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Inspection on 31/07/07 for Springfield Residential Home

Also see our care home review for Springfield Residential Home for more information

This inspection was carried out on 31st July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides for a group of older people a comfortable well maintained home. Spacious lounges were a feature of the home. One of the larger lounges i.e ballroom tends to be used for social occasions. No person was admitted to the home without a full assessment of his or her needs, the new assessment document would provide the staff with in depth information when completed. From the evidence provided in the annual quality assurance assessment the home continued to provide mandatory training for the staff. The staff were observed to be responsive to the daily routines of the people who use the service. Who responded to assistance in a relaxed manner. Located in its own grounds the home continues to up grade the facilities internally and externally. People who use the service were encouraged to personalise their bedrooms. Since the last inspection the home has employed an activity co-ordinator this has been well received by the people spoken with at the time of the visit. Staff were observed to work as a team addressing the needs of people who use the service in a sensitive manner; each of the people spoken with were satisfied with the care and attention they receive. " They are very good here" "I am well looked after by the "girls" they know what I want" All the people seen on the day of the inspection were well presented; this for some people would have been with the assistance of the staff. A "thank you" letter to the company and seen at the time of the visit spoke highly of the prospective care manager "a good leader for your team"

What has improved since the last inspection?

What the care home could do better:

From the information provided on the day and from records the management need to consider increasing the numbers of staff with a first aid qualification including the night staff. To ensure that when changes to contractual arrangements are made then the servicing of services continued as per requirements. To ensure that the new person employed for catering has the required appropriate training.

CARE HOMES FOR OLDER PEOPLE Springfield Residential Home Oaken Drive Codsall Wolverhampton Staffordshire WV8 2EE Lead Inspector Mrs Wendy Grainger KEY Unannounced Inspection 31st July 2007 8:45 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 Residential Home DS0000005000.V338534.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 Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Residential Home Address Oaken Drive Codsall Wolverhampton Staffordshire WV8 2EE 01902 844143 01902 845093 springfield.house@fshc.co.uk 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) Springfield House (Oaken) 2001 Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mrs Annette Butler- Jones Care Home 35 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (35) of places Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2006 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 provisions 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 generally well furnished and maintained. From the information provided verbally the current fees for the home were £328.45 &£700 per week; this high fee was paid for a shared bedroom used for single occupancy. Additional costs would include personal toiletries, newspapers, private chiropody, hairdressing, and a small contribution towards some outings. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection commenced and was completed on the 31 July 2007 by W D Grainger Inspector with the prospective care manager Mrs A Butler –Jones. For some of the time the Operational Manager joined the inspector and manager. As part of the inspection the annual quality assurance assessment provided by the prospective care manager was reviewed prior to the inspection. During the inspection documents, records and reports including servicing records, checking finances held on behalf of the people who use the service were all provided and checked; also included was a sample tour of the home bedrooms and bathing facilities. Staffing levels, qualifications, training and experienced was examined At the time of the inspection there were 28 residents who use the service at Springfield house. Observation of the staff practices, a number were also spoken with during the day. The medication system of administration was observed as part of the inspection. The manager had plans to store the medication in an alternative area when the internal changes to the home are completed. The laundry is to be moved centrally into the nursing home, this area was to be redesigned into an office and for the storage of medication. One of the first floor bedrooms is to be re-designed to include an en-suite constructed from the small existing office next to the bedroom. The ground floor toilet area was to be increased from two to three toilets still retaining the larger toilet for the less able people who use the service. There was an ongoing redecoration planned for the home, this was to include bathrooms and bedrooms, lounges and the conservatory. What the service does well: The home provides for a group of older people a comfortable well maintained home. Spacious lounges were a feature of the home. One of the larger lounges i.e ballroom tends to be used for social occasions. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 6 No person was admitted to the home without a full assessment of his or her needs, the new assessment document would provide the staff with in depth information when completed. From the evidence provided in the annual quality assurance assessment the home continued to provide mandatory training for the staff. The staff were observed to be responsive to the daily routines of the people who use the service. Who responded to assistance in a relaxed manner. Located in its own grounds the home continues to up grade the facilities internally and externally. People who use the service were encouraged to personalise their bedrooms. Since the last inspection the home has employed an activity co-ordinator this has been well received by the people spoken with at the time of the visit. Staff were observed to work as a team addressing the needs of people who use the service in a sensitive manner; each of the people spoken with were satisfied with the care and attention they receive. “ They are very good here” “I am well looked after by the “girls” they know what I want” All the people seen on the day of the inspection were well presented; this for some people would have been with the assistance of the staff. A “thank you” letter to the company and seen at the time of the visit spoke highly of the prospective care manager “a good leader for your team” What has improved since the last inspection? Since the previous inspection the company has approved Mrs A Butler –Jones as the new care manager. The Commission has not yet approved the application. One of the bathrooms had been changed to provide a more delicate relaxing colour of decoration. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 7 New dining room furniture had been purchased, this with the secondary table cloth makes the dining room a more homely area. A new fridge/freezer had been purchased following the inspection visit from the Environmental Health Officer. Each medication record sheet where necessary will have a PRN drug sheet attached. A new door bell had been fitted to the front door since the previous inspection. Key pads have been fitted to certain doors. 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 Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards 3 4 5 were reviewed. This judgement has been made using available evidence including a visit to this service. The entrance hall contained the up date Statement of Purpose available and freely accessible. No person was admitted to the home without a full assessment of his or her needs. Any person has the option to pre visit the home prior to admission. EVIDENCE: The manager had a number of years experience in completing an assessment of needs prior to admission. There were plans to further involve the senior and other staff in the future. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 10 The recently admitted person was spoken with he confirmed to the inspector the information, which was evidenced on his care plan; as part of the case tracking; was correct the manager had seen him before he came to the home. He was satisfied that all the information she provided him and his family was correct. The recently up dated Statement of Purpose was available to any person visiting the home; it contained the relevant information to enable any person to make a choice when making a placement. A selection of informative documents was displayed in the entrance lounge, which may be useful to visitors and available to take away. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good, Standards 7,8,9,10 were reviewed This judgement has been made using available evidence including a visit to this service. From the three care plans sampled there was evidence of personal involvement in the manner care was provided. Arrangements were in place when applicable for the continued health care for the people who use the service. The medication system and process for the administration was observed to be satisfactory EVIDENCE: A full assessment of individuals needs was on file this was completed prior to admission. This practice was referred to in the annual quality assurance assessment provided to the commission. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 12 Risk assessments were detailed and reviewed as when necessary, adjusted and new ones created when applicable. The company had developed a new assessment form. The inspector was impressed with the new “potted quick view” history sheet this will be extended to each individuals record. The prospective care manager has introduced a handover survey form to be used by the day and night staff identifying any changes during the shift to individuals, thus keeping a more pertinent daily record. Arrangements for the continued care of people who use the service were at the time of the inspection limited. One person confirmed that she had when necessary had the attention of a nurse and or general practitioner. Only staff that had had the appropriate training were responsible for the administration of medication. A new chart will be attached to the medication record where applicable this will ensure that the staff were aware of medication that was prescribed “as and when required” Medication was stored appropriately, and at the correct temperature. No person at the home chooses to self-administer his or her medication. At the time of this inspection no homely remedies were in use. The care manager completes a monthly audit of all the drugs including the stock control, records and storage. There were plans to remove the medication from the existing storage place and contain it in a more accessible area. Staffs during the day were friendly, comfortable with the role they perform, and they were sensitive to the daily routines of individuals. Offering praise when assisting residents to and from the lounges. People who use the service were spoken with and they were complimentary about the care they received. “ We are well looked after by the girls” I can get up when I want and have a cup of tea when I ask” “its been better since we had some activity she is very nice” “ of course you always get some people that will not join in but I enjoy it” “if I had a problem I would speak to the manager”. The new manager although she had been at the home for a number of years as the deputy was respected and from the comments made by the people who use the service they were very pleased that she had taken the job as manager. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good, Standards 12 14 15 were reviewed. This judgement has been made using available evidence including a visit to this service. The management had made a commitment to extend and improve the social life for the home; the people who use the service had readily welcomed this. A balanced diet was available to people who use the service, from the evidence observed other dietary needs can be catered for. EVIDENCE: Since the last inspection the management had employed a person who came in to do social activity sessions with the residents. A number of activities had been undertaken having a strawberry tea raised funds, two fashion shows had taken place, visits to the local pub. For some of the people who use the service and are frailer including them by just sitting with them and perhaps reading to them; spending time talking to the residents that choose to remain in their Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 14 bedrooms was the commitment of the home and management to create a more social part of caring. Three of the people who use the service spoke highly of the activities now offered. One told the inspector that a member of the staff had taken her into the village; this had been much appreciated by the individual resident. There were plans to arrange an autumn and winter fair. Records of activities were maintained. Spiritual needs were respected and catered for. External entertainment was provided on a monthly basis, this was usually musical. Visitors and families were encouraged to maintain contact with their relative. Visiting was at a time to suit them. One resident was going to a club for part of the afternoon; his lunch had been served early, planned on the time he was to be collected. Menus were over a four-week period and displayed on the notice board in the dining room. A vegetarian option was available also displayed. At the time of this inspection no person chose to have vegetarian meals. Staff were seen to be sensitive during the process of assisting one person. Comments in respect of the food served were positive, the meal of the day was well presented and alternatives offered. The inspector evidenced tea being prepared, brown and white bread with a selection of fillings were being used this would be accompanied by soup. It is important that the new person employed for catering had the appropriate training. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good, Standards 16,18 were reviewed. This judgement has been made using available evidence including a visit to this service. The homes complaint process was available to any person in the home or when visiting, this was confirmed from discussions during the day. Staff on duty confirmed that they were aware from the training received the need to protect the people who use the service from any form of abuse. EVIDENCE: The majority of the staff from the records had received the appropriate training in the awareness of safeguarding people who use the service. The staff spoken with confirmed this. They would evoke the whistle blowing policy if necessary; but would still report any concerns. Three residents told the inspector that if they had a concern they would speak to the manager or the senior staff. The manager was aware of the process for addressing a complaint and if necessary would pass it up to her operational manager. More training was planned for the year this included the protection of vulnerable adults. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 16 Information available in respect of bringing to the notice of the manager any concerns allegations or complaint was located in the Statement of Purpose, and Service Users Guide. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good, Standards 19,20 23 24 25 26 were reviewed. This judgement has been made using available evidence including a visit to this service. There had been a commitment by the management to rectify the concerns raised in the previous inspection report. Standards had been improved to provide a safer, comfortable environment. EVIDENCE: The location of the home was set in tranquil grounds at the top of a long drive. Repairs to the drive had made accessing the home less hazardous. The company and management had made a committed effort to ensure the concerns identified in the previous inspection report were addressed. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 18 From the information received in the annual quality assurance assessment decoration of the bathing toilet facilities was current and on going. A quote had been received to remove a bath in an en-suite and replace it with a shower to benefit the occupant of the room. Quotes were being sort to replace two more baths, as the ones in use were too shallow. Plans were being considered also to replace the bath hoist chairs. Plans were in place to increase from two to three and redesign the ground floor toilets, retaining the disabled toilet space accessed by the people who use the service. New furniture had been purchased for one bedroom. It is planned to redesign one bedroom to include the small office within the area to create an en-suite. The laundry will be moved into the nursing home on site, this area will then become an office. The home had been left a gift of money by the family of a previous resident as a thank you for the care provided during their relatives time at the home. The manner in which to spend the money had been discussed with the relevant parties and new curtains are to be purchased for the conservatory. Following a problem with the doors and certain people who use the service accessing the community keypads have been fixed to the doors. The home was clean and a credit to the housekeeping staff. People who use the service were encouraged to personalise their personal rooms this was evidenced on the sample tour of the home. The dining room had a more homely ambience with a double tablecloth and a small vase of flowers. People who use the service were spoken with about their home they were complimentary about the standards maintained.” its always clean” “I could bring in my things” “we have a lot of room” “they have replaced the TV because the old one had a very poor reception” The manager had plans for the re-decoration of lounge areas; one lounge had not been re-decorated since the company took over the home. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Standards 27 28 29 30 were reviewed. This judgement has been made using available evidence including a visit to this service. Staff training was current, the people who use the service had their needs met by appropriate numbers of staff with varied experience and skills. The home had robust systems in place prior to employing new staff this protects the people who use the service. EVIDENCE: The members of staff on shift included the prospective care manager, one senior care, four carers, one cook, one kitchen assistant, one housekeeping and one maintenance. The prospective care manager was supernumerary to the rota but works at the complex five days each week. There was a recognised senior carer on each of the shifts, including the nights. From the information provided in the annual quality assurance assessment, records the rota and verbally from staff; mandatory training was current, further training was planned and this included, the Protection of Vulnerable Adults, First Aid, Pressure sores and equipment available to prevent and support. It is the projected to achieve 50 of the staff trained in the National Vocational Qualification. More staff were waiting to sign up for the training, this was confirmed by two members of the staff team who were spoken, they Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 20 confirmed that they received supervision and that their mandatory training was current. A quantity of the training available is via the company and set as distance learning. One visitor was spoken with at the time of the inspection they were very satisfied with the care their particular relative received.” its always nice to come here” “the staff look after mum well she is happy” Three of the staff records were evidenced as part of the inspection, evidenced in each of the files were the appropriate references, mandatory police checks and interview notes prior to employment Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Standards 31,33,35,38 were reviewed. This judgement has been made using available evidence including a visit to this service. The home operated to provide care to a group of elderly vulnerable people. The prospective care manager is appropriately qualified and approachable to ensure the smooth running of the home to benefit the people who use the service. Records were maintained ensuring the policies and procedures protected the people who use the service. People who use the service were protected by the safe detailed system for handling their finances. EVIDENCE: Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 22 The prospective care manager had a number of years in the caring profession. Over a number of years she had been the responsible person for the residential setting and has assisted the inspector when conducting inspections. She is knowledgeable, competent and had a relaxed supportive manner, which was cascaded down, through her staff team. From the comments received on the day people who use the service were exceptionally pleased that she had been appointed.” “she finds time for us” “things have been better since she has been in charge” The company had plans that all the homes managers will attend a two-day health and safety course within the next twelve months. Finances are maintained within the nursing part of the complex this is for security reason. People who use the service can access their finances at any time. The home had a robust system in place to protect and trail the finances. Three residents records and funds were checked each one was satisfactory. The inspector was provided with the customer survey rating for the home, this included 29 questions for the people who use the service; the percentage of the survey when collated totalled 81 of satisfaction. Positive comments included. * The staff do a good job under difficult circumstances * We wish to thank all the staff for the quality care * The staff are extremely welcoming when I visit * The staff at all times treat my relative with great care and dignity. Negative comments included * The home is understaffed. *More activities and entertainment is needed to stimulate the residents. * Activities and outings would help a number of residents *Clothes get mixed up with other people’s clothes, even though they are marked. The records for the staff awareness and being part of a fire drill were current, the only recommendation would be that the time the practice commences and time of day/night the drill was executed. The inspector was told that the maintenance person was to use a new format for the records required, which had this information. Records evidenced were current with the exception of the GAS record. The company had changed firms and the time scale had been exceeded, a check with the estates manger during the inspection addressed the concern, which was to be addressed within the next two weeks. 29 August 2007 from the telephone contact with the prospective care manager the home had been checked and found satisfactory from the GAS operative and issued a certificate. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 23 The checks on the Lifts & Hoists, Hazardous waste, wheelchairs and water were checked during 2007 by the appropriate company and found to be satisfactory. Springfield Residential Home DS0000005000.V338534.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 3 X 3 3 3 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 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 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 4 X 3 X 3 3 X 3 Springfield Residential Home DS0000005000.V338534.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. 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. 2 Refer to Standard OP38 OP27 Good Practice Recommendations The fire records would benefit from additional information to ensure all the staff were involved in a drill and the time taken to execute the practice. To ensure that the staff employed have the appropriate training including food & hygiene. Springfield Residential Home DS0000005000.V338534.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House, 45-56 Stephenson Street Birmingham B2 4UZ 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 Residential Home DS0000005000.V338534.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!