Inspection on 05/10/05 for Springside

This inspection was carried out on 5th October 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Springside 05/01/10

Springside 25/09/07

Springside 02/11/06

Springside 16/03/06

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 Susan Lyons Unannounced Inspection 10:15 5 October 2005 th Springside DS0000016241.V255355.R01.S.doc Version 5.0 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.V255355.R01.S.doc Version 5.0 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.V255355.R01.S.doc Version 5.0 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 7 Category(ies) of Learning disability (7) registration, with number of places Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18/02/05 Brief Description of the Service: Springside is a domestic scale residential home providing care and support for up to seven 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 seven people, who currently live here. The providers Mr & Mrs Wright 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 are encouraged, both locally and outside the area. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 10.15 until 12.50 and then the inspector returned to the home at 15.45 until 18.00 to meet with all the residents. The inspector was made to feel very welcome by the residents who showed her around the home and chatted about what they do. There was a relaxed and homely atmosphere within the home and one of the residents made the inspector a cup of tea. The registered providers visited briefly to meet with the inspector. The inspector also looked at records and talked to the manager and a member of staff who was on duty. Comment cards were received from residents and six relatives/visitors. What the service does well: There is a good assessment system in the home and the residents are able to visit the home before deciding to move in. Residents are encouraged to make decisions about their own lives and things, which happen, within the home. Some residents attend college or places of work, others attend day care either at home or outside. Residents are able to go out alone or with each other they may also use local buses. They are able to take part in activities they enjoy including holidays. Visitors are welcome at the home and residents are able to be on their own if they wish. Residents say the food is ‘all right’ and they can help with the cooking if they like. They can also make themselves a drink when they want. They visit the GP with staff when they need to also the dentist, optician and chiropodist. Staff know what to do if they think a resident is being ill treated. The home is clean and well decorated with the correct amount of bathrooms. Residents have been able to bring their own possessions to their rooms. Staff are undertaking recognised qualifications and the correct paperwork was seen for staff employed at the home. Staff attend training courses and the manager is continuing to gain the qualification she needs. Staff and residents say they can talk to the manager if they have a problem. Springside DS0000016241.V255355.R01.S.doc Version 5.0 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. Springside DS0000016241.V255355.R01.S.doc Version 5.0 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.V255355.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 The admission process is good ensuring that residents are well informed about the service provided. EVIDENCE: A copy of the shared assessment was seen for the most recently admitted resident and this is used as a basis for ensuring that needs are met. The resident had been able to visit the home prior to moving in and had stayed overnight. This was confirmed by all the residents who seemed to welcome the fact that they had all been able to meet and get to know each other at an early stage. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 6, 7 & 9 Lack of detail in care plans and risk assessment has the potential to place residents at risk. The system for resident’s consultation is good with evidence that resident’s views are sought. EVIDENCE: There is a small staff team and the home is run very much as a family home. Therefore much of the information in relation to the needs of the residents, although known to the manager and staff, is not clearly documented in the care plans. There is not enough information in the care plans about how support is to be delivered. Evidence was seen that care plans are being regularly reviewed and that residents are involved in the completion of their own care plans. The manager said that in the past they have had residents meetings but they were not as effective as informal chats around the meal table. Residents confirmed that they are involved in decision making within the home and gave examples of discussions about holidays, meeting new residents and decoration of their own rooms. Some risks have been identified for individual residents and graded as to whether they are low, medium or high but there is little detail in relation to what safeguards are in place. There were no risk assessments in place in Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 10 relation to bathing and epilepsy, residents staying alone in the house or in relation to going out. Springside DS0000016241.V255355.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15,16, & 17 Formal and leisure activities, links with the community and friend and relative relationships are good enriching resident’s lives. The rights of residents are respected and recognised within the home. The meals in the home are good offering residents choice and variety. EVIDENCE: Currently one resident is at college, two residents have jobs which they told the inspector about and the other residents attend day care, usually at a separate venue but sometimes within the home. Service users are able to access the local community independently or with each other and also make use of public transport. A local group from one of the churches, some of the residents attend, meet at the home and residents described what they do and how going to church makes them feel. Residents are able to pursue their own interests and hobbies and also go out on outings and holidays. Residents are able to invite friends and relations to the home and to see them either in one of the lounges or in their own room. Residents confirmed that they are encouraged to help around the house and keep their rooms tidy. They also confirmed that staff knock at their doors Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 12 before entering and that they are all able to be on their own and private if they wish. They confirmed that their mail is given to them unopened. Residents said that the meals are all right and they don’t have to eat anything they don’t like. They said that they are able to help themselves to a drink and snack whenever they wish. Some residents help with the cooking and food shopping. They said that they have a special meal before Christmas for everyone and usually when it is someone’s birthday. Springside DS0000016241.V255355.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. The personal support is offered in such a way that choice and independence are promoted. The systems for maintaining residents medical needs are good but lack of documentation in relation to medication may compromise resident’s safety. EVIDENCE: Currently none of the residents require physical assistance with personal care and nobody requires aids or adaptations. Residents confirmed that they are able to go to bed at what time they like. All residents are registered with a local GP. One resident has retained the GP they had prior to coming into the home. Residents are accompanied by staff if they visit the GP. Regular dental, optical and chiropody appointments take place. One resident manages their own medication and showed the inspector where it is kept locked in his room. The medication is given to him on a weekly basis but there is no record of this and no record of the medication coming into the home. Other medication is administered by the manager or a staff member. The administration is recorded in a book but there is no record of the amount of medication coming into the home therefore it is not possible to undertake a stock check at any one time. A form is completed if medication has to be Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 14 returned to the pharmacy. The manager said that she is booked on a medication course on October 18th 2005. Springside DS0000016241.V255355.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents are protected by the complaints and adult protection procedures but lack of knowledge of the complaints procedure by families does not ensure that they understand how to make a complaint. EVIDENCE: The residents all said that they would go to the manager if they were unhappy about anything which happened in the home. Some relatives said, via the response cards that they had not received a copy of the complaints procedure. The member of staff who spoke to the inspector answered appropriately when asked what she would do if she saw a resident being ill-treated. She has received training in relation to Adult Protection on her NVQ course. The staff at the home have currently not attended Adult Protection Training but the manager said that she was aware of the Somerset Adult Protection Policy and intends to go on a course in relation to this in the near future. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 24, 25 & 27 The standard of the environment and facilities within the home is good providing residents with an attractive and homely place to live, which they have been able to personalise. EVIDENCE: The home is pleasantly decorated and well maintained. Decoration and furnishings are domestic in nature and from the outside there is nothing to distinguish the house as a residential home. The home has two bathrooms with toilets and a shower room with toilet. Appropriate locks are fitted to doors. Three of the bedrooms have en-suite toilets and washbasins. All of the bedrooms with the exception of one were seen and it is clear that residents have been able to personalise them. It was noted that in some of the rooms there is no light accessible from the bed but residents were not concerned about this. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Resident’s benefit from being supported by qualified and trained staff. They are protected by the homes robust recruitment procedures. Residents may be at risk by staffing levels whilst on outings. EVIDENCE: Currently two members of staff have achieved NVQ level 2 and two members of staff are in the process of undertaking level 2. There are five members of staff so the home has nearly achieved the standard of 50 of staff trained to NVQ level 2. Most of the time there is one member of staff on duty with residents. At weekends six of the residents often go out in a group and are joined by two residents from another home run by the same registered persons. One member of staff goes with them. This should be risk assessed and kept under review especially in relation to some specific needs which individual residents have. Recruitment paperwork was seen for two members of staff. One had been recruited several years ago and a reference was not dated. The manager said that she was aware that she would need to ensure now if recruiting that such a reference was dated. Appropriate CRB (Criminal Records Bureau) checks were seen for the two staff. The member of staff who spoke to the inspector confirmed that she had undertaken all the statutory training and said she would be able to ask if she felt that she had a training need which was unmet. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 18 Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 & 42 The manager has a clear leadership role and residents benefit from an open management style. With minor agreed adjustments health and safety measures are met. EVIDENCE: The manager has obtained the Registered Managers Award and is currently undertaking NVQ level 4. She has been manager of the home for several years. The member of staff who spoke to the inspector said that the manager was very approachable and supportive. Residents also felt that they would be able to talk to the manager if they had any concerns. Records supplied by the home indicate that the safety checks in relation to gas, electrical wiring and fire checks have been completed within the timescales expected. It was noted that prior to September 2005 the fire alarm tests within the home had only been completed every two weeks. The manager explained that this was because she was not aware that they needed to be done weekly. They are now being completed on a weekly basis. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 20 It was noted that the water in one of the baths was very hot. It is acknowledged that residents at the home are independent and some may eventually move to more independent settings. Thus it may not be appropriate to fit thermostatic mixer valves to the hot water outlets. Action must be taken to safeguard residents from scalding from hot water. Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 21 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 3 X X Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 1 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 2 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Springside Score 3 3 1 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 1 X DS0000016241.V255355.R01.S.doc Version 5.0 Page 22 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 YA9 Regulation 13 (4) (c) Requirement You are required to ensure that risk assessments are in place in relation to areas highlighted in this report. You are required to ensure that records in relation to the safekeeping and administration of medication are available within the home. You are required to take whatever steps are necessary to protect residents from scalding from hot water. Timescale for action 06/11/05 2 YA20 13 (2) 06/11/05 3 YA42 13(4) (a) 06/11/05 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 Refer to Standard YA6 YA22 YA33 Good Practice Recommendations It is recommended that more detail is included in the care plans to cover all areas of residents needs. It is recommended that relatives are sent a copy of the complaints procedure. It is recommended that staffing in relation to outings is kept under review. DS0000016241.V255355.R01.S.doc Version 5.0 Page 23 Springside Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Springside DS0000016241.V255355.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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