Inspection on 21/07/05 for Springkell House

This inspection was carried out on 21st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Springkell House 08/05/07

Springkell House 06/09/04

Springkell House 28/06/04

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

CARE HOMES FOR OLDER PEOPLE Springkell House Wood Road Hindhead Surrey GU26 6BT Lead Inspector Joe Croft Unannounced 21 July 2005, 10:30 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. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springkell House Address Springkell House Wood Road Hindhead Surrey GU26 6BT 01428 605509 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) Madeprice Limited To be confirmed Care Home 28 Category(ies) of DE(E) Dementia - over 65 Number: 22 registration, with number OP Old age Number: 28 of places PD(E) Physical dis - over 65 Number: 1 Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Of the Older People accommodated,22 (twenty two) may fall within the category DE(E) 1 April 2002 The age/age range of the persons to be accommodated will be: OVER 65 YEARS 1 April 2002 Of the Older People accommodated 1 (one) may fall within the category PD(E) 17 May 2002 Date of last inspection 6 September 2004 Brief Description of the Service: Springkell House is a large detached property set in its own grounds with a secure garden in a residential part of Hindhead. The employer offers staff accommodation in the grounds. The service provides twenty-four hour care for up to 28 older people, some of who suffer from dementia. All bedrooms are used for single accommodation some with en-suite facilities. The service provides a range of activities and events for service users to attend, both inhouse and within the local community. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours with one inspector. A tour of the premises was undertaken and staff and care records were sampled. Discussions took place with the acting manager and staff were spoken to individually and during the course of their duties. Discussions took place with three residents. Residents spoken to were complimentary about the staff and care they received. Residents spoken to stated the home provides them with choices about their daily lives and activities they would like to join in with. Residents stated they were happy living in the home. Bedrooms were appropriately decorated and personalised. Residents were able to have a direct telephone line put into their bedrooms if they wished to. One resident had her pet budgie living with her, another resident stated he was allowed to bring his half size snooker table into the home. This was evidenced during the inspection. Residents stated that the meals at the home were good, and a choice of food is always offered. Family and friends are welcomed and encouraged to visit the home as often as they could. Four requirements have been made during this inspection. What the service does well: What has improved since the last inspection? The canopy over the front entrance has been repaired. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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 Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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) 3 and 6 The home has an appropriate admission procedure in place that includes an individual assessment of prospective residents needs, and offers them an opportunity to visit the home. Intermediate care is not offered. EVIDENCE: The acting manager stated that she undertakes pre-admission assessments, and the deputy manager will receive training that will enable her to undertake these assessments. Residents and their families are invited to visit the home for a day before being admitted. The assessment of the most recent resident admitted to the home was evidenced. This included assessments on mobility, personal care, speech and language, health care needs, sociability, personal safety and behaviour. Placements are reviewed after six weeks, and six monthly there after. The home has a comprehensive admissions policy and procedure that was evidenced. The acting manager stated the home does not take residents for intermediate care. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 9 Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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 and 9 The residents’ health, personal and social needs were documented and evidenced their health care needs were being met. EVIDENCE: Each resident has a comprehensive care plan that is developed from the pre – admission assessment. Care plans sampled evidenced that care and health needs were being met. These are reviewed on a monthly basis, and the residents’ key workers maintain daily records. During discussions with staff it was evidenced that they know the contents of the care plan for the resident they key work. Discussions with residents evidenced that one of them was aware of having a care plan, the others spoken to were not sure. All medicines are kept secure in locked cabinets and are dispensed by the acting manager and senior care staff. However, a requirement has been made that staff dispensing medication must receive training in the safe handling and dispensing of medication. The home uses the Medication Dosage System and is supplied by the local Pharmacy in the village. Medicine records and medicines were evidenced, and were found to be in good order. The home uses Controlled Drugs and an accurate record is maintained. Controlled drugs are kept secure in a locked Controlled Drugs cabinet. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 11 It was noted that one resident self medicates. A requirement has been made that a risk assessment must be carried out for this resident. The home has a comprehensive Medication Policy in place that was evidenced during the inspection. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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 and 14 The home offers opportunities for residents to make choices about their lifestyles, activities and preferences whilst living at the home. Family members and friends are actively encouraged to visit the home. EVIDENCE: The home has developed a four-week activity programme that includes board games, hairdressing, bingo, manicures, gentle exercises, music and trips to the local shops. This programme was evidenced during the inspection. The acting manager stated that residents choose the activity they wish to take part in, and have the choice of not joining in any of the activities. This was evidenced during discussions with residents, who stated they take part in the activities they enjoy. Evidence was seen that activities residents take part in are recorded in their care plan. Residents and staff spoken to stated that residents have a choice at meal times. Residents stated that the food is good. Residents spoken to stated that their family and friends visit them in the home. They are able to meet in private in their bedrooms, and can go out with them. Staff spoken to stated there is no restrictions on families visiting the home. The home has weekly visits from the representatives of the Roman Catholic Church who give Communion to those who wish to have it, and Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 13 monthly visits from representatives of the Church of England. Other external visitors to the home include “party time” productions and the “Pat Dog”. Local school choirs visit on occasions. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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 The home has a satisfactory Complaints system in place that is used towards ensuring views are listened to and acted upon. EVIDENCE: The home has a comprehensive Complaints Policy and Procedure, a copy of which is included in the service users guide and displayed on the residents’ notice board. Residents stated that they would talk to the acting manager if they need to make a complaint. Staff stated they had read the home’s complaints policy, and would talk to the acting manager, provider or the Commission For Social Care Inspection if they wanted to make a complaint. Staff understood they could contact the Commission For Social Care Inspection at any time. The complaint book evidenced that no complaints had been received since 2003. However, the home was subject to a complaint visit in October 2004 that came through the Commission For Social Care Inspection Surrey Local Office. Copies of the report are available at the Commission For Social Care Inspection Surrey Local Office and at the home on request. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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) 19, 21, 24 and 26 The home offers a comfortable well-maintained environment for residents, and was clean, and orderly. Bedrooms were personalised and generally the facilities and equipment meet resident’s needs. EVIDENCE: The home is well decorated and maintained, however, a requirement has been made for one bathroom ceiling that was identified as being in need of redecorating. Residents’ bedrooms contained a sink, bed, chest of drawers, wardrobe, easy chair and their personal possessions. Seven of the bedrooms have en-suite facilities. There are sufficient toilets and bathrooms on each of the two floors to meet the needs of the number of residents. The home was clean, tidy and free from offensive odours. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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) 29 The homes’ Recruitment Policy and Procedure supports and protects the residents. EVIDENCE: The home has a comprehensive Recruitment Policy and Procedure in place. Staff files evidenced application forms, job descriptions, proof of ID, and two references. The home had maintained the staff Criminal Records Bureau certificates for the inspector to evidence, however, it was noted that one member of staff had not received a satisfactory Criminal Records Bureau check. An immediate requirement has been made that this member of staff must not work unsupervised until satisfactory Criminal Records Bureau clearance has been received. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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) 31 The home is currently without a registered manager. EVIDENCE: The registered manager left the home in May 2005, the provider sent written confirmation of this. The home has successfully recruited a manager, who has made application to the Commission For Social Care Inspection Surrey Local Office for registration, and is to attend a fit person interview on 28th July 2005.Staff spoken to stated the management style of the home is relaxed, open and honest, and they can approach the acting manager at any time. Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x 2 x x 3 x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 x x x x x x x Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 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. 2. Standard 9 9 Regulation 13 (4) 18 (1) (i) Requirement A risk assessment must be carried out for the resident who self medicates. Staff who dispense medication must receive training in the safe handling and administration of medication. The bathroom ceiling on the first floor must be redecorated. The member of staff identified must not work unsupervised until a satisfactory Criminal Record Bureau check has been obtained. Timescale for action 2/8/05 2/905 3. 4. 21 29 23 (2) (d) 19 (11) (a) 21/9/05 21/7/05 Immediate 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 Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Wharf Abbey Mill Eashing Surrey GU7 2QN 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 Springkell House H58 H09 s13792 Springkell House v240255 210705 Stage 4.doc Version 1.40 Page 21 - 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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