Inspection on 27/01/09 for Springfields

This inspection was carried out on 27th January 2009.

CSCI found this care home to be providing an Good service.

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 07/02/07

Springfields 15/02/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Springfields 5 Clayton View South Kirkby Pontefract West Yorks WF9 3RE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: David White     Date: 2 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Springfields 5 Clayton View South Kirkby Pontefract West Yorks WF9 3RE 01977647932 01977647932 lorraine_066@ssmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Lorraine Kingston care home 4 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 4 The maximum number of users who canbe accommodated is 4 The registered peson may provide the following category of service only Care Home only - Code PC to service users of the following gender - Either Whose primary care needs on admission to the home are within the following categories: Mendat Disorder Code MD, maximum number of places -4 Date of last inspection Brief description of the care home Springfields, a small home for four people, is situated in a pleasant residential area close to the village centre of South Kirkby. The home is registered for people 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 person has a single bedroom which is comfortably furnished, these all have patio doors leading out into the rear garden. People who live at the home are appropriately supported by the local community health team and the small staff group who provide day-to-day care. People make good use of local facilities and day services and are encouraged to retain links with the local community and with family members. Information about the home and Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home the Commission for Social Care Inspection is made available to people in the homes Service User Guide, copies of which are given to people who are thinking about moving into the home and those already living there. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We went to the home without telling them we were going to visit. This report follows the visit that took place on 27th January 2009. The visit lasted from 09:00 until 13:00. The purpose of the visit was to make sure that the home is operating and being managed in the best interests of people living there. Information has been used from various sources for this report. These sources include reviewing information that has been received about the home since the last inspection visit. The manager of the home provided information in their Annual Quality Assurance Assessment (AQAA) questionnaire. Surveys were received from people living in the home, staff who work there and a health care professional who visited the home. Care Homes for Adults (18-65 years) Page 6 of 28 During the visit time was spent talking to people who live at the home, a member of care staff and the manager/proprietor. Various records and documents were looked at and some areas of the home used by people living there were visited. The manager was available throughout the visit and the findings were discussed with her at the end of the inspection. At the time of the site visit on 27th January 2009 the weekly fees for the home were 388 pounds per week. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations-but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The previous inspection visit took place on 7th February 2007. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Proper pre-admission procedures were in place and had been followed in the past. This will help people who are admitted to the home in future to feel confident that the home will be suitable in meeting their needs. Evidence: The three people who were living at the home had been there for a number of years. There had been no new admissions to the home since the previous inspection visit. In the past good pre-admission assessments had been carried out prior to people being admitted to the home and information from these assessments was available in individual care records. People who express an interest in moving into the home are offered a chance to visit the home beforehand and a thorough assessment of their needs is undertaken. Information about the accommodation and fees is also given to people in advance to help them with their decision-making. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: Surveys returned to us by two people living in the home said that they received enough information about the home and are kept up to date with any changes. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were encouraged to make their own choices about how they lived their lives. Evidence: Each person had a care plan. These were individualised and provided information about the persons needs and how these were to be met. They included peoples likes and dislikes about such things as food and social activities. One persons care records described how the person wished to be supported with their sleep such as the number of pillows that they liked to have at night. This showed that care was planned in a person centred way to suit the persons preferences. In the past all the care records were in written format. More recently the manager had started storing some information on a laptop database. One person was a diabetic and the care plan described how support was to be given in monitoring the persons blood sugar levels. Some of this information was available in written records whilst other information was stored on the manager/proprietors laptop. Because of the different systems in use in some cases it was difficult to find information. This was discussed with the manager Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: who said she will be looking at ways to collate the information together so it is easier for people to access. The manager was aware of data protection issues about storing peoples personal information on the laptop. Care plans were reviewed every month and updated as needed. Annual reviews were held to discuss peoples care. They involved the person living at the home, any relatives and professionals who were involved in their care. People were aware of their care plans and annual review dates. People living at the home were encouraged to lead independent lifestyles and to make their own choices. One person said, I can do what I want from the time I get up to going to bed. People said they were kept up to date with what was going on around the area and went out as they wished. Any risks to individuals were documented and measures put in place to minimise these. Those people spoken to were complimentary about the care and support they received. One person said, staff are very good and helpful. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoyed a lifestyle to suit their needs and had involvement in the local community. Evidence: People were supported by staff to pursue their interests. Each persons care records contained good information about peoples likes and dislikes and their social interests. Two of the three people living in the home attended local community based centres where they enjoyed activities such as card making, dominoes and pool. One person said, it gives me a chance to meet other people. Another person at the home preferred not to go out and this was respected. One person went to the local church on a daily basis to meet their spiritual needs. People living at the home were encouraged to maintain relationships with their family Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: and friends. One person said, my relative comes to visit me twice a week and has a meal with me during their visit. Surveys returned by people living in the home all said that the food was good and this was confirmed by people spoken to at the time of the visit. The menus were on display and showed a variety a choice. One person said, if I do not like what is on the menu I ask for something else. People said they were regularly consulted about what kinds of food they would like to have on the menu. One person was diabetic and staff had received advice from the persons diabetic nurse regarding their diet. People could make themselves a drink at any time and snacks were available between meals. The meals considered healthy eating options and fruit was available. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs were well met in a respectful way. Evidence: People received support in a respectful way. People living at the home described staff as good and kind. They also said that support was provided in a way that maintained their privacy and dignity. Each person had a General Practitioner (GP) and access to other healthcare services. This included a diabetic nurse and the local community mental health services. A health professional who returned a survey to us said that the home was good at keeping them updated about peoples health needs and any changes to these. Records of health care appointments and outcomes from these were well recorded. Where appropriate staff accompanied people to attend their appointments. The care records for one person who had diabetes were good and specific in detailing clearly signs to indicate that the persons blood sugar levels were falling and what to do if this happened. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: The staff team were committed to putting the needs of people living at the home first at all times. They communicated well with them and enjoyed banter which people enjoyed. None of the people living at the home were able to take their own medication. Most of the medication was dispensed via a monitored dosage system, the remainder was bottled or boxed. All medication was securely stored and the medication systems had improved. New Medication Administration Records (MAR) had been introduced and these were more detailed and included information about all the quantities of medication that were brought into the home so that medication could be more easily accounted for. The MAR sheets were all up to date and accurate. Staff who were responsible for administering medication had undertaken appropriate medication training. This included specialist training on the administration of insulin. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples concerns were properly dealt with and their interests safeguarded. Evidence: The home had a complaints procedure that is made available to anyone who wishes to see it. Details of the procedure were explained in information given to people about the home and copies of the procedure could be seen in each persons bedroom. People living at the home all said that staff treated them well and knew how to complain if they needed to do so. The home had not received any complaints since the previous inspection visit. The home had policies and procedures on how to safeguard vulnerable adults from abuse. Staff had also received training about this and were due to receive another update. A person who was living in the home said, I feel safe here. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment was homely, comfortable and suitable for the needs of the people living there. Evidence: Accommodation was all on the ground floor. All four bedrooms were for single accommodation. They were pleasantly decorated and furnished and personalised to suit individual tastes. Since the previous visit locks had been fitted to the bathroom and bedrooms to offer people more privacy. People could have their own bedroom keys if they wanted. Call systems were available in each room so that people could access staff at any time. Some improvements had been made to the premises. An extension had been built to the rear of the building. This had created an extra bedroom. A number of bedrooms had been re-decorated and the garden at the rear of the building had been block paved. This provided people with more space to sit out in a very pleasant environment. The lounge area looked in need of re-decoration and the manager said that the carpet needed replacing. These changes had been planned for as part of the maintenance programme. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The home was clean throughout. A cleaner was employed to help with the maintenance and upkeep of the home. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home received good standards of care from a well skilled, experienced and motivated staff team. Evidence: The manager/proprietor lives on the first floor of the premises. Two members of care staff and a cleaner were also employed as part of the staff team. The care team have worked at the home over a long period and know the people who live at the home well. People living at the home said that staff were always available and accessible. All members of care staff have done NVQ (National Vocational Qualification) to level 2 or above. This helped in making sure that people received care and support from staff with the relevant skills and knowledge to meet their needs. The staff file of the most recently employed member of staff showed that all the necessary pre-employment checks had been satisfactorily completed before they started working at the home. This helped in making sure people at the home were not at risk from unsuitable workers. Staff received a range of training to support them in doing their jobs. This included Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: training specific to the needs of individuals in the home. The manager was aware of the new Mental Capacity Act and is planning to arrange some training about this aspect of care so that staff are clear about their responsibilities if someone loses the capacity to make their own decisions. A survey returned by a staff member said, My manager is always looking for up to date courses for us to go on so we can keep up to date with new ways of working. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was managed well and run in the best interests of people living there and proper attention was given to maintaining peoples health and safety. Evidence: The manager is also the proprietor of the home. People living at the home and staff described the manager as approachable and supportive. The manager encouraged others to have their say in how the home should be run. Questionnaires were sent out to people at the home and their relatives to seek their views about what the home was doing well and areas for improvement. She was in constant contact with people at the home, relatives and staff so was aware of any issues immediately and could address these quickly. People who live at the home felt their concerns were listened to and acted on and staff surveys indicated that staff felt well supported by the manager. The self-assessment form (AQAA) told us that the required health and safety checks Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: were up to date and the records looked at confirmed this. Staff received a range of health and safety training on safe working practices and this was updated as needed. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 Arrangements should be put in place for the lounge decor and carpet to be updated in order to help maintain the pleasantness and comfort of the home for people living there. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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. 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