Inspection on 18/04/05 for Springfield Residential Home

This inspection was carried out on 18th April 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 Residential Home 31/07/07

Springfield Residential Home 02/08/06

Springfield Residential Home 19/07/05

Springfield Residential Home 27/09/04

Springfield Residential Home 04/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Springfield House Residential Home Oaken Drive Codsall Wolverhampton Staffordshire WV8 2EE Lead Inspector Wendy Grainger Unannounced 18 April 2005 9:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Page 3 SERVICE INFORMATION Name of service Springfield Residential Home Address Oaken Drive Codsall Wolverhampton Staffordshire WV8 2EE 01902 844143 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Springfield House (Oaken) 2001 Ltd Mrs Lynda Warden Care Home 35 Category(ies) of 6 - DE(E) registration, with number 35 - OP of places Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 27/09/04 Brief Description of the Service: Springfield House is located on the periphery of the village of Codsall. Standing in its own grounds the home is accessed via a long drive. The home was registered some years ago to offer accommodation to older people; the home has been extended sometime ago, but retained the majority of its original features. Within the grounds and screened by trees there is a large lake. Bedrooms were located on the first and ground floor; the first floor can be accessed via the stairs or one of the two shaft lifts. Some of the bedrooms have an en-suite facility, the bathing and separate toilet facilities are located throughout the home; the provision of service users toilets are located near to the communal area. The dining room is central to the home and while not extensive provides sufficient space for the service users that chose to use it. Lounges are spacious providing exceptional space for the service users to wander freely. The lounge near to the dining room tends to be used by the frailer service user. At the rear of the home there was a large conservatory, the home was well furnished and maintained. Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed on the 18th April 2005; the Care Manager and Deputy care manager assisted the inspector. The staff and service users also contributed to the report. Documents, records and reports were made available to the inspector. Time was spent with the service users during the inspection. Their comments were positive, one service user commented that one member of the staff was exceptionally good. The inspector passed on this comment to the management and the staff concerned. On arrival some of the service users had already gone to the nursing home next door to have their hair done. Some service users were completing their breakfast. Two service users came later into the dining room and were prepared fresh toast and tea. One service user had three pots of tea before going into the lounge. Not all the service users choose to come into the dining room for breakfast, these service users would be served breakfast in their bedrooms. New dining room furniture had been purchased. The conservatory was being used, as were three of the large lounges, the ballroom remains unpopular with service users. This beautiful room is often used for entertainment. Service users accommodation is located on two floors, accessed via either of the two lifts depending on which side of the home was required. Observations of the inspector were that the home was well maintained in its hygiene, the one housekeeping person on duty would complete her duty at 2pm; although she told the inspector she may continue until she had finished completely. The sample of the bedrooms evidenced that service users had personalised their bedrooms with possessions special to them. The inspector had concerns regarding the front entrance of the home and the Cotswold stone steps that have been referred to in two previous reports and made a requirement to address the problem. At the time of this inspection one side of the steps were cordoned off with tape no attempt to address the problem of the steps had been made since the last inspection in September 2004. The inspector was told that the problem had been passed onto the estate management, who had erected the tape. Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Page 6 The home had a Statement of Purpose available to visitors, families, and service users. Since the previous inspection and requirement to complete the Service Users Guide with the appropriate information to comply with the National Minimum Standards. No attempt had been made to respond to the requirement this document remains incomplete. The home has been without a service users contract of the terms and conditions of the home for two years requirements have been made. The providers’ response has been received previously. The problem for this last two inspections have been with the legal people responsible for drawing up documents. It is believed that this is now nearing a c Each of the service users admitted to the home have a full assessment of their needs carried out prior to admission. The health and daily personal needs would be carried out from the information within the care plans and the knowledge of the staff. The care plans sampled identified monthly evaluations. The only comment by the inspector would be that the pre printed action plan to meet the needs of individuals was generic and not individualised. This was discussed with the care manager and deputy. The management proposed to have a group of three staff responsible for the activities within the home. The service users have requested the in house pantomime again; the management expected to provide external outings. One service user told the inspector that she would welcome any diversion to her daily routine. Service users were provided with a choice of a well-balanced and nutritious food prepared by the cooks over the period of the entire day. Lunch today was Chicken & Leek pie vegetables, followed by apricot bread & butter pudding. Two service users told the inspector that they had chosen the alternative of cheese and potato pie, and described how it was presented. Assistance was given to two service users when their meat was cut up. The environment was maintained to a high standard. Service users personalised their rooms to suit their taste. The inspector was told by the Care Manager that she was in the process of obtaining quotes to replace the curtains referred to in the previous report. The particular curtains were in a poor condition of repair. The staff were experienced and competent to care for older people. Eight of the eighteen staff had an NVQ level II in care. One staff member had level III in care. First aid training had been completed this year. An appropriate recruitment procedure was in place, there were a number of vacancies for care staff and catering staff this included night shift cover. At the time of this inspection the number of agency hours covered had reduced dramatically. Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Page 7 The management maintained records required appropriately. The inspector had concerns evidenced from the records for the emergency lighting testing; that the person responsible for testing the system had identified a problem with three of the emergency lights within the home. This problem had been identified since December 2004 and remained unaddressed. It had been reported to the relevant people with no action. What the service does well: What has improved since the last inspection? New armchairs had been purchased for the lounges, more are planned to complete the refurbishment. New carpet had been laid in the lounges on the ground floor. On going decoration continued. New dining room furniture had been purchased Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Page 8 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield House Residential Home Version 1.20 E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc 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 Standards Statutory Requirements Identified During the Inspection Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3, 5. The home provided a Statement of Purpose available to any person making an enquiry. The home did not have a completed Service Users Guide this document has been incomplete for some time. The service users were without the full information regarding their placement. The Home carried out pre assessments prior to admission. The home was suitable for respite stays; at the time of the inspection the home had one person receiving this service. EVIDENCE: The document, Service Users Guide remained unchanged. There has been a requirement made in two previous inspection reports and remains in this report. The service users were not fully made aware of the information as required. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 11 The Care Manager or her Deputy to ensure that the staff can meet their needs appropriately assessed service users prior to their admission. All placements would be followed by a review with the appropriate people. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 8 9 10. Arrangements for the health and personal care were in place from outside agencies. Staff addressed personal needs via the care plans. This information would be further enhanced with the review of the pre printed action section. Medication records and storage were appropriate to safe guard the staff and service users. From observation during the day the inspector was satisfied that the staff overall including catering and housekeeping were warm and attentive to the needs of the service users. EVIDENCE: Each of the care plans were stored appropriately, reviewed on a monthly basis by the Deputy Care Manager, risk assessments were in place. A recommendation was to consider cross-referencing the high risks identified against the care plan. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 13 The pre printed action to be taken to meet the needs of individuals were generic and not individualised Care plans identified that there were arrangements for the service users to receive health care from other agencies. Medication records were satisfactory, self-medication would be encouraged. The staffs received training and follow the policy and procedures. Service users confirmed that they were treated with respect and that their dignity was preserved at all times. Staff as individuals were complimented on their caring ways. The respite service user was very satisfied with all aspects of his care. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 14 15 From discussions it would appear that more activities including external outings would be welcomed. Service users experienced a relaxed life style in very comfortable spacious surroundings. From the observations of the mid-day lunch service users were provided with a well balanced diet. Service users confirmed that their appetite was recognised. EVIDENCE: From discussions with the management it was proposed to have a small group of three staff responsible for the activity programme. Selections of activities were provided. From comments service users would welcome more activities. Religious needs were met via visiting ministers. Contacts were maintained with families this was evidenced from the visitors’ book displayed in the home. Service users meetings were arranged; recently service users requested the return of the pantomime. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 15 The home provides a well-balanced nutritious menu. Lunch today was observed to be well presented, vegetables had retained their colour. Service users confirmed that they had been served the alternative; and that it had been very tasty. The monthly menus were displayed in the dining room. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The detailed complaints policy displayed within the home and Service Users Guide would be sufficient for any person to raise concerns with the management or Commission. The staff training and experience promoted the safeguarding of the service users. EVIDENCE: Evidenced in the front lounge was the detailed complaints process, available to all visitors, staff and service users. The Commission had received one complaint since the previous inspection. This had been investigated and both parts of the compliant up held. There had been no internal complaints made to management. Staff received training to protect the service users from abuse, this would be part of the induction training. Staff spoken with confirmed that they were aware of the procedure to follow in the event any form of abuse was suspected. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 20 21 23 24 25 26 Springfield House continues to offer a warm comfortable home where service users are provided with spacious living conditions. The rolling programme of decoration and refurbishment was noticeable on this inspection. Service users commented favourably on the new chairs. The long outstanding concerns’ regarding the front entrance requires attention. The failure to do this work will soon restrict the service users rights to sit outside. Observations of the home evidenced high standards of hygiene maintained. EVIDENCE: Located at the end of a long drive, Springfield House continues to provide accommodation for thirty-three older people. The home is registered for thirty-five beds. At the time of this inspection there were three vacancies. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 18 The inspector continues to have concerns in regards to the main entrance steps; these concerns were first identified in the report of May 2004. Parts of the steps were cordoned off with tape. The inspector was told that the estate management had been informed. No action to repair the area had been taken. Further delays may result in enforcement action being taken by CSCI. Spacious environment of four large lounges were subject to general refurbishment and continued to offer a comfortable home. New carpet and armchairs had been part of the recent refurbishment in the two main lounges. Bathing and toilet facilities were provided throughout the home. Fourteen of the bedrooms had an en-suite facility. Within the quantity of five shared bedrooms some were used for single occupancy. The inspector was told that her concerns as to the poor condition of the curtains in one bedroom in particular had not been addressed since the previous requirement made in September 2004. The Care Manger was in the process of obtaining quotes for replacements. The first floor corridors decoration was bright and tastefully decorated. High standards of hygiene were observed during a tour of the premises. Service users were provided with a warm comfortable home. A Btec course for infection control had been completed in the later end of 2004. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 28 29 30 Management follow the CRB, POVA and company policies and procedures when employing any new staff. The required checks would be completed prior to commencing employment. The Deputy Care Manager has had two supernumerary days built into her working week; this will allow her to keep on track with the paper work while supporting the Care Manager. There were adequate numbers of staff to meet their needs. The home is meeting its mandatory training requirement. Staff on duty were aware of the service users needs; they demonstrated their competence in assisting individual service users. EVIDENCE: At the time of this inspection the home was staffed in sufficient numbers to meet the needs of the service users. Within the home were thirty service users; with the Deputy Care Manager with three care staff, the shift patterns have been adjusted slightly since the previous inspection. This level of staff continued until the night shift. Staff were supported by the ancillary staff. Training NVQ in Care has been put on hold until later in the year; eight of the staff had level II one had level III. The Deputy Care Manger had D32 D33 and provided Moving & Handling training for the staff. The staff were experienced Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 20 in the care of older people, and were observed to meet their needs during the inspection. The home has reduced its agency compliment dramatically. There remained some staff vacancies, which at this time were being covered by permanent staff. Policies and procedures were in place for the recruitment of staff. The appropriate references, criminal record bureau checks including POVA were completed prior to employment. Mandatory training continued for all the staff, a fire drill in March was for the night staff. The relevant staff had taken first aid in February 2005 Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 35 38 It was obvious from the observations made that service users were fully aware of the Deputy Care Manager and her role within the home. There was a relaxed atmosphere between the service users and the staff. There was a concern that reported issues in respect of the emergency lighting had not been followed up. The appropriate action to address the concern was required to be completed as soon as possible; service users may be placed at risk in the event of a power cut. Mandatory training was provided for the staff as necessary to ensure that the service users received the appropriate care. EVIDENCE: Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 22 The Care Manager has completed the Registered Managers Award. As a registered nurse she has the responsibility for two homes on the complex. Service users were aware of the lunch of the day; they appear to be kept aware of what was happening in the home. Observations during the inspection saw good interaction between all the staff and service users. Monies held on behalf of some of the service users were maintained in a joint interest free account. Monies were made available upon request. Service users were encouraged to control their own finances. The Care Manager and Deputy ensures that as far as possible the health, safety and welfare of the service users and staff were protected. Mandatory training for the staff was on going. The inspector was concerned that from the records evidenced, three of the emergency lights in the home had been faulty since December 2004 while being reported no action to repair/replace them had been undertaken. Urgent action is now required otherwise further enforcement action may be taken by the CSCI Relevant equipment including the fire system was serviced on a contractual basis. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 4 3 x 3 3 3 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 Standard No 16 17 18 Score x x 3 4 3 x x 3 x 3 2 Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 24 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 2 Regulation 5(c) Requirement to provide all the relevant service users terms and conditions in the form of a contract following the admission process to make safe the external steps at the front of the home and to ensure that the seating area was safe for the service users. this has been outstanding for some time the registered person shall produce a written service users guide with all the relevant required information. the registered person shall ensure that the lighting suitable for service users is provided in all parts of the home used by service users. Timescale for action 18/05/05 2. 19 23 (o) 18/05/05 3. 2 5 (b) 18/05/05 4. 38 23 (p) 18 5 2005 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 24 Good Practice Recommendations To ensure the replacement of the curtains refered to in this E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 25 Springfield House Residential Home and the previous report is carried out. Springfield House Residential Home E51_E09_S5000_SpringfieldHse_V221388_180405_Stage 4.doc Version 1.20 Page 26 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. 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