Inspection on 07/09/05 for Springwood

This inspection was carried out on 7th September 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springwood 19/10/06

Springwood 15/03/06

Springwood 27/01/05

Springwood 02/06/04

Similar services:

Snydale Care Home

Abbey The

Whiteley House

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Springwood 611 Herries Road Sheffield South Yorkshire S5 8TN Lead Inspector Carol Makin Unannounced 7 September 2005 09:00am th 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. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Springwood Address 611 Herries Road Sheffield South Yorkshire S5 8TN 0114 2325472 0114 2852934 Not known Sheffcare Limited 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) Mrs Anita Bland PC - Care home only 40 Category(ies) of MD(E) Mental Disorder -over 65 (10) registration, with number OP Old age (30) of places DE(E) Dementia - over 65 (10) Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 10 DE/E beds are also registered and/or MD/E Date of last inspection 27th January 2005 Brief Description of the Service: Springwood is a purpose built property, providing personal care for up to 40 service users over the age of 65 years. The home is operated by Sheffcare Limited and is situated in a residential area in the north of Sheffield near to Hillsborough. Various shops and a public house are located nearby and Hillsborough shopping centre is easily accessible. The accommodation is provided on three floors with a lift for easy access. All rooms are for single occupancy. The ground floor of the home offers care and support for a small group of people who have a higher dependency due to varying forms of dementia. Easy access is available to all facilities for service users who use wheelchairs, or have other disabilities. There are a number of lounges and sitting areas that are smoking and non-smoking. There is a function room that is available for group activities or private use to entertain family or friends. Regular social events are organised inside and outside of the home. The organisation has the use of a mini-coach so can offer regular trips and outings. The home has an enclosed patio area. Car parking is provided. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out over a four-hour period. A brief tour of the building was carried out, four residents were spoken to in private and the majority were spoken to in the lounges and dining rooms. A selection of records was checked and three staff were interviewed. The inspector wishes to thank the staff and residents for their welcome and participation in the inspection process. It was encouraging that all staff spoken to said that they loved working at the home and that the staff team were very supportive towards each other. This can only result in creating a happy atmosphere for the residents to live in and they are to be congratulated. What the service does well: What has improved since the last inspection? New innovations at the home are the provision of the greenhouse project, the family kitchens and a Snoezelen room. Overnight accommodation has been provided for any relative who wishes to stay close to their loved ones if they were seriously ill. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 5. The admission process is well managed and residents are given clear information regarding the service. All residents receive a contract which details the terms and conditions of their occupancy at the home. Full needs assessments are carried out before the decision is reached of if the home can meet the identified needs of prospective residents. Trial visits are arranged to ensure that residents can make an informed choice on the home they choose to live in. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 9 EVIDENCE: Two of the residents spoken to said that they were given information on the home before they decided to live there. All residents’ rooms seen contained a copy of the homes Statement of Purpose and Service User Guide, these contained full details of the management of the home, and the care the home provides. One resident’s plan of care was checked this contained a copy of their contract with the home also the terms and conditions of occupancy. A full needs assessment is carried out before anyone is admitted to the home. A copy of this was seen on the residents file checked. Two of the residents spoken to said they had visited the home before they made the decision to live there; they had also had a trial stay. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11. Care plans need further development to ensure that staff has the full information needed to meet individual residents needs. Resident’s health and personal care needs are met thus maintaining their well being. The home has a Snoezelen room which is used as a therapeutic tool to reduce stress and has a claming effect on residents with dementia. Medication is administered according to the general practitioners instructions for the continued well being of the residents. Residents are treated with respect and their privacy and dignity is maintained. Staff are aware of the extra care needed when a resident is seriously ill so that they receive all care and attention to make them as comfortable as possible. Relatives can stay overnight if they wish so they can be on hand and near to their loved ones. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 11 EVIDENCE: Residents have a written plan of care, which details what their needs are. One plan checked contained conflicting information and the information was not sufficient in detail for staff to know all aspects of the health, welfare and daily living of the resident. Four residents were spoken to in detail. They all said that their health and welfare was well taken care off and staff assisted them with their personal care needs when needed. The manager said that the recent provision of a Snoezelen room has been of great benefit to the residents with dementia and an aroma therapist visits to give massages whilst using this facility. One residents medication records were checked, recordings of medication administered by the staff were completed thoroughly. Residents spoken to said that they preferred the staff to administer their medications for them. Residents were unanimous that staff maintains their dignity and treated them with respect. The three staff interviewed could verbalise good practices of how they maintain resident’s privacy and dignity. Staff had a clear understanding of how to care for the residents who are seriously ill. Pleasant accommodation is provided for relatives who wish to stay overnight if their relative is ill Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15. Residents are motivated by the provision of a wide range of activities to maintain their lifestyle and social interests. Family involvement within the home is given priority to ensure that residents can maintain contacts with their relatives and friends in a comfortable relaxed environment Residents are given sufficient information on advocacy services in case they do not have anyone to act on their behalf. A good diet is provided, residents are given choices on the menu, sufficient quantities are provided to meet their needs. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 13 EVIDENCE: The home has a full program of activities, these are varied to suit different residents interests. An activity coordinator visits the home three times a week to facilitate this. The residents spoken to said that they enjoyed film nights and they said they did it properly with popcorn and ices, they all said they enjoyed this. A program is displayed to say which films would be on each week. A new innovation at the home is a greenhouse and residents have grown tomatoes and cucumbers. The safe area outside for those with dementia is to be extended which will enable them to have access to the greenhouse at all times. Recently changes in the home is the provision of family kitchens. The manager said that these have been a great success. When families visit they are encouraged to use the kitchens, facilities are provided so that they can stay for a meal with the residents. Children are catered for with books, games and colouring books and pencils. Children’s drawings are proudly displayed in the kitchens. A leaflet has been produced giving relative information about the kitchens which is encouraging them to use the homes facilities as if they were visiting their old family home. As part of the admission process residents are given a booklet, which gives details of an advocacy service. Some residents spoken to said that their families dealt with their finances for them. Residents spoken to said they liked the food, they were offered a choice and portions were sufficient. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18. Residents have the information they need to know how to make a complaint and were assured that appropriate action would be taken. Staff are well trained in adult protection procedures to ensure that the residents well being and protection is safeguarded. EVIDENCE: Residents said they knew who to speak to if they had a complaint. They were confident that if they had a problem it would be sorted out to their satisfaction. All asked said that they did not have anything to complain about. Staff interviewed had received training in adult protection. All could say what they would do if they suspected anything untoward and knew the correct procedures for reporting any incidents relating to the protection of the residents. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 23, 26. The home is furnished and decorated well to ensure the residents live in a safe and comfortable environment. Pleasant outdoor areas are accessible to residents and suitable garden furniture is provided for their comfort. Some residents are involved with the new activity of growing plants in the greenhouse, which provides them with extra stimulation and interest. All areas of the home are accessible to people in wheelchairs. There are various areas within the home for social activities to take place and there is also a large function room that can accommodate large gatherings. The home is kept clean and odour free to ensure the resident’s comfort is maintained and they live in pleasant surroundings. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 16 EVIDENCE: Residents spoken to said they like their rooms, they are comfortable and contain sufficient furniture and fittings to meet their needs. All had their own personal possessions to make them feel homely. Residents have access to outdoor areas and suitable garden furniture is provided for when the weather permits enabling residents to sit out in comfort. Some residents are involved with the new activity of growing plants in the greenhouse. The manager said this had been successful and tomatoes and cucumbers had been grown. Plans are in place to extend the safe enclosed area outside leading from the corridor that residents with dementia are accommodated so they have unlimited access to the greenhouse. The home is clean and tidy with no unpleasant odours. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 17 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, 30. Sufficient staff were on duty to meet the needs of the residents. NVQ qualifications training is provided for staff and 52 of the staff team have completed this ensuring that a well-trained and competent staff group is providing care for residents. Training is well planned and opportunities are provided for staff for their development to give them the skills and knowledge to meet residents diverse needs. Staff are supported by their managers which gave them confidence within their roles as carers. EVIDENCE: Residents spoken to said that they felt the staff were competent to care for them and they thought there was sufficient staff on duty to meet their needs. The manager stated that fourteen staff had completed NVQ level 2 and 3 qualifications and a further five were in the process of completing. They received induction training and initially they worked with other staff until they had become familiar with the home and its residents. Training is well planned and supports the staff in providing for the varied needs of the residents. Staff said they were provided with sufficient training opportunities to enable them to do the work they do. All staff spoken to said they felt supported by the manager and senior staff and that all were approachable if they had any problems. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 18 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, 32, 35, 38. The home is well managed and run by an experienced and qualified manager. Staff, resident and relatives are given the opportunity to be involved in the development of the home through meetings held and published information of changes or events taking place is distributed. Residents are given support with their financial interests by an independent advocacy service if they wish or they or their relatives can retain control of their own finances. The health and safety of residents and staff is maintained by systems and procedures in place. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 19 EVIDENCE: The manager has many years experience working and managing care homes for the elderly. She is fully qualified and has a Registered Managers Award. All staff spoken to said that the manager is approachable and gives them support and guidance. Regular meeting are held for residents, relatives and staff. A quarterly news sheet is published to ensure that all residents and relatives are kept informed of any developments or activities that are planned. Relatives are formally invited to join in the events taking place at the home. Residents can control their own finances if they wish. Two residents said that their relatives managed their finances for them. Information is given to each resident of an advocacy service available should they need this support. Staff spoken to had received health and safety training. All could state good working practices in line with the relevant health and safety policies and guidelines. Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x x 3 STAFFING Standard No Score 27 3 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 x x 3 Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 21 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 7 Regulation 15, 43. Requirement Residents care plans must contain the full range of information as set out in this standard and regulation. Timescale for action 1 Dec 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 None Good Practice Recommendations Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 Springwood J55 S3014 Springwood V247478 070905 UI Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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