Inspection on 20/01/06 for Springfields Nursing Home

This inspection was carried out on 20th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Springfields Nursing Home 09/05/07

Springfields Nursing Home 25/08/05

Springfields Nursing Home 22/02/05

Springfields Nursing Home 12/01/04

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

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

CARE HOMES FOR OLDER PEOPLE Springfields Nursing Home Rectory Road Copford Green Colchester Essex CO6 1DH Lead Inspector Diana Green Unannounced Inspection 20th January 2006 10:25 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 Nursing Home DS0000015341.V280054.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 Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Springfields Nursing Home Address Rectory Road Copford Green Colchester Essex CO6 1DH 01206 211065 01206 213238 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) Springfields Residential Homes Limited Mrs Samantha Hursey Care Home 37 Category(ies) of Dementia - over 65 years of age (1), Physical registration, with number disability over 65 years of age (37), Terminally of places ill (4) Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex aged 65 years and over who require nursing care by reason of a physical disability (not to exceed 37 persons) Persons of either sex aged 50 years and over who require general palliative care (not to exceed 4 persons) One service user aged 88 years and over who requires care by reason of dementia, whose name was made known to the Commission in August 2005 The total number of service users accommodated in the home must not exceed 37 persons 25th August 2005 Date of last inspection Brief Description of the Service: Springfields Nursing Home provides nursing and personal care for up to 37 older people and is also registered to care for service users with a terminal illness.The home is owned by a private organisation, named Springfields Residential Homes Limited.Springfields Nursing Home is located in the rural village of Copford that is approximately a mile from Marks Tey and a few miles from Colchester, Essex. The home is single storey purpose built accommodation and shares catering and laundry facilities with the adjoined residential home.There are 37 single bedrooms with en-suite facilities, one large lounge and two dining rooms.The home has surrounding landscaped gardens with extensive views over open countryside. There is a paved garden to the rear and an internal courtyard that are attractive and accessible to wheelchair users. Springfields Nursing Home is accessible by road and rail. The nearest station is in Marks Tey. Parking is available in the large car park located to the front of the property. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 20/01/06, lasting 4 hours. The inspection process included: discussions with the proprietor, the registered manager, administrator, four staff, five residents and two relatives; a partial tour of the premises including a number of residents’ rooms, bathrooms, the sluice and communal areas; and inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Fifteen standards were inspected, one was commended and one repeat requirement and two recommendations made. Action had been taken promptly to address all other previous requirements and recommendations. It was evident that Springfield Nursing Home continues to provide a high standard of personal and nursing care for residents. The manager and staff were welcoming and helpful throughout the inspection. What the service does well: What has improved since the last inspection? Care planning had improved with the continued implementation of a new computerised system. There were regular reviews of care and of all risk assessments including risk assessment for falls. Risk assessments for those residents who choose to self-medicate had a documented risk assessment undertaken. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 6 There were 50 of care staff that have undertaken NVQ level 2 or 3. CRB/POVA checks had been obtained for all staff prior to employment as required. The proprietor had provided the CSCI with reports on the conduct of the care home as required under Regulation 26. Foot operated bins had been purchased and COSHH items were stored securely. 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 Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 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 Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 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 the following standard(s): 3, 6 Action has been taken to ensure the admission process is robust and that the home can appropriately meet prospective residents’ needs. This home does not provide intermediate care. EVIDENCE: The manager and deputy manager, both registered nurses, undertake assessment of all prospective residents prior to admission, and information on the person’s needs is recorded. New computerised documentation had been introduced that details all care needs. Three care plans were sampled and all included assessment of all elements as detailed in this standard. Risk assessments were undertaken for falls, nutritional needs, continence, skin integrity and moving and handling and all were regularly reviewed. This home does not provide intermediate care. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 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 the following standard(s): 7, 8 & 11 The care planning process provides good information for care staff to satisfactorily meet residents’ needs with the agreement of residents and/or their representatives. Residents’ health care needs are consistently well met within the home. Residents are assured that at the time of their death, staff will treat them and their family with care sensitivity and respect. EVIDENCE: Three care files were inspected. All contained care plans that covered all key needs (physical and social). The registered manager or deputy manager completed care plans. On completion of the care plan, key workers who had responsibility for five residents monitored and updated them. Daily records were detailed and demonstrated a good knowledge of the residents’ needs. All care plans had been regularly reviewed. Assessments for moving and handling/mobility, pressure areas and continence needs were recorded in all of the files inspected. There was evidence in all three files of residents’ agreement to their care plan. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 10 The standard of personal and nursing care was observed to be good. The records confirmed that residents were enabled access to health and social care professionals and prompt referrals were made to GPs as required. The home had a contracted GP who attended weekly and as required. Residents spoken with said that they were well looked after and staff were caring towards them. The home had appropriate moving and handling equipment and a range of pressure relieving cushions and mattresses were observed to be in use. One resident commented on how well their leg wound had healed since their admission to the home. The home is registered to provide care to service users with a terminal illness and staff training in palliative care had previously been undertaken. From discussion with the manager and an inspection of records there was evidence that residents’ wishes concerning terminal care and arrangements after death were discussed and carried out. The home had policies and procedures on care of the dying that indicated service users and their families would be treated with care, sensitivity and respect in the event of their death. Relatives of residents who were terminally ill were able to stay overnight at the home. The manager was a link person with the hospice and liaised with all care homes registered for palliative care in the local area. This included working with care homes to develop the Liverpool Pathway, a method of care planning that promotes best practice in care of the dying. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 Daily routines were flexible and there was a strong ethos in the home of promoting residents’ choice and independence. Visiting arrangements were open and relaxed and staff made efforts to ensure visitors were welcomed into the home. EVIDENCE: All rooms were single and residents could therefore see their visitors in private. Visitors spoken with said they were free to visit at anytime and were invited to various functions throughout the year and were always welcomed into the home. Arrangements were also made for those who chose to stay for a meal with their loved one. The home enabled residents to exercise personal autonomy and choice as able. All residents had a relative/ advocate acting on their behalf. Information on advocacy services was available provided verbally. Service users were enabled to bring furniture and personal items into the home and a record was maintained. The statement of purpose detailed residents’ rights to have access to their personal records. Residents’ records were stored securely in the nurses’ office and in the locked administration office in lockable filing cabinets. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 13 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): 26 The home was clean and hygienic with satisfactory standards of infection control evident. However without a sluice disinfector there is potential for these standards to be compromised. EVIDENCE: The home was clean and hygienic throughout with no odorous smells. There was a sluice room but no sluice disinfector as recommended for a care home with nursing. Those infection control practices observed in the home were seen to be safe. The laundry was equipped as required and well organised. Laundry and sluice facilities were located away from areas where food was prepared or eaten. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 29 The staffing levels (skill mix, number and competence) were appropriate to the needs of residents. Staff training is provided in a planned way to ensure residents are cared for by staff that are skilled and experienced. Requirements regarding recruitment processes highlighted at the last inspection had not been met and recruitment practices did not therefore fully protect service users. EVIDENCE: There were thirty-two residents at the home. Staffing numbers and skill mix comprised two registered nurses and seven care assistants and met the levels agreed with the CSCI; from inspection of the staff duty rota and discussion with staff and residents, there was evidence that staffing levels were well maintained, and met the needs of residents. The home had good retention of staff with some having been employed for some years, resulting in the provision of good continuity of care for residents. Domestic staff were employed in sufficient numbers to ensure the cleanliness of the home. Laundry, catering and maintenance staff were shared with the residential care home that was adjacent. There were fourteen staff with NVQ level two or level three, which is 50 of care staff. All new staff were registered on a Skills for Care certified training programme. There were no agency staff employed and care no staff less than 18 years of age. The personal files of two new employees were inspected. Both had evidence that the required checks had been obtained (CRB/POVA checks) but there was Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 15 no copy of birth certificate, passport or photograph held on file and one had no references. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, 38 There is effective leadership, guidance and direction to staff to ensure residents receive consistently good quality care. Robust arrangements are in place to ensure residents’ financial interests are protected. EVIDENCE: There was evidence of good day-to-day contact between the manager and staff and good communication through handover sessions and regular meetings. The registered manager undertook regular updated training and ensured staff were kept informed on new and current developments in care. The home did not manage any residents’ monies. Some residents managed their own finances and all others had a representative/advocate to manage them on their behalf. As there was no safe in the home, residents they were discouraged from holding large amounts of cash. All expenditure/sundries were invoiced directly to residents or their representatives. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 17 The home had a health and safety policy statement and there was evidence of statutory training in fire safety and moving and handling was provided for all staff as required. The premises were secure and systems were in place for maintenance of a safe environment. Checks to minimise the risks of Legionella and regular servicing of boilers and central heating systems were undertaken and evidenced from the records. Regular maintenance of hoist and other equipment was confirmed from the records. There was a need for weighing scales to be calibrated to ensure their accuracy. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 18 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 3 Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? yes 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 29 Regulation 7, 9, 19 Schedule 2 Requirement The registered person must ensure that all the required checks including two satisfactory references and identification are obtained and held on file. This is a repeat requirement Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard 26 38 Good Practice Recommendations The registered person should provide a sluice disinfector. The registered person should ensure that weighing scales are calibrated for accuracy. Springfields Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Nursing Home DS0000015341.V280054.R01.S.doc Version 5.1 Page 21 - 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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