Inspection on 07/02/07 for Springfields

This inspection was carried out on 7th February 2007.

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

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

Other inspections for this house

Springfields 27/01/09

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Springfields 5 Clayton View South Kirkby Pontefract West Yorks WF9 3RE Lead Inspector Gillian Walsh Key Unannounced Inspection 7th February 2007 10:00 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.V315570.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 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.V315570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 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 is 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. The home’s proprietor/manager informed the Commission that the current scale of charges at the home is £311 - £359 per week. Information about the home and the Commission for Social Care Inspection is made available to service users within the home’s Service User Guide, copies of which are given to prospective and current service users and can be obtained, on request, from the home. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection which included a visit to the home on 7 February 2007. Before the visit, the Commission for Social Care Inspection sent out questionnaires/comment cards to residents, their relatives and their GPs in order to gain their views about the service provided. The information returned provides some of the evidence for this inspection and some of the comments received are included within this report. Responses to comment cards were as follows: Both residents’ comment cards were received back with both indicating satisfaction. One person concluded the form by saying “I’m happy here”. One relatives’ and 1 GP’s comment card were received back, neither included any particular comments but both indicated general satisfaction. During the visit to the home, the inspector spent long periods speaking with residents and staff but also looked at residents’ care records, medication records, staff records, looked around the home and viewed other documentation relating to the running of the home. Both of the people living at the home said that they preferred to be referred to as “residents” rather than “service users”. The inspector would like to thank everybody who took part in the inspection process. What the service does well: Some examples of good practice at the home are: • Residents live comfortably in a very homely environment where they know that support is available to them at all times to ensure their care, health and social needs are met. Standards of care planning and record keeping at the home are good. Residents are involved in decision-making about the home and are encouraged to be independent in making decisions about their own lives. • • Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 6 • • Staffing is appropriate to the needs of residents and staff are trained in areas relevant to their field of work. The home is run in the best interests of the residents. One resident said “I like it here because you can do what you want” and a comment made within a questionnaire returned to the Commission was “I am happy here”. What has improved since the last inspection? Since the last inspection the manager has: • • Introduced better documentation relating to residents’ finances Ensured that testing of portable electrical appliances is up to date. No other improvements were recommended at 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. The summary of this inspection report can be made available in other formats on request. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Springfields DS0000006252.V315570.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. Standard 6 is not applicable as the home does not provide intermediate care. Quality in this outcome area is Good. New residents are not accepted at the home without first having their needs assessed to ensure that staff will be able to give them the support they need to meet their needs. On admission, residents are provided with clear terms and conditions of residence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although both residents have lived at the home for a number of years, pre admission assessment information is available within their care plan files. Also available in the files are clear statements of terms and conditions which provide residents with good information about their contracts of care with the home. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is Good. Care plans give good detail of residents’ personal, health and social care needs, and the individuals’ strengths and preferences within their activities of daily living. Although improvements need to be made in relation to arrangements for privacy and medication systems, neither have any affect on outcomes for current residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both residents gave permission for their care plan files to be examined during the visit. Both had clear plans of care, which included any identified risks and how these could be managed, individual strengths and what assistance is required from staff to support the resident in meeting their needs. Information was also available about the individual’s daily routine and their likes, dislikes and preferences within their activities of daily living. Both care plans had been Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 10 reviewed appropriately and both residents confirmed, in conversation, that they are aware of the content of their care plans. Evidence was available within daily notes and other documentation that both residents have access to health care professionals as the need arises, this included GP, optician and community support teams. Both residents also spoke of their regular appointments with the dentist. One resident spoke of their involvement with the care plan approach to their ultimate aim of living independently. Documentation and discussion with staff and residents confirmed that their dignity needs are respected and met. Discussion took place with the manager about how privacy could be improved by appropriate locks being fitted to bedroom and bathroom doors. The manager confirmed that she would give this matter her immediate attention. Neither of the people currently living at the home had issues about the lack of door locks and therefore this does not affect the outcomes for current residents. Neither of the current residents chooses to manage their own medications. Systems for the receipt, storage and administration of medication were examined during the visit. Some very good practices regarding medication are in place such as a list of the medications used by the resident, along with details of what the medication is for and any possible side effects or contraindications, kept within the care plan file. Discussion took place with the manager about the use of homemade MAR (Medication Administration Record) sheets, which do not include a place to record the quantities of medication received into the home. A requirement has been made in this regard although, as other good systems were in place, no risk to residents was presented. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is Good. Residents are happy with their lifestyles within the home and have choice and control over their lives. Contact with families, friends and the local community is encouraged and supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both residents spoke of how they are able to choose how they wish to spend their time. One person enjoys going to church everyday and does so independently. Another person said that they attend a local day centre but also enjoys spending time alone watching television. One person has an interest in a local rugby league team and the manager said that they were working together to encourage them to go to local matches. Newspapers, books and magazines relating to the sport were seen in the person’s bedroom. The manager and both residents spoke of outings to local pubs and restaurants and were planning to go out a few days after the inspection visit to celebrate one of the resident’s birthdays at a venue of their choice. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 12 Residents are encouraged and supported to maintain links with family and friends and their visits to the home are welcomed and supported. Residents are also encouraged to make visits to relatives and friends wherever possible. Only one relative’s comment card was returned to the Commission but this confirmed that they were able to visit their relative in private. One resident said that they liked being at the home because they “could do what they wanted”. The manager said that she was in the process of devising new menus for the home. Discussion took place about this as there are only two people currently living at the home and residents confirmed that current arrangements for choice of meals are appropriate to their needs and that they enjoy their meals. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is Good. Residents and their relatives can be confident that any complaints they have would be taken seriously and acted upon. Systems are in place to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s manager said that she has never received any complaints about the service but has a complaints procedure in place should anybody have cause to complain. Both residents said that they would speak to the manager if they had any complaints or concerns. One relative who returned a comment card to the Commission said that they were not aware of the home’s complaints procedure but had not had any cause to make a complaint. The manager and the one member of staff have both had training in safeguarding vulnerable adults. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. Quality in this outcome area is Good. The home provides a well maintained, comfortable and homely environment for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both residents were happy to show the inspector their bedrooms, both of which were clean, tidy and personalised to reflect the resident’s lifestyle. Communal areas were clean, comfortable and homely. The home appeared to be well maintained and a list of planned and routine maintenance of the home was seen. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is Good Residents are supported by staff who are appropriately trained and work in partnership with residents to enable them to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Apart from the proprietor/manager who lives on the first floor of the premises, only one member of staff is employed at the home as a care assistant. One staff member is available to residents at all times, which is appropriate to their current needs. The personnel file for this person was examined during the visit and was found to contain all of the documentation required by regulation to ensure that the home follows recruitment practices to support and protect residents. Both the manager and the member of staff have received training and updates in areas relevant to their work. It was noted that moving and handling training is due to be updated, the manager said she would organise this. The manager said that the care assistant is about to commence studying for the NVQ level two award in care. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 16 Observations during the visit were that staff and residents were at ease with each other and had and enjoyed a mutually respectful relationship. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is Good. Health and safety arrangements are good and are enhanced by residents receiving fire safety training. Record keeping relating to residents’ finances is in place to 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. This judgement has been made using available evidence including a visit to this service. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 18 EVIDENCE: The manager has completed the Registered Managers Award and receives training and updates in areas relevant to her field of work. It was confirmed, through discussion, that residents are consulted about life in the home and how it affects them. Satisfaction surveys are given to residents on an annual basis. These surveys are discussed and copies were seen in the residents’ files. There is a very family orientated feel to the home where all involved are free to voice their opinions. The records for residents’ finances were seen and showed that good procedures are in place with all transactions signed by a member of staff and the resident concerned. Both residents are encouraged to manage their finances and both have lockable drawers in which to keep any personal documents. The manager gave written confirmation to the Commission, prior to the visit, that systems relating to health and safety are maintained within the home and records of monthly routine health and safety checks were seen at the visit. It was very positive to see that residents as well as staff receive regular fire safety training. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 19 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 20 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. 1 Standard OP9 Regulation 13(2) Requirement Record must be made of the quantities of all medications received into the home. Timescale for action 28/02/07 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 OP10 Good Practice Recommendations Suitable locks should be fitted to bedroom and bathroom doors to allow better privacy arrangements for residents. Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springfields DS0000006252.V315570.R01.S.doc Version 5.2 Page 22 - 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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