Inspection on 28/06/07 for Springfield Park Nursing Home

This inspection was carried out on 28th June 2007.

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 22/02/06

Springfield Park Nursing Home 14/09/05

Springfield Park Nursing Home 14/09/05

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 HOMES FOR OLDER PEOPLE Springfield Park Nursing Home Springfield Park Bolton Road Rochdale Lancashire OL11 4RE Lead Inspector Bernard Tracey Unannounced Inspection 09:15 28th June 2007 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 Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Park Nursing Home Address Springfield Park Bolton Road Rochdale Lancashire OL11 4RE 01706 646333 01706 646846 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) Vacant Care Home 70 Category(ies) of Old age, not falling within any other category registration, with number (70), Physical disability (56) of places Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 The bedrooms on the first floor are not to be used for category PD or for those requiring nursing care. 22nd February 2006 2. 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 ownership of the home as now changed to Hallmark Healthcare. Following the retirement of the registered manager a new manager will be applying to the Commission to become registered. The home is equipped to cater for male and female residents in 70 single ensuite 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 this 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. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 5 The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody Hairdressing Newspapers Outings/Activities £8.50 From £5.25 to £18.50 As charged Cost dependent on outing Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The home was not made aware that this site visit was going to take place. Several weeks before the inspection, questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The home was also asked to fill in a questionnaire. The inspector spent 4.45 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to ten residents, as well as speaking to two relatives, nine staff, and the Matron One complaint received by the social workers was presently being looked at. What the service does well: The staff team work well together and show a good understanding of the needs of the people living at the home. The home was good at visiting people before they moved in, to make sure the home could provide the care they needed. They were also good at writing down what care people needed and making sure they received it. One resident wrote to us to say “the staff are very helpful and willing”. Relatives also wrote “My mother is very happy at Springfield Park. It is clear that she is always nice and clean and the staff are always on hand if you want to ask anything and are all very caring toward everybody” and “My father has only been there for a short time and has settled very well. I am very happy with the care my father receives”. A doctor replied to tell us “I believe the care in the nursing home is of a particularly high standard”. Lots of different types of activities were arranged at the home and outside. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 7 The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. The manager was experienced and ran the home well. She made sure she checked out staff before they started working at the home and gave them training and support to make sure they did the job to the best of their ability. Both residents and staff benefit from the home’s strong leadership and open management ethos. Meals and mealtimes were considered to be an important part of the residents’ day. The dining rooms are nice places to sit, eat and meet with other residents. The residents said that they really enjoyed their meals, though one said “there is too much gravy, but the food is good”. Residents were satisfied with the choice of meals and the way they were cooked and served. What has improved since the last inspection? What they could do better: The owners and the matron have a good understanding of the areas in which the home could further improve. Planning was in place and set out how these improvements are to be resourced and managed. There are carpets curtains and bedding that need replacing in various places in the home. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 8 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 9 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 Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 does not apply) Quality in this outcome area is excellent. Pre-admission procedures are very thorough and serve to ensure that only those people whose needs can be well managed at the home are admitted. Significant time and effort is put into making admission to the home personalised and well managed. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: The home’s admission arrangements for new residents were very thorough. This ensured the home would be a suitable placement for that person, and be able to meet their assessed needs. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 11 Initial enquiries were recorded and followed up by a face-to-face meeting with the prospective resident to complete a detailed assessment of their needs. The home liaised closely with family members and any health care professionals involved with the prospective resident. This helped the manager to build up a full picture of the person’s needs. The assessment included personal and healthcare needs, as well as social care and behavioural needs. The manager generally conducted pre-admission assessments, but where a resident was thought to have particularly complex needs, the home’s senior nurse also attended. Pre-admission arrangements can take place over a long period, and may involve the prospective resident having short visits and a trial stay at the home. In this way, any specialist services the resident may need, can be arranged ahead of admission and any personal equipment or staff training can also be organised in advance. Due to the complex physical needs, the majority of residents are very limited in their ability to contribute to the admission process. This does not mean that residents are excluded from the arrangements, unless they wish to be, and the home tries hard to engage with and include people in the plans for their future care. Examples were seen whereby care staff from the home had been to the hospital prior to the prospective service user being discharged, to work with the individual alongside NHS staff in order to gain experience in how the individual liked to be cared for and get to know what equipment was to be transferred to the home. All residents had a contract. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. Residents receive consistently high quality personal and health care in a way that was acceptable to them, and benefited their general sense of well-being. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: Since the last inspection a new care planning system had been implemented on the residential unit. Staff had been involved in the process of setting up this new system, and had been offered training and support in using it. As a result, care planning was working very well, and residents benefited from consistent care delivery, overseen by the new unit manager. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 13 Each resident in the home had a detailed up to date and individual plan of care, covering all personal, health and social care needs. Any areas of risk for the resident were highlighted along with the planned action to reduce that risk. Care plans demonstrated that residents’ personal choices and preferences had been taken into account by staff. Preferences around care delivery were also recorded, such as who liked a bath and who would prefer a shower. This information was generally gathered from families or through observation of residents’ reactions to care. Time was spent talking with care staff who were monitoring one to one care when we visited. Both staff were able to demonstrate knowledge skill and a caring manner in carrying out their specific tasks. Care plans demonstrated staff’s respectful approach to residents. It was evident that staff upheld residents’ privacy and dignity, and this was especially so where residents were no longer able to maintain the social graces they would have had in the past. Personal care was provided privately in bedrooms or bathrooms, and door locks or engaged signs were used. Residents wore their own clothes and were dressed appropriately for the weather and their activity. Hair care, nail and teeth care and shaving had been attended to. Healthcare arrangements were also good. Residents had good access to their local doctors and most were also under the care of a consultant. The management of medicines in the home was safe and served to protect residents from harm, and ensure they benefited from the medicines prescribed for them. Staff were knowledgeable about residents’ medicines and understood about monitoring for side effects and adverse reactions. Medicine records were good, although there was evidence that a hand transcribed medication had not been signed by to staff in order to avoid errors occurring. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. Residents benefit from a range of social activities and are able to exercise choice over their daily lives. Residents are able to make positive choices about how they spend their day and friends and families are very much a part of this process. The home is run for the benefit of residents and the provision of meals is good. This judgement has been made using the available evidence, including a visit to the service EVIDENCE: Two social care organisers are employed at the home and one was on duty at the time of our visit. The activities organiser was able to demonstrate how the social activities were planned out in advance and included in-house activities, visiting entertainers and weekly outings. Residents’ involvement in social activities varied greatly according to their interests, abilities and needs. There was no obligation on residents to join in activities and the social care staff tried to make sure everyone had the opportunity to participate if they wanted. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 15 The programme of activities was displayed in the reception area and in other strategic places throughout the home, so that residents were aware of what was ‘going on’. They were also detailed in the monthly newsletter, a copy of which was given to each resident. Apart from details about games, quizzes and activities it also gave information about how often religious services would be held and when the mobile library would be calling at the home. Minutes of the last residents’ meeting were also included. There was reference to activities and occupation in residents’ care plans and it could be seen that some people enjoyed a regular walk outside with staff. Where preferences were known, staff abided by these. In other cases, staff observed residents’ reactions closely to judge whether they liked something or not, and this information was recorded in their care plan and passed onto other staff. The home operated an open visiting policy, meaning residents could have visitors at any time suitable to them. The choices residents made each day varied, dependent upon their physical frailty but residents generally chose what time to get up, go to bed, what clothes to wear, where to spend their day, what food to eat, whether to participate in activities. The home was only directly involved in management of approximately 12 residents’ finances, the majority having chosen to manage their own affairs or have them managed by relatives or solicitors. Residents said they were given the choice of whether they wished to have the key to their room and lockable space. Overall, residents considered they were encouraged to do what they could for themselves and make appropriate choices through the day. The menus showed a good variety of foods, and the quality of meals served was good. There was a choice of breakfast and teatime items, which were popular with residents. Lunch was the main meal of the day and this was a set meal. Where residents’ preferences or special dietary needs were known, and listed in the kitchen, alternatives were automatically prepared. There was a high staff presence at meal times to assist and observe residents. Weight records showed residents to be well nourished, and those people identified as “poor eaters” had additional support and monitoring. The cook said her role was to ensure that residents ate well every day and that she took this responsibility very seriously. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. Residents and relatives were aware of who to contact if they had a complaint and expected they would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse, including staff training. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: The home had a clear and concise complaints procedure, which told people how and who to make any complaint to. The procedure was well advertised to relatives, and visitors to the home. Records showed that any complaints made had been fully investigated and responded to appropriately. Since the last inspection, one complaint had been made about care practices and is presently being investigated in conjunction with the Local Authority. It was clear that the manager and staff were willing to learn from complaints and thereby improve their service. There was also evidence that, where relevant, the manager made complaints on behalf of residents who received a poor service outside of the home. No complaints had been made directly to the Commission for Social Care Inspection. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 17 The home had policies and procedures in place about safeguarding people from abuse, and staff had received training in this subject. The training included a DVD with training booklet and a written questionnaire, for which certificates were issued. Through discussions it was evident that staff had a good knowledge of safeguarding vulnerable adults and what do in the event of any problem arising. Staff were aware of the importance of protecting residents’ rights, especially where residents were unable to make their wishes known due to their level of physical disability. Decisions affecting people’s rights and choices were taken with great care and consideration, and included external advocates or other professionals. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 & 26 Quality in this outcome area is adequate. The home provides a suitable and comfortable environment for residents to live in, although the home is need of some upgrading. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: There are two floors occupied by residents. There is a passenger lift and other adaptations around the home to assist people with limited mobility. The majority of bedrooms are single with an en-suite toilet and hand basin. There are assisted bathing facilities and plenty of spacious toilets around the home. There are several dining rooms and lounges for communal use. The large lounge by the reception area is used for social gatherings. There is a large enclosed garden, which residents can access, and is supplied with plenty of seating and sunshades, as well as immediate access to Springfield Municipal Park. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 19 A number of residents spoken with were very pleased with their individual rooms and said that they had ‘brought in a number of personal possessions to make them feel more homely’. All bedrooms were fitted with door locks and lockable storage space to ensure residents’ valuables were kept safe. Staff have a master key, which could be used to gain access in an emergency. The majority of beds in the home are divan type beds, with adequate amounts of height adjustable beds throughout the building. Some of the carpets were in a poor state, particularly the stair carpet leading to the residential unit. Some of the furnishings and fabrics around the home, including curtains and bedding, have become shabby or drab and are in need of replacement. From this site visit the registered person is to draw up a programme of work needed, and a requirement is for this to be completed. Residents said staff kept the building clean and odour free, and inspection of the premises supported this view. Discussion with two domestics verified that sufficient staff and equipment were provided to ensure the home was maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. Staff spoken with described safe infection control practice. Disposable gloves and colour-coded aprons were provided for staff use and liquid soap was available throughout. Satisfactory practice was in place with regard to disposal of clinical waste. The home has recently interviewed for a replacement handyman. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. Staffing levels were good and ensured residents’ needs were met consistently. The staff team was well trained, competent and displayed a positive attitude to residents. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: Staffing levels reflected the complex needs of residents and were consistent. Additional one to one staff were provided for certain residents, in line with those person’s funding arrangements. There was a good skill mix of staff on duty and seniors staff’s professional qualifications and experience complemented each other. The staff team worked with a positive attitude and were conscientious and competent. Over 50 of the care assistants had an NVQ (National Qualification) in care, eight care staff have NVQ Level 3. Vocational Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 21 All staff complete an induction and foundation training course, which the home purchases in workbook form from a recognised training provider. Workbooks are completed and signed off by senior staff, before being submitted to the training provider for certificates to be issued. There was ample of evidence of ongoing training for staff, with sessions taking place during my visit on safe moving and handling, and food hygiene. There was also evidence of recent training on safeguarding vulnerable adults, fire safety, continence care, wound care and care planning. Planned training sessions for the future included dementia care, defusing aggression and customer care. The home had a comprehensive recruitment policy and procedure. Inspection of three staff files showed that the manager followed the procedure and ensured the interview process, POVA/Criminal Record Bureau (CRB) checks, written references, health checks and past work history were all obtained and satisfactory before the person started work. One staff member whose file was looked at is from another country and had undergone all checks necessary for foreign workers, including work permits, passport and immunisation records. Nurses at the home maintained periodic registration with the Nursing and Midwifery Council to ensure they are able to practice. The home employs a mixed race staff group and the manager promotes good working relations; new staff were well supported whilst settling into their role. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. The home is run in the best interest of residents, who, along with staff, benefit from the manager’s positive ethos and strong leadership. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: The manager is suitably qualified and experienced to run the home and receives good support from the managers of the group who have recently purchased the home. At the time of our visit, substantive management arrangements had not been concluded but the matron was continuing to manage all aspects of the home in the best interests of the residents and staff. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 23 The manager operates a quality assurance programme made up of audits and satisfaction surveys to gain feedback on the quality of the service offered at the home. The responses to the latest survey had not been collated as yet but showed that respondents were very happy with the care provided but would like to see the fabric of the home upgraded. The manager also hosts a relatives’ group, which meets quarterly, and enables relatives to make their views known. A set of management audits was used to monitor the standard of care planning, medication records, upkeep of the building and provision of meals. The manager also sees every accident/incident report and is therefore able to implement any newly identified safety measures accordingly. All these quality assurance steps are completed in a coherent way, informing the quality assurance system. The home holds small amounts of spending money of behalf of some residents. The records and money of three residents were checked and correct, with evidence of regular audits being carried out. Any spending was accounted for with receipts and the records were open to scrutiny by residents or their advocates. The home had sound systems in place for promoting the health, safety and welfare of staff and residents. All services and equipment for the building were under contract for regular testing and repair. There was information on, and staff had received training in, fire safety, safe moving and handling, and the safe use of chemicals, food hygiene and first aid. The home had a satisfactory environmental health visit last year. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 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 X X 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 4 X 3 x x 3 Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 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 Standard OP19 Regulation 23(2)(d) Requirement An assessment of the whole of the premises must be undertaken in respect of painting and decorating required, to ensure the décor is improved for the benefit of people using the service; the plan of works is to be forwarded to the Commission for Social Care Inspection. Adequate furnishing, carpets, curtains and bedding must be provided in the personal and communal accommodation. Timescale for action 30/09/07 2 OP24 16(2)c 30/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Hand transcribed medications should be witnessed by two members of staff to avoid errors. Springfield Park Nursing Home DS0000017329.V298308.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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.V298308.R01.S.doc Version 5.2 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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