Inspection on 07/04/05 for Springvale Court

This inspection was carried out on 7th April 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Springvale Court 17/10/07

Springvale Court 12/09/06

Springvale Court 11/10/05

Springvale Court 13/12/04

Springvale Court 04/06/04

Springvale Court 02/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Springvale Court Springvale Road Wrekenton Gateshead NE9 7AD Lead Inspector Lee Bennett Unannounced 7 April 2005 08:40 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. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Springvale Court Address Springvale Road, Wrekenton, Gateshead, NE9 7AD 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) 0191 482 4573 0191 487 2927 Barchester Healthcare None PC care home only 40 Category(ies) of 29 x OP, 13 x DE(E), 5 x SI(E), 3 x PD(E), 1 x registration, with number MD(E) of places Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13 December 2004 Brief Description of the Service: Springvale Court is care home in which personal care can be provided for up to 40 older people, some of whom may have dementia related needs. Nursing care is not provided, but can be arranged with the District Nursing Service where necessary. It is a two storey, purpose built home. Level access is provided to the home and a lift provides access between the two floors. There is a garden area at the rear of the home, which includes a paved seating area. The home located on the southern outskirts of Gateshead and is situated near to a range of local facilities, including a doctors surgery, a supermarket, shops, pubs and places of worship. It is also located close to local public transport links. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 6 hours and was a scheduled unannounced inspection. A tour of the building took place, and staffing and service users records were inspected. Service users, staff, the acting manager and visitors were spoken with and a meal was taken in a first floor dining room. The judgements made are based on the evidence available to the inspector on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The acting manager needs to undertake this role on a full time basis (which was resolved on the day of the inspection). Care staff must ensure that footrests are used when they assist service users by pushing their wheelchairs. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 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 Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 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 4 Intermediate care is not provided at Springvale Court. The admissions process ensures that service users needs are assessed prior to care being offered. This helps to ensure that service users are offered appropriate care at the home. EVIDENCE: Care managers assessments are now received prior to care being offered at the home, which was previously not always the case. Following this care plans are developed, and a review takes place after six weeks with the service user’s social worker. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 9 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 and 10. Progress has been made in the planning of service users’ care. This can assist in guiding care practice and ensuring consistency where necessary. Arrangements are in place to help preserve service users’ privacy and dignity. EVIDENCE: Care staff are in the process of reviewing all of the care plans in the home, and transferring information to new formats. Care plans describe each service users social, spiritual, health and general needs and have been periodically evaluated. Daily progress notes are also written up by care staff. The implementation of the new care plans will continue to be monitored through future inspections. An accident record for one service user noted that they had become entrapped between a bed and a grab rail fitted to the bed. The inspector discussed this accident with the acting manager and a visiting line manager. A risk assessment regarding this equipment was compiled at the time of the inspection, and control measures introduced to help prevent a similar accident occurring again. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 10 Staff help to promote the privacy and dignity of service users by dealing with their care needs in a discreet manner. There are private visitors facilities so that service users can receive guests in private, in areas other than their bedroom, and service users were observed to be given their mail unopened. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 11 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, 14 and 15. Service users are able to maintain community and family links, which can help to ensure they do not become socially isolated. Service users are offered a choice of meals, to help promote their general health and wellbeing. EVIDENCE: Throughout the inspection, visitors called to the home, and a lay preacher assisted a service user take communion. The activities co-ordinator is also able to assist service users in accessing local community facilities. Service users are offered choices at meal times, and one service user commented that they are enabled to be independent, but assistance is available when needed. The lunchtime meal was well presented, nutritious, and served in a congenial setting. Service users commented positively on the meal provided. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 12 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) 18 Arrangements are in place to help protect service users from abuse. EVIDENCE: Staff have now received awareness training regarding abuse and adult protection. The local authority’s adult protection procedure is available within the home, to guide staff on what to do if they have concerns in this area. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 13 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, 20, 21, 24, 25 and 26. A planned programme of refurbishment and redecoration is to be implemented. This will help to improve the physical appearance of the home. Service users bedrooms are clean and have been personalised by them. This can contribute to their feeling comfortable within the home. There is insufficient storage in the home. This can increase the risk of accidents from trips and falls. EVIDENCE: The acting manager advised the inspector that the home is to be redecorated and refurbished throughout. The redecoration programme must take into account the needs of blind and partially sighted service users. Service users’ own rooms have been personalised to their tastes and they are able to bring some of their own possessions to the home. Equipment, such as laundry skips and a mobile hoist were being stored in bathroom areas. These could present a trip hazard to service users and others working or visiting the home. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 14 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) 27, 28 and 29. Care staffing hours have been increased and several staff are undertaking their NVQ awards in care. This can contribute to service users needs being met. Robust recruitment arrangements are, on the whole, being adopted, which can contribute to service users remaining safe in the home. EVIDENCE: The number of care staff deployed in the home has been increased since the last inspection during the evening period, and there are now five staff on duty during this time. Out of the 22 care staff employed, 4 are working to attain their NVQ level 2 award in care, and 9 already possess this qualification. Staff recruitment records include a Criminal Records Bureau check and personal references. One member of staff had only one reference in place. This was pointed out to the acting manager at the time of the inspection. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 15 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, 33, 36, 37 and 38. The acting manager has insufficient time to devote to her management role. This has contributed to insufficient oversight of the service, which in turn can impact the health, welfare and safety of service users. EVIDENCE: The staffing rota indicated that the acting manager was undertaking this role for only two days a week. A line manager was calling to the home on a periodic basis to offer guidance and support. Management hours were increased to a full time basis on the day of the inspection. Staff supervision sessions are being planned, but are yet to be undertaken on a regular basis. Quality assurance arrangements are yet to be fully implemented in the home, and a annual development plan is yet to be drafted. Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 3 x 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 2 x x x x 2 2 2 Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 17 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 OP38 Regulation 13(4)(a to c) Requirement The registered person must address the items listed in the immediate action form, and in particular 1, remind staff that foot rests must be used when pushing service users in their wheel chairs, 2, attend to the excessive water temperature in one bathroom, and 3, cease the practice of chocking open fire doors. (This is a new requirement) The registered person must review the storage of equipment in the home, to ensure that it does not present a trip hazard to service users, visitors and staff. (This is a new requirement) The registered person must ensure that service users care plans are developed to accurately reflect their health and welfare needs. (This requirement is in the process of being dealt with.(Previous timescale of 4 June 2004 not met)) The registered person must develop quality assurance arrangements in the home to incorporate an annual Timescale for action 8/4/2005 2. OP38 13(4)(a) and 23(2)(l) 16/5/2005 3. OP7 15(1) 16/8/2005 4. OP33 24(1,2&3) 16/8/2005 Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 18 5. OP34 25(2)(a to d) 6. OP34 25(2)(e) development plan. (Previous timescale of 2/1/04, 10/8/04 and 8/10/04 not met). The registered person must ensure that business and financial planning information is made available for inspection.. Previous timescale of 2/1/04, 10/8/04 and 8/10/04 not met) The registered person must ensure that evidence of adequate insurance cover is provided to the local office of the Commission for Social Care Inspection (Previous timescale of 13/8/04 not met). 16/9/2005 16/9/2005 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 OP7 Good Practice Recommendations The registered person should ensure that care plans are prioritised to allow care staff to ensure that service users greatest needs are regularly monitored. (This recommendation is in the process of being addressed.) The registered person should ensure that a minimum of 50 iof care staff working in the home are qualified to NVQ level 2 in care by 2005. The registered person should ensure that staff receive a minimum of six supervision sessions per year. 2. 3. OP28 OP36 Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Baltic House Port of Tyne South Shields NE34 9PT 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 Springvale Court B52-B02 S54914 Springvale Court V220783 070405 Stage 4.doc Version 1.20 Page 20 - 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. 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