Inspection on 14/09/05 for Springfield Park Nursing Home

This inspection was carried out on 14th September 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 Park Nursing Home 25/02/09

Springfield Park Nursing Home 28/06/07

Springfield Park Nursing Home 22/02/06

Springfield Park Nursing Home 08/03/05

Springfield Park Nursing Home 18/11/04

Springfield Park Nursing Home 29/07/03

Springfield Park Nursing Home 21/05/02

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Springfield Park Nursing Home Springfield Park Bolton Road Rochdale Lancashire OL11 4RE Lead Inspector Diane Gaunt Unannounced Inspection 14th September 2005 09:20 X10029.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 Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfield Park Nursing Home Address Springfield Park Bolton Road Rochdale Lancashire OL11 4RE 01706 646333 01706 523898 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) Mr Paul Mellor Mrs Jane Mellor Mrs Marylyn Beaumont Care Home 66 Category(ies) of Old age, not falling within any other category registration, with number (66), Physical disability (56), Terminally ill (4) of places Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Within the maximum registered numbers of 66 places there can be up to 66 (OP) up to 56 (PF) and up to 4 (TI) The bedrooms on the first floor are not to be used for category PD or for those requiring nursing care. 08 March 2005 Date of last inspection Brief Description of the Service: Springfield Park is a large detached building that has been extensively extended and refurbished to a high standard. It is situated in parkland with easy access to public transport and the motorway network. The home is equipped to cater for male and female service users in sixty-six single en suite bedrooms. It is registered to care for people who require personal care and for people who have nursing needs. It is also registered to provide palliative care. The home does not admit people with an overt mental illness. The majority of the accommodation is on the ground floor. The home is suitably adapted for disabled access. Suitably qualified and experienced nurses, supported by trained care assistants, provide nursing care. Physiotherapy is provided, as is access to chiropody, dentists and opticians. There is a full time activities organiser who ensures that the social needs of the service users are met. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by two inspectors over a period of 7½ hours. The inspectors spoke with thirteen residents, three relatives, five care assistants, two adaptation nurses, one enrolled nurse, one Unit Manager, the Registered Manager, the cook, kitchen assistant and handyman. Care practice was observed on both the ground and 1st floors and records looked at. Comment cards asking residents and relatives what they thought about the care at Springfield Park had been given out a few weeks before the inspection. Fifteen residents and sixteen relatives filled the cards in and returned them to CSCI. Their opinions are included in the report. Feedback was also received from one GP. What the service does well: What has improved since the last inspection? What they could do better: Care plans and reviews of care should be made more individual and personalised on the 1st floor residential unit (Beaumont Suite). They must also show more evidence of residents and relative’s involvement, as should those on the nursing unit. Risk assessments on the Beaumont Suite must record appropriate action taken in response to changing needs. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 6 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 Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Older People) and 2 (Adults 18-65). Standard 6 is not applicable. Thorough assessment of each resident prior to admission ensured their needs would be met at the home. EVIDENCE: Individual records were kept for each resident on all units. Six files were inspected, each contained an assessment undertaken by a senior member of the nursing team for those receiving nursing care, and by a senior carer or nurse for those receiving personal care only. The assessment took place either at Springfield Park, the prospective resident’s home or hospital prior to admission. The assessment addressed all area of needs. Where care managers or healthcare professionals were involved in the admission they also provided a needs assessment or care plan. Feedback from residents and Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 9 relatives indicated they were appropriately involved in the assessment and considered the home was able to meet their needs. With regard to emergency admissions, information from placing agencies was requested but not always received prior to admission. However, a thorough assessment was undertaken within 24 hours of admission. Inspection of a file relating to a resident placed by the Rapid Response team confirmed this. Admissions only took place with the proviso that if Springfield Park could not meet the person’s needs, arrangements for care provision elsewhere would be swiftly made by placing agencies. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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, and 10 (Older People) and 6, 16, 18 and 19 (Adults 18-65) Residents and their relatives were consulted about required care, but not always actively involved in reviews to discuss changing care needs. Physical and health care needs were met on an ongoing basis, but on the 1st floor residential unit not always appropriately recorded. Residents were treated with respect, their rights (including privacy) upheld, and personal support delivered in the way each individual preferred. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 11 EVIDENCE: Six care plans were inspected. Those relating to residents receiving nursing care were seen to be comprehensive, with excellent organisation of documentation. A comprehensive checklist completed on admission ensured all elements of care were addressed. The plans included full assessments and detailed care actions in relation to residents’ health, personal and social care. Individual preferences were recorded. The care plans were reviewed as and when necessary but at least on a monthly basis. In one instance the presence of the resident during the review was recorded but their input was not evident. It was not clear whether relatives had been invited or whether it would be the resident’s wish for this to occur. Care plans for those receiving personal care in the Beaumont Suite (1st floor of the home) were not as detailed or personalised. Standard formats were in use with the resident’s name inserted. In instances where specific intervention was required e.g. use of hoists, details of individual requirements and interventions were not recorded. Residents and one relative interviewed said they were unaware that care plans were in place. Reviews were held monthly and, as noted in the ground floor nursing unit, records showed the resident was present but did not reflect any comment from them. Where residents were forgetful or had some degree of confusion relatives were not invited to participate in the review each month, although discussion with two relatives on inspection indicated they would welcome such involvement. Care plans and the majority of reviews on this unit were not signed by residents or relatives. With this exception, relatives interviewed and those completing comment cards considered they were kept informed with regard to the residents’ care and well-being. Care plans recorded GP, Psychiatrist, District Nurse and CPN involvement. Appropriate interventions were being taken with regard to residents with or at risk of pressure sores, and suitable equipment was provided. Nutritional screening was seen in the care plans and the inspector was given an example of dietetic advice being sought, although this was not recorded. Access to NHS services was upheld and residents said the home called their GP when they needed them. The GP completing a comment card considered the care at the home to be good. The services of opticians and chiropodist were accessed either at the home or in the community as and when necessary. Some problems were being experienced with regard to access to dentists but the registered manager was addressing the matter. Physical exercise sessions were offered twice a week and residents were encouraged to walk around the building for further exercise if they were able. The continence advisor was appropriately involved and evidence was available that the home had asked for reassessment of a number of residents just prior to the inspection to ensure they were provided with suitable aids. One relative commented that the home was ‘particularly good at observing, and contacting the GP’. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 12 Appropriate risk assessments were held on file and regularly reviewed. However, on the 1st floor residential unit whilst action was taken in response to changing need this was not always recorded and did not follow the action advised on the risk assessment format. Residents were weighed regularly and appropriate action taken with regard to those under and over weight. All service users and relatives completing comment cards said they were satisfied with the overall care at the home. All residents considered they were treated well, felt safe living at Springfield Park and considered they were well cared for. Staff received training on the principles of care as part of their 6 weeks induction – this included the importance of upholding residents’ privacy and dignity and encouraging independence within a risk assessment framework. Care staff interviewed were able to describe good practice in this area and residents returning comment cards and those interviewed considered their privacy and dignity was respected at the home. Relatives commented that observation during their regular visits to the home indicated staff treated residents with respect and upheld their dignity. Relatives and friends are encouraged to visit as often as possible and the home operated an open visiting policy referred to in the Statement of Purpose. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 (Older People) and 17 (Adults 18-65) A healthy, wholesome, balanced diet was provided in pleasing surroundings. The majority of residents enjoyed their meals and mealtimes. EVIDENCE: Menus inspected were seen to provide a balanced, nutritious and varied diet over a 3 week period. Menus recorded the provision of a hot meal which changed daily or the option of a jacket potato, soup, salad or toast each lunchtime. This same choice was offered each teatime along with a choice of a Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 14 hot cooked meal or two lighter snacks. Whilst all these choices were offered by the kitchen assistant daily to residents on the ground floor, those on the 1st floor were not reminded each day of the lunchtime choice available. It was agreed that this practice would be amended to highlight to residents that they have a full choice each day. Fresh produce was used and fresh fruit available on request. It was also used in desserts. Upon suggestion the cook agreed to also serve it as a healthy snack during the day. Snacks were available out of hours, certain food stock areas of the kitchen remained open at all times. Feedback from residents via interviews and comment cards was varied with regard to the food. Some described it very positively, one commenting that ‘you can’t fault it’, others describing it as ‘tasty’; whilst others described it as ‘alright’. Eight people returning comment cards said they liked the food sometimes and two said they did not enjoy it. The cook had changed the menu four weeks prior to the inspection to include healthier options. She said she regularly spoke to residents to get their feedback. In addition, residents were free to raise any issue they wished at their monthly meetings and evidence was available of their doing so with regard to food. The minutes of the last meeting recorded a lively debate amongst the 15 residents that attended regarding the new menus and concluded that overall the food was good. Staff and cook confirmed that wastage was limited. This was supported by observation on the day of inspection. The cook will continue to seek feedback from residents in order to monitor the new menus. Diabetic and soft diets were provided for those who required them. When liquidised food was required each item was liquidised separately. Dietary and fluid charts were completed for those with reduced appetites and weight loss. Staff gave appropriate assistance to those needing it. Observation showed that mealtimes were unhurried and staff assisted residents in an appropriate and sensitive manner. The Environmental Health Department had undertaken a food inspection in May 2005. Requirements and recommendations had been met in June 2005. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the 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 30 (Older People) and 30 and 35 (Adults 18-65) Sufficient numbers of staff, with an appropriate skill mix, were provided to meet the needs of residents. Staff were trained and competent to do their jobs, ensuring individual and joint needs of residents were met. EVIDENCE: Inspection of rotas showed that sufficient number of staff to meet the needs of the residents, were provided. Feedback from staff, residents and the majority of relatives supported the view that there were enough staff on duty each shift to meet residents’ needs. The majority of residents said that staff response time to call bells was satisfactory. Observation on the day of inspection provided further evidence. The 1st floor residential unit (Beaumont Suite) provided one carer at night and during short breaks (15 minutes) in the day. However, all staff spoken with said there was no problem in accessing another carer from the ground floor when 2 carers were needed. At night-time a ground floor carer was designated to work on the 1st floor whenever called. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 18 Residents and relatives spoke positively of staff in the main and one relative commented on the ‘happy, smiling staff’. All staff had a 6 weeks induction course in line with NTO specification. This addressed the aims of the home, principles of care and safe working practices as well as needs of service users and personnel issues. All care staff were expected to attend NVQ training and the majority had completed NVQ level 2. At the time of the inspection, a number of staff were undertaking NVQ level 2 and some had advanced to NVQ level 3. Individual training profiles were held on file but a matrix providing an overview of all staff training was not available. Such a document could usefully be introduced to assist with monitoring gaps in training and to ensure each staff member received 3 or 5 days paid training per annum (i.e. those working with older people and those working with adults aged 18-65 respectively). Staff spoken with on inspection confirmed they had to attend all health and safety training and were also given the opportunity to attend other relevant courses e.g. dementia care, falls prevention, courses related to specific illnesses. Dates of forthcoming courses were provided in the monthly staff bulletin, circulated to all. A training session, one of a series, on medication administration was held on the day of the inspection. Discussion with one staff member responsible for the one to one care and observation of a service user confirmed that adequate training, supervision and support was provided. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 (Older People)and 42 (Adults 19-65) The health, safety and welfare of service users and staff was both promoted and protected. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 20 EVIDENCE: Records and discussion with care staff showed that a rolling programme of mandatory health and safety training was provided for staff and the majority had completed it. Those who hadn’t were given dates of the next available training sessions. No health and safety hazards were noted during the inspection. Residents and staff considered it a safe place to live and work. Regular maintenance checks were undertaken in line with legislation and risk assessments addressing a wide range of areas pertaining to residents and staff were completed and copies held on each unit. Fire precaution checks were undertaken on a regular basis in keeping with GM Fire Officer’s recommendations. Fire drills were held regularly. The Accident Book was filled in appropriately and CSCI informed of notifiable incidents in line with legislation. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 21 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X ENVIRONMENT Standard No Score 19 X 20 X 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X 37 X 38 3 Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 22 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 YA6 Regulation 15 Requirement That care plan reviews more clearly record resident/relative views and involvement in the process. That care plan reviews more clearly record resident/relative views and involvement in the process. Timescale for action 31/10/05 2. OP7 15 31/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations That care plans on the 1st floor residential unit are developed to record a detailed, individual plan of care. Springfield Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Park Nursing Home DS0000017329.V249771.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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