Inspection on 25/09/07 for Springside

This inspection was carried out on 25th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Springside 05/01/10

Springside 02/11/06

Springside 16/03/06

Springside 05/10/05

Springside 18/02/05

Springside 27/08/04

Springside 18/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Springside 71 Halcombe Chard Somerset TA20 4DU Lead Inspector Barbara Ludlow Unannounced Inspection 25 September 2007 11:30 th Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 1 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 Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 2 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 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. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springside Address 71 Halcombe Chard Somerset TA20 4DU 01460 66340 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr David Edward Wright Mrs Sheila Grace Wright, Mrs Helen Anne Bond Ms Susan Anne Hill Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who can be accommodated is 8. Date of last inspection 2nd November 2006 Brief Description of the Service: Springside is a domestic scale residential home providing care and support for up to eight people who have learning disabilities. The home is located within easy walking distance of Chard town centre. The house is surrounded by a fenced garden area and is close to local shops and amenities. The manager Susan Hill and a small staff team support the eight people who currently live here. The providers Mr & Mrs Wright and Mrs Helen Bond also have regular contact with the home and a family based ethos is promoted. Recreational and occupational activities are encouraged on both an individual and group basis. There is a strong focus on outdoor activities including horse riding, stable management and gardening. Maintaining links with friends and family is encouraged, both locally and outside the area. Fee range quoted: £356.00 (Somerset Social Service rate) Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. The Annual Quality Assurance Assessment (AQAA) was completed and returned to CSCI. Questionnaires were sent to the home and to relatives to seek the views of people and their families using the service. The inspection visit was made over a five hour period. The registered Manager was on duty; four people who use the service and one member of staff were seen and spoken with during the day. A tour of the premises was made and records were sampled. One of the registered providers was present for part of the inspection. This was a very positive inspection and the feedback given was well received by them and the registered manager. The inspector would like to thank all who contributed to the inspection process. What the service does well: Springside has a real family homely atmosphere. There is a choice of comfortable communal space. Individual accommodation is personalised and provides comfortable private space. The home provides a good range of activities and there is support for work experience opportunities. Holidays are taken as a whole family; people spoken with were very excited about an imminent weekend break to the coast. Skills are taught through the activities to promote confidence and independence. Contributions to the catering for the day were seen which further enhance the family living experience for people in residence at Springside. People living at this service said they were happy, settled and felt safe. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good There is written information available for a prospective person coming to the home. Pre admission assessment is made and visits to the home and short stays are encouraged to support the person in their decision making. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and the service user guide have been updated since the last inspection and a copy was sent to CSCI. The manager explained that visits to the home are welcomed. A person looking for a placement would be invited to visit and to stay for a weekend or a few days to experience living at the home and meet the staff and the residents. Social workers and families are invited to visit. The manager gathers information to complete the pre admission assessment process. There has been one new admission to the home since the last inspection. The inspector was able to meet and speak with this person at the inspection. The process of settling in at Springside is paced. The Manager adopts a positive and encouraging approach that allows the person to grow in Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 9 confidence, their involvement in the home can be paced accordingly. The care plan documentation seen at this inspection reported such a journey. Springside DS0000016241.V347259.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good People who live at Springside are encouraged to make decisions for themselves and to be involved in work and varied activity both at home and in the wider community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at Springside are able to communicate and be involved in the planning of their care. Four people who live at the home were spoken with and all expressed their satisfaction with living at the home. Care plans were sampled for three service users and the daily records were seen. The care plans have been updated and were comprehensive. Relevant information was recorded and the care plans had been reviewed with the resident. Risk assessments were in place to support independence, for example for one person who is safe and confident when left at home on their own for a short period of time. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good There is a good range of both indoor and outdoor activity available to the people who live at Springside. Relationships with families and friends are supported. The food is home cooked, varied and appetising. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were two people at home at the start of this inspection visit. Supervised cookery was in progress. The result was a casserole and Bakewell tarts for tea. The food looked appealing and the residents were very pleased with their achievements. The menu is decided on a daily basis and likes and dislikes are catered for. There are no special diets catered for at present. One person in residence assists with some regular catering tasks. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 12 Four people have work placements / employment and are supported in this by the staff and the other people in residence. The inspector heard of stable work and restaurant work that has been taken up by the residents. Two people returned from the stables for lunch both looked well and related stories about the morning’s activities and the work they had both enjoyed. The inspector heard that the stables belong to the proprietors and are used regularly. Some of the people who live at Springside are now experienced in horse care and horse riding. People in residence help with their own rooms, keeping them tidy, making their beds and vacuuming. The AQAA stated that the people living at the home would like to do even more outdoor activities and this is being looked into at the present time by the management. Three people expressed their excitement about a forthcoming long weekend break to the south coast. All residents and two staff would be travelling there in the home’s minibus. Two long weekend breaks are taken each year with the home’s staff and some of the people in residence take holidays with their families. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good Personal and healthcare support is effectively managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are encouraged to be self caring with support as needed and are reassessed as their confidence grows to allow them to develop further. Daily life was discussed with four people who live at Springside. The inspector heard that personal assistance and help is there if needed an example given was for safety when bathing. The people in residence are mostly self caring for personal hygiene. Daily life is varied and for some there is the routine of preparing for and getting to work. Others can chose what time they get up in the mornings and all can decide what time they retire to their rooms. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 14 Packed lunches are taken or a sandwich or salad lunch is made at home. One person at home had prepared an appetising mixed salad for their lunch. The staff know the residents well and provide a continuity of care and support, which is overseen by the Registered Manager who lives in the attached and interconnected house. Care plans were sampled for three people, health care and support is from the local community medical services and appointments are made if needed for the doctor, chiropodist, nurse or the dentist. The care plans confirmed that annual health care screening appointments and dental appointments had been made and attended. People who live at the home spoke about their health and said they would speak to the manager or other staff if they felt unwell. The care plans contained information from hospital visits and correspondence relating to consultations. Care reviews were documented and were up to date. The manager has a good understanding of the people living at the home. Emotional support is given to the people living at the service. The relationship between the people who use the service and the staff was observed as friendly, helpful and polite. There was support between residents and also a discreet respect for each other’s feelings and well being within the group. The manager and the proprietor Ms H.Bond were spoken with and they confirmed that daily life is lived as a family and tasks such as the washing up after tea is on a rota. Medication is securely stored and is safely monitored. Four medication administration records were seen, all medication was appropriately entered and administration was recorded. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good There are policies and procedures in place to protect people in residence from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no complaints made to CSCI or the home since the last inspection. The AQAA states that ‘there have been few complaints if any as they are dealt with as they arise as matter of course..and are dealt with in a dignified manner’. The people in residence that were asked confirmed that they felt confident to raise any concerns with the staff or the manager. The home has a comprehensive complaints policy in line with the National Minimum Standard required. The detail is included in the Statement of Purpose. The management has since the last inspection arranged to attend protection of vulnerable adults training. This should then be cascaded to all staff. A requirement is madder to ensure this is now carried out. People in residence said they were happy at the home and one commented that they felt ‘safe here’. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 16 Staff recruitment is satisfactory and included Criminal Record Bureau (CRB) enhanced checking for all staff. Springside DS0000016241.V347259.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good Springside is homely, clean, well maintained and well appointed. Bedrooms are personalised and comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A large conservatory has been constructed at the front of the house giving lots of extra comfortable communal space. The garden surrounding the conservatory has been altered and has coloured gravel and planted tubs. The four residents asked said they were pleased to have this additional space. There is a large table and chairs and lounge furniture making a pleasant and useful addition to the house. A tour of the premises was made and bedrooms were seen. The home was clean, fresh smelling, well maintained and decorated. The furnishings are domestic in nature. Residents were pleased with their rooms. An extra room Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 18 with en suite has been added to the home since the last inspection, this was nicely appointed. The washing machine is sited so that it has to be accessed through the kitchen and soiled linen is carried through in sealed bags as an infection control measure. The manager confirmed this practice at the inspection. The home is fitted with fire alarm and fire safety equipment. The windows on the first floor are widely opening, there is no risk assessment for this and this is recommended. Springside DS0000016241.V347259.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good The staff recruitment files have been reviewed and were in good order. Supervision has been undertaken and some essential staff training has taken place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the recruitment files have been reviewed retrospectively and information has been gathered to meet the national minimum requirement. Staff have now completed application forms, these needed to be dated and signed. There have been no new starters at the home for three years. All current staff have CRB checks on file. Staff training has been organised, all staff have received medications training with Boots the chemist. Manual handling training was scheduled for the following week from an outside training agency. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 20 All care staff have received health and safety and first aid training. It is recommended that the handyman received health and safety training and manual handling awareness training. Infection control training should be more formally approached for all staff. The manager confirmed that she has arranged for herself and her senior to attend abuse awareness training. Staff supervision has been commenced and three files were sampled, the last supervision dates for these staff were seen as July, August and Sept. Supervision should be recorded six times per year, this was discussed with the manager and Mrs Bond at the inspection. The responses from relatives included that staff deliver ‘good care’ and ‘superb and thoughtful care’. People who live at the home that were asked said that staff are kind and there was an expression of trust and of feeling ‘safe’ at the home. Springside DS0000016241.V347259.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good The service is well managed and runs as a large family home. Safe working practices protect the people who live at the service from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager lives on site and offers good continuity of support for both the people in residence and staff. The service users informed the inspector that they were happy living at the home and felt safe. The home runs as a family unit and people who live at the home are able to contribute and are at the centre of the day to day running of the home. Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 22 There is constant informal monitoring of the quality of the service and the outcomes for people who live at the home. The questionnaires returned to CSCI by people in residence were all positive. Those from the families and friends of the people in residence commented on the home being a ‘family group’, about care being ‘individual’ and being ‘superb and thoughtful’. The manager does not wish to have anything institutional such as notice boards or certificates displayed in the home other than in the office where the employers liability certificate was available for staff to see. The registration certificate was not seen; this must be put on display in a conspicuous and public place as per the guidance on the base of the certificate. Records inspected: Safe working practice includes the fire alarm maintenance of weekly alarm tests, monthly emergency lighting testing, monthly checks on the fire extinguishers. The electrical installation was checked in March 2007. Gas safety was checked 24.07.07 and no defects were found. A company on behalf of the home checks the health and safety of the premises. Portable electrical appliance testing records were not seen; the manager confirmed this is carried out annually by the proprietor. Springside DS0000016241.V347259.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Springside DS0000016241.V347259.R01.S.doc Version 5.2 Page 24 YES 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 YA42 Regulation 13(4)(c) Requirement Any above ground floor windows that open widely (in excess of 100mm) must be risk assessed and action must be taken to reduce any identified and unacceptable risk. The management and all staff must receive some Protection of Vulnerable Adults (POVA) awareness training. Timescale for action 18/11/07 2 YA35 13(6) 18/12/07 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 YA43 Good Practice Recommendations The CSCI Registration Certificate should be displayed. The certificate bears the following advice that it ‘must be displayed in a conspicuous and public place at all times’. Failure to do this is an offence under the Care Standards Act 2000. Staff supervision should be recorded up to six times per year. The registered manager should consider attending training in relation to risk assessments DS0000016241.V347259.R01.S.doc Version 5.2 Page 25 2. 3. YA36 YA42 Springside 4. YA1 This remains from the last inspection. Service user information presentation would be enhanced if prepared in an easy read format. This should be considered. 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