Inspection on 24/01/06 for Springfields

This inspection was carried out on 24th January 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 03/05/07

Springfields 19/05/06

Springfields 03/10/05

Springfields 29/09/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Springfields Bridestowe Okehampton Devon EX20 4ER Lead Inspector Graham Thomas Unannounced Inspection 24th January 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfields DS0000003808.V269078.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 DS0000003808.V269078.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfields Address Bridestowe Okehampton Devon EX20 4ER 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) 01837 861430 Mr Byrne Mrs Byrne Mrs Byrne Care Home 34 Category(ies) of Dementia - over 65 years of age (34), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (34), Old age, not falling within any other category (34), Physical disability over 65 years of age (34) Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: Springfields is an old Rectory on the edge of the village of Bridestowe, 7 miles from Okehampton. The house has been extended and now provides residential care for 34 elderly people who may have additional physical disabilities or mental disorders including dementia. Most of the service users are from the local area. The bedrooms are all of a good size and many have sufficient space to be used as sitting rooms. All have en-suite toilets and some also have en-suite shower rooms. A number of the bedrooms have French windows on to balconies or patios. Where appropriate rooms have the facilities for residents to make hot drinks. There are three large lounges, one with a conservatory extension that is used for dining; there is also a separate dining room. In addition there is a separate seating area at the front of the house. The bathrooms are adapted and a level access shower is also available. There is a shaft lift that gives disabled access to most of the first floor. The house and grounds are decorated and maintained to a high standard. Springfields is owned and run by Mr & Mrs Byrne. The home is well equipped for people with some level of physical disability. Mrs Byrne is a qualified Occupational Therapist and an emphasis is placed on encouraging mobility and independence in daily living. The home also offers a service to people who have dementia. Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection, the Inspector toured communal areas of the home and inspected a sample of service user’ own rooms. Time was spent with a total of 17 service users in groups and individually. The inspector spoke with a visiting hairdresser and held discussions with the Registered Providers. Documentation was seen concerning previous recommendations and the latest quality assurance survey. 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 DS0000003808.V269078.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 DS0000003808.V269078.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): EVIDENCE: None of the above standards was inspected on this occasion Springfields DS0000003808.V269078.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): 8 and 10 Service users’ health care needs are well met and their privacy and dignity is appropriately promoted and upheld. EVIDENCE: All those service users with whom the Inspector spoke on this occasion felt that their healthcare needs were well met. Regular access to medical attention was described and some service users spoke about treatments they were currently receiving or had received. Staff were observed treating service users with the utmost respect. Before entering an individual’s room staff were seen to knock on the door. Service users confirmed that their privacy was respected by staff and that professional consultations took place in private. Springfields DS0000003808.V269078.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 Adequate provision is made for residents to pursue the daily routines and social activities of their choice. EVIDENCE: At the time of the inspection a hairdresser was at work in one of the home’s communal lounges. Six residents were chatting, reading and waiting for the attention of the hairdresser. There was a convivial atmosphere in the room and the residents were evidently enjoying the occasion. Other residents were in the home’s communal lounges or in their own rooms, reading, watching television or chatting with friends. In discussion, residents confirmed that they were supported to engage in social activity both within and outside the home. Reference was made to the organised activities which residents can choose to join. One service user was looking forward to joining a regular group of cards players on the afternoon of the inspection. Residents confirmed that the visiting arrangements were flexible and that no unreasonable restrictions were imposed. In discussion, residents also confirmed that they could choose whether or not to see a visitor and that visitors were warmly received by the home’s staff. Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 10 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): 18 Service users welfare and interests are protected by clear complaints procedures and robust systems to protect them from abuse. EVIDENCE: The home has policies and procedures in place concerning complaints, the protection of vulnerable adults from abuse and whistle-blowing which have been seen. The complaints procedure is made available in a clear format for residents and relatives. In discussion, residents were clear as to whom they might speak if they had concerns or complaints. At the last inspection, it was recommended that staff should be given the opportunity to update and refresh their knowledge concerning the protection of vulnerable adults from abuse. Though this has not yet taken place, Mrs. Byrne provided evidence of her efforts to identify an appropriate course for staff. Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 11 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, 23, 25 and 26 Residents of Springfields live in very comfortable, safe and clean surroundings which are maintained to high standards. EVIDENCE: Originally a rectory, Springfields has been extended and adapted to meet the needs of its present residents. A worker is employed specifically to conduct maintenance work. The home continues to be maintained, furnished and decorated to a very high standard. A tour of the communal areas and some service users rooms revealed high standards of cleanliness and a complete absence of any offensive odours. Furnishings are of good quality and domestic in style. Tables were attractively laid in the dining room and were adorned with fresh flowers. Many individual rooms have French windows and there are attractive views over the surrounding countryside from others. One resident commented that since arriving at the home she had slept exceptionally well because her bed was so comfortable. The individual rooms visited were comfortably furnished, clean and homely. Personal possessions were in evidence and rooms were Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 12 arranged to suit service users with adaptations in accordance with their individual needs. All areas of the home were found to be free of any obvious hazards. The grounds are well maintained and there is seating available for residents. Springfields DS0000003808.V269078.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): EVIDENCE: None of the above standards was inspected on this occasion Springfields DS0000003808.V269078.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): 33 and 38 Residents can feel confident that Springfields is a home in which their welfare and safety are properly safeguarded and promoted. EVIDENCE: Mrs. Byrne showed the Inspector the returns from the latest residents satisfaction survey and discussed the analysis of the findings. This forms part of the wider quality assurance system which includes formal and informal feedback from residents and their families as well as the results of regular checks and audits. Each area is regularly reviewed and summarised. Evidence has been seen that findings from these audits had been acted upon by introducing changes in the home. Two recommendations were made at the last inspection concerning health safety and welfare. These were reviewed at this inspection. Mrs. Byrne produced a record of fridge and freezer temperatures which are now routinely recorded. Data sheets concerning hazardous substances have been obtained. Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 15 During the inspection staff were observed following correct health and safety procedures. All areas of the home visited on this occasion were free from any obvious hazards. Springfields DS0000003808.V269078.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 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 4 X X X 3 x 4 4 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X x x 3 Springfields DS0000003808.V269078.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 Refer to Standard OP18 Good Practice Recommendations Staff should be give the opportunity to update / refresh their knowledge concerning the protection of vulnerable adults from abuse. Springfields DS0000003808.V269078.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 DS0000003808.V269078.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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