Inspection on 12/05/08 for Springfields Residential Home

This inspection was carried out on 12th May 2008.

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

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

Other inspections for this house

Springfields Residential Home 28/09/09

Springfields Residential Home 14/09/09

Springfields Residential Home 07/12/07

Springfields Residential Home 27/07/07

Springfields Residential Home 21/08/06

Springfields Residential Home 12/09/05

Springfields Residential Home 05/02/05

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Springfields Residential Home Hengist Road Westgate On Sea Westgate Kent CT8 8LP Lead Inspector Sue McGrath Unannounced Inspection 12th May 2008 09:30 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 Residential Home DS0000064212.V364805.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 Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfields Residential Home Address Hengist Road Westgate On Sea Westgate Kent CT8 8LP 01843 831169 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) barbararicketts@tiscali.co.uk Macari Homes Limited Vacant Care Home 20 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (2), Old age, of places not falling within any other category (18) Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2007 Brief Description of the Service: Springfield is a detached three-storey property, which provides personal care and support for up to twenty older people. Accommodation is provided in both single and double bedrooms. There is a non-smoking lounge and a smoking lounge and two dining rooms. Communal areas are large and furnished in a domestic nature. To the front, side and rear of property there are considerable gardens. The home is located within a short walk from the sea front and local amenities. Fees range from £320.00 - £405.00 per week. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was a Key Unannounced inspection that took place in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key inspection involves a pre-inspection assessment of service information obtained from a variety of sources including an annual selfassessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the IBL process including information on KLORA’s and AQAA’s. The actual site visit to the service was carried out over one day by one inspector, who was in the home from approximately 09:30 until 16:00. The main focus of the visit was to review any improvements made since the last visit and the well-being of the service users. Time was spent touring the building, talking to people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, menus, staff files and other relevant documents. Prior to the site visit the AQAA had been returned. At all times the manager and staff were helpful and demonstrated a pro-active approach to ensuring that service users were being supported to the best of their abilities and resources. This report contains evidence and judgements made from observation, conversation and records. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home is generally cleaner now extra domestic staff had been provided. The system used in the laundry had also improved. Extra administrative hours have reduced the pressure on the manager to enable her to focus more on management tasks. Staff supervision is now happening more regularly and staff confirmed it was constructive and helpful. Some of the bedrooms had been decorated and some new bedroom furniture purchased. Training remains a priority within the home, although there is still some mandatory training that needs to be done. Following requests from residents a new hairdresser has been appointed. The home’s call system had been updated. The electrical wiring was in the process of being made safe and the work is expected to be completed by the end of July when a new certificate will need to be issued. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 7 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 Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 8 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 Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with the information they need to make an informed choice about moving into the home. New service users benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. EVIDENCE: The manager had updated the statement of purpose at the last inspection. The purpose of the statement of purpose is that it is a current working document that can be given to any prospective resident to help them make an informed choice about the home. It should also contain precise information on what the service offers against Schedule One of the Care Homes Regulations 2001. It is again advised that the working document be more realistic and Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 10 user friendly. Each resident should have access to his or her own service user guide. The manager confirmed the home had not admitted any new residents since the last inspection. The manager also confirmed they would be using a new assessment tool that she felt was more robust. This will be reviewed at the next inspection when it has been used. Evidence was seen in residents files and was confirmed by the manager that all residents have a contract/ terms and conditions. The home has a history of caring for people with complex needs such as schizophrenia, depression, and mental health needs. The home’s staff have not received specialist training to help support residents with these complex needs, and whilst caring and sensitive, have little understanding of ways in which they could improve the quality of support and stimulation to specific residents. Residents and relatives cannot be confident the home can met these specialist needs. Residents without these specialist needs can be confident their needs can be met. The manager confirmed in the AQAA that specialist dementia training is being sought for the coming year. The manager is currently arranging for several residents to undergo appropriate assessments to ensure they are placed in the correct setting to fully meet their complex needs. Relatives and residents confirmed they were invited to view the home prior to admission. They were fully involved in the admission process and the drawing up of care plans on admission. Trial periods were also offered to ensure both the resident and the home were happy for the resident to remain permanently. The home does not offer intermediate care. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 11 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, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Health needs are met and resident’s benefit from having full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Work has started on the new care plans, although progress has been fairly slow. The manager stated at the last inspection that she hoped to have all new care plans in place within three months. Currently only seven of the potential twenty have been completed. Those that had been completed were detailed Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 12 and comprehensive. Staff working on the new care plans said they worked closely with the families and residents to ensure sound information was obtained. The activities coordinator also spent time with the residents looking at life histories and aspirations. The care plans identified the level of need in a variety of areas and gave clear instructions to staff. Nutritional screening was undertaken as well as falls risk assessments. Evidence was seen in all the files viewed that they were reviewed on a monthly basis and any changing needs had been identified. Evidence was seen that the residents had the opportunity for chiropody, dental examinations and optical tests. Records were seen of GP and District Nurses visits and the manager confirmed that a good relationship continues between the staff and the District Nurses. Outcomes of visits were also recorded. As stated earlier in this report and previous reports some of the complex needs of some of the residents continue not to have been fully assessed. Staff would benefit from some training in challenging behaviour training and in behaviour management. The manager did confirm that work was in hand to look at the needs of a resident who has specialist needs and to decide if their placement at Springfields was still appropriate. This was also stated at the last inspection six months ago. It is recognised that the manager has tried very hard to arrange these assessments but needs to be supported by other health and social care professionals. The medication administration records (MAR) was viewed and no errors were found on the MAR sheets viewed on the day. The controlled drugs register was also viewed and again no errors were found and the amount of medication held matched the records held. The Head of Care has taken the responsibility of ordering and monitoring the medication system. Staff who administer medication have received a one-day training course from the local Pharmacist. The only concern remains the storage of medication. It is still stored in an inappropriate site and not in a dedicated medical room. The advice given at the last inspection regarding the use of a dedicated medical room has not been followed. It is again strongly advised that a dedicated medical room be used to house all medication including excess medication and dressing. A dedicated fridge has now been supplied. Throughout the day staff were seen to be caring and polite to the residents. Relatives also commented on well cared for their relatives were. One daughter stated she: ‘Felt happy to leave her Mum in the home and that she was confident she would be well cared for at all times.’ Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 13 Comments made by some of the residents included; ‘I am very lucky to be here’ ‘The girls look after me very well’ ‘I am very happy here, the staff look after me very well, nothing is too much trouble for them.’ The manager discussed the homes approach to illness and dying and was able to display a sensitive and professional approach to this difficult issue. She explained she has discussed this area of care at various meetings with relatives and talked to individual families specifically about end of life care to make them aware of the homes policies regarding palliative care. If possible they would support a resident to spend their final days in their own room, surrounded by their personal belongings, unless there were strong medical reasons to prevent this. The home cannot cater for residents who have been assessed as needing nursing care but support is offered from the local hospice and Eleanor Nurses if required. The owner will provide extra staff if required. A specific end of life care plan would be prepared and changed daily if needed. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 14 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 excellent This judgement has been made using available evidence including a visit to this service. Resident’s social, recreational interest and needs are very well provided for with a wide range of activities organised. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. Residents receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: Several residents confirmed they enjoyed the high level of activities offered in the home. One relative commented that the activities covered a wide range of things to do and was not all about playing bingo. The home had a dedicated activities coordinator who had developed a programme that was aimed at the residents as individuals and supports individual needs and interests. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 15 The coordinator has worked hard to ensure each residents social and recreational needs had been assessed and as far as possible ensured they were met. One resident had particularly benefited from individual input and now regularly attends a day centre for people who have suffered a stroke. This has enabled her to live a fuller life and enjoy the company of others who have similar experiences. The coordinator keeps meticulous records of who does what and when. Residents spoke very highly of her dedication and commitment. Each resident had a life plan complied by the coordinator that was incorporated into the new care plans. The home has joined NAPA, which is the National Association for Providers of Activities for Older People and provides training and advises on activities for older people. Relatives confirmed they could visit at any time and were always made very welcomed. One visitor confirmed the home kept in regular contact with them and they still felt involved with the care of their loved one, which was important to them. They also confirmed they had been involved with drawing up their relatives care plan. One visitor stated he could stay and have lunch with his wife who was a resident in the home if he wanted to. All of the comments from visitors were positive. Discussion with staff, residents and direct observations confirmed that, where possible, residents were encouraged to continue to make choices over daily living arrangements and routines were flexible and resident led. All residents had lockable rooms and a lockable drawer within their rooms. Bedtimes were flexible to meet the residents wishes, as were rising times. Staff had recently undertaken training on the Mental Capacity Act, so had a good understanding of its implications when caring for residents. The home now employs two cooks and kitchen assistants. The kitchen was seen to be clean and tidy. All necessary records are maintained. There was evidence that fresh fruit and vegetable were in regular use and the cupboards were well stocked. Several residents spoke highly about the quality of the food. Menus were seen and records maintained of food taken. The home manages specialist diets well. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 16 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 This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system with residents and relatives feeling their views are listened to and acted upon. Whilst residents are protected from the risk of abuse by the home’s adult protection policy further staff training needs to be completed. EVIDENCE: The home had a robust complaints procedure in place and residents spoken with confirmed they would be happy to complain to the manager if they had a problem. The manager stated she encourages both staff and relatives to discuss any issues they may have with her as soon as possible. The home had not received any complaint since the last inspection. We (The Commission for Social Care Inspection) have not received any complaints about the service. The manager had worked diligently to ensure all existing and new staff have the correct Criminal Record Bureau disclosures. This has resulted in some staff leaving the home. The manager has also been proactive in referring misconduct to POVA and felt confident these issues had been dealt with and that all current staff were appropriately employed. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 17 The manager is the lead practitioner in the protection of vulnerable adults and is currently implementing training for all. Nine staff had already completed the course. This is a mandatory training and all staff will need to be trained as soon as possible. Policies and procedures within the home continue to be reviewed and assistance is being sought from an outside company. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 18 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, 20, 23, 24, 25 and 26. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. The levels of cleanliness and infection control procedures have improved and now ensure residents live in a safe, hygienic environment. EVIDENCE: The recent improvements made internally in the home continue to be appreciated by both residents and their families. Several relatives congratulated the home on the recent improvements and said the home was now always clean and tidy. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 19 The individual bedrooms were spacious and well maintained. They were personalised to the taste of the individual and residents confirmed they liked their rooms. The dining room carpet had recently been torn by the door closure and could be considered a trip hazard. The manager stated the owner had called the carpet contractors back to deal with the problem. It is recommended that if this cannot be repaired satisfactorily it must be replaced. The problem with the odour at the entrance hall was again discussed with the manager. The manager feels the problem is with the toilet flooring not the carpet in the hallway. This needs to be addressed. The issue raised at the last inspection regarding the condition of the hard wiring is being addressed and the majority of the work had been completed. The manager was hopeful the work would be fully completed by the end of June 2008. The manager was requested to inform CSCI when the work has been completed and a new certificate has been issued. The gardens are well maintained and well used by the residents. There were seating areas with chairs and sunshades. The home was generally much cleaner and the manager confirmed that an extra 30 domestic hours per week were being used. Following a visit from the Infection Control Advisor the laundry room has improved and was cleaner and well organised. The laundry now has dedicated staffing hours. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 20 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. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the number and skill mix of staff. Residents who live in the home are protected by the homes recruitment policies and procedures. EVIDENCE: There had again been some changes in the staff group but the manager stated that the end result was a more stable and structured workforce. There were clear lines of responsibility and accountability within the staff group and the staff appreciated this. All staff spoken with said they felt well supported by the management team and confident in their own abilities. Staff rotas seen on the day of the inspection indicated that there were sufficient staff on duty that day to meet the needs of the residents. Regular staff meetings are now arranged and the staff spoken with confirmed they feel well supported now. Staff morale has improved since the last inspection. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 21 Staff training has been a priority at the home and has improved since the last inspection. There are still some gaps in the mandatory training, but it is recognised that considerable investment has been made in staff training. Nine of the thirteen care staff had completed a National Vocational Qualification (NVQ) to level two or above. The home currently has three more staff undertaking their award. This level exceeds the 50 requirement. All new staff were recruited in accordance with the requirements from the Care Home Regulations 2001 and this was evidenced in the staff files. Files were stored in a locked filing cabinet in the manager’s office. The home is currently using an induction programme that is in line with ‘Skills for Care’. A new comprehensive staff handbook has recently been produced and all staff had been given a copy. Staff were also supplied with a copy of the General Social Care Council (GSCC) Code of Practice. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 22 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, 32, 33, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a home where the manager is competent, enthusiastic and experienced with the care of older people. Residents now benefit from having all staff receiving regular supervision. The health, safety and welfare of residents and staff are now promoted and protected. EVIDENCE: The provider still has not applied for the manager to be registered with the Commission. Regulation 8 of the Care Homes Regulations 2001 clearly states Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 23 that the registered provider shall appoint an individual to manage the home when (iii) he/she is not, or does not intend to be, in full time day to day charge of the home. A requirement will be made to ensure the provider registers the manager with CSCI. The manager continues to make improvements in the home. She has worked diligently with some very challenging problems and has developed as a manager. Although at the previous inspection it was hoped that registration with the Commission would be a priority, this has still not happened. This will affect the score awarded for Standard 31. There are clear lines of responsibility in the home and administrative support has now been appointed and has taken some of the workload off the manager. A new head of care has also helped strengthen the management team. There has been some progress with quality assurance with the manager recently issuing questionnaires to residents and families at the last family meeting. Families who could not attend were sent their questionnaires in the post. The results of these questionnaires were staring to come in and the manager was confident she could complete the final report by the end of July. The manager stated she would send a copy to the Commission when completed. Staff supervision has improved and is now more regular. The manager is fully trained to undertake supervisions and the head of care is about to undertake training in the very near future. Records seen on staff files and discussion with staff members confirm these sessions were constructive and supportive. Fire drills are now happening and the Fire Risk Assessment is current and staff have received training in fire awareness. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 24 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 2 3 3 2 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 2 2 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 2 3 3 X X 3 3 3 Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 25 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 A dedicated medical room must be provided to ensure the safe storage of medication. The registered provider must make application to register the manager with CSCI. Timescale for action 31/08/08 2. OP31 8, 9, 10 30/07/08 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 OP38 OP26 Good Practice Recommendations It is recommended that the carpet in the lounge be assessed and replaced if necessary It is recommended that the source of the odour detected in the hallway be investigated and eliminated. Springfields Residential Home DS0000064212.V364805.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Residential Home DS0000064212.V364805.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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