Random inspection report
Care homes for older people
Name: Address: Springfields Residential Home Hengist Road Westgate On Sea Westgate Kent CT8 8LP zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jo Griffiths Date: 2 8 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Springfields Residential Home Hengist Road Westgate On Sea Westgate Kent CT8 8LP 01843831169 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Macari Homes Ltd care home 20 Number of places (if applicable): Under 65 Over 65 0 20 mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 20 0 The maximum number of service users to be accommodated is 20. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Mental disorder, excluding learning disability or dementia (MD). Date of last inspection Brief description of the care home Springfield is a detached three-storey property, which provides personal care and support for up to twenty older people, who may also have mental health
Care Homes for Older People Page 2 of 15 Brief description of the care home needs. Accommodation is provided in both single and double bedrooms. There are two lounges and a dining room. Communal areas are large and furnished in a domestic nature. There are gardens to the front, side and rear of property. The home is located within a short walk from the sea front and local amenities. Fees range from £328.00 - £500.00 per week. Care Homes for Older People Page 3 of 15 What we found:
This was a random inspection that took place on 28th September 2009 to assess compliance with three immediate requirements that were issued on 23rd September 2009. The inspection was carried out by Jo Griffiths and Anne Butts. The deputy manager was present throughout the inspection and the responsible individual from Macari homes Ltd was also present for part of the inspection. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 15 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 4 The statement of purpose must include the range of needs of service users that the service is able to meet. To ensure that people are provided with clear information about the service in order for them to make a decision about using it. 23/10/2009 2 4 14 The registered person must 23/10/2009 demonstrate that the home is able to meet the assessed needs of individuals before admitting them to the home. The registered person must not admit service users outside of the registration category. To ensure that people moving to the home are assured that their assessed needs will be met. 3 7 15 Individuals must have a care 23/10/2009 plan that ensures their assessed needs are met. The care plan must be regularly reviewed and amended to reflect changes in need. To ensure that individuals needs are monitored and met. Care Homes for Older People Page 5 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 4 7 12 Care plans must be 23/10/2009 completed in a person centred way that ensures that indidivuals preferences about their care and support are included and respected. To ensure indidivuals receieve their care and support in the way they prefer. 5 8 12 Effective systems must be in 23/10/2009 place to monitor the health and welfare of people using the service. Action must be taken and recorded in respect of any health or welfare concerns. To ensure that individuals health and welfare needs are met. 6 8 12 The registered person must ensure that the nutritional needs of people using he service are assessed and monitored. To ensure that people have their nutritional needs met. 23/10/2009 7 10 12 A suitable lock must be fitted 23/10/2009 to the toilet door. A risk assessment must be completed for the individual who is at risk of breach of privacy and dignity. To ensure that privacy and dignity of people using he service is respected and upheld. Care Homes for Older People Page 6 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 8 12 16 Adequate records must be maintained to enable the manager to monitor that individuals social needs are being met. The social needs care plan must be included as part of the overall plan of care. To ensure that people have their social needs met. 23/10/2009 9 12 12 People using the service 23/10/2009 must be consulted on their preferences and routines in the home must be flexible to meet individual needs and preferences. To ensure that people are supported to live their lives in the way they prefer. 10 15 17 The registered person must 23/10/2009 consult with people using the service and provide adequate facilities for them to prepare their own food and drinks if they wish to. To promote and maintain individuals independence. 11 15 16 The registered person must 23/10/2009 ensure that food and drinks are provided at regular intervals and that the quality of meals is monitored. People must be given appropriate choices of foods. Records of meals provided and choices offered must be maintained. Care Homes for Older People Page 7 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action To ensure people have their nutritional needs met, have a choice of meals and have wholesome meals that meet their expectations. 12 16 22 The registered person must 23/10/2009 ensure that a record is made of all concerns and complaints raised in respect of the home. To ensure that complaints are fully investigated and resolved. 13 18 13 The registered person must 23/10/2009 ensure that the manager and all staff receive training in safeguarding adults and are aware of the correct reporting procedures for any allegations. To ensure that any allegations of abuse are appropriately reported and investigated to safeguard service users. 14 18 13 The registered person must 23/10/2009 ensure that all allegations of abuse are reported following the Kent safeguarding policy. To safeguard service users. 15 19 23 The registered provider must 24/09/2009 consult with the fire and rescue department to ensure that the home meets current fire regulations. To ensure the safety of
Care Homes for Older People Page 8 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action service users and staff. 16 19 23 The registered person must ensure there is an ongoing programme of maintenance and redecoration for the home and external grounds. To ensure a pleasant and safe environment for service users. 17 20 23 Service users must be given unrestricted access to the garden and this must be made safe for them to use. To ensure service users can access the garden when they wish to. 18 21 23 Service users must have access to suitable and sufficient bathroom facilities that meet their needs and maintain their privacy. To ensure service users privacy and dignity are maintained. 19 22 23 The registered person must 23/10/2009 ensure that an assessment of the premises has been made, by a suitably qualified person, and adaptations made as required. This is to maximise service users independence and ensure the safety of service users and staff. 20 22 12 The registered provider must 24/09/2009 ensure that the call beel
Page 9 of 15 23/10/2009 23/10/2009 23/10/2009 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action system is repaired and that service users welafer is appropriately monitored whilst the system is out of action. To ensure service users well being and safety. 21 22 23 The call bell system must be 25/09/2009 repaired. To ensure service users can call for assistance when required. 22 23 23 Service users that require the use of hoists must be accommodated in bedrooms that are of a suitable size to allow the safe use of this equipment. To ensure the safety of service users and staff. 23 25 12 A system must be in place for ensuring safe water temperatures. To ensure the safety of service users. 24 26 16 The registered person must 23/10/2009 ensure that the home is kept clean and free from offensive odours. To provide a pleasant and safe environment for service users. 25 27 18 Sufficient numbers of suitably experienced, 23/10/2009 25/09/2009 23/10/2009 Care Homes for Older People Page 10 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action competent and trained staff must be employed in the home to meet the needs of the people using the service. To ensure service users needs are met and that they are safeguarded from harm. 26 28 18 All new employees must be registers on an induction programme that meets the requirements of skills for care To ensure new staff are appropriately trained to meet service users needs. 27 29 19 The registered person must 23/09/2009 ensure that the documentation required under schedule 2 is obtained for all persons employed to work in the home. Appropriate checks must be made for all staff residing in the home and suitable arrangements made for their supervision until such checks have been completed. To safeguard people using the service. 28 30 18 The registered person must 23/10/2009 ensure that a training programme is in place that ensure all staff are trained and competent in their roles. To ensure staff are trained to meet service users needs. 23/10/2009 Care Homes for Older People Page 11 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 29 31 9 The registered provider must 23/10/2009 ensure the home is run by a person who is competent and assessed as fit to do so. To ensure the home is run effectively and in the interests of the service users. 30 33 24 The registered provider must 23/10/2009 ensure that effective systems are in place for the monitoring of the quality of the service and that an annual development plan is in place. To ensure the home provide quality care and support to service users. 31 37 17 The registered provider must 23/10/2009 ensure that accurate and detailed records are maintained in respect of the running of the home. To ensure service users health and welfare are monitored and their needs are met. 32 38 13 The registered provider must 24/09/2009 ensure that water temperatures in the home are tested to ensure they meet required standards. To remove the risk of scalding of service users. 33 38 12 The registered person must ensure that systems are in place to ensure the health 23/10/2009 Care Homes for Older People Page 12 of 15 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action and safety of service users. To ensure service users safety. Care Homes for Older People Page 13 of 15 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 14 of 15 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 15 of 15 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
