Care Home: Springfield House

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What the care home does well People who want to use the service have a detailed assessment carried out before their admission to the home. There are a number of activities taking place within the home and outings during the year to make sure people do not get bored. The home provides people with a caring, friendly and homely environment. People are provided with a service that is secure and comfortable and staff respect their dignity, privacy and individuality. People said: " I like it here they look after me well, staff are very helpful nothing is to much for them to do for us. "I am happy here, this is my home." staff said "we work well as a team." What has improved since the last inspection? Since the last inspection the manager has worked with staff to make sure that rooms are fully prepared for new people being admitted, so that essential items are not overlooked. Arrangements were made for staff to have adult protection refresher training, so that they know what to do if an issue arises. Since the last key inspection the home makes sure that all application forms are fully completed and two independent references are received. This ensures the home gets as much information about the applicant to make sure they are safe to work with people who use the service. Since the last key inspection the Registered Manager make sure that all incidents and events that fall under the remit of this regulation are notified to CSCI without delay. Since the last key inspection the home makes sure that all staff receives fire safety instructions at least twice a year, so that they know what to do in the event of a fire. What the care home could do better: The home should make sure that people who want to use their service and their representatives have access to up to date information about the home. So that they can decide if the home can meet their needs. Any identified risk should have a care plan in place to show how the risk will be managed or minimised. The home must make sure the use of bed safety rails is agreed with the person or family and health care professionals.The medication trolley should be fastened to a wall when not in use to make sure it is safe and secure. Nutritional risk assessments should be carried out as part of people`s assessment of care needs. To make sure that people`s nutritional care needs do not get overlooked. The home`s complaint procedure should be displayed so that people, staff and visitors have information on how to make a complaint. The heating system in the home must be reviewed. Any portable heaters used must be risk assessed to make sure that they are safe for people to use and do not present a fire hazard. The hot water temperature of outlets accessible to people living in the home should be regularly checked, so that people are not at risk of scalding. CARE HOMES FOR OLDER PEOPLE Springfield House Springfield Avenue Morley Leeds West Yorkshire LS27 9PW Lead Inspector Valerie Francis Key Unannounced Inspection 10th December 2008 09:30 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 Springfield House DS0000001507.V373850.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. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield House Address Springfield Avenue Morley Leeds West Yorkshire LS27 9PW 0113 252 1969 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) springfieldhouse@gmail.com Mrs Susan Elizabeth Hart Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Old Age, not falling within any other category, Code OP - maximum number of places 22 The maximum number of service users who can be accommodated is: 22 30th January 2007 2. Date of last inspection Brief Description of the Service: Springfield House provides accommodation for up to 22 older people who are in need of personal care rather than nursing care. It was first established in 1985 by the owner and her late husband and has always been managed by the owner. The home is a large, stone-built detached property, which stands in its own grounds, situated in a quiet residential area of Morley, on the outskirts of Leeds. It is fairly close to shops and public transport links into Morley town centre and to Leeds. The original house had a large ground floor extension added in the late 1990s, constructed in stone to blend in with the original building. The home now provides 18 single bedrooms in total (9 with en-suite facilities) and 2 doubles (1 with en-suite). Communal living space is in four large rooms on the ground floor of the original house, providing flexible dining and sitting arrangements. Many of the people living in the home are from the local area, which enables them to maintain contacts within the community. Current fees are £380 to £421 per week. Springfield House DS0000001507.V373850.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 stars. This means the people who use this service experience good quality outcomes. This was an unannounced visit to the home by one inspector, which lasted about six hours. We were accompanied by an Expert by Experience from the organisation Help the Aged. An “expert by experience” is a person who, because of their shared experience of using services, is able to help us get a better picture of what it is actually like for people using services. This report is based on information gathered in a number of ways. A review of the information we have received about the home since its last key inspection. Information sent to us by the registered provider in a document called the Annual Quality Assurance Assessment (AQAA) self assessment information, which tell us what the home does well, what improvements they have made and what they could do better. Comments made from people, visitors and staff during the inspection. This visit included a tour of the premises and talking to people who live at the home, staff and management. We also looked at menus and people’s care plans and watched staff looking after people. The information in “what has improved since the last inspection” shows how the home has addressed the requirements made at the last key inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: People who want to use the service have a detailed assessment carried out before their admission to the home. There are a number of activities taking place within the home and outings during the year to make sure people do not get bored. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 6 The home provides people with a caring, friendly and homely environment. People are provided with a service that is secure and comfortable and staff respect their dignity, privacy and individuality. People said: “ I like it here they look after me well, staff are very helpful nothing is to much for them to do for us. “I am happy here, this is my home.” staff said “we work well as a team.” What has improved since the last inspection? What they could do better: The home should make sure that people who want to use their service and their representatives have access to up to date information about the home. So that they can decide if the home can meet their needs. Any identified risk should have a care plan in place to show how the risk will be managed or minimised. The home must make sure the use of bed safety rails is agreed with the person or family and health care professionals. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 7 The medication trolley should be fastened to a wall when not in use to make sure it is safe and secure. Nutritional risk assessments should be carried out as part of people’s assessment of care needs. To make sure that people’s nutritional care needs do not get overlooked. The home’s complaint procedure should be displayed so that people, staff and visitors have information on how to make a complaint. The heating system in the home must be reviewed. Any portable heaters used must be risk assessed to make sure that they are safe for people to use and do not present a fire hazard. The hot water temperature of outlets accessible to people living in the home should be regularly checked, so that people are not at risk of scalding. 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. Springfield House DS0000001507.V373850.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 Springfield House DS0000001507.V373850.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): 1 &3 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People have access to information about the home, which helps them decide if their needs can be met. Assessments are carried out before a person moves in to make sure the home can meet their needs. EVIDENCE: There is information about the home that is given to prospective and current people who use their service. This gives people information about the fees and the service provided. At the time of this key inspection the statement of purpose and service user guide seen did not have all the required information as most of the information was missing. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 10 The deputy manager told us that they were in the process of reviewing their written information to make sure that people have access to up to date information. We found that people had their needs assessed before they move into the home. It was obvious from the information seen in two people’s files that the home received copies of assessment information from other agencies. We looked at care records for the last two people who came to live at the home. We found that the assessment information about people’s care needs were enough to provide staff with details to put together a care plan that outlined people’s needs. For instance information from one person’s file showed that they were blind, whilst another person’s file showed they needed a soft diet. However, the assessment We found that the assessment information about people’s care needs were enough to provide staff with details to put together a care plan that outline people’s needs. For instance information from one person’s file showed that they were blind whilst another persons file showed they needed a soft diet. However. The assessment document did not have the date or the name of the person, who carried out the assessment and there was no indication that people or relatives had contributed to the process. In the AQAA the home said “We are open and honest about our service, and do not accept residents who we do not think will be suitable, or fit in with our current residents. We assess prospective service users thoroughly. We invite them into the home for a trial period to ensure that they like it”. Springfield House DS0000001507.V373850.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 & 11. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s care needs are being meet, although the care records need some minor improvements to fully reflect this. Medication systems are safe which means that people receive their medication as prescribed. People are treated with dignity and respect but staff need to be aware of individual wishes regarding end of life care. EVIDENCE: A care plan is developed for each person. Minor improvements to peoples’ care plans would make them a more effective working document and help reflect practices within the home. We looked at three care plans and found that there was some good information that identified people’s care needs and showed what action staff must take to meet their care. For example one person can walk a short distance but needs the help of one staff. However, on a bad day when she finds it difficult to walk Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 12 she needs support from two staff members. Another person’s care plan showed that they needed support from one care staff with their personal care but should be given time to help themselves. During the visit we saw one person’s care been reviewed with their social worker, daughter and some input from the deputy manager. We also noted that one person’s daily notes showed that there was a gap of over nine days when they had their bowels open. This was brought to the attention of the deputy and the registered manager, who said they would look into the matter immediately. We saw that the home had carried out risk assessments for daily living and moving and handling. However, if a risk was identified there was no care plan put in place for staff to know what action they must take to manage/ minimise the risk. For example one person had bed safety rails but no risk assessment had been carried out with a care plan showing how to minimise and manage the risk of a bed safety rail been used. There was also no agreement made by the home with the person or their family and health care professional. One person spoken to said, “I am very happy at Springfield House I am well looked after.” When we asked people and their visiting relatives if they were involved in writing their care plans, they said they were not aware that there were care plan to show how care and support needs will be delivered. One visitor said they were very please with the care given to their relative at the home. Although they had no concerns about the care and attention their relatives were receiving, they would let other members of their family know they can have an input in the care planning process. We looked at how medication is managed in the home and found that team leaders and senior care workers had received one day training on handling medication. We watched a medication round and spoke to the member of staff carrying out this duty. We found that records were well maintained and recording systems were in place, which help to protect the people in the home. However, we saw that the medication trolley was not secured to a wall when not in use as recommended in the Royal Pharmaceutical Guidelines for residential homes. We saw that people were treated with dignity and respect and were able to exercise their rights and choice. One person told us, “This is home from home and it was my choice not to go out.” Staff were observed knocking at people’s doors before they went in. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 13 People were discreetly helped with personal care, such as going to the toilet. During the visit we saw people entertaining their visitors and heard people being called by their chosen name. We saw staff being friendly without being overly friendly. Although we noted in one person’s plan that they had been supported through a bereavement of a friend living in the home. None of the care files seen had any information that showed people’s last wishes for their end of life care, so that they get the care they wanted. One person’s relatives told us that when her mum came to live at Springfield House she was immobile and now the staff has got her walking again and she was doing well. The home told us in their AQAA that over the last twelve months they have put an action sheet in the care plans when necessary so all staff know quickly of any new instructions. They also told us that in the next twelve months they are going to change care plans to make them more detailed and individual for each resident, with more formalised discussion with families. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are able to exercise choice and enjoy a range of meals and activities. Staff have a welcoming attitude towards visitors. There is a good range of activities for people to take part in if they wish so they do not get bored. EVIDENCE: The home has an activity organiser who works four days a week engaging people in social and recreational activities. During the visit people told us that they have regular trips out to various places of interest. During the visit we saw staff carrying out social activities such as board games. Staff told us that they try to engage people in some kind of activities at 11:00 am each morning. Some people had chosen not to take part they were reading a book, newspapers or magazines. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 15 The home has a television room where people who wanted to watch television had the opportunity to and those who wanted to read there was a room for them to do so. People have the opportunity to take part in group activities. However, there was no information that showed how people who spent time in their room were stimulated so that they do not get isolated. One person had difficulties communicating and there was no information in the persons care plan that showed how this person communicates with the staff and their visitor and what was put in place to support her. People told us that they were taken out Christmas shopping to buy presents for their families. It was obvious from information seen that people have and are encouraged to keep in contact with their families and friends. Several people had family and friends visiting at the time of the inspection, one person whose relative lives abroad was visiting them. Visitors said that they were happy with the care their relatives were getting and had no concerns. It was obvious that people’s visitors were made to feel welcome. We were told that they found the home to be a happy place and a friendly atmosphere. We saw visitors joining in discussion with people other than their own relatives who they were visiting. We where told that the local school invites people to any event they were having, such as people had been invited the day after the inspection to attend the local school’s Christmas show. There were regular visits from an outside entertainer who engaged people in singing. In the AQAA the home indicated that in the next twelve months they want to improve and increase activities. They also told us that they want to improve the dining experience for people. During the visit we spoke to the cook who was well aware of people’s likes, dislikes, nutritional needs and any specialist diets such as soft and liquid diets. When we arrived the menu for the food served each day was not completed. However, later on in the morning this was done by one of the people living in the home who enjoyed this daily task. Nutritional risk assessments are not carried out as part of people initial care assessment before they move in the home. This would help to identified their Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 16 nutritional needs. At lunchtime we saw the food was appetizing. We were told that people could request food they liked; all the people in the home would celebrate people’s birthday. People said they were happy with the food served and they had a choice of food if they did not like what was been served. We saw staff supporting people with their meal, they were given enough time to chew their food and staff engaged them in conversation throughout the meal. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 17 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People know that their complaints will be listened to, taken seriously and would be acted upon. People have their rights protected by the policies in place and staff training which also protects people from abuse. EVIDENCE: Although we saw a copy of the home’s complaint procedure in their Statement Of Purpose and Service User Guide, a copy was not displayed in the home, which would be available to people and visitors to the home, so that they knew what the home’s complaint procedure was. Staff receive training from two of the senior care staff that have had Adult Protection training. During discussion with staff there was a clear indication that staff knew what to do if they were made aware of any incident of abuse. An abuse awareness procedure and guidelines are in place in the home, as well as the local authority multi agency procedures for dealing with abuse and the Department of Health “No Secrets” document. We have not received any complaint or any adult protection issues relating to the home. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 18 People told us that they were happy and had no complaints. People and their visitors told us that staff were very kind and caring and listened to what they had to say. People’s visitors told us if they had any concerns they would approach the manager who they knew would take their concern seriously and resolve it. One visitor told us that they visit their mother regularly and always found her mum clean, well fed and cared for, and was pleased with the care shown to her mum. In the AQAA the home told us what they do well is their open culture of suggestions and complaints from residents and staff. There is an anonymous suggestion box with cards and a pen for anyone to use. All families and visitors are aware of the complaints procedure. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 19 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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a safe, comfortable environment, but some areas of the home need refurbishing to make sure people live in a pleasant and comfortable environment. EVIDENCE: Although all areas of the home were clean, comfortable and pleasant we found the dining room to be basic. The curtains in the dining room were worn and faded and hanging off the rails. Despite this we found the room to be light and warm. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 20 We noted that people had taken the opportunity to bring with them furniture, fitments and memorabilia to personalise their rooms. Most bedrooms were nicely decorated and very clean with no unpleasant smells. The communal sitting areas were comfortable with a variety of chairs some of which had been brought in by the people living in the home or previous people. There is a good laundry system in place, care staff carry out all laundering of people’s clothing. People told us that there is a good system and there is not as many clothes getting mixed up or going missing. Maintenance and repairs are carried out on a regular basis. Staff keep a record of all jobs that need to be done, which are carried out by the maintenance person. Staff have had training on health and safety and infection control with regular updates. We were told that the home has a redecoration and refurbishment plan in place. In the AQAA they told us that what they have improved in the last twelve months are some new floor coverings, a fish tank, and loop system to support people who are deaf. They also said what they could do better is having a high cleaning roster which is done regularly. Their plans for the next twleve months are to keep on with the redecorating programme, fit new kitchen flooring and replace curtains. When we spoke to people they told us that they had the oppertunity to choose the colour of their room and carpet before they came in. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 21 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. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are adequate numbers of staff to meet the personal and social care needs of people. Staff are trained to provide a safe and competent service to people who use their service. The home police and procedures regarding recruitment provide support and protection for people using their service. EVIDENCE: On the day of the inspection there were three care staff plus the care manager available to people, and domestic staff who also works five hours a day at the weekend. There appears to be enough staff to meet the needs of the present group of people living in the home. We looked at three staff files and we found that the home is now getting two references for all new staff they employ. All recruitment processes are completed before staff are employed including a completed application form, two references, CRB (Criminal Record Bureau) checks and POVA (Protection of Vulnerable Adults) checks. Staff have induction training to make sure they can meet the needs of people in their care. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 22 All staff have moving and handling, health and safety and infection control training as part of their induction process. There is on going NVQ (National Vocational Qualification) training for staff to make sure that they have an NVQ qualification in care level two or and three. In the AQAA we are told that all kinds of staff training is encouraged. Recruitment is robust and careful, staff retention is very good. What they do well is make sure that most staff have a NVQ qualification. However what they feel they could do better is to make sure that adult protection training is updated annually. And their plan for the next twelve months is to keep on training and run adult protection training for all staff. People and their relatives praise staff for the care and attention given at the home. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 23 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, 33, 35, 37 & 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and people are protected by the policies and procedures in the home. EVIDENCE: The registered provider, care manager and two deputies manage the home. It was obvious from the discussion with staff, people who use the service and their visitors that they feel that the management of the home is approachable and also available to discuss any issue they may have. Although staff meetings take place they are not regular. The home do not have relatives meetings, which when we spoke to people’s relative they felt would Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 24 be a good idea so that they have a forum to discuss any issues they may have as a group. However, although they thought it would be good that such a meeting could take place, they did not have any concerns about the home. Questionnaires are given to people and their family to determine the quality of the service provided by the home. We were told feedback of the outcome of the survey is given to people in a newsletter. Financial records are kept and the home has secure facilities for the safekeeping of any valuables. Records seen were up to date. Risk assessments are carried out with regards to the health and safety of people and staff and records are kept of all accidents and incidents. During the walk around the home we found that some rooms were cold and some people had portable heaters. The deputy and manager said they were not aware of the reason for this. The heating system needs to be reviewed and if portable heaters are used there must be risk assessments undertaken to ensure their safety and make sure that they do not present a fire risk. The hot water is many bedrooms was overly hot. In the AQAA we are told that what the home does well is provide good quality care, by well trained staff. All staff are encouraged to improve skills by training. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 25 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 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 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 26 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. 1 Standard OP38 Regulation 13 (4) (a) The heating system in the home must be reviewed. Any portable heaters used must be risk assessed to make sure that they are safe for people to use and do not present a fire hazard. Requirement Timescale for action 26/01/09 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 OP1 Good Practice Recommendations People who want to use the service and their representatives should have access to up to date information about the home. So that they can decide if the home can meet their care needs. The medication trolley secured to a wall when not in use to make sure it is safe. 2 OP9 Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 27 3. OP38 The temperature for all hot water outlets accessible to people living at the home should be regularly checked. To make sure people are protected from scalding. Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Springfield House DS0000001507.V373850.R01.S.doc Version 5.2 Page 29 - 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!