions at least every two months. The home must ensure that all records within the home are fully maintained. EVIDENCE: Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 21 The home was re-registered in July 2005 when the existing proprietor and the proprietor of another Island nursing home formed a new company, Scio Healthcare Ltd. The registered manager/matron is a Registered General Nurse and has NVQ level 4 in management. The manager meets all the training requirements to achieve NMC Prep requirements. The manager has successfully managed Springfield for the past three years and stated that she has a full job description. During the inspection the management arrangements within the home were discussed and there are clear lines of accountability covering all groups of staff and management. During the unannounced inspection the inspector was able to talk to Scio Healthcare Ltd responsible individual, Mr Kevin Dannett. All levels of staff met during the inspection stated that they felt able to discuss any concerns or issues with members of the management team including the matron and directors of the company. Service users, visitors and staff described the home as being a happy place and that support is always available from the management team. Staff felt that they could make suggestions about changes within the home. There are regular staff meetings for registered nurses, care staff, ancillary and management. Discussions with the responsible individual confirmed that the home is financially viable. There has been considerable investment in the home in recent years and during the inspection there was evidence of ongoing upgrading to facilities around the home. At the time of the unannounced inspection the home was fully occupied and the matron confirmed that there was a waiting list with frequent enquires received from potential new service users or their representatives. During the inspection, all indications demonstrated that the home is financially viable. The company business and financial plans were seen as part of the registration process undertaken earlier in the year. Insurance certificates were seen during this unannounced inspection and were appropriate for the business. Service users and visitors confirmed that they have regular contact with the matron who ensures that they are happy with the service they are receiving. Intermediate care service users are offered the opportunity to complete a questionnaire when they are discharged for quality assurance monitoring. The returned questionnaires were seen during the inspection with discharged service users providing very positive responsives about the home. Long term residents within the traditional nursing home part of the home have sixmonthly reviews with their care managers. Should service users be unable to express opinions due to the level of their disabilities then a relative or representative is invited to attend reviews. The home has introduced a procedure to ensure that all nursing and care staff will have an annual appraisal and regular supervision. The process and records in respect of this were seen during the inspection. Nursing and care staff confirmed that they were aware of planned appraisals and supervision sessions. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 22 During the unannounced inspection a variety of records was inspected. These included care plans, risk assessments, Medication Administration Records, staffing rotas, menus, care records, food and fluid charts and the fire detection equipment book. The record of the weekly check that the fire detection equipment is fully functioning was seen to contain weeks when there was no evidence that the checks had been undertaken and it was recorded in the record that the maintenance man had been on holiday. The matron stated that when the maintenance man is on holiday the housekeeper undertakes these checks. It is required that the housekeeper has access to the record book and that this is completed to confirm that she has undertaken the required equipment check. Care staff completed daily records of the care, food and drinks received by people living in the home. These were found to be incompletely completed. Care staff must complete these records that provide evidence of care received by service users. All records were found to be appropriately stored. All evidence indicates that the home provides a safe place for staff, visitors and service users. Staff receive mandatory and update training, appropriate numbers of registered nurses and care staff were on duty supported by a range of ancillary staff. The proprietor has considered how the planned alterations to the entrance of the home will affect service users and consideration has been given to ensure safety of everybody during this process. Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 23 Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 24 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 3 X 3 3 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 3 2 3 Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 25 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. 2. Standard OP37 OP37 Regulation 17 (2)(3) Sch 4 23 (4)(v) Requirement Care, diet and fluid records must be fully completed. Weekly checks of fire detection equipment must be recorded in the logbook. Timescale for action 01/11/05 01/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Springfield Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Nursing Home DS0000064757.V249261.R01.S.doc Version 5.0 Page 27 - 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. 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