Care Home: Spring Cottages

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well New residents had their needs assessed to establish if the service had the right facilities and could provide the right care and support, before a placement in the home was offered. Records showed there was consultation about the level and type of care required. Contracts given to residents outlined the terms and conditions of residence. Good care planning meant residents had their assessed and changing needs met in a way that was suitable to them. Residents benefited the support of a named worker referred to as a Key worker who took responsibility to make sure care needs for individuals was personalised. Assessments linked well to care plans. These included health, personal and social care needs. Relatives who sent written comments considered their relatives well cared for. Comments made during the inspection included; `it`s very good here`, and `she is very well looked after`.There were no unnecessary rules imposed on residents and their routines in the home were flexible and special to them. Residents were generally satisfied with the activities and entertainment provided at the home. They were varied such as gardening, the homes pets, and personal preferences such as reading and attending a social club. Special occasions such as Christmas and birthdays were celebrated. Catering arrangements were to the resident`s satisfaction. Comments were made such as `we always have a choice`, `it`s very good`, and `no complaints`. Visiting times were flexible so friends and relatives could call at different times, the residents could see people in private. Relatives visiting said they were always made to feel welcome at the home. The complaints procedure was clear which helped residents/relatives have confidence to raise any concern they may have. Adult protection was given a high profile with staff training. Staff knew their responsibility in this area. Comments from the manager demonstrated she managed the home with `zero tolerance` with poor care practice. Residents living at the home expressed general satisfaction about their accommodation and facilities provided. They had comfortable bedrooms, which they could personalise to their own tastes and preferences. They also considered the home was clean and fresh. The level of staffing maintained, training provided, and supervision of staff was good which meant competent qualified staff cared for residents. The residents considered the staff as being `very good`, and always available when needed. A high percentage of staff were trained in National Vocational Qualifications in care, and training was generally being given high priority. External assessors commented, `supervision given to staff was very good and supported them to be `professional` when working`. `Learning and development opportunities were seen as generous and very relevant to the homes purpose`, with equality of opportunity `extremely well demonstrated with training`. There was a warm and friendly atmosphere in the home. Team work amongst staff and management was good with everyone working together for the benefit if the residents. Staff interviewed showed they had good knowledge in understanding the needs of older people. Residents appeared to be very happy. The home was managed and run in the best interest on residents, with the health, safety and welfare of residents and staff promoted and protected. What has improved since the last inspection? Care plans have improved setting out in detail the action care staff needs to take to meet all health, personal and social care needs of residents. How staff record information about resident care was positive. A new front door had been fitted, and rails put in place to assist residents when leaving the home. When applicants are interviewed a record is made to support the decision to employ the person. All staff was given a contract of employment. What the care home could do better: To make sure medication practice is safe, two people should check handwritten additions to medication records for accuracy. Resident photograph identification should be updated. CARE HOMES FOR OLDER PEOPLE Spring Cottages Stone Moor Bottom, St Johns Rd Padiham Burnley Lancashire BB12 7BS Lead Inspector Mrs Marie Dickinson Unannounced Inspection 09:30 17 and 18th April 2008 th X10015.doc Version 1.40 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 Spring Cottages DS0000009483.V358966.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 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. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Spring Cottages Address Stone Moor Bottom, St Johns Rd Padiham Burnley Lancashire BB12 7BS 01282 771601 01282 773641 springcottages@tiscali.co.uk 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) Mrs Carol Mary Leggett Mrs Nadine Phillips Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP The maximum number of people who can be accommodated is: 24 Date of last inspection 27th April 2006 Brief Description of the Service: Spring Cottages is a care home registered to provide personal care and accommodation for 24 older people. The registered manager of the home is Mrs Nadine Phillips. Mr and Mrs Leggett, the providers of the service, are also involved in the day - to - day running of the home. The home is an older type detached house set in it’s own grounds in a semi rural area of Padiham. A new extension has been added to the property. There is parking facilities at the front of the building, and attractive garden areas on either side of the property. Accommodation offered is in single bedrooms and one double bedroom. Some have en suite facilities provided. There are sufficient bathrooms and toilets, and various aids provided for residents to maintain independence throughout the home. The upper floor can be accessed via stair lifts. The home is staffed twenty-four hours a day. Information about the service is available from the home for potential residents in a Statement of purpose and Service User Guide. Weekly charges for personal care and accommodation range between £366 and £412 per week. Residents are responsible for additional optional extras such as newspapers and toiletries. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means the people who use this service experience good quality outcomes. A key unannounced inspection was conducted in respect of Spring Cottages on the 17th and 18th April 2008. The inspection involved getting information from an Annual Quality Assurance Assessment completed by the manager, staff records, care records and policies and procedures. It also involved talking to residents, staff on duty, the manager, and included an inspection of the premises. Observations were also made of resident’s daily life experience in the home. Written comments from relatives, residents and staff were received giving their view of the service provided and outcomes for residents. Areas that needed to improve from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. What the service does well: New residents had their needs assessed to establish if the service had the right facilities and could provide the right care and support, before a placement in the home was offered. Records showed there was consultation about the level and type of care required. Contracts given to residents outlined the terms and conditions of residence. Good care planning meant residents had their assessed and changing needs met in a way that was suitable to them. Residents benefited the support of a named worker referred to as a Key worker who took responsibility to make sure care needs for individuals was personalised. Assessments linked well to care plans. These included health, personal and social care needs. Relatives who sent written comments considered their relatives well cared for. Comments made during the inspection included; ‘it’s very good here’, and ‘she is very well looked after’. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 6 There were no unnecessary rules imposed on residents and their routines in the home were flexible and special to them. Residents were generally satisfied with the activities and entertainment provided at the home. They were varied such as gardening, the homes pets, and personal preferences such as reading and attending a social club. Special occasions such as Christmas and birthdays were celebrated. Catering arrangements were to the resident’s satisfaction. Comments were made such as ‘we always have a choice’, ‘it’s very good’, and ‘no complaints’. Visiting times were flexible so friends and relatives could call at different times, the residents could see people in private. Relatives visiting said they were always made to feel welcome at the home. The complaints procedure was clear which helped residents/relatives have confidence to raise any concern they may have. Adult protection was given a high profile with staff training. Staff knew their responsibility in this area. Comments from the manager demonstrated she managed the home with ‘zero tolerance’ with poor care practice. Residents living at the home expressed general satisfaction about their accommodation and facilities provided. They had comfortable bedrooms, which they could personalise to their own tastes and preferences. They also considered the home was clean and fresh. The level of staffing maintained, training provided, and supervision of staff was good which meant competent qualified staff cared for residents. The residents considered the staff as being ‘very good’, and always available when needed. A high percentage of staff were trained in National Vocational Qualifications in care, and training was generally being given high priority. External assessors commented, ‘supervision given to staff was very good and supported them to be ‘professional’ when working’. ‘Learning and development opportunities were seen as generous and very relevant to the homes purpose’, with equality of opportunity ‘extremely well demonstrated with training’. There was a warm and friendly atmosphere in the home. Team work amongst staff and management was good with everyone working together for the benefit if the residents. Staff interviewed showed they had good knowledge in understanding the needs of older people. Residents appeared to be very happy. The home was managed and run in the best interest on residents, with the health, safety and welfare of residents and staff promoted and protected. What has improved since the last inspection? Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 7 Care plans have improved setting out in detail the action care staff needs to take to meet all health, personal and social care needs of residents. How staff record information about resident care was positive. A new front door had been fitted, and rails put in place to assist residents when leaving the home. When applicants are interviewed a record is made to support the decision to employ the person. All staff was given a contract of employment. 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. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The admission process ensured the residents’ were properly assessed, their needs and wishes known and planned for, prior to moving into the home. Trial periods of stay were offered and people were given individual contracts/terms of conditions of residence that protected their legal rights. EVIDENCE: Comments from people completing surveys; indicated they had received enough information about the home before they moved in. Since the last inspection there had been a number of admissions. Records made during the admission process showed how the home managed this. The pre-admission assessment was thorough and covered all aspects of personal, health and Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 10 social care needs and abilities. The assessment also contained essential information, providing staff with sufficient information about the resident’s circumstances and level of support required to plan the right care for them. Records held at the home showed each person had been issued with a contract. Residents placed in the home by the local authority were given a contract for financial arrangements for payment. The range of needs of residents had been considered. Staff training programme-included full induction and essential training for example, moving and handling, and protecting vulnerable adults. Training staff was ongoing as part of staff development in care provision. Records kept, showed staff consulted other professionals such as visiting district nurses, and General Practitioners to support resident care. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care planning for residents helped staff to provide the right personal care for them, and ensured their healthcare needs was monitored. Care was given in a manner, which was respectful, and promoted privacy and independence, which supported residents right to live with dignity. Medication was managed safely. EVIDENCE: Resident’s who completed a survey for this inspection and those who gave their views during inspection, considered they received the care and support they needed. They also considered staff were available when needed. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 12 Staff worked to a key worker system, having responsibility to make sure care needs were personalised for residents. A new care planning system was in place. Staff considered them to be much easier to use and the information much more accessible. A brief record was made of residents past history. This helped staff to understand people as individuals, their likes, and dislikes. Each resident’s plan of care linked to his or her assessment of need, and outlined action to be taken to meet those needs, frequency, and person responsible. Resident’s wishes for daily living was recorded and provided sufficient detail for staff to follow and the assistance each resident required with personal care. For example, identifying the level of independence with personal hygiene. Communication difficulties had also been considered such as poor hearing and the need to ensure hearing aids are in place. Staff were also instructed to be mindful of peoples privacy. Records showed review of care plans were being carried out regularly, and changes made where needed. Resident’s benefited additional specialist support where needed. This included healthcare, and records were kept of visits from medical professionals, and of routine health screening such as chiropody and eye tests. Pressure care was promoted and pressure-relieving aids were used on medical advice. Risk assessments had been included in the care plan documents. This meant staff knew what to do in difficult situations, for example when moving a resident or assisting a resident to walk. Written comments from residents confirmed they received the medical support they needed. The rights of residents to be treated with dignity and respect was included in staff training. Rresidents spoken to, generally felt the staff respected their right to privacy and made complimentary remarks about the staff, such as ‘very good’, ‘helpful’ and ‘do an excellent job’. The home operated a monitored dosage system for the administration of medication. This was audited by the supplying pharmacist. An appropriate recording system was in place to record the receipt, administration and disposal of medication. A record of medicines received into the home had been maintained and medication had been returned to the pharmacy for disposal. To promote good practice any handwritten additions made to the medicine record should be signed by two people to verify the accuracy of information recorded. Information sent to the Commission by the manager showed staff responsible for medication administration had been trained. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents had some opportunity to take part in activities, and make choices and decisions about their lives. Visiting arrangements helped them keep in contact with their family and friends. Residents were offered a balanced, varied, and nutritious diet that provided for their tastes and choice. EVIDENCE: The residents’ preferences in respect of social activities had been recorded as part of their assessment. Information received at the Commission showed residents were actively encouraged to ‘form their own daily activities which staff will support them with’. Examples seen of this during inspection were ‘going to the local shops’, ‘helping the activity organisor’, and it was very clear, those residents who wanted, spent time resting or pursuing their own interests Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 14 such as reading. One resident said, ‘I like to go to my room and do my own thing, it’s great here.’ He enjoyed the peace and quiet. Another resident was supported to regularly attend a social club in the community. Organised activities were provided. Various resources were available to take into account residents preferences, such as the community mobile library. Two residents pet cats were enjoyed by most people. Birthday parties were arranged and usual festive days celebrated. Meetings for residents were held regularly and residents were asked what they would like to do. Residents said there were no rules imposed on them. Their preference in respect of choice relating to routines of daily living was recorded for staff to follow. Staff were made aware of what to do and what was expected of them. Residents considered staff gave them as much time as they could, and were always available to help them when needed. Residents had been encouraged to bring their own personal possessions and furniture with them. Some were managing their own affairs; relatives were supporting others. There is access to advocacy information within the home and residents and their family are given this information on arrival. Comments from residents and relatives showed visiting arrangements to be satisfactory. They all felt they could see their relative in private. One relative visiting said he came regularly, and was always made to feel welcome. He was offered a drink and was comfortable in the home. Staff were always available to speak to. Some of the residents were getting out and about with support from families and friends. Residents were supported to continue with their chosen religion and observances. Representatives from local churches visited the home on a regular basis for prayers and communion. Information received at the Commission indicated residents ‘help devise the menu’s at their meetings; these are altered regularly and each residents dietary preferences are catered for’. During inspection residents made varied comments about the food such as ‘lovely’, ‘first class’ and ‘very good’. Menus seen showed a varied diet was provided. Records were kept of meals served. The days menu was, for breakfast residents could have a choice of cereal, porridge and toast with a fry up if they wanted. Hot and cold drinks were provided throughout the day. Lunch consisted of chicken and bacon melt or gammon. Bakewell tart or stuffed apple for desert. Tea was assorted sandwiches, angel delight or fruit and cream. Place settings were used and table decorations. The meal times observed were unhurried and relaxed, staff were seen to be courteous and attentive when serving meals and assisting residents. Observations made during inspection showed portions served were generous. Meal times were unhurried and relaxed. Staff was courteous and attentive during this time. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The complaints procedure was available which helped residents/relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. This meant residents rights, safety, and welfare was promoted EVIDENCE: Residents spoken to said they had no complaints against the staff. Staff were described as being ‘very good, and obliging’. One relative visiting said she would know who to speak to if unhappy about anything, but up to present never had any reason to make a complaint, as the management and staff were very good and available to speak to. The complaints procedure was given to residents when they were admitted to the home. This was in the service user guide. No serious complaint had been made at the home, or referred to the Commission. A complaints recording Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 16 system was in place. The procedure gave clear directions on whom to make a complaint to and the timescales for the process. Any issue raised was quickly dealt with by the manager who said people are very open and would say if they had any concern. Residents and relatives, who were consulted, showed they knew who to talk to if they were not happy. People were confident to use the complaints procedure. Written comments included ‘I have never had any reason to complain, first class’. Residents were encouraged to say what they wanted and were asked regularly if everything was all right. This was in one to one chats with the manager and during residents meetings. Staff working at the home said they were trained in adult protection and were aware of the abuse policies and procedures, which included whistle blowing. They knew their responsibility in this area and were confident they would ‘report bad practice’ if ever the need arose. There were written policies and procedures covering adult protection and whistle blowing. Staff contracts confirmed an agreement made for none acceptance of gifts, wills and bequests. These issues were covered during induction. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,23,25,26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: Spring Cottages is a large two-storey property, situated in a semi rural area of Padiham. There were ample parking facilities at the front of the building, and garden areas on either side of the property. A gardener is employed and residents are ‘encouraged to help us maintain the garden, and arrange the flowerbeds as they would like them, and are also encouraged to organise the hanging baskets’. The gardens are accessible by wheelchairs and include sensory raised gardens for those who find it hard to reach down. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 18 Residents said they liked their accommodation. When people are admitted to the home, they can bring with them items of furniture and personal effects that can be reasonably accommodated in their bedroom. Bedrooms seen were personalised, and furnished and decorated to a good standard. Floor coverings matched with resident’s needs and preferences. The nurse call facility can be moved about in each room, allowing residents easy access for summoning staff. A large proportion of bedrooms had their own toilet facilities, which residents said they appreciated. Bedroom doors were fitted with safety locks enabling staff to access the room in an emergency. Some ground floor bedrooms had French doors opening into the garden. Radiators had safety guards on and the facility for residents to set their own required room temperature. The home was found to very clean during inspection. Residents who sent written comments to the Commission considered the home to be ‘always clean and fresh smelling’. Residents consulted during inspection considered the domestic staff to be ‘very thorough’, and ‘do a good job’. A new laundry had been built and was waiting to be fitted. Information received at the Commission indicated the home had infection control policies and procedures. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 19 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The numbers of staff employed, good recruitment and selection procedures, relevant training, and effective supervision given, meant residents were protected, and their needs were effectively met. EVIDENCE: Most residents and relatives who sent written comments to the Commission considered staff were always available when they were needed. Relatives considered staff had the necessary skills to do their job. Rotas completed showed the compliment of staff was more than sufficient to cover all essential duties in providing care, and maintaining essential standards in the home such as hygiene and catering, and senior staff were on duty at all times. Staff files showed recruitment checks to be complete and met with legislative requirements. Satisfactory references, and Criminal Record Bureau (CRB) and Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 20 Protection of Vulnerable Adults (POVA) register check had been applied for, prior to employment. Interview notes had been taken. On appointment members of staff were issued with a contract of terms and conditions of employment. They received a job description and a code of conduct and practice. Staff who provided written comments for the inspection said they had received induction training, and training relevant to their role as carer. Records showed thorough induction training programme had been carried out, covering essential training in basic principles of care, and safe working practice issues, such as moving and handling residents and health and safety. 78 of care staff hold a National Vocational Qualification in care level 2 or above and the carers who do not have this are registered to attend the relevant courses for this purpose. The home was recognised by ‘Investors In People’, who described ‘Impressive evidence of management going that extra mile to encourage individuals to develop their potential’. The report also stated ‘supervision given to staff was very good and supported them to be ‘professional’ when working’. ‘Learning and development opportunities were seen as generous and very relevant to the homes purpose’, with equality of opportunity ‘extremely well demonstrated with training’. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 21 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was run in the best interests of residents, which meant their health, safety and welfare was promoted. EVIDENCE: Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 22 The manager has many years experience in residential care. She has qualifications in management that includes the Registered Managers Award. She also holds an Assessors Award D32 and D33. This is beneficial for staff in the home studying National Vocational Qualification in care. Information received at the Commission for this inspection indicated the manager completed her National Vocational Qualification level 4 in care in January 2008 in addition to attending training courses to update her knowledge as required. The registered providers also have an active role in management of Spring Cottages and there are clear lines of responsibility for these roles. There was evidence of a continuing investment to improve overall standards in the home. Since the last inspection an extension had been built, and a new front door fitted. New grab rails had also been fitted at the entrance to support people entering and leaving the property. The business plan was available and showed the service having a clear intention to continue to improve the environment. Work was being prioritised such as decoration and refurbishment of bedrooms, decorating the dining room and staff training. Quality assurance systems were in place, such as Investor In People award. Many examples of good practice was noted regarding the management of the home. Written comments included, ‘Management demonstrated a clear commitment to continue in improvements, with many examples of recognising areas for improvement and acting accordingly.’ ‘Staff were encouraged to take initiative and be creative within their known boundaries, - felt secure in receiving management backup for their decisions’. Staff considered management were ‘very good’, they enjoyed their work and felt supported. There was evidence staff were consulted about any proposals for change and their views considered. Staff spoken to were aware of their contribution to the home being important. They had regular formal supervision, and staff meetings. Residents also had meetings. The manager considered this is also a way for the staff and clients to have their say about how things can be changed and run better, and ‘there was an open, positive and inclusive atmosphere’. The Investors in People report stated ‘People interviewed displayed a high degree of job satisfaction within a good team environment’. And ‘Communication both formal and informal were seen as sufficient, open and honest. All felt they were much appreciated for their work and were valued part of Spring Cottages. The home sent us their annual quality assurance assessment (AQAA), that gave us information we asked for. For example, how equality and diversity issues were managed. We were informed ‘Equal Oportunities Policy and Procedure in place, promoted and practiced in everything we do’. ‘100 commitment’ was given to caring for residents in the home. Insurance cover was in place to meet any loss or legal liabilities. The home encouraged residents/relatives to manage their own financial affairs. Residents Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 23 who are able manage their own finances continue to do so. Some money was managed for residents wanting this service. Records were kept of transactions made on behalf of people providing a clear audit trail. Records seen showed systems were in place to manage residents’ pensions, monies and charges and payments. Secure storage was available. Information received at the Commission show that policies and procedures had been reviewed. All records required by regulation that were seen were up to date. Records were also held on computer. Access to this information was controlled. The health, safety, and welfare of residents and staff had been considered. The home had a good range of policies and procedures and practice aimed at keeping everyone safe. Risk assessments to support residents with diverse and highly dependent needs, had been completed. Information received at the Commission showed regular maintenance of the homes fixtures, fitting and equipment. Staff training records showed essential mandatory training was being given to staff and being renewed periodically. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 3 X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 OP9 2 OP9 Refer to Standard Good Practice Recommendations It is recommended handwritten additions to medication records be doubly signed to reduce the risk of an error being made. It is recommended resident photographs be updated for medication records. Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Spring Cottages DS0000009483.V358966.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!