CARE HOME ADULTS 18-65
Springpark Camden Road Lingfield Surrey RH7 6AF Lead Inspector
Ms P Calthrop Announced Inspection 22 July 2005 10:00am 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Springpark Address Camden Road Lingfield Surrey RH7 6AF 01342 832583 01999 999999 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) Ashcroft Care Services Limited Mrs Gillian Hickman CRH (PC) 3 Category(ies) of Learning Disability (LD) 3 Female. registration, with number of places Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 37 - 65 years. Date of last inspection 22 October 2004 Brief Description of the Service: Springpark is a small residential setting for up to three female service users with moderate to severe learning disabilities. The service is owned and managed by Ashcroft Care Services who have a number of similar homes in the southeast. Located in a quiet residential area, the home is within close proximity of shops and other community amenities near the small town of Lingfield. The home is two storeys chalet style; the communal facilities of dining area, lounge, kitchen, and utility area, together with two service users’ bedrooms are all on the ground floor. A third single bedroom with en-suite shower and an office are situated on the first floor. There is an attractive and well-maintained garden to the rear of the home for service users to enjoy. Parking is available at the front of the house and outside on the road. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This announced inspection took place on one day, over a period of three and a half hours. The deputy manager was present for the inspection process. All three of the service users were seen during the course of the visit, although two were out on an activity for part of this time. No staff were interviewed on this occasion, apart from the deputy manager. A tour of the premises occurred and records were sampled during the visit. Due to the communication difficulties of the service users living in this home, their direct views could not be obtained. Therefore observations of individuals within the home and interaction between service users and staff formed part of the inspection process. Service users were observed to be confident in approaching staff. Staff were seen to be responsive to individual service users behaviours, which they use as a means to communicate their needs. In some cases this involved very subtle change that staff were observed to be extremely vigilant in picking up and responding to. Feedback was obtained from two care managers responsible for individuals at the home and from relatives of one of the service users. Both care managers indicated they were satisfied with the overall level of care and that staff demonstrate a clear understanding of the needs of their clients. The service user’s family stated they felt their relative ‘is very happy at Springpark’ and thinks ‘she has a wonderful life, is well cared for, has lots of activities, outings and treats’. Comments were also made that ‘the house is clean and bright and the staff always friendly and helpful’. What the service does well:
This home meets the needs of its service users well and provides them with a good quality of life. There is evidence that staff know service users well at this home and through this knowledge can provide for their needs. All three service users have differing means of communication and staff were seen to be alert to sometimes subtle behaviours, through which individuals express need and to respond to these. Evidence was seen that service user rights and choice are respected and promoted within the capabilities of each individual living at this home. Individual holidays are provided, according to the type of holiday each service users prefers. The home holds lots of information about each service user and care plans and risk assessments are reviewed and updated regularly. Health needs are attended to and evidence was seen that staff are proactive in this area, enabling a prompt response to problems before they further develop. Necessary advice from other professionals is sought, to ensure the home staff are fully equipped to meet all the needs of the individuals who live there. The environment is clean, well decorated and maintained, providing a comfortable home for the individuals who live there. There are good staffing levels, which enable activities to be accessed for the service users. Access to training is
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 6 reported to be good by staff. There are also good opportunities to raise and discuss any issues with management of the organisation due to monthly meetings being held with staff. What has improved since the last inspection? What they could do better:
The home manager must ensure that some full time staff members do not work too many additional hours in any week. This might lead to staff being tired and unable to work to the standard needed to support this service user group. A requirement was made in respect of this. Staff must ensure that where ‘own choice’ is indicated on the menu, that they record what each individual chooses to eat. This is to provide a clear record of anything eaten by service users in the home and a requirement was made in regard to this. The advice of a dietician is recommended in respect of one individual discussed during the visit, to better support staff in meeting this individual’s needs. A recommendation was made that service users emotional needs and how these are met, should be identified clearly within care plans as this was not evident. It was recommended that one of the service user’s discussed on the visit is referred to the advocacy service. This with regard to the need to plan for the future of this individual and in ensuring she has an independent voice to speak on her behalf. The rails outside the back door area are in need of attention, as the paint is badly flaking and looks tatty. If used in their present state, they feel uncomfortable to the hand and paint falls off if touched. A requirement was made in respect of this. An old swing is recommended for removal from the garden as it is not used. It is recommended that the deputy manager attends the local authority training in protecting vulnerable adults. This will provide additional and external training to that provided by Ashcroft Care and ensure she is clear about the actions to take if needed. A recommendation is also made that staff attend training in challenging behaviours and aging, given the needs of the individuals in this home. Staff Criminal Record Bureaux(CRB) checks are held at the organisation’s head office, with the home being advised when these are received. In the absence of the home manager seeing the CRBs herself, it is recommended that a system be set up whereby the individual at head office verifying any CRB as being satisfactory, signs that this is so. This should then be provided to the home and provides a clear line of accountability in protecting service users should this be needed. A
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 7 recommendation is made that the organisation expands on its reported system of quality assurance, with the collating of information and published feedback annually for interested parties. 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. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2. Evidence shows that the home will not admit any individual without a full assessment of their needs. EVIDENCE: There have not been any admissions to the home for a number of years. In discussion with the deputy manager, it was evident that the home and organisation undertakes a thorough assessment of need before considering an admission to the home. This would involve the organisation’s clinical manager, as well as the home manager visiting any prospective service user in their own setting. Information is gathered from all those involved with the individual and a programme of visits to the home would be set up. Once a decision is made on admission, the care plan would start to be developed in consultation with the individual if appropriate, family and care manager. From care plans sampled, detailed and comprehensive information is present on the service users living at this home. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9. Service users needs and goals are clearly reflected in their care plans. Risk assessments form part of the care planning process. Service users need support to make decisions about their lives. EVIDENCE: Care plans were sampled and were found to be detailed and included personal goals for service users to work to. Action plans were documented at each review enabling all those involved to see what these were. Risk assessments were up to date and appropriate. These were being regularly reviewed with the next review date documented. Each service user has a key worker who takes the lead in responsibility for ensuring their care plan is being met. Emotional needs are not clearly identified within care plans and a recommendation was made that this is addressed. It was clear through discussion on the visit, that staff are aware of, when for example individuals are unhappy by their behaviours and will then address this. This needs to be documented. Methods of communication were seen to be recorded on care plans. This is particularly important in this home as two individuals have no verbal skills. Behaviours and noises are used to inform staff about needs and staff knowledge of these are of paramount importance. Service users in this home receive support from staff and others involved with
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 11 them to make decisions. This may be as simple a choice as whether to have jam or marmalade on their toast. Individuals in this home were concluded to have decision making promoted, by staff recognising their rights in this. Another example given was of one individual who likes to sometimes have a lie in. Although this service user has no verbal skills, staff leave her in bed and check her regularly, knowing by her behaviour when she decides she is ready to get up. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, 15 &17. Access to the community occurs, with local facilities utilised to the benefit of individuals at the home. Activities timetables are in place for each service user and each goes away on holiday supported by staff. Contact is promoted with relatives. EVIDENCE: The deputy manager advised that service users from the home are well known within the local community at Lingfield. Many of the activities individuals take part in are locally based, such as the shops, hairdressers, manicurist and swimming. The local pub is reported to be a favourite place to go as they will provide tea and have a garden service users like to sit in. Trips out to local shows at the theatre are also popular and the home has an adapted vehicle that can take a wheelchair, due to the needs of one of the individual’s at the home. Home staff look out for new activities that they think service users will like and each has an activities programme in place. Particular interests are catered for and holidays are selected and taken on an individual basis, as the type of holiday each enjoys is different. This was concluded to be a particularly strong point of this home. One of the service users has close family involvement. The home promotes
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 13 contact by taking this individual on regular visits to their relatives supported by staff. Other family members are able to visit the home. Two of the service users lived together for many years in long stay hospital and the decision was taken that they should remain together when they moved to the home. There was evidence of the use of home cooked food at the home. The deputy manager explained that the service users like certain meals and these are the ones that tend to appear on the menu. The main meal of the day is eaten in the evening. Service users will provide some assistance with meal preparation according to their abilities. Staff need to support all service users when eating, one individual needs particular vigilance from staff in case of choking. After discussion with the deputy manager, it was recommended that the advice of the dietician be obtained to provide guidance for staff on dietary needs for one individual in particular. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19. Personal care support is concluded to be provided in the manner each service users prefers. There is evidence of close attention to ensuring health needs are met in this home. EVIDENCE: All service users at the home need some assistance with their personal care needs. Detailed guidelines of the personal care assistance required and how individuals like this to be provided, is contained within each care plan. This ensures all staff provide support in the way it is acceptable to service users. All staff at the home are female, thus ensuring that personal care is provided by staff of the same gender as the service users. Getting up and going to bed times are flexible, but during the week getting up times may be indicated by activities that are taking place. One individual at the home has needs that have increased. The home are managing to meet these, having sought assistance from therapists and by the provision of equipment in the home. A walk in shower has been provided by the home, other equipment to assist in the bathroom and walking aids are in place. The home has also purchased a suitable vehicle to ensure this individual can continue to access the community for activities. The home have a monitoring system in place in two service users rooms for night times, which ensures they can hear when staff assistance is needed. General and specialist health care needs are met at this home. There is evidence of routine type appointments being made, as well as specialist input
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 15 where needed. Due to the verbal communication difficulties of individuals at the home, staff are shown to be particularly aware of changes in behaviour that might indicate for example a service user is feeling unwell. Currently the medication one service user takes is being reduced and the deputy manager reported that staff are starting to see a ‘true personality’ emerge. Please also see comments made in regard to emotional needs documented under section containing standards 6-10. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23. The home has a satisfactory complaints system in place and vulnerable service users are adequately protected by staff training and the systems to protect them that are in place. EVIDENCE: The home has had no complaints since the last inspection. The Ashcroft Care Services complaints procedure would be followed by the home and there is a book for recording complaints should they occur. On the complaints copy viewed, the name and contact details of the home’s regulatory body was out of date and this needs amending. All staff attend annual training in protecting vulnerable adults, which is provided by Ashcroft Care. The deputy manager has not attended the local authority training and a recommendation was made that she do so. This will ensure that she, together with the home manager has more in depth training and are clear about the action expected of them should the need arise. Two service users at the home can exhibit behaviours that challenge. There are strategies in place for staff to deal with this should it occur. Staff do not routinely receive training in this area, although two of the staff team are reported to have requested this and it was reported to be being looked into. Please see recommendation made under section 31-36 in regard to this training. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28, 29 & 30. The standard of the environment within this home is good, providing service users with an attractive and homely place to live. Specialist equipment is provided to assist one service user retain her independence. EVIDENCE: The home is part way through being redecorated in most areas and therefore pictures and ornaments were packed away whilst this is completed. Bedrooms are being decorated as service users go away on their individual holidays, to minimise the disruption to them. The home benefits from a large lounge and separate dining area. The dining room table is used to do table top activities with service users when not being used for meals. The lounge has a TV and music system. The deputy manager reported that during the day time the TV does not tend to be switched on, instead service users listen to music. One individual likes to lie on one of the sofas and was observed to be humming whilst the music was playing. Within the home, some specialist equipment is in place to meet the needs of one of the individual’s living there. This includes aids in the bathroom/toilet. Outside in the back garden, the home has a gazebo set up with garden furniture to enable service users to eat al fresco when the weather allows. There is also a swing chair for them to enjoy. A large trampoline is fixed in
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 18 place and is enjoyed by one individual at the home. An old looking wooden swing was reported as being unsafe by the deputy manager and should be removed if no longer in use. This was recommended. An old coal bunker was reported as being due to be removed as this is not in use. The rails outside the back door area were observed to be in need of some upkeep, as the existing paint was flaking badly and they look unsightly. A requirement was made in respect of this. The home have a gardener who is reported to visit monthly, although the deputy manager observed that she does not feel this is often enough to keep up with all tasks. The home was clean on the day of this visit, with no malodours present. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 & 35. Staffing levels are good and numbers of staff with or commencing NVQ’s are satisfactory. Training is accessed through Ashcroft Care. Regular staff meetings take place enabling staff to feel they are listened to by the organisation. EVIDENCE: The deputy manager reported that the home has had four new staff since the last inspection, some of whom have transferred from elsewhere in the organisation. It was stated that the home now feels more stable and settled. The staff team is all female, reflecting the gender of the service users who live in this home. The home operates a key worker system for service users, with an identified staff member taking the lead in overseeing their care plan. There is no use of agency staff, but Ashcroft bank staff are sometimes used who know the individuals living at the home. It is essential that service users are familiar with staff working with them. It was noted that some of the home’s permanent staff do work overtime on occasion. The inspector was concerned to see that one staff member already working full time hours, had worked considerably over these in one given month. This was explained as being because one of the service users had been away on holiday accompanied by two staff. This left the numbers to provide staffing at the home depleted and it was reported that this would not be a regular occurrence. A requirement will be made that excessive overtime hours must not be worked by individual staff, as this risks them becoming over tired and may compromise their abilities to effectively carry out their role.
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 20 Staff meetings are held every month, followed by a clinical meeting to discuss the service users. It was reported that these meetings enable staff to raise and discuss any issues they may have with the management of the organisation. This was felt to be a positive aspect of Ashcroft Care by staff. Two staff have completed NVQ level 2, one has now nearly completed NVQ level 3. Two others are reported to be part way through their level 2, with more enrolled to commence in September 2005. This means the home is on target to achieve the government minimum training requirements for care home staff. The home’s manager identifies the training needs for the home at the beginning of the year by checking staff training records. She then meets with the designated individual within the organisation. Internal training available is produced in a file format for the home, with staff identifying through supervision and personal development the training they need and booking onto this. External training courses can also be requested. Currently two staff have requested a course in working with challenging behaviours, as two individuals at the home can present with this at times. It is recommended that all staff who have not done so, receive training in this area. It is also recommended that staff have some training on aging, given the age and health needs of one of the individuals living at the home. Please also see the recommendation made under standard 23 regarding the deputy manager attending vulnerable adults training. Recruitment practices were not fully assessed on this visit and will be looked at in more detail on the next visit. However, the inspector was advised that CRB checks and disclosures on staff working at the home, are held at Ashcroft Care’s head office. The home are advised when the CRB check has been made only. It is recommended that the home and organisation have a method that provides a full audit trail, of who has seen and verified the CRB as being satisfactory and that this is signed off and provided to the home in the absence of documents on site at the home. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39 & 42. The management style of the home is reported as open and accessible. Continuous self auditing is reported and annual development of the home is addressed. Health and safety of service users is judged to be promoted in this home. EVIDENCE: The management style of both the home and the organisation was reported to encourage staff accessibility. The home manager and deputy are reported to meet weekly, to look at what needs doing and to decide who will take responsibility for this. The manager has some days in the month when she is supernumerary to the staff rota, enabling her to tackle management tasks. As discussed under the previous staffing section, monthly meetings with the clinical manager of the organisation mean that staff have regular opportunities to put across their views and feel they are being heard. The deputy manager advised that the home have questionnaires that are held on site and given out to anyone who visits the home to complete and return. These are then reported to be forwarded to head office. The inspector
Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 22 concluded that this could be further developed, with different methods of obtaining feedback from differing groups. It was not clear how this information is collated and feedback acted upon and it is recommended this is an area that could be expanded upon. The home has a designated health and safety representative amongst the staff who ensures that the various weekly tests and checks in terms of health and safety are carried out. The organisation has its own maintenance team who respond to requests from staff and are reported to prioritise according to the urgency of the situation. They were reported as always responsive if the need is urgent. The home have a number of staff who are fully qualified in first aid and each shift has a named individual who is responsible for first aid for that period of time. The environmental health officer visited the home in 2004 and no requirements or recommendations were reported as being made. The manager has risk assessed the building in terms of fire. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 2 x x x 3 3 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 2 Standard No 31 32 33 34 35 36 Score x 3 2 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Springpark Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 3 x H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 24 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 17 Regulation Requirement Timescale for action 22/7/05. 2. 3. 24 33 17(2)sche It must be noted down what dule 4(13) each individual has eaten when own choice is recorded on the homes menu. 23(2)(o) The rails outside the back door area must receive attention as the paintwork is badly flaking. 13(4 c) The home manager must ensure that individual staff already working full time hours, do not work excessive hours of overtime. 22/9/05 22/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 6 7 17 23/35 Good Practice Recommendations Service users emotional needs should be clearly identified within care plans. That one identified service user is referred to the advocacy service. That the advice of the dietician be sought in respect of guidance for staff, regarding the dietary needs of one individual as discussed on the visit. The deputy manager should attend the local authority vulnerable adults training.
H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 25 Springpark 5. 6. 24 34 7. 8. 35 39 The old swing no longer in use should be removed from the garden. The home/organisation should devise a method whereby signatures identifying who has checked CRB disclosures at head office, can then be passed to the home as confirmation of this. Training in challenging behaviours and aging should be considered for staff at the home. The organisation expand its method of quality assurance, to include collation of information and a system of published feedback annually for interested parties. Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 26 Commission for Social Care Inspection The Wharf Abbey Mill Business Park 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 Springpark H58 H09 s13793 Springpark v232557 220705 Stage 4 ann.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
