Inspection on 09/05/07 for Springfields Nursing Home

This inspection was carried out on 9th May 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 Nursing Home 20/01/06

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 Key Unannounced Inspection 9th May 2007 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfields Nursing Home DS0000015341.V339378.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 Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfields Nursing Home Address Rectory Road Copford Green Colchester Essex CO6 1DH 01206 211065 01206 213238 springfieldsmail@btconnect.com 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.V339378.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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) There is no longer a requirement for care homes to register for palliative care; this condition will therefore be removed. 3. 4. 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 20th January 2006 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. The fees range from: £585.00 -£705.00 per week Additional costs apply for chiropody, toiletries, hairdressing and newspapers. This information was provided to the CSCI on 06/03/07 Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took place on the 09/05/07 lasting 7 hours. The inspection process included: discussions with the registered manager, the proprietor, the cook, two laundry assistants, four residents, four care staff, four visitors, a Macmillan Nurse, a Discharge Coordinator and feedback from health and social work professionals; a tour of the premises including a sample of residents’ rooms, bathrooms, communal areas, the kitchen, the laundry and the sluice-rooms; an inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). The outcomes for people who use the service were looked at against twenty-seven standards. Four were commended, two requirements and two recommendations made. The manager and staff were welcoming and helpful throughout the inspection. What the service does well: What has improved since the last inspection? The aims and objectives for the nursing home had been updated. The manager had completed a Diploma in Management and several staff had undertaken NVQ level 2. Training had been provided on the Mental Capacity Act and on Parkinson’s Disease care. The quality assurance programme had been further developed to ensure residents and their relatives were consulted on the service provided. Action had been taken to ensure appropriate checks were undertaken prior to employment of staff. The weighing scales had been checked to ensure accuracy. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 6 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 Nursing Home DS0000015341.V339378.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 Nursing Home DS0000015341.V339378.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): Quality in this outcome area is good based upon sampled inspected standards 1, 3 & 5. Residents were well informed, had their needs assessed and were assured that they could be met prior to moving in to the home. The service does not offer intermediate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service user guide were a combined document that was shared with the residential home on the same site. A copy was held in each resident’s room and was also displayed in the entrance of the home together with the previous inspection report. The statement of purpose included the aims and objectives of the home but did not include the end of life/palliative care service that was also offered at the home. Advice was given Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 9 to ensure this was developed to enable prospective residents to be clear of the service offered at the home. The majority of residents were self-funding. The manager or deputy attended hospital or home to assess residents needs prior to admission where possible. Assessment documentation had been developed since the previous key inspection. The files of three residents were seen and each one had a preadmission assessment dated before the resident was admitted to the home and signed by the manager or deputy manager. The assessments covered all areas of care needs including personal care, mobility, falls, continence, nutrition, social/emotional needs, medication etc. and were used to develop care plans. New residents were offered a trial period of one calendar month provided to ensure they were comfortable in the home and it met their expectations. Visitors spoken with said they were able to visit the home before their relative was admitted. Two relatives said they were made aware of the home on personal recommendation and were very pleased with the standard of care. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is excellent based upon sampled inspected standards 7, 8, 9, 10 & 11. The health and personal care needs of residents are well met by robust care planning that is closely monitored and regularly reviewed. Individuals can expect to have their end of life/ palliative care needs met sensitively by skilled and competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of three residents were inspected. Each contained risk assessments for daily activities undertaken by the residents. (i.e. falls, moving and handling, waterlow (skin assessment) and use of bed rails. Regular weight monitoring was recorded with evidence that action was taken to provide soft diets and supplements as needed. Care plans provided clear action for care staff to meet residents’ needs and were regularly reviewed. Daily records were detailed and provided evidence that resident’ needs were closely monitored. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 11 Most relatives spoken with said that the care plan had been discussed with them and their agreement obtained. One relative said they were kept well informed on any changes and were very satisfied with the communication. The home had a retained GP who attended twice weekly and on request to review residents’ needs. The records confirmed that residents had access to the GP, consultants, chiropodist, Macmillan Nurse, district nurse, tissue viability nurse, dietician, Stroke Care Specialist, Speech and language therapist, optician, community psychiatric nurse and social worker as required. On the day of inspection the home had input from a Macmillan Nurse and Discharge Coordinator. Records demonstrated appropriate and prompt referral and good monitoring of health care needs. There was an appropriate provision of aids and specialist pressure relieving equipment to meet residents’ needs. The home had a policy and procedures for the safe administration of medicines. Medication was stored in the nurses’ office in a trolley that was secured to the wall. There was a controlled drug cupboard and a separate locked drug fridge. Daily monitoring of room and fridge temperatures was undertaken and recorded. Medication was supplied by a local pharmacy in individual containers and appropriate procedures were followed to ensure they were accurate. Audits were undertaken three monthly by the supplying pharmacist and a six monthly review of medication was undertaken for all residents. Registered nurses with current Nursing & Midwifery Council (NMC) registration gave all medication. A list of signatures and initials was maintained as required. Systems were also in place to ensure NMC Pin numbers were recorded and checked to ensure they were current. The home had a contract with a licensed contractor for the disposal of medication as required for a care home with nursing. Stock levels were at an acceptable level. Medicines administration records were well recorded. However the administration of prescribed creams for one resident had been signed by the registered nurse rather than the person who administered it. One resident was self-medicating and lockable facilities had been provided. A risk assessment had been undertaken and compliance was monitored monthly. Controlled drugs were recorded in a Controlled Drugs Register and those sampled were accurate. However the full name and address of the supplier was not recorded in the dedicated register on receipt and disposal. Care files contained clear information and indicated each person’s preferred name. Staff were observed to treat residents with courtesy and dignity. There were no locks provided in residents’ personal accommodation. Action had been taken previously to consult with residents with regard to this. From discussion with the proprietor it was evident that locks would be fitted should a resident choose to have a key to their door. Residents and their representatives said that care staff were caring and respectful and always supported them with sensitivity. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 12 The home provided specialist care for people at the end of their life and those needing palliative care. The manager and staff had additional training and skills in care of the dying and there were good links with the hospice and specialist nurses. The home participated in the Gold Standards Framework (GSF) and used the Liverpool care Pathway as part of the care planning process for residents receiving end of life/palliative care. Annual training was provided for all staff by the local hospice. A Macmillan Nurse was spoken with during the inspection and was positive about the care provided at the home. End of life care tools had been introduced as part of the care planning process and supported by training from the Macmillan Nurse. The aims and objectives for nursing practice had recently been developed to reflect the standards of care, including end of life care residents can expect to receive at Springfields Nursing Home. A resident spoken with confirmed the Macmillan nurse supported them, staff were attentive to their needs and ensured and their pain was relieved. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good based upon sampled inspected standards 12, 13, 14 & 15 The social and therapeutic activities offered at the home met residents’ cultural needs and expectations and enhanced their daily lives. Visitors were warmly welcomed into the home. The home provided residents with a well-balanced and nutritious diet with choices acommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a designated activities coordinator who had undertaken training on social activities for older people. The programme of activities was included in the statement of purpose and was also on display. Residents’ preferences were recorded on admission together with a family tree. Residents spoken with said they had discussed their preferences with the activities coordinator. A range of group and individual activities were arranged each day. One resident said they enjoyed the game of bingo and quiz games. Some chose not to take part and one said they enjoyed going out for lunch with their family. Feedback Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 14 received from relatives indicated they appreciated the family fun days arranged by the home. The statement of purpose and service users’ guide provided information on the homes’ visiting arrangements. Visiting was open access and four visitors spoken with said they were able to visit at anytime and found the home and staff very friendly and welcoming. One said they visited at different times during the day and were always made welcome and offered a drink. Local schools and choir groups visited the home during the festive season. All residents had a relative or representative to act on their behalf. Information was also made available to residents with regard to accessing advocacy services, if required. Residents’ rooms seen had their own personal items of furniture and pictures that they had brought into the home. Residents spoken could have their meals in their own rooms, or the dining room as they chose and could choose when they got up and went go to bed and whether to take part in activities as they wished. The menu of the day was displayed on the notice board. A quality steering group had been established (reference standard 33) since the previous key inspection and a review of food had been undertaken and menus reviewed in consultation with residents. Three meals were provided daily with the main meal at lunchtime and alternative choices offered. The lunch comprised a choice of roast gammon or tuna pasta bake with potatoes and fresh vegetables. Deserts and cakes were baked on site and specialist diets were catered for. Lunch was served in one of the two dining rooms and in residents’ rooms as they chose. Nutritional assessments were undertaken on admission and a list of residents’ likes and dislikes held in the kitchen. The record confirmed that nutritional intake was monitored and weights recorded and action taken as necessary. Residents said they enjoyed the food and had plenty to eat and drink. The kitchen was clean and well organised with appropriate systems in place. Partial refurbishment of the kitchen had been undertaken since the previous inspection and new worktops installed. Food stocks were plentiful and appropriately stored. The kitchen was clean and well organised with appropriate systems in place. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is excellent based upon sampled standards 16 & 18. Appropriate policies, procedures and practices were in place to promote the protection of residents from abuse. The manager actively promoted awareness of protection issues through staff training, recruitment practices and respecting individual rights. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had a complaints procedure that was included in the statement of purpose/service user guide. Feedback received from relatives indicated they knew there was a complaints procedure and who to refer to if they had a complaint. Residents spoken to were clear that they felt able to tell someone if they had any concerns. There had been no complaints received since the previous key inspection. From discussion with the manager it was evident that any complaints would be investigated and appropriate action taken where relevant. The home had a protection of vulnerable adults policy and procedures and a whistle blowing policy. The records confirmed that staff had received training in protection of vulnerable adults. There had been one allegation made since the Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 16 previous inspection that had been investigated in line with the Essex procedures for Safeguarding Adults and the home’s disciplinary procedures. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good based upon sampled standards 19, 22 & 26. Springfields Nursing Home is clean and hygienic and provides a safe, wellmaintained and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial inspection of the premises was made that included communal areas, bathrooms, a number of residents’ rooms, the sluices, the kitchen and the laundry. The home was cleaned to a high standard and was in a good state of maintenance and decoration. There was a programme of regular maintenance in place. Communal rooms were clean and well decorated and furnished to Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 18 provide a homely environment for residents. Residents spoken with said the their rooms were cleaned daily and to their satisfaction. The gardens were attractive and well maintained and provided a pleasant outlook with good access for residents. Records provided evidence that the building complied with the requirements of the local fire and environmental health department. The home was single storey, purpose built and ramps enabled access throughout the premises and to the gardens. There were grab rails, and aids in bathrooms, toilets and communal rooms to meet the needs of residents. Assisted baths and toilets were provided and the home was fully accessible to wheelchairs. Designated storage areas for equipment were provided. Call systems were provided throughout all individual and communal rooms. The premises were clean and hygienic throughout with no malodorous smells. Appropriate staff hand washing facilities (liquid soap and paper towels) were provided in all toilets, bathrooms en-suites and clinical areas. The home had infection control policies and procedures for staff guidance and a copy of the Essex Health Protection Agency guidance for Care Homes. There was a sluice fitted with a hopper style sluice. The home had a contract with a licensed operator for collection of clinical waste. The laundry services the nursing home and adjacent residential home. The laundry room was large and well organised and exceptionally well equipped with four washing machines with sluice cycle and three driers that were well maintained. Laundry and sluice facilities were located away from areas where food was prepared or eaten. Discussion with the two laundry assistants on duty confirmed they were clear of the recommended procedures to be followed for potentially infected laundry. Several residents commented on the quality of the laundry service. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good based upon sampled standards 27, 28, 29 & 30. Staffing levels and skill mix within the home ensured that the people living in the home received the care they required. Staff training is provided in a planned way to ensure residents are cared for by skilled and competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were thirty-one residents at the home. Staffing numbers and skill mix were appropriate to meet the needs of residents and were more than the minimum required. There were two registered nurses and seven care assistants on duty and one care assistant on induction. The home had good retention of staff with some having been employed for some years, meaning that residents were cared for by people they knew. Residents spoken with said that staff came quickly when they called especially at night. A relative commented that there were always enough staff to supervise residents during meal times. 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 sixteen staff with NVQ level two or level three, which is 60 of care staff. All new staff were registered on a Skills for Care certified training Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 20 programme. There were no agency staff employed and care no staff less than 18 years of age. The records confirmed that care staff attended regular training sessions that were arranged and these included moving & handling, fire safety, first aid, and palliative care, Parkinson’s Disease etc. The personal files of two recently employees were inspected. Both had evidence that the required checks had been obtained (two satisfactory references, CRB/POVA checks) and copies of birth certificates, passports, and photographs obtained before the individuals commenced employment at the home. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good based upon sampled standards 31, 33, 35, 36, 37 & 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is an experienced registered nurse with additional qualifications in management and care of the dying. She had also completed a Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 22 Diploma in Management since the previous key inspection. The training records confirmed that she had undertaken regular updated training relevant to a care home with nursing. The management of this home is open and inclusive. Residents and their representatives spoken with said they were confident in the manager and felt that any issues would be dealt with quickly and to their satisfaction. Since the previous key inspection, a quality steering group had been established. Representatives from each of the services attended meetings (kitchen, laundry, activities, registered nurses and care staff working during the day and night.) Residents and relatives’ surveys had been distributed to be returned anonymously. A staffing survey was planned and there were further plans to consult with other stakeholders including GPs, and health professionals. The manager operated an open door policy and feedback from residents and their relatives indicated she was very much in attendance in the home and available to them. The home did not manage any service users’ monies. All residents had a representative/advocate to manage their finances on their behalf. All expenditure/sundries were invoiced directly to residents or their representatives. 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. Weighing scales had been checked for accuracy since the previous key inspection. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 23 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 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 2 10 3 11 4 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 3 X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 24 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 The name and address must be recorded in the register on receipt and disposal of controlled drugs to ensure residents are safeguarded by robust and accurate record keeping. To ensure residents receive creams as prescribed their administration must be confirmed by the person who administers the cream. Timescale for action 30/06/07 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 OP2 Good Practice Recommendations The statement of purpose should be reviewed to include the end of life/palliative care service provided to ensure potential residents have full information on the service provided. The complaints procedure should be reviewed to reflect DS0000015341.V339378.R01.S.doc Version 5.2 Page 25 2. OP16 Springfields Nursing Home 3. OP24 the CSCI policy to ensure residents and their representatives are clear that providers are responsible for investigating complaints. Carpets should be provided in all residents’ rooms to ensure they are not seriously injured by falls on hard surfaces. Springfields Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Nursing Home DS0000015341.V339378.R01.S.doc Version 5.2 Page 27 - 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. 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