Inspection on 19/07/05 for Springfield Residential Home

This inspection was carried out on 19th July 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 18/04/05

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 Residential Home Oaken Drive Codsall Wolverhampton Staffordshire WV8 2EE Lead Inspector Wendy Grainger Announced 19 July 2005 9 am 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 Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springfield Residential Home Address Oaken Terrace Codsall Woverhampton Staffordshire WV8 2EE 01902 844413 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 Limited Mrs Lynda Warden Care Home 35 Category(ies) of 6 DE(E) registration, with number 5 OP of places Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 18 April 2005 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 had an en-suite facility, the bathing and separate toilet facilities were located throughout the home; the provision of service users toilets were located near to the communal area.The dining room is central to the home and while not extensive provided sufficient space for the service users that chose to use it.Lounges were spacious providing exception 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 Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was completed on the 18 July 2005, the care manager, deputy manager, staff and residents contributed to the report. Documents and records and reports were provided throughout the day. Residents were spoken with and observed. Located at the end of a long drive the home stands in the same grounds as the home registered for Nursing care. The main house at the time of the inspection was undergoing some major work to ensure that the entrance and steps to the front door were safe and secure for residents and visitors. Residents were taking breakfast when the inspection commenced; a cooked breakfast was served only on a Sunday unless a resident requested something different i.e. boiled egg. Fresh tea and toast was served accompanied by different preserves. Some residents chose porridge others cereals. The home provided a Statement of Purpose. There had been problems completing the Service Users Guide this has now been rectified and will be competed in full during September. Each person admitted to the home had a full assessment of his or her needs. The Commission had received six comment cards, three from residents three for relatives. The residents while they were happy with the care provided, one person felt she had “no choice “ living at the home one resident liked the food “sometimes” and that the home did not provide suitable activities. Comments from relatives indicated that one family made no additional comment and was satisfied. One family felt that there was a staff shortage and her relative “ was not always toileted frequently resulting in wet clothes and a complete change of clothes “ following a discussion with management this had been resolved. The final comment card was “unhappy about their relative was often found to be wearing clothes that were not hers. “There was limited activities to keep minds active.” The homes survey of the residents had highlighted concerns with the laundry and the lack of positive activities within the home to suit individuals. Residents accommodation was located on two floors the areas seen were exceptionally clean, a number of yellow heath & safety triangles were displayed warning of the wet floors, which had recently been cleaned. Arrangements were in place to meet the health and personal needs of individuals. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 6 Some formal external entertainment was arranged on a monthly basis. The staff provided some informal activities. The home had a budget for external outings; residents did not have to contribute to them. The residents who confirmed that they enjoyed the mixed grill welcomed the menu seen today. Menus provided a balanced diet prepared by qualified staff, who were aware of the needs of individuals. The meal was well presented and of ample portions. Upon entering the home there were notices and leaflets available to visitors one of which would be the complaint procedure. The home in the past had used agency staff; this practice had reduced dramatically with a stable staff group. The management were aware and demonstrated the appropriate recruitment procedures prior to employing staff. Records, documents and training were evidenced and found to be current. There was a need to increase the number of staff with basic Food & Hygiene & Health & Safety training. What the service does well: What has improved since the last inspection? Some of the en-suites had been fitted with new flooring. New dining room chairs and tables Seventeen new arm chairs in the lounges, New carpet in three lounges had been fitted. The decoration to the corridors had been completed. Bedrooms namely Birch, Bluebell Cedar Tulip had been decorated. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 7 A new commercial fridge and heated cabinet had been purchased. New furniture and curtains had been provided in some bedrooms. 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. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 8 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 Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 9 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) 1,2,3,5. Standard six is not applicable to this home. The home provided the appropriate information in respect of the home and facilities. The required assessments were in place to ensure that the placement was appropriate. EVIDENCE: Any person making an enquiry about a placement would be invited to the home, there was also an open door where no appointment was required to view the home and discuss a placement. Each person had a formal assessment prior to admission this was evidenced in the three care plans seen. The area manager told the inspector that the major problem with providing private contracts had been resolved; and they will be in place early in September. A copy will then be placed on the Service Users Guide completing the document to comply with the Standards. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11. The appropriate arrangements were in place to monitor and to address the personal and health needs of the residents. Records continued to move forward with a new written format of planned care. Residents were comfortable and well cared for. EVIDENCE: Each resident had a plan of his or her personal and health care needs. The three seen during the inspection evidenced that other professional agencies had been part of the planned care. Legal involvement was evidenced, as was access to the local church. Since the previous inspection the management had reviewed the care plans, now hand written they were more individualised and not corporate. There had been a lot of hard work to provide this detailed structured format. Plans evidenced weights taken monthly and the reason when the procedure was not appropriate. Records evidenced the provision of equipment to ensure the comfort of individuals. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 11 Risk assessments were in place and incorporated into the plans. One resident told the inspector that she had been in the bath when the staff had informed them what was for lunch. She enjoyed the personal care afforded her. Evidenced today was a visiting general practitioner to see one person he will as his routine see the other residents under his care. The staff assisted when necessary, they were sensitive to the needs of individuals. The care staff and deputy acted quickly when a resident fell leaving the dining room. All care was provided in the form of first aid. The appropriate medical assistance was requested and the resident went to the local hospital for a check up returning later after treatment. Staff should be congratulated on their swift action. Evidenced in one care plan were the express wishes of the resident following her death. The home would provide the appropriate care until the end of the person’s days. The home had policies in place for death and dying. There was a planned bereavement training programme for staff later in the year. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 14 15. Residents life styles were respected by caring committed staff; who provided a comfortable home for elderly people. Links with families and the community were sustained by the homes open door policy. Residents were served a wholesome and balanced menu over a four week period prepared by qualified catering staff. EVIDENCE: The homes internal survey identified that the residents would like more activities to occupy their minds. Two of the residents told the inspector that when entertainment was provided not everyone took part. A monthly programme for entertainment was displayed on the notice board, this included a trip to the Safari park in August and a special celebration day in October. Visiting was free style, as was evidenced today. One member of a family told the inspector that she was so pleased with the progress of her mother from wheelchair to walking frame this had been since her admission. Care plans evidenced that residents where appropriate should be offered a choice of daily clothes. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 13 Residents confirmed that they had a choice over their lifestyle and daily routines. The meal of the day was a mixed grill followed by homemade lemon meringue pie. The meal was well presented and of ample portions. Home cooking was also evidenced with the quiches prepared as part of the teatime menu. Residents confirmed that they were served with a choice of menu. The required temperatures and cleaning schedule were made available to the inspector; all were current and well maintained. There was a quantity of fresh fruit and vegetables in the storage area. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 17 18. The complaints process and system used to record complaints was satisfactory. Staff were aware of the need to protect residents from abuse via the training provided. EVIDENCE: There has been two complaints made against the home in 2005, both had been investigated. One had been up-held the other had not been finalised. The home displayed a complaints process for any person to raise concerns. Staff confirmed that they were aware of the process and to operate it. The registered care manager addressed in house complaints. Transport was offered during the recent general election, no resident took up the offer. Individuals made the choice to use the postal voting process, assisted by the home. As part of the homes induction and National Occupational Standards Awards in Care training staff were aware of the need to protect residents from abuse. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 20 21 22 23 24 25 26. The environment was safe and well maintained, bathing and toileting facilities were appropriately located. Standards of hygiene were excellent. The management promoted a homely style in the furnishings and fixtures. The communal areas were exceptional in size and allowed for the residents to live in an un-crowded space. EVIDENCE: Located at the end of a long drive the home stands in its own grounds. The main entrance was at the time of the inspection having major brickwork to ensure the safety of the residents, visitors and staff. The on going redecoration of bedrooms and communal areas continued. The bedroom identified in a previous report is to be totally refurbished. Standards of hygiene were high with no odours identified in the areas seen. There was good personalisation of the bedrooms seen. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 16 Appropriate equipment was available to meet resident’s needs; this included a new piece of equipment for lifting residents in a chair in the form of a lifting net. Bathing and toilet facilities were located throughout the home offering the appropriate sanitary ware to suit individuals. The grounds were extensive; the residents did not use the full area. The patio area when finished will provide a pleasant outlook for residents. The management had purchased quality tables and chairs plus umbrellas. Visitors and residents as evidenced on this inspection and previous inspections used the conservatory on a regular basis. The laundry was average in size; staff attends to the laundry throughout the day. Soiled laundry is handled by the means of the red bag system allowing the staff to follow the appropriate infection control procedures. Evidenced during the inspection were a number of yellow triangular signs to alert residents and staff of a possible hazard after floors had been cleaned. Residents had the option to use four main lounges plus the conservatory; each lounge with the exception of the ballroom was occupied daily. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 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. The skill mix and training of the staff ensured that they were competent to the role of carer meeting the resident’s needs. Recruitment procedures were in place the appropriate checks were completed as required. EVIDENCE: There would be three care staff with the deputy or senior care on duty during the waking hours. Three waking night staff completed the care staffing levels. The registered care manager oversees the complex and daily running of the homes. There would be two housekeeping staff with two catering staff plus a maintenance person providing the ancillary support. The staff skill mix via the mandatory and NVQ in Care training were able to meet the needs of the residents. Nine of the staff had NVQ level II in Care one staff had NVQ level III in Care. The home had a qualified Moving & Handling trainer on the staff; her knowledge would ensure the staffs were current in method used. Agency staffs at times were part of the staff team. This had reduced greatly recently with permanent staff being employed. It was evidenced that there was a team of people working together when a housekeeping staff greeted a visiting general practitioner, then informed the staff. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 18 The requirement to ensure that each member of the staff had a Criminal Records Bureau check prior to employment was evidenced from the records provided. Records evidenced that mandatory training were current, the only recommendation made to the management was that more staff were included in the Food & Hygiene and Health & Safety training. Two sessions of Moving & Handling were planned fro August & September 2005. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 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) 31,32,33,34,35,36,37,38. Springfield House was well run and managed to suit the lifestyle of the residents. The daily routines were paramount to the staff involved in caring. Financial matters for the home were satisfactory Record keeping for the relevant records were of a good standard, the safety health and welfare of the residents was a priority for the staff. EVIDENCE: The Registered Care Manager had the required experience and training to operate Springfield House. As a trained nurse she had dual experience and knowledge to cascade to her staff. Recently awarded NVQ level 4 and the Registered Managers Award she continued to update her personal knowledge of older people with relevant training. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 20 There was an open style of management with the Deputy providing hands on care as part of the team; she had a relaxed comfortable style of management it was evidenced that the residents respected her. Staff confirmed that they felt well supported and that the management were available to them. The staff spoken with confirmed supervision took place. Records seen evidenced that the management sought the views of the residents on an annual basis. The results were positive for the majority of the questions. The two main issues were social care and some for laundry. These will be addressed following the collation of the surveys. There was an ongoing process for the contractual maintenance of equipment and the environment. Fire records evidenced that two emergency lights needed replacing. The management had introduced a daily signing in form that would be used in a roll call in the event of a fire. The relative tests, and drills were current. Spring field House had a system for the safekeeping of personal finances for residents. A small amount of cash was held collectively within a safe environment. The records evidenced that any person requiring money would receive the requested amount. Receipts were evidenced. Money would be available to the staff at any time. Two staff signed for any funds handled. Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 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 3 3 3 4 4 3 3 3 3 3 3 Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 22 no 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 Regulation Requirement Timescale for action 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 30 Good Practice Recommendations to ensure that via the programme for training that more staff were aware of basic food & hygiene and health & safety Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Springfield Residential Home E51-E09 S5000 Springfield Hse V235083 190705 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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