Inspection on 22/07/05 for Springfield Care Home

This inspection was carried out on 22nd July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Springfield Care Home 06/05/08

Springfield Care Home 09/05/07

Springfield Care Home 09/06/06

Springfield Care Home 24/11/05

Springfield Care Home 22/03/05

Springfield Care Home 07/07/04

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

CARE HOMES FOR OLDER PEOPLE Springfield Nursing Home 17 Western Way Buttershaw Bradford BD6 2UB Lead Inspector Nadia Jejna Unannounced From 10:00 on 22 July and 28 July 2005. 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 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 J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springfield Nursing Home Address 17 Western Way Buttershaw Bradford BD6 2UB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 694192 01274 601960 Anchor Trust Mrs Wendy Garland Care home with nursing 98 Category(ies) of Old age (98) registration, with number Terminally ill (1) of places Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The place for TI(E) is for the named service user only. Date of last inspection 20th May 2005 Brief Description of the Service: Springfield House is a registered care home with nursing. It is situated in a residential area approximately 2 miles from Bradford city centre. Accommodation is available for up to for 98 male and female service users. The accommodation is provided in two wings over three floors. Spacious lounge and dining areas are provided on each floor. All bedrooms are single with ensuite facilities. There is disabled access to all floors via a shaft lift. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections. The last inspection was unannounced and took place on the 20th May 2005. The people who live in the home prefer the term residents, and this is the term that will be used throughout this report. The purpose of this inspection was to monitor the home’s progress since the last inspection and to assess whether the care given to residents meets minimum standards. Records were looked at, areas of the home were seen, care staff were seen carrying out their work; discussions on an individual and joint basis, were held with staff, the deputy manager, visitors, and residents. Survey cards were left at the home for residents, their relatives and visitors to complete and return to the Commission for Social Care Inspection (CSCI). The inspection by two inspectors started at 10:00 and ended at 17:15 on the 22nd July 2005. A further visit was made to provide feedback to the manager on the 28th July 2005. What the service does well: What has improved since the last inspection? The manager has produced a Service User Guide specific to the home and gives copies to residents and their relatives. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 6 Fences have been built around the boundaries of the home to enclose the garden areas and make them safe for residents to use and for security. Work is planned to provide pleasant outdoor areas for residents to use. 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 Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 7 contacting your local CSCI office. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 5. Residents can make an informed choice to move to the home through trial visits and information provided. There is a risk that residents needs will not be met, because the pre admission assessments do not have enough information on them to make an informed decision whether or not the home can meet their needs. EVIDENCE: The organisation has produced a generic Statement of Purpose and a brochure with inserts that can be given to future residents. The manager has produced a Service User Guide specific to the home and copies are given to all residents and/or their relatives when they are admitted. Most residents are funded by the local authority and copies of relevant assessments are asked for but not always supplied. The manager or a nurse carry out pre admission assessments. The document seen covers all areas required but would have been better with more detailed information included, some of which could have come from other healthcare staff as well as the Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 10 resident and their relatives. Some of the care plans seen showed that this information had not been used and the assessments were not in the files. Residents said that they had been invited to visit the home before making any decisions on where to live. Some had been for a trial visit and others had been happy with their relatives looking round for them. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Residents are at risk of their health, physical, social and psychological care needs not being identified and appropriately dealt with. EVIDENCE: Four care plans were looked at. One of these showed that the resident had not been involved in the planning process, even though they were able to provide clear detail about their needs and wishes. Their plan showed that not all of the information from the pre admission assessment had been used and that assumptions had been made of their care needs. The resident talked about how they preferred to spend most of the day privately in their room, problems with breathlessness especially at night and that their legs were numb which caused problems with mobility, none of this information was in the care plan. The resident had a wound, which had been redressed, but there was no care plan in place and the dressing used had not been issued by the hospital or prescribed by the GP (General Practioner). The other plans seen had important information missing, which included results of reviews, records of falls, visits by and treatments prescribed by other health staff as well as documents that would identify risks to health and well being. Care plans were not in place for all identified needs, they had not been evaluated monthly. Nurses said they knew about the policies and procedures relating to care planning but they did Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 12 not know information about individual plans that they should have known as either named nurses or senior members of staff. Staff interactions with residents were friendly and polite. Residents preferred names were recorded in the care plans and used by staff. Residents said that staff respected their privacy and knocked before entering their rooms. The nurse stations in the original extension are positioned directly outside resident’s bedrooms and do not provide privacy for staff making calls or talking about confidential matters, or for the residents when they wish to receive visitors in private. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Residents are offered choices in all aspects of daily living, and their visitors are made to feel welcome. Residents are happy with the meals. EVIDENCE: Social activities are offered on a daily basis. Staff were seen sitting with residents in groups and one to one. A resident said that they particularly enjoyed the bingo. Personal history and activity records are part of the care plan, but some of those seen were not fully completed. Residents said that they choose when to get up, go to bed and where and how they spent their days. Many residents stayed in their rooms watching television and others spent time sitting in the lounges. A calendar of planned activities was displayed in each wing and residents choose whether or not they want to join in. Visitors said that they could come and see the residents at any time and that staff made them feel welcome. Residents said that the food was nice. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 14 The chef is new to the home and he is trying to introduce new foods to the residents by having themed nights. An Italian night was being organised for the week after the inspection. The main meal is at teatime and choices are available at all meals. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. Residents feel safe living in the home. Their safety can be increased by making sure correct procedures are followed if there are incidents that are potentially abusive. EVIDENCE: There are leaflets in the reception area about complaints, concerns and compliments. These are for residents and other visitors to use to state their view and can be given in at the home or sent to head office. The homes complaints procedure will be included in the Service User Guide and information pack. Residents and visitors were not sure what the complaints procedure was but said that they would speak to the person in charge if they had any concerns. The home has dealt with three complaints since the last inspection. One of these was about missing money. The manager was instructed to deal with this in house rather than report it to the police, adult protection and the CSCI. The manager said that she would notify the appropriate people. Staff said that they know where to find the adult protection procedures and that they would not hesitate to report actual or suspected abuse to a senior member of staff. The home’s adult protection procedures refer to the local authority procedures. Only one third of the staff have received abuse awareness training when all staff should receive this in the first six months of employment as part of their induction and foundation training. Residents said that they feel safe in the home. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. Residents are living in a clean, tidy, safe and well-maintained home, which is suitable for their needs. EVIDENCE: The areas of the home that were visited were clean and tidy and there were no smells. The garden areas have been fenced as agreed when the new extension was registered. The gardens still need work so that there are pleasant outdoor areas for residents to enjoy. A complaint had been made to the manager about the lack of suitable outdoor sitting areas for the residents. It was recommended that suitable outdoor sitting areas should be provided for residents when the extension was registered. All rooms are single and have en suite facilities. The en suite toilets in the new extension need to be fitted with separate towel rails as the grab rails are being used to hold towels. They have been furnished and decorated to a good standard. Rooms in the recently opened extension have been equipped with Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 17 height adjustable profiling beds. Many residents had personalised their rooms with small items of furniture, ornaments and pictures. A resident was having their room decorated and had moved to another room until this was completed. They said that they had been aware of the move for about two weeks. There is good provision of communal toilets, assisted bathrooms and walk-in shower rooms. However, wheelchairs were being stored in shower rooms. The manager was asked to make other arrangements for storing wheelchairs when they are not in use. The handy person checks the call system monthly. The call leads are in fixed positions but the manager said that longer leads could be used if the resident wishes to alter the layout of furniture in the room. All windows are lockable and are fitted with opening restrictors for safety and security. All hot water outlets are fitted with thermostatic controls and the handy person checks the temperatures monthly. The laundry is in the basement of the new extension. It is a good size and has been well equipped. The layout allows for good infection control and separation of clean and dirty laundry. The room becomes hot very easily and can be too hot to work in comfortably. The temperature was 84 degrees Fahrenheit and the laundry assistant said that it can be hotter. An electric fan had been provided but this did little to ease the situation. The manager said that risk assessments have been carried out and that head office has been asked to review these and take appropriate actions. This must be done as a matter of importance in order to maintain the health, safety and well being of staff working in the laundry area. The laundry assistant cleans the area regularly but cannot reach the tops of the dryers or get behind them. A build up of fluff and debris was seen. This poses a fire safety risk and plans must be put in place to make sure that these areas are cleaned regularly. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. The home makes sure that enough staff are on duty in order to meet the needs of residents. Recruitment procedures must be made more robust in order to protect residents. EVIDENCE: Staff numbers were more than adequate to meet the needs and numbers of residents living in the home. The deputy manager said that the layout of the home had been taken into consideration when staff numbers were decided. The manager said that all staff had enhanced CRB (Criminal Records Bureau) disclosures in place. The written confirmation of this does not state at what level the disclosure has been made, if it is enhanced or not. Two staff files were seen. One showed that a nurse had been employed with one reference in place and no confirmation that their registration with the NMC had been confirmed. A satisfactory POVA (Protection of Vulnerable Adults) first check was in place but a second written reference was not available. The second file showed that all required checks were in place before employment was offered. This care worker said that they had been at the home for three weeks and that they had been taken through the induction process by a senior care assistant which included a general introduction to the home, staff, residents, fire safety procedures and how to use the hoists and other equipment. Training records showed that the senior care worker had not received training in order to provide the induction training. The induction is Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 19 given in two stages and most of the areas were covered in one or two days, the manager was advised to make sure that this is to TOPSS standards and that people are qualified to provide this training. The training records showed that most staff had received training in fire safety, moving and handling, food hygiene, first aid, infection control and health and safety. The manager said that plans were in place to make sure that this was given to all staff. Nursing staff had not received fire safety training. The training records showed that some staff had attended training sessions about nutrition, diabetes, catheter care, dementia and the principles of palliative care. Some of these were provided by external training organisations and others were in-house. The manager was asked to make sure that training sessions were provided by people who were qualified to do so and to make sure that training around the specialist needs of residents living in the home such as stroke illness, dementia, palliative care and physical disabilities was given to all staff. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35, 36 and 38. There is a lack of leadership and supervision in the home, resulting in staff being unclear about their roles and responsibilities. EVIDENCE: It was clear from talking with staff, the manager and from records seen that there were issues within the home about poor continuity between the care plans and changes in resident’s conditions, poor record keeping and poor knowledge of what was happening with residents, particularly among the nurses. Discussions were held with the manager highlighting the importance of making sure that staff are aware of their roles and responsibilities and what action is needed to make sure that the standards of care are improved and that the records show this clearly. The manager should be using the supervision process and the organisations policies and procedures to deal with these issues as a matter of urgency. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 21 The staff supervision file showed that care workers are observed when working and discussions are held around working practices. The nurses carry out supervision but they have not been trained to do so. The dates for reviews were set for six months ahead rather than two. Staff meetings are held regularly. The records showed that the meetings for nurses, senior carers, care workers, domestic and kitchen staff are held separately, the manager said that this was at the staff’s request. Staff said that the manager had an open door policy and that she was approachable and supportive. The most recent residents and relatives meeting was in June 2005 but had not been well attended. Minutes of this meeting were on notice boards in each of the lounges. An internal audit was carried out at the end of May 2005 and a report and action plan have been produced. The organisation has a statement in one of their leaflets that says that Springfield has a first class reputation for standards of services and care. Two quality questionnaires have been completed yet no information about these have been circulated. There is no evidence to prove this statement and it is misleading. The administrator said that the home does not deal with resident’s’ finances but they would hold personal money on behalf of some residents. These are small amounts and the records were up to date. Two residents continue to receive a personal allowance under a previous agreement this again is dealt with well. The building looks well maintained. A handyman is employed and is responsible for minor repairs and routine checks including the fire alarm systems. He said that records are kept of all checks and repairs made and that qualified personnel are brought in to service and maintain larger equipment and installations such as the lifts, hoists and central heating. He said that he has received training in health and safety and moving and handling. Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 2 3 4 4 3 2 STAFFING Standard No Score 27 3 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x 3 2 x 3 2 x 3 Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 23 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation Requirement Timescale for action 31.10.05 2. 8 3. 9 12, 14, 15 A plan of care must be in place for each service user, which details clearly how all assessed health, psychological, personal and social care needs will be met. These must show all actions taken and provide an accurate picture of the service user. The care plans must be kept under review and reflect changing care needs. Service users must be consulted and their wishes and feelings taken into account when planning and providing care. The service user and/or their representatives must be involved in this process where possible. (Timescale for March 2005 and May 2005 not met.) 13, 14 Appropriate asessments to monitor service users health and psychological care needs must be carried out. This must include a falls risk assessment. Records must be kept. (Timescale for March 2005 and May 2005 not met.) 13 The registered person must make sure that wound dressings used are appropriately prescribed by the GP or tissue J52 S55013 Springfield V187190 220705 Stage 4.doc 31.10.05 Immediate as discussed with the Page 24 Springfield Nursing Home Version 1.40 viability nurse. 4. 10 23 The present use of the nurse’s station positioned outside residents bedrooms in the first extension compromises confidentiality and must be reviewed. (Timescale for July 2004, March 2005 and May 2005 not met). The complaints procedure must be made available to all residents, relatives and visitors and be included in the Service User Guide. The registered person must make sure that the adult protection procedures include information on the correct action to take in all cases of suspected or actual abuse. This must include what action to take if money goes missing. The registered person must make sure that all staff receive training about abuse awareness and adult protection. The registered person must make sure that safe, suitable, pleasant outdoor sitting areas are provided for residents. The en suite toilet facilities in the new extension must be fitted with towel rails. The registered provider must make sure that appropriate action is taken to ensure the health, safety and well being of laundry staff. Suitable equipment must be provided to make sure that there is adequate ventilation and safe working conditions are maintained. Plans must be in place to make sure that the build-up of fluff and debris on top of and behind the dryers is removed regularly. manager. Ongoing 5. 16 22 31.12.05 6. 18 13 Immediate as discussed with manager. 7. 18 13, 18 28.02.06 8. 20 23 28.2.06 9. 10. 21 26 13, 23 13, 23 28.2.06 31.10.05 11. 26 13, 23 Immediate as discussed with manager. Page 25 Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 12. 29 19 13. 30 18 14. 31 9 15. 32 12 16. 36 18 The registered person must make sure that robust recruitment procedures are in place. Staff must not be employed until two written references and satisfactory POVA checks are in place. This must be subject to a satisfactory enhanced CRB disclosure being received. For all nurses there must be written confirmation that their registration with the NMC is current. The registered person must make sure that the induction and foundation training is to the Sector Skills Council standards for Care. Training must be provided by people who are qualified and competent to do so. The training plans for the home must make sure that staff receive the required training in subjects related to the health, safety and well being of themselves and residents as well as training that is relevant to the specialist needs of residents living in the home. The manager must complete the registered managers award. (This standard was not assessed during this inspection. The timescale has not been altered.) The registered person must take action to improve the standards of care being delivered in the home and make sure that all staff are aware of their roles, responsibilities and accountability. Effective communication systems must be put in place. The systems for providing formal staff supervision must be reveiwed to make sure that it is provided at least 6 times a year. J52 S55013 Springfield V187190 220705 Stage 4.doc Immediate as discussed with manager. 31.03.06 30.04.07 31.10.05 31.03.06 Springfield Nursing Home Version 1.40 Page 26 Staff providing supervison must receive appropriate training to enable them to do so. 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 3 Good Practice Recommendations The manager should make sure that all relevant information is obtained and recorded in the pre admission assessment. This document should be available to staff when the resident is admitted. Staff involved with care planning should receive appropriate training around writing care plans and person centred care. The registered person should consider the use of a record sheet in order to document and acknowledge when service users and or their representatives had seen and agreed the care plans, been informed of changes and involved in reviews.(This recommendation was first made 20.05.05) The manager should make sure that the personal history and activity records are fully completed and used by staff to inform them of residents individual likes and preferences. The use of shower rooms for storage of wheelchairs and other equipment should be reveiwed and alternative arrangements made. A minimum ratio of 50 trained members of care staff (NVQ Level II or equivalent) should be achieved by 31.12.05. (This standard was not assessed during this inspection and the recommendation has been carried forward.) The outcomes of the quality surveys should be made available to all interested parties. The next survey should include relatives, visitors and other interested parties. 2. 7 3. 12 4. 5. 21 28 6. 7. 33 Springfield Nursing Home J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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 J52 S55013 Springfield V187190 220705 Stage 4.doc Version 1.40 Page 28 - 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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