Inspection on 27/07/05 for Springfields

This inspection was carried out on 27th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springfields 19/09/06

Springfields 25/01/06

Springfields 16/11/04

Springfields 06/04/04

Springfields 29/08/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Springfields 11 Langdale Road Hove East Sussex BN3 4HQ Lead Inspector Penny Bailey Unannounced 27th July 2005 9: 30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Springfields Address 11 Langdale Road Hove East Sussex BN3 4HQ 01273 735784 01273 738260 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Joginder Singh Vig Mrs Beant Kaur Vig Mrs Colleen Hutton Care Home (CRH) 32 Category(ies) of Old age not falling within any other category registration, with number (OP), 32 of places Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated at any one time is thirty-two (32). 2. Service users should be aged sixty-five (65) years and over on admission. 3. That the home is registered to admit three service users aged over sixty-five (65) years on admission, with a dementia-type illness. 4. Only older people who have been assessed as requiring nursing/residential care are to be accommodated. Date of last inspection 16 November 2004 Brief Description of the Service: Springfields is a care home providing nursing and personal care for up to thirty-two older people. It is owned by Mr & Mrs Vig, who also own four other care homes in East Sussex. The home is situated in the centre of Hove, within close walking distance of the sea front. There are local shops and transport links nearby. Accommodation is provided over two floors in a large property that has been converted from three houses. A passenger lift enables residents to access all parts of the home. There is a pleasant garden at the rear of the building that is accessible to residents. Springfields provides eighteen single and seven shared rooms, eight of which are en-suite. There is a lounge/dining area on the ground floor, and a small sitting area in the foyer of the home. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9.30 a.m. and 3.00 p.m., and formed part of the annual inspection plan for this home. A tour of the premises took place and records relating to care and the home’s safety were inspected. The Inspector spoke with ten residents, two members of staff, and a discussion with the Registered Manager took place around progress since the last inspection. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is maintained, this inspection report should to be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their hospitality and assistance during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Residents must be actively involved in the planning of their care and provided with suitable opportunities for meaningful things to do, in order to improve the quality of life for people living at the home. The home must ensure that residents records are kept securely and confidentially. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 6 The home must ensure that the Fire Risk Assessment is reviewed and updated, and that staff take part in regular fire drills. Although the home has a quality assurance system in place consisting of a service user questionnaire, this could be expanded to include a means of gaining the views of visitors, staff, and professional visitors. It is also recommended that residents meetings are recommenced and held regularly, in order to inform the quality assurance process. 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 H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, & 5 The home makes every effort to ensure that they have sufficient knowledge, and employ staff with enough experience to be able to look after the resident once they arrive at the home. Prospective residents needs are assessed before they move in to ensure that the home is able to offer the care needed. EVIDENCE: Documents seen for recent admissions showed that resident’s are only accommodated following an assessment of their needs by the Manager or a senior nurse. Information about their needs is gathered from a variety of sources including the resident, their representative and health care professionals. This needs assessment then forms the basis of the resident’s care plan. There is evidence that the home is meeting the needs of most residents. It was clear that where the home has concerns about meeting the needs of residents, additional support or advice is sought from health care professionals. All residents spoke positively about the care they received and felt that their needs were being addressed. Residents or their relatives are able to visit Springfields and talk to people living in the home before deciding whether they wish to live there, and are admitted for one months trial period. Staff receive training in the health and social needs of the elderly and this is updated on a regular basis. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 The Manager and staff at the home are knowledgeable about the care of the residents and records identify this. Care outcomes for residents were good, and all residents appeared well cared for on the day of the inspection. EVIDENCE: An individual plan of care is in place for each resident, and these provide a comprehensive assessment and plans for meeting each residents physical care needs. Three individual plans of care were inspected. These comprised of many documents including needs assessments, personal information, daily notes and a plan of care, and provided the information necessary to guide staff to meet the needs of residents. Evidence was seen that care plans are reviewed on a monthly basis. Records showed that residents are registered with a General Practitioner, and residents’ physical needs are closely monitored. The home calls in specialist services for advice and support when necessary. Residents confirmed that medical advice, or a visit from the General Practitioner, is sought promptly when required. Pressure relieving equipment was in place for those residents assessed as at risk from pressure damage. All residents spoken with stated that staff treat them with courtesy, and respect their dignity. Springfields has a number of shared rooms, and these are provided with mobile screens to maintain privacy and dignity when providing personal care. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, & 14 Flexible routines are part of daily practice at the home, and links with families are valued and supported. Residents find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests. EVIDENCE: Springfields employs an Activities Coordinator eight hours per week, who provides a range of activities for both individuals and groups. It is recommended that an assessment of residents social care needs and preferred activities is completed, and a copy of this assessment is kept within the plan of care. The home has an open visiting policy and welcomes visitors at any reasonable time. Residents confirmed that their visitors are made welcome at the home, and that the daily routines are flexible and take into account their personal choices as much as possible. During the inspection residents were observed to move around the home freely, choosing which rooms to be in and what level of company they wanted to enjoy. All of the residents who spoke with the inspector commented positively regarding the food provided, with one resident commenting that “there is always something worth sitting down to”. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 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 standard(s) 16 & 18 The home operates in an open manner and complaints are handled objectively by the home. Staff receive training on the recognition of abuse and Protection of the Vulnerable Adult. EVIDENCE: The home has a detailed complaints procedure, and the complaint records demonstrated that this is followed. No complaints have been received directly by CSCI since the last inspection. The complaints policy is available in the service user guide and contains information about how complaints will be investigated. The contact details of CSCI are also provided, should the resident be unhappy with the home’s response to their complaint. There are clear policies on adult protection for staff on how to report suspicions of abuse, and staff receive training on the recognition of abuse and the procedures for reporting suspected abuse. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26 Resident’s bedrooms and communal space is comfortable and homely. The home is generally well-maintained. EVIDENCE: All bedrooms were visited and were noted to have been personalised and provided with domestic style furniture and fittings, together with bedding, carpeting or vinyl flooring, and curtains to a good standard. Communal space is provided in a lounge/dining room, however, the dining area is not sufficient in size to accommodate all of the residents, with many residents remaining in their rooms or their armchairs to eat their meals. There is a pleasant garden at the rear of the home that provides an outdoor space for residents to sit. There are a variety of aids and adaptations around the building to support residents’ independence. This includes grab rails, raised toilet seats, assisted baths and a passenger lift. Each bedroom is fitted with a call point, those tested were in working order. There is one call point in the lounge area, and pendant call bells have been provided to two residents when sitting in the lounge. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 13 Accommodation is provided in eighteen single rooms, five of which have ensuite facilities and seven shared rooms, three with en-suite facilities. There are two assisted baths and one assisted shower, which is below the recommended ratio of one assisted bathing facility to eight residents. However, as this is what was provided prior to the commencement of the National Minimum Standards this standard is considered to have been met. There are six unassisted baths within the home, and it is recommended that consideration is given to converting one or more of these into assisted bathing facilities, as due to the difficulties with mobility of the majority of residents currently accommodated, none of the unassisted baths can be used. The home was found to be clean and free from offensive odours with sufficient domestic staff employed to ensure that standards of hygiene and cleanliness are maintained. Laundry facilities are provided, and residents stated that they were happy with the standards of laundering, with one resident commenting that “they do the laundry beautifully here”. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The numbers and deployment of staff are sufficient to meet the aims, objectives of the home and the individual needs of service users. EVIDENCE: Duty rotas showed that the Manager, one Registered Nurse and five care staff are employed throughout the morning, with one Registered Nurse and three care staff during the afternoon, and one Registered Nurse and two carers at night. Kitchen, domestic and maintenance staff are also employed. The inspector observed many sensitive interactions between staff and residents, which were undertaken in a friendly and relaxed manner. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 37 & 38 Resident’s financial interests are safeguarded, and good standard of administration continues to be maintained. An up-to-date fire risk assessment must be completed, and regular fire drills carried out, to ensure that the health, safety and welfare of residents and staff are maintained. The Manager must develop strategies to enable staff and visitors to the home to share their views regarding how services are provided. Records must be stored in a way that maintains residents privacy and confidentiality. EVIDENCE: The Registered Manager has many years experience in managing the home, and demonstrated an in-depth practical knowledge of the daily running of a service for older people. The home has a relaxed atmosphere, and both staff and residents indicated that they were happy to approach the Manager and senior staff with any concerns. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 16 All records requested by the inspector were made available, and were generally well organised and supportive to the effective and efficient running of the home. Residents personal monies are safeguarded, with robust recording procedures in place. It is recommended that care records that are kept in residents rooms are maintained in a way that ensures they are confidential. A residents questionnaire is completed annually in the home, however a requirement was made that staff, relatives and professional visitors’ views be ascertained, as well as those of residents, in order to inform the way in which the service in the home is delivered. Residents meetings have been held in the past, but records showed that the last meeting was in March 2004. Systems to support fire safety are in place. Regular fire alarms, emergency lighting checks and fire drills were recorded and up to date. A fire risk assessment of the home was completed in 2003, and a requirement was made that this be reviewed and updated. The last recorded fire drill was a year ago, and there is a need to undertake more regular fire drills to ensure that all new staff are aware of the fire procedures. A fire risk assessment needs to be undertaken and reviewed regularly, which records the actions being undertaken to ensure adequate fire safety precautions in the home. Service contracts are in place for the fire detection and fighting equipment. Radiators are guarded, and hot water outlets had been regularly checked to ensure that safe temperatures were maintained. Annual checks of portable electrical appliances had also been completed. A record of accidents is kept, and was seen to be up to date with no specific patterns identified. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 2 2 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 2 3 3 x 2 3 Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 18 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 12 Regulation 16(2)(n) Requirement Timescale for action With immediate effect 2. 19 13 (4) That service users are consulted about the programme of activities arranged and that suitable facilities are provided for recreation. That a record of each service users preferred activities is maintained within their plan of care. That the cracked bath panel in With the unassisted bathroom on the immediate first floor is repaired or replaced. effect That the hot water tap in the second floor bathroom be repaired to ensure that it can be turned off. That strategies are developed for enabling staff and other stakeholders to inform the way in which the service in the home is delivered. That the broken stop/call bell in the lift be repaired. That fire drills and practices are held at regular intervals and a record maintained of the outcome, and identify staff attending. 3. 33 21 (1) & (2), 24 (1) 13 (4) 23 (4)(e) & Sch 4 (14) 01/12/05 4. 5. 38 38 With immediate effect With immediate effect Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 19 6. 38 13(4)(c) That the Fire risk assessment is reviewed frequently, records significant findings and the action taken to ensure adequate fire safety precautions in the home. With immediate effect 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. 3. Refer to Standard 21 33 37 Good Practice Recommendations That consideration is given to converting unused unassisted bathrooms into assisted bathing/showering facilities. That regular service user meetings are scheduled to enable service users to inform the way in which care and services are provided. That care records maintained in service users rooms are stored in a file marked confidential, and are stored in a way which maintains confidentiality. Springfields H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 H59-H10 S14059 Springfields V222895 270705 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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