Inspection on 05/03/09 for Springhill Resource Centre

This inspection was carried out on 5th March 2009.

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

Springhill Resource Centre 07/12/06

Springhill Resource Centre 21/03/06

Springhill Resource Centre 13/10/05

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Springhill Resource Centre Springhill Resource Centre Broad Lane Rochdale Lancs OL16 4PP     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Bernard Tracey     Date: 0 5 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Springhill Resource Centre Broad Lane Springhill Resource Centre Rochdale Lancs OL16 4PP 01706659922 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Elizabeth.Colley@Rochdale.Gov.UK Rochdale MBC Name of registered manager (if applicable) Miss Elizabeth Colley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The Registered Person may accommodate up to 5 service users in the category of DE aged over 55 years of age. 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. The service should at all times employ suitably qualified and experienced members of staff, in sufficient numbers, to meet the assessed needs of the service users with dementia. The service should, at all times, employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection 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) Care Homes for Older People Page 4 of 27 care home 21 Over 65 21 21 5 0 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 Brief description of the care home Springhill Resource Centre is registered to provide care for up to 19 older people, some of whom may have dementia. 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. There are no charges payable for the Intermediate care given at the home Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key Inspection was undertaken on the 12th December 2006. In February 2008 we undertook an Annual Service Review. This is a report that we write for good or excellent services that have not had a key inspection in the last year. It does not routinely include a visit to the service. The review is an analysis of all the information that we have gathered about the service since the last main inspection. We (the Commission of Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. The manager was asked to fill in a questionnaire, called an Annual Quality Assurance Care Homes for Older People Page 6 of 27 Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. Comment cards were received from three people who use the service and four staff who work at the home. We spent six hours at the home over one day.During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to five residents, as well as speaking to four staff, the manager and the Team leader. We have not received any complaints about the service since our last Inspection. What the care home does well: What has improved since the last inspection? What they could do better: In their AQAA the manager recognised that they have improvements to make in Care Homes for Older People Page 8 of 27 several areas and have provided us with details on how they want to improve the home. We discussed with the manager the areas of improvement we found to be required and these included the review of all the care plan documents to ensure that there is one complete set of paperwork operating in the home that will ensure the care of the service users is recorded in a way that sets out the goals and how these are to be achieved. The documentation was fragmented and different staff held separate notes relating to the needs of the service user. A complete set of notes recording the goals and the progress of the individual in relation to their care would benefit both the staff and the service user. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed information is available to ensure that prospective residents and their supporters can make an informed decision about the suitability of the home. Evidence: A statement of purpose and a service user guide is provided for all residents. The documents are placed in the bedrooms of residents so they can read them with their relatives or with staff assistance. The information includes for example, meals and mealtimes, how health needs will be met, visiting arrangements and how to complain. Prior to any resident moving into the home a full assessment is carried out by a social worker and by either the homes manager or one of the deputy managers. This is to ensure not only have the staff got the necessary skills and experience to meet the needs of the resident but also the prospective resident will adapt to the home and with other residents already living there. Assessments were seen in both residents files Care Homes for Older People Page 11 of 27 Evidence: looked at. Areas of potential risks were also identified for example violence to staff and residents, smoking, going out unaccompanied (the home has small identification cards which details the name of the home and the telephone in case of emergency), risks of falls, moving and handling (if required). The home welcomes prospective residents and their supporters to visit the home prior to making a decision to move in. They are encouraged to spend some time at the home, look around, see their room, stay for a meal and get to know the staff and residents and ask any questions to reassure them. All residents are provided with a written contract/statement of term and conditions. These were available for inspection. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and care practices ensure that the residents needs are met in a safe, caring and dignified way. Evidence: We examined 4 care plans during our visit to the service. The manager had informed us in the completed self assessment sent before the visit (AQAA), that care plan documentation was under review, but at the time of our visit the new documentation had not been introduced. Each resident had a detailed individual plan of care, covering all aspects of personal, health and social care needs. These are based on the pre admission assessment and other specialist reports in place including social work, medical and community psychiatric nurse assessments. Each of the files contained a detailed and comprehensive care needs assessment that describes the help that the resident needs with everyday living including health, personal and social care needs. All of this documents had been reviewed at regular intervals using a separate document that Care Homes for Older People Page 13 of 27 Evidence: described any changes in the way that the resident needed to be looked after. Any areas of risk for the resident were highlighted along with the planned action to reduce that risk. These included an up to date manual handling assessment and a nutritional assessment tool that is used at the time of the residents admission to the home and then after wards as required. Nutritional wellbeing is also assessed by direct observation and by regular and up to date weight checks.Skin condition is also checked by direct observation with a pressure area care plan being implemented if required. Care plans demonstrated that residents personal choices and preferences had been taken into account by staff around care delivery, such as who liked a bath and who would prefer a shower. Personal care was provided privately in bedrooms or bathrooms, and door locks or engaged signs were used. One resident told us that I am very happy at this home and I have no worries. All the staff are very pleasant supportive and helpful Health care arrangements were also good. Residents had good access to their local doctor and the district nursing service visited the home regularly. The management of medicines in the home was safe and served to protect residents from harm, and ensure they benefited from the medicines prescribed for them. Staff were knowledgeable about residents medicines and understood about monitoring for side effects and adverse reactions. The home works to an efficient Medication Policy supported by procedures and practice guidelines that includes guidance for the selfadministration of medicines. There is a pharmacy specialist who is employed to review all medications alongside the resident and the medical staff. Staff follow robust systems to make sure that medication records are fully completed, contain required entries and are signed by appropriate staff. Staff who have responsibility for giving out medicines have been given the necessary training for this task. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during our visit. The care assistants interviewed were able to give good examples of how they promoted privacy and dignity in their daily care routines, for example knocking on bedroom doors before entering. The residents said that the staff had a very patient and understanding manner Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to enjoy a full and stimulating lifestyle with a variety of opportunities to choose from. Evidence: The range of leisure activities available in the home was varied, reflecting the diversity of residents and their social, intellectual and physical capacities. The home has a dedicated activity co-coordinator who organise events and activities within the home, as well as trips out to various places of interest. The programme of activities was displayed in the dining area and in other strategic places throughout the home, so that residents were aware of what was going on. The routines, activities and plans are resident focused, regularly reviewed and can be quickly changed to meet individual residents needs. Each resident has their own activities and interest assessment completed and their interests are recorded and a programme agreed to reflect their personal preferences. Links with the community were good and valued the role which relatives and friends continued to play in the lives of residents. Care Homes for Older People Page 15 of 27 Evidence: The manager and staff are aware of promoting equality and diversity and encourage the residents to develop a lifestyle and interests that are individual to them. Residents benefited from being able to exercise choice and control over their lives. Residents are actively supported in pursuing their spiritual beliefs and practices. Residents we spoke to said they enjoyed the food and that they receive enough to eat and drink. Comments made in respect of the meals inn the home were the food is excellent and varied We are always offered an alternative if we do not fancy the menu The dining tables were set appropriately with tablecloths, cutlery, serviettes and jugs of water. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear complaints procedure and people who use the service know action will be taken to resolve their concerns. Staff have a good knowledge and understanding of Adult Protection issues which safeguards residents from abuse. Evidence: There is a clear complaints procedure, which told people how and who to make any complaint to. The procedure was well advertised to relatives, and visitors to the home. Records showed that any complaints made had been fully investigated and responded to appropriately. Minor concerns are recorded to aid the manager in assessing any ongoing problems and identifying trends within the home to assist the quality audits that are undertaken. A staff member said,If a client or their family wanted to make a complaint, I would tell the Senior or I would go to the manager and give her the information. There is information available in the reception area of the home to provide people with the Advocacy services available in the area. No complaints have been made directly to the Commission for Social Care Inspection. All of the staff have undertaken training in relation to the Protection of Vulnerable Adults. The home also has an abuse policy and whistle blowing procedure. The home has a copy of the Rochdale Guide for the Protection of Vulnerable Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a comfortable, homely and safe environment. Evidence: The home is well maintained, decorated to a high standard and was clean and tidy during the site visit. A partial tour of the building was undertaken, two bathrooms, a shower room and six bedrooms were viewed. The bathrooms were clean and tidy and hot water temperatures are recorded each month to ensure the hot water is delivered to a safe temperature. Bedrooms viewed had individual personal items were homely and comfortable. A resident said, I have everything I need it is a lovely place Bedrooms have door locks and a call system with a hand held buzzer to call for assistance. The home is equipped with comfortable furniture, fittings and electrical equipment, including televisions and CD players. There is a well equipped laundry and there was evidence of gloves and aprons for staff use. Infection control training is given to staff and infection control policies are available. Care Homes for Older People Page 19 of 27 Evidence: There are appropriate aids and equipment, such as assisted bathing facilities and handrails. There are sufficient housekeeping staff and on the day of this visit the home was clean, fresh and hygienic. Policies and procedures are in place to promote a high standard of cleanliness and hygiene. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service were cared for by sufficient numbers of staff that were suitably qualified and trained, and therefore had the knowledge and skills to meet their needs. Evidence: Staffing levels within the home were seen to meet the needs of residents. Care staff undertook their duties in a friendly and caring manner, promptly supporting residents when needed. Residents confirmed that staff were always respectful and met their needs competently. In the main, residents were satisfied with the support they were given and described staff as nice people, lovely, find time to listenand very kind A relative we spoke with said the staff give excellent care for my dad and treat me in the most thoughtful manner Three staff files were viewed with regard to recruitment practices and these contained all of the necessary checks to protect the residents. Staff had completed a job application form and two references had been obtained. Staff files contained a Protection of Vulnerable Adult check and Criminal Record Bureau disclosure at enhanced level. The necessary checks are in place prior to staff commencing work and the interviewer completes an interview checklist. Care Homes for Older People Page 21 of 27 Evidence: Individual staff training records provided a clear summary of both induction and ongoing training. This was extensive and wide ranging, with mandatory courses, i.e., moving and handling, medication, fire safety, and first aid. Specialist training included care planning, risk assessment, mental health, and Dementia.This training package was confirmed by the manager and was identified in the written AQAA she had provided us with. Similarly, staff who were interviewed confirmed that training was available, that they were encouraged to attend and that it gave them appropriate competencies to meet the needs of the residents. A staff member commented, the training provided is excellent here. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and practices within the home ensure the safety and wellbeing of the residents and staff. Evidence: The manager has the required qualifications and experience, and is competent to run the home. There is a strong emphasis of being open and transparent in all areas of running of the home.The manager and staff work hard to make sure that everyone feels they are included in decision-making and feel valued as an individual. There is a good system in place to gather staff, residents and relatives views through regular meetings and satisfaction questionnaires as part of the monitoring of quality. The manager achieves this by sending out surveys to residents and relatives asking for their views on the friendliness of the staff, the care provided, the laundry service the meals provided, social activities and the cleanliness of the home. Care Homes for Older People Page 23 of 27 Evidence: Staff spoken to had a clear understanding of their role and what was expected of them. Documentation was examined that confirmed that staff received regular supervision and annual appraisal.Residents and visitors spoke well of the management team and the care and support that they give. Information provided by the manager in the AQAA and examination of the records, confirmed that all safety equipment is regularly serviced. We confirmed this through examining a random sample.The policies and procedures in the home ensure that the health, safety and welfare of the residents and staff are promoted and protected. The Annual Quality Assurance Assessment (AQAA) requested by the Commission was returned in time and was completed with a high degree of detail. Within this document the manager had made us aware of how the were operating the home and also identified how they felt they could improve. Health and safety issues were satisfactory with regular maintenance checks of equipment being undertaken. All essential equipment had been appropriately maintained with records kept. Periodic inspections of gas, electricity and service of the hoists were examined and were current. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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, Care Homes 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 26 of 27 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 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. 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!