Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Springfield Park Nursing Home Springfield Park Bolton Road Rochdale Lancashire OL11 4RE three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kath Oldham Date: 2 5 0 2 2 0 0 9 Information about the care home
Name of care home: Address: Springfield Park Nursing Home Springfield Park Bolton Road Rochdale Lancashire OL11 4RE 01706646333 01706523898 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bendan Care Ltd care home 70 Number of places (if applicable): Under 65 Over 65 70 0 old age, not falling within any other category physical disability Conditions of registration: 0 56 The bedrooms on the first floor are not to be used for category PD or for those requiring nursing care. The registered person may provide the following categories of service only:- Care home with Nursing - Code N, to service users of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories:- Old age not falling within any other category - Code OP, (maximum number of places: 70) Physical Disability - Code PD (maximum number of places:56) The maximum number of service users who can be accommodated is: 70 Date of last inspection Brief description of the care home 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 Care Homes for Older People
Page 2 of 12 Brief description of the care home transport and the motorway network. The home is equipped to cater for male and female residents in 70 single en-suite bedrooms. It is registered to care for people who require personal care and for people who have nursing needs. 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 are activities organisers who ensure that the social needs of the residents are met. The weekly fees at the time of the last inspection ranged from £331.42 to £526.01 plus any registered nursing care contribution entitlement from the primary care trust. There were also residents in receipt of additional continuing health care funding for the provision of one to one staffing for an agreed number of hours per day or week. Information about the home can be obtained from the manager along with copies of the latest inspection report. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £8.50 Hairdressing From £5.25 to £18.50 Newspapers As charged Outings/Activities Cost dependent on outing Care Homes for Older People Page 3 of 12 What we found:
The last key inspection at Springfield Park was on 28th June 2007 on that inspection the quality rating awarded was excellent We did an annual service review for Springfield Park on 26th February 2008. An annual service review is a report that we write for good or excellent services that have not had a key inspection in that year. Good services only have an inspection every two years and excellent services every three years. The annual service review does not routinely include a visit to the service. The review is an analysis of all the information that we have gathered about the service since the last main inspection. When we did the annual service review in February 2008 we found no evidence to suggest that our quality rating had changed or that we needed to bring the inspection forward. This random inspection was unannounced, which means the manager and staff were not told we would be visiting, and took place on 25th February 2009 commencing at 9.30am. At the last inspection on 28th June 2007 the overall quality rating for Springfield Park Nursing Home was judged as excellent so we did this inspection to satisfy ourselves that nothing had changed and that residents were still happy with the care they were receiving. Springfield Park was inspected against standards that cover the support provided, daily routines and lifestyle, choices, complaints, comfort, how staff are employed and trained, and how the service is managed. We looked briefly at all the key standards. We found our information at the visit by observing care practices, talking with people staying at Springfield Park, talking with the manager, deputy and staff. A sample of care, employment and health and safety records were looked at. Since the last inspection at Springfield Park we have not received any complaints, concerns or safeguarding matters. The weekly range of fees charged by the home is between 354.63 and 600 pounds each week. Additional charges are made for hairdressing, personal toiletries, podiatry and magazines. References to we or us in this report represent the Commission for Social Care Inspection. (CSCI). The managers admission procedures remain thorough as described on past inspections. This ensures that the manger and staff are able to meet the needs of people who could be accommodated at Springfield Park. A meeting is arranged with all prospective residents so that the manager can complete an assessmnet of their individuals needs. The manager also involves and includes family members if this is practicable and any health care professionals who may be involved in the residents Care Homes for Older People Page 4 of 12 care so she can get a clear picture if their needs and support they need. Before admission on a permananet basis prospective residents have short stays or trail visits dependent on the person and their circumstances and requirements. One resident said they came a couple of times to Springfield Park and had what they called an introductory period and then had a trail for six weeks to see if they liked it and to check whether they fitted into the home. The manager told us that on occasions staff have gone to the hospital where the resident was prior to their discharge to work with the person and the staff providing their care currently to get additional information about their care and needs. We were told that this has worked well as the more information the manager and staff have about a person helps staff to know the person and provide the right care and support. We looked a a sample of care plans for residents admitted to Springfield Park since we last visited. The detail in the care files was informative and identified the needs of the person as an individual. There is a lot of paperwork in the care files to indicate to staff how to support and care for residents how they choose and what is in there best interests. Staff told us that they get enough information to help them support residents well. The manager said that they have changed the supplying pharmacist within the last month after having the previous pharmacist for a number of years. We looked at a sample of medication administration records for the period covered by this visit. We identified that for some residents there was no medication in stock so they couldnt have the medication prescribed to them by their doctor. This is not acceptable. The manager and deputy told us that they had had endless conversations and numerous fax transmissions had been sent to the pharmacist identifying the pharmacists omissions. This has not worked as the manager had still not received medication as needed by some residents. This compromises the health of residents. For one resident staff had written on the medication records, not enough in stock so none of this particular medication was given to the resident. For other residents the symbol m was used which means that the medication was on order, therefore not in stock to give to residents. The manager told us that there was a problem with the storage of medication now that it is being dispensed differently. The manager wrote to us after our visit to let us know that she had contacted the pharmacy again and the pharmacist would be undertaking a full audit on Monday 2nd March 2009. The manager also spoke to us after the inspection to verify this and to let us know that all residents had their medication in stock as prescribed by their doctor. Symbols are used to indicate when a resident hasnt had there medication for a particular reason. When the symbol F is used it needs to be defined on each occasion. For one particular resident this definition was not indicated. Therefore anyone looking at the record would not know why they didnt have their medication. Symbols that require defining must be detailed on the medication administration records. Care Homes for Older People
Page 5 of 12 We asked on the last visit that when medication is handwritten that this should be signed by two staff to confirm that the entry has been written down correctly so residents get the right medication. The sample of medication records we looked at which were handwritten were signed and witnessed by a second person as is safe practice. Residents spoken to on the visits were complimentary about the activities that are available to them at Springfield Park. An activities board is placed in the reception area in addition to other ares in the home to let people know whats going on. A resident talked to us about the newsletter that is given to everybody which includes details of events and was described as a good read. When we last visited Springfield Park in June 2007 we reported that some of the furnishings and fabrics around the home, including curtains and bedding had become shabby or drab and were in need of replacement. We issued a requirement to provide adequate furnishing, carpets and bedding in all personal and communal space. The manager told us that after the last inspection they tidied up and got rid of the shabby furniture and furnishings. The manager told us that there had also been some replacement of curtains and some bedrooms had been redecorated to personalize the bedroom for the resident. We also made a requirement on that visit for the manager to do an assessment in respect of painting and decorating to ensure the decor was improved for the benefit of residents. We were told that this plan would have been sent to the Commission after that inspection. The manager told us that the lounges and dining room and bedroom had been repainted since our last visit. When we looked around the house it was apparent that some areas needed upgrading. The condition and appearance of the carpet in the corridors, in some residents bedrooms and on the stairs leading to the residential unit was not too good and showed signs of stains and wear and tear. The lighting in the corridors didnt appear bright enough and could be difficult for residents with failing eyesight to see properly. We asked the manager to speak to the company and send to us an action plan of work that is to be done and the timescales for this. The manager wrote to us on 27th February 2009 to tell us that carpets to all the downstairs corridors and stairs leading to the residential unit, up grading of lighting to the ground floor corridors, upgrading of soft furnishings and carpets to the ground floor bedrooms will be completed within the next three months. Examination of a sample of new staff files identified that the policies and procedures for the recruitment and selection of staff had been followed. Which in turn provides some safeguards to residents. References, criminal record bureau disclosures, health checks and past work history were all obtained before new staff started work at Springfield Park. We looked at the training records for staff. The majority of staff have received up dates to their training in food hygiene, moving and handling, fire safety, protection of Care Homes for Older People
Page 6 of 12 vulnerable adults, health and safety, and almost all have taken part in induction standards. It is hoped that the shortfall will be addressed by the manager so all staff have this training. About 7 staff have attended training in dementia care. It would be good if more staff had this training so they too have the knowledge, skills and specialism to support residents who have dementia. Fifty two staff have been successful in obtaining NVQ qualifications which exceeds the standards which we ask for of 50 . This supports staff to do there job well. What the care home does well: What they could do better:
Springfield Park meets or exceeds the majority of the key standards and the manager has a clear vision of the future of the home. The omissions in the medication at the home is of concern. Despite the contact made and fax transmission to the pharmacy some residents didnt have their prescribed Care Homes for Older People
Page 7 of 12 medication in stock and hadnt had this medication. This doesnt promote their health and wellbeing. We also highlighted on this visit that the carpeting to the downstairs corridors and also the stair carpet leading to the residential unit and carpets in the ground floor bedrooms needs replacement. The lighting in the corridors was dim and needed attention. Soft furnishings also need replacing to ensure the environment is good for the residents living at Springfield Park. We were sent a letter to say the furnishings and carpets would be replaced in the next three months. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 8 of 12 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 12 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 Ensure that all residents 27/04/2009 medication is in stock so they are enables to have their medication when it is prescribed which will support their health and wellbeing To ensure the health and safety and wellbeing of residents in the care of Springfield Park 2 19 23 Ensure that the home is well 27/04/2009 maintained and that the furnishings and decoration and furniture is in a good state of repair and appearance. Provide to the commission an action plan of work to be undertaken in the home to improve the decoration and furnishings and the timescale that this work and future work will be completed to keep the appearance of the home in good order To promote the respect of residents living at Springfield Park and to promote the Care Homes for Older People Page 10 of 12 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action appearance of the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 30 Further develop the staff team by providing all staff with updates to their health and safety, moving and handling, adult protection and food hygiene training. Provide staff with dementia care training so they have the knowledge, skills and specialism to support residents with dementia. Care Homes for Older People Page 11 of 12 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 12 of 12 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
