Inspection on 09/05/07 for Springfield Park Residential Care Home

This inspection was carried out on 9th May 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.

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Springfield Park Residential... 05/05/09

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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 Park Residential Care Home 2 Eastern Villas Forest Hall Newcastle Upon Tyne NE12 9AE Lead Inspector Ian Armstrong Key Unannounced Inspection 9th May 2007 09:30 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 Residential Care Home DS0000069657.V338130.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 Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Park Residential Care Home Address 2 Eastern Villas Forest Hall Newcastle Upon Tyne NE12 9AE 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) 0191 2702424 0191 2701238 Southern Cross Healthcare (Focus) Limited Mrs Karen Ankers Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of which only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 30. The maximum number of service users who may be accommodated is 30. 12/12/06 2. Date of last inspection Brief Description of the Service: Springfield Park is a care home which provides residential care for 30 older people. Residents can access all areas of the home through level access or via a passenger lift. All rooms are currently used as singular occupancy. Residents have access to comfortable lounges and dining areas on both floors. Landscaped gardens surround the home and there are sitting areas outside for residents to use. The home is centrally located for shops and local transport links. The fees for the home range from £361 to £420. More information about the home can be obtained from the service users guide, which contains the previous inspection reports. This can be found in the main entrance of the home. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 12/12/06. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 9/5/07 During the visit we: • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable. We told the manager/provider what we found. What the service does well: Pre-admission assessments are well completed from which the basis of good care planning can be developed therefore providing the residents with good standards of care. The recruitment procedures followed by the home are of a very good standard this facilitates good staff selection with the abilities to meet residents needs. The system of staff supervision is well structured and carried out effectively staff are supported in their work in meeting the care needs of the residents. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive pre-admission assessments are carried out to ensure peoples needs can be planned and properly met. Detailed information is available to help people make choices about the service before moving into the home. The home does not provide intermediate care. EVIDENCE: Four residents pre-admission assessments were checked these were completed to a good standard. Information in the files was detailed and comprehensive. Relatives spoken to said they had been given good information about the home before deciding about admission. This included the service users guide the philosophy of care and the homes complaints policy. Relatives also said that if Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 9 they had any concerns they could approach the manager and felt confident that any issues would be addressed. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of care planning generally gives a good level of information to staff to support meeting residents needs. Healthcare needs are well met by using a multi-agency approach. This helps residents to stay healthy. Adequate medication systems are in place to make sure that residents are not put at risk. Residents are encouraged to retain their independence and are well supported to make choices within a risk assessment framework. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four residents care records were examined. All of these had a good range of assessments completed to a good standard. Information from assessments formed the basis for good care plans being written with one exception social care assessment information is not always being used in developing good social care plans. Ongoing records there is evidence of these being linked to the care plans. Reviews of care needs are properly structured with relatives in attendance, relatives sign records to state they have been consulted about the residents care needs. Records of visiting professionals were read and are well completed there is evidence of residents healthcare needs being well met in the records. The systems for the receipt, storage, administration and disposal of medicines were checked. Records for these were being adequately maintained. A residents controlled medication stock balance was checked and found to be correct. However some entries in this residents records did not have two staff signatures. Resident records show that food likes, dislikes and what clothes they like to wear are identified and are being met. Gender of staff for personal care tasks is not currently included in the documentation. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents have some opportunities to take part in a variety of leisure pursuits and interests which helps them maintain links with the local community and keep and develop social skills. Mealtimes are flexible to suit individual preferences and lifestyles. Residents are mainly given plenty of choice and are sensitively supported to eat meals where they have specific needs. EVIDENCE: The home has an open visiting policy. Relatives spoken to said they could visit at any time and that the staff always made them feel welcome. The homes weekly activity programme records showed a good range of activities were structured. However the activity coordinator has recently resigned and activities for the residents has declined. Records showed the following events had occurred in April, Sing-along with a visiting singer/entertainer, crafts, bingo and a film show. A weekly visitor from St Bartholomew church visits the Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 13 home to see some of the residents. One resident goes out to church each week with her daughter. Menus generally show a good range and choice of food being provided for the residents. However cooked breakfast meals are not currently stated each day and sandwich ingredients are also not stated in the menus. The lunchtime meal was observed the meal was ham risotto or stewed steak with turnip, peas and potatoes. Sweet was rhubarb crumble and custard or ice cream or yoghurt. Dining tables were nicely set with tablecloths, placemats, cutlery, condiments and menu cards. Staff served the residents and portion sizes were as agreed with individual residents. Staff were attentive to the residents needs and good interactions were observed between staff and residents Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place and clearly displayed to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Clear protection procedures are in place to protect residents. EVIDENCE: Since the last inspection there has been one formal complaint which the home responded to and concluded to the complainants satisfaction. Relatives spoken to said they were confident any concerns they might have would be properly addressed by the manager. The complaints procedure is displayed in the entrance area. Staff training for the Protection of vulnerable adults was found to be good. Two members of staff spoken to were aware of the procedures to follow. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 15 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. This judgement has been made using available evidence including a visit to this service. The building is clean and generally reasonably well maintained however some work identified in this report requires to be carried out. EVIDENCE: A tour of the premises was carried out. The building was generally clean and odour free. A number of residents bedrooms were seen these were nicely decorated with lots of evidence of personal possessions and furniture. Lounge areas are generally well furnished and decorated. The downstairs dining room the French doors and windows here are very badly damaged and need to be renewed and replaced, The downstairs lounge exterior windowsills also need renewing. The assisted bathing chair in the downstairs bathroom is not working and needs to be repaired. The kitchen was very clean and tidy Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 16 cleaning schedules were checked and were being satisfactorily maintained. The laundry room was also clean and tidy however no COSSH information was displayed. Clinical waste bins outside of the home were found not to be locked. The garden area to the rear of the home is attractive with nice seating areas for the residents. To the side of the home old furniture and other items stored there need to be disposed of and removed. Relatives spoken to said the home was generally clean and looked after. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 17 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. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of residents. Opportunities for training are good. This enables staff to learn new skills to better support residents in all aspects of their lives. Robust recruitment procedures are in place which help to prevent risk of harm to residents. EVIDENCE: Duty rosters were checked these showed that staffing levels were being maintained in line with the residents assessed needs. Staff on duty on the day of the inspection were as stated in the duty roster. Staff training records were checked and good levels of appropriate training is being carried out. Care staff in the home 53 have completed National Vocational Training level 2 or above. Two further staff are soon to commence NVQ level 2 training. Staff supervision records were appropriate and being carried out every two months. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 18 Two recently recruited staff files were read these were well completed with two written references, proof of identity checks, job application forms, job descriptions and CRB checks carried out. Two members of staff were spoken to both had received good levels of training and were aware of procedures to follow for the protection of vulnerable adults. Both staff members were also satisfied with the levels of their supervision. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 19 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. This judgement has been made using available evidence including a visit to this service. The manager has an open style and is clearly present in the home to give support and direction to the staff in meeting the needs and wishes of residents. Quality assurance systems are in place but are still being developed. This will help the service in ensuring it is run in the best interests of the residents. The system for the management of residents monies is good ensuring the residents financial interests are safeguarded. Good systems and practises are now mainly in place that help ensure residents and staff are safe from risk of harm. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 20 EVIDENCE: The homes manager has been in post 18 months and has almost completed the RMA, she is experienced in providing care for the homes client group. Relatives and staff spoken to say that the manager is approachable and responds to concerns appropriately. Relatives and staff meeting minutes had appropriate agendas and showed evidence of actions taken to resolve issues when they arise. A senior manager of the company visits the home at least monthly to check on standards of care her visit reports were read and were satisfactory. Relative questionnaires these have not been sent out for over a year to seek feedback about services provided. The manager of the home does monthly environmental audits and care plan audits these record checks are satisfactory. The system for the management of residents personal monies were checked. The records showed evidence of regular expenditures with two signatures for all transactions and receipts kept. Money balances were correct. The fire log book records appropriate checks and drills are being carried out. However in house fire training for staff is not at the present time being completed at specified intervals. The homes accident book records were satisfactory the manager audits these regularly to identify any possible trends in incidents occurring. The homes maintenance records were checked and all were upto date and satisfactory. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 x 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 4 X 2 Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 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 OP7 Regulation 15.1 Requirement Information in social assessments must be used in developing good individual social care plans. Controlled medications when administered must have two staff signatures recorded. A weekly programme of activities must be carried out for the residents. Breakfast meals must be stated each day in the menu. Sandwich ingredients must be specified. The downstairs French doors and windows to the dining area are badly damaged and must be replaced and renewed. Exterior windowsills to the downstairs lounge must be renewed and replaced. The assisted bathing chair in the bathroom must be repaired. Clinical waste bins must be kept locked when not in use. All staff employed in the home must have in house fire training at intervals specified in the fire log book. Old furniture and rubbish stored DS0000069657.V338130.R01.S.doc Timescale for action 31/07/07 2. 3. 4. 5. OP9 OP12 OP15 OP19 13.2 16.2(n) 16.2(i) 23.2(b) 10/05/07 14/05/07 31/05/07 31/07/07 6. 7. 8. 9. OP19 OP21 OP38 OP38 23.2(b) 23.2© 16.2(k) 23.4(d& e) 23.2(o) 31/07/07 30/06/07 10/05/07 30/05/07 10. OP19 31/05/07 Page 23 Springfield Park Residential Care Home Version 5.2 to the side of the home must be removed. 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. 2. Refer to Standard OP33 OP7 Good Practice Recommendations Relative questionnaires need to be sent out to seek feedback about services provided. Gender of staff for personal care tasks needs to be incorporated into the care records. Springfield Park Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Residential Care Home DS0000069657.V338130.R01.S.doc Version 5.2 Page 25 - 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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