Inspection on 15/02/06 for Springfields

This inspection was carried out on 15th February 2006.

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

Springfields 27/01/09

Springfields 07/02/07

Springfields 21/10/05

Springfields 24/03/05

Springfields 28/01/05

Springfields 31/03/04

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

CARE HOMES FOR OLDER PEOPLE Springfields 5 Clayton View South Kirkby Pontefract West Yorks WF9 3RE Lead Inspector Patricia Pedley Unannounced Inspection 15th February 2006 2:00 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 Springfields DS0000006252.V283972.R01.S.doc Version 5.1 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. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfields Address 5 Clayton View South Kirkby Pontefract West Yorks WF9 3RE 01977 647932 01977 647932 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) Ms Lorraine Kingston Ms Lorraine Kingston Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3), Old age, of places not falling within any other category (3) Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21st October 2005 Brief Description of the Service: Springfields a small home for three service users is situated in a pleasant residential area close to the village centre of South Kirkby. The home is registered for older people and for those with mental health needs and is more suitable for people with low dependency needs. The house is detached with good sized and accessible gardens. Each service user has a single bedroom, which are comfortably furnished, these all have patio doors leading out into the rear garden. Residents are appropriately supported by the local community health team and the small staff group who provide day-to-day care. Residents make good use of local facilities and day services and are thus encouraged to retain links with the local community. Residents are also encouraged to retain positive links with family members. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home taking place over a two-hour period. The inspector spoke with the registered person and all service users. Records were examined and some areas of the home were visited. The inspector would like to thank service users and staff for their hospitality and assistance given during this inspection visit. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 6 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 Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 7 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 the following standard(s): These standards were addressed in a satisfactory manner at the last inspection. EVIDENCE: There has been no changes to the service user group since the last inspection therefore these standards were not inspected. Service users are settled and get on well with one another. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7, 8, 9 & 10 Personal and healthcare needs are met in a satisfactory manner. EVIDENCE: All care plan records were examined. These were up to date having been reviewed regularly. Service users continue to receive support from the community mental health team and other healthcare professionals. Service users had been to visit the dentist recently. One said he preferred not to go. One service user said that he was awaiting admission to hospital and was on the waiting list. Another said that he had started using a Zimmer frame and was now able to walk much further and this had helped him “lose a bit of weight”. Regular weight checks were recorded in individual care plans. The records of receipt, administration and disposal of medication were satisfactory. Medication is stored safely in the registered person’s accommodation on the first floor. One service user was seen to have had recently had a review of his medication on his personal record. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 12, 13, 14 & 15 Good arrangements are in place for service users to pursue their own interests. EVIDENCE: Two service users had just returned from a lunch out before the inspection visit. The other had been for lunch but had taken himself out for a walk. Examination of his daily notes showed that he does this regularly to maintain his fitness. Service users said that they go out regularly for meals and go to a local resource centre twice a week where they join in a variety of activities. Service users said that they have regular contact with their families. From discussion with service users it was heard that they are able to decide how they would like to spend their day. One likes to go to church now and again. Another likes to watch sport on his own television. A lot of photographs of holidays and other outings showed that service users are involved and that they enjoy outdoor activities. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 10 The registered person said that she has just purchased a new tent, which will provide everyone with their own bedroom. Service users said that they were looking forward to using it for a holiday but were undecided where to go. Service users said that the food was good. A record was seen to be kept of the chosen daily menu. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 16 & 18 There are satisfactory arrangements in place for dealing with complaints and adult abuse although this would be strengthened when staff have received training on adult abuse and protection. EVIDENCE: A complaints policy is in place. There has been no complaint since the last inspection visit. Service users said that they had nothing to complain about as they had a good life. The manager and the support worker were awaiting a date to attend the local authority adult abuse training at the last inspection. The manager said they are still waiting for a new date. The manager is aware of needing to inform relevant parties should an allegation of abuse be made. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19, 20, 23, 24 & 26 The home is well maintained, clean and comfortable and is to the liking of the service users living there. EVIDENCE: Most areas of the home were visited and were found to be clean, tidy and well maintained. No changes had been made to the home since the last visit as most areas had been recently redecorated then. One service user showed the inspector his new furniture and television. He said that the provider made sure his bedroom always looked nice. He was pleased that he could go out of his room via French doors into the garden. Service users were seen to have many personal possessions in their room reflecting that their interests and choice was taken into consideration. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 30 Satisfactory staffing arrangements are in place to ensure the safety and wellbeing of service users. EVIDENCE: The manager said that there has been no change to the staff team since the last inspection. Both she and one staff member are nearing completion of their infection control training. This had been delayed as the trainer had left but the manager has been told that a new trainer has been appointed and she hopes that this course ends soon. No staff apart from the provider was on duty during this visit. Staff personnel and training records were not examined as these were seen to be satisfactory at the last inspection. The manager said that she is supporting her member of care staff through NVQ Level 2. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 & 38 Health and safety arrangements are generally good although portable appliance testing needs to be updated. Record keeping is good and will be further enhanced by clarifying those for service user’s monies to fully safeguard service users and staff. The home is well managed with the full involvement of service users who are satisfied with the service provided to them. EVIDENCE: The manager has completed the Registered Managers Award. Although there are no formal arrangements to meet with service users it was observed, and service users confirmed in discussion, that they are consulted about life in the home and how it affects them. There is a very family Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 15 orientated feel to the home. The manager knows service users very well since they live together. The records for service user’s finances were seen. The provider and service users were able to explain fully why withdrawals were made from their own account for personal spending but from examining records this needs to be more clearly accounted for. One service user said that he pays his own way and has a savings account. The provider keeps copies of all bank statements for individual service users. The records for the fridge, freezer, food and water temperatures were well maintained. Gas appliances were last serviced in April 2005. Smoke alarms are tested regularly and a record made of the outcome. The manager said that she carries out a routine health and safety check on a monthly basis. The portable appliance test was out of date. The manager said that she would ensure this was dealt with as soon as possible. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X 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 Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X 3 2 Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 17 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 OP35 Good Practice Recommendations The testing of portable appliances needs to be updated. It would be beneficial to show more clearly why withdrawals had been made from service user’s monies on their individualised record sheets. Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Springfields DS0000006252.V283972.R01.S.doc Version 5.1 Page 19 - 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. 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