Inspection on 13/10/05 for Springhill Resource Centre

This inspection was carried out on 13th October 2005.

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

Springhill Resource Centre 05/03/09

Springhill Resource Centre 07/12/06

Springhill Resource Centre 21/03/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Springhill Resource Centre Broad Lane Rochdale Lancashire OL16 4PP Lead Inspector Tracey Devine Unannounced 13 October 2005 th 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 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. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Springhill Resource Centre Address Broad Lane Rochdale Lancashire OL16 4PP 01706 659922 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rochdale MBC Miss Elizabeth Colley Care Home Only 21 Category(ies) of DE (E) Dementia over 65 21 registration, with number OP Old Age 21 of places DE Dementia 5 Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the maximum registered number (21), there can be up to :21 Older People (OP) 21 Adults with Dementia, over 65 years (DE(E)) 05 Adults with Dementia (DE) 2. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection 3. The registered Person must ensure that all staff working in the home have dementia awareness and dementia care training, which equips them to meet the needs of the service users accommodated, as defined in the individual plan of care. 4. The service should at all times employ suitably qualified and experienced members of staff, in sufficient numbers, to meet the assessed needs of theservice users with dementia. 5. The Registered Person may accommodate up to 5 service users in the category of DE aged over 55 years of age. 6. Work on the external grounds of the home, to make the area safe, attractive and accessible to service users must be completed by 31.5.05. Date of last inspection NA Brief Description of the Service: Springhill Resource Centre is registered to provide care for up to 21 older people, some or all of whom may have dementia. The service is working towards providing care ultimately for 21 people with dementia on a short term assessment type basis. At the moment the service is in a transitional stage, whilst it continues to offer permanent care to residents who resided at Springhill (before its refurbishment) and Birch View Older Persons homes (which has closed). The home is single storey and all bedrooms are single, with a small number having ensuite facilities. Springhill is spacious and provides 3 lounge/dining areas. Sufficient bathrooms and toilets are provided. An internal patio area is available to residents to access in good weather. The home is located close to the centre of Rochdale, and is easily accessible by bus route. Parking is available to the front of the home. A day care unit is attached to the home however, this has not yet opened. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 13th October 2005 by 1 Inspector. The inspection started at 8.15am and finished at 2.00pm – a period of 5.75 hours. Time was spent time talking with service users and visitors to see what they thought of the care they received. Times was also spent talking with the team leader and staff about the home, watching what they do for service users, and looking at how some records are kept. The particular areas looked at on this inspection were: what information was given to service users, how they were enabled to live as they wished, how their choices, privacy and dignity was upheld, what information was recorded in respect of service users, the food served, and how to make a complaint. Areas not looked at on this inspection will be covered on the next inspection. What the service does well: The home has recently been completed refurbished and structurally altered from an older persons home to a resource centre. The new centre offers spacious accommodation on one level, allowing service users to move freely around the home and also offers a number of sitting and eating areas. The service is currently running with a dual purpose, continuing to offer care on a permanent basis for up to 16 service users, and 5 beds available for service users admitted for assessment. Staff seem to manage this split in function well, with all service users looking to be well cared for. A mixture of service users were spoken with and all were complimentary about the home feeling they “were well cared for”. 1 relative spoken with said she felt the home “cared well for her mum”. Information on how to make a complaint is clear, and service users and their relatives were clear as to who to approach if they had a complaint. Activities are offered daily, and service users may join in or not. Service users commented on the “good food” and that they received “enough to eat, sometimes too much” Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5. Standard 6 is not applicable as the home does not provide intermediate care. The Statement Of Purpose does not accurately reflect the current service in respect of permanent residents, but does provide appropriate information to service users admitted on assessment, thereby ensuring that service users admitted for assessment purposes are able to make an informed decision about the home. EVIDENCE: Information is available to residents on the service provided by the home. This is in the form of a document called a Service User Guide, and a Statement of Purpose. These documents are placed in each bedroom for a service user and or their representative to peruse. The information specifically relates to caring for service users with dementia – and this will ultimately be the focus of the service. The information provided therefore is relevant and accurate for service users admitted to the assessment beds, but not necessarily as relevant to those without dementia. However as Springhill will continue for some time to also care for service users who do not have dementia, the information published (Statement of Purpose Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 9 and Service User Guide) needs to make reference to how their needs are to be met within a home whose purpose is changing. The Statement of Purpose covers all the requirements of the Care Homes Regulations in what needs to be specified, however, it should clarify in more detail the age range in respect of specific numbers for the age range of 55 years, and the 65 years. Of the residents spoken with not all could recall having received this information. The administrator photocopied the Statement of Purpose and Service User Guide from one held in a resident’s bedroom as she had no access to the master copy for the Inspector to retain. Such information should be more readily available rather than having to rely on obtaining a copy from a resident. The only admissions to the home are for the assessment beds. Assessments are undertaken by a care manager, and a copy of the full assessment form (single assessment) is held on file. Wherever possible, service users do visit the home prior to admission, although depending on their health this visit may be undertaken by a member of their family instead. None of the service users currently in the assessment beds could recall visiting prior to arrival, but they felt their family had. One relative confirmed that she had visited the home prior to her relative being admitted. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 10 The needs of the service users are well met, with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: A selection of care plans were looked at; the selection included service users admitted for assessment and those staying at the home permanently. Care plans were seen to comprehensive and addressed all needs including personal preferences, capabilities, moving and handling, healthcare etc. None of the care plans looked at included any evidence that the contents had been shared with service users or their representatives, and of those service users and relatives spoken to none had any recall of this information being shared with them. The relatives spoken to said they knew that information was held in the office, and that they could read it if they asked, but none could recall being involved in drawing up a care plan. Care staff said they are involved in handovers, and record on each file a short report on how the service user has been. Specialist visits by other health care professionals are recorded. The care plans looked at evidenced regular reviews of the person’s needs. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 11 Risk assessments are in place generally for each activity such as bathing alone, and moving and handling. Generally all service users are “checked” at regular intervals during the night, and this practice is recorded. One service user does not wish to be “checked” at night, and whilst this practice was said to be in accordance with the service user’s wishes no risk assessment could be found demonstrating that the manager has assessed the risk. Service users spoken with said they could “live as they wished” at the home, and “do what they wanted”. All confirmed they went to bed at a time of their choosing and got up the following morning as they wished. Service users said they “were comfortable living at the home”, although one service user said she “did not know why she was at the home, and did not know the procedure to get out”, however she did go on to say “it was a very nice place”. The manager on duty was informed of this comment and she said she would speak with the service user concerned and inform her (again) why she was here, and the process involved in her stay at Springhill. Staff gave examples of how they maintain a person’s privacy, and uphold their dignity, and observations included the dignified manner in which service users were approached. Service users spoken with also confirmed that they felt to be treated respectfully and their privacy upheld. One service user has clear views on when her privacy is to be respected, and a clear notice on her door informs staff of this. Staff confirmed that in accordance with this service user’s wishes, she is not approached when her bedroom door is shut, or during the night. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12, 13, 14, 15 The routines and choices of residents in how they wish to live are promoted at the home ensuring that residents live to a lifestyle of their choosing. The meals are good offering both choice and variety and catering for special dietary needs. Activities provided offer stimulation and positive interactions between service users and staff, enriching service users social lives. EVIDENCE: Residents spoken with said they felt they could live as they wished at the home, they confirmed they could retire as they wished, and rise as they wished. Care plans evidenced individual preferences regarding rising and retiring and on the day of this inspection, it was noted that not all residents chose to rise early, with some not rising until late morning. One relative spoken too said she very much felt that staff “worked in with what her mum wanted” and she never had any “concerns about the care provided”. Activities take place, and each lounge has a small board on which the daily activities are noted. Activities include exercise, and quiz type games, crosswords or whatever service users indicate they would like to do. One Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 13 carer said they generally work to a 3 weekly programme but the activities are interchangeable each day depending on service users wishes. Service users confirmed activities do take place and generally those spoken to said they “enjoyed them”. Newspapers are delivered to the home for general use, one resident commented that he always reads the papers, and likes particularly to do the “daily crossword”. The food served at the home is varied, home made, balanced and nutritious. Service users said they “received enough to eat, too much sometimes”, and that they “enjoyed it”. The menu shows a choice for each meal time, and the inspector and a relative had a meal on the day. The relative said she “often eats with her mum, and finds the food very good”. The meal was tasty, well presented, and a good portion size. Service users were offered second helpings of the main course and the dessert. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16, 18 The complaints procedure in place is known to residents and their visitors, and evidence shows that complaints are taken seriously and acted upon. EVIDENCE: The home has a complaints procedure in place which is clearly known to residents and relatives, through inclusion in the service user guide, and on display in the entrance. The manager has investigated one complaint received on 25/08/05 and found the complaint to be upheld. Action to address this has been taken, and the complainant was said to be satisfied. Relatives spoken too said they had no complaints and one commented that the staff “do a good job, in difficult times”. However, all were clear that they would speak to the manager or one of her team if they had a complaint. None of the residents spoken with said they had had cause to make a complaint, and all were complimentary about the home, however as before, they were clear as to who they would approach if they did wish to make a complaint. Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 15 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 standard(s) EVIDENCE: The key standards were not inspected on this occasion. at next inspection. They will be inspected Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: The key standards were not inspected on this occasion. at next inspection. They will be inspected Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? 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 OP1 Regulation 4 Requirement Timescale for action 30/11/05 2. OP1 4 3. OP7 15 4. OP12 13 The Statement of Purpose must reflect the current provision of services and faciliites for the service users accommodated in the home. The number of residents 30/10/05 accommodated within each age range must be specified in the Statement of Purpose. Service users and/or their 30/10/05 representatives must be involved in drawing up the service users care plan. Risk assessments on any activity 30/10/05 where a risk is incurred such as not being checked at night, must be fully documented. 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 Good Practice Recommendations Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Turton Suite, Paragon Business Park, Chorley New Road, Horwich, Bolton, BL6 6HG. 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 Springhill Resource Centre F56 F06 S62995 Springhill Resource Centre V221621 13 10 05 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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