Care Home: Springfield House Residential Care Home

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What the care home does well One person who uses the service commented: "It is a very happy home and nothing is too much trouble. It is always spotlessly clean". One of the staff said "Offers a friendly atmosphere and excellent care". We found that the home was clean and that there were no unpleasant odours. People were well dressed, and Mr Jahmeerbacus told us that staff were being encouraged to take their time with people who needed support with personal care, and not to rush them. We found that assessments had been carried out for people before they moved to the home, so that their needs were known about and could be met. We found that a new style of care plan was being developed, and this contained clear information about the help that was needed. We discussed with Mr Jahmeerbacus that these care plans needed to be more comprehensive covering aspects of life such as activities and interests. We observed one member of staff preparing medication, and noted that it was done in an appropriate manner. Mr Jahmeerbacus showed us the system for controlled drugs and we were satisfied such drugs are being stored appropriately in a proper cabinet and that records are kept. We also looked at the records in relation to the recruitment on a new member of staff. We found that appropriate checks had been made to ensure that this individual was suited to the work. What the care home could do better: We looked at the accident records, and noted that one person in particular had a fall in recent months. Mr Jahmeerbacus explained that actions had been taken to ensure that this individual was now safer including rearranging the bedroom. We were told that this had been discussed with the relatives and relevant professionals. However, there was no risk assessment on file that would have demonstrated that these measures were sufficient and appropriate. In looking around the home we noted that whilst some locks had been fitted to some toilet doors, others still did not have proper locks. We also found that there were still vision panels in some bedroom doors that meant that the occupants privacy wasimpinged. Mr Jahmeerbacus told us that the risk assessments in relation to avoiding harm from hot radiators, had not all been completed and implemented. Random inspection report Care homes for older people Name: Address: Springfield House Residential Care Home Springfield House North Hill Cornwall PL157PQ one star adequate service 09/07/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Helen Tworkowski Date: 0 8 0 6 2 0 1 0 Information about the care home Name of care home: Address: Springfield House Residential Care Home Springfield House North Hill Cornwall PL157PQ 01566782361 01566782169 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Mohammad Jahmeerbacus Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cornish Care Ltd care home 23 Number of places (if applicable): Under 65 Over 65 6 6 23 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 The maximum number of service users who can be accommodated is 23. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia aged 65 years or over on admission (Code DE(E)) - maximum of 6 places Mental disorder aged 65 years or over on admission (Code MD(E)) - maximum of 6 places Date of last inspection Care Homes for Older People 1 7 0 8 2 0 0 9 Page 2 of 9 Brief description of the care home Springfield House is located in the rural village of North Hill, which is between Liskeard, Callington and Launceston. The home is registered to provide care for 23 older people some of whom may have dementia or mental health needs. The home has a large lounge, a conservatory and a dining room. In addition there is a lawned garden to one side of the house, and a smaller enclosed courtyard garden near the dining room. The bedrooms are on the ground and first floor, and there is a stair lift for people who have difficulties climbing stairs to the first floor. Six of the rooms are arranged in pairs, so whilst each pair of rooms shares a small lounge area, they also only have borrowed light. Four of the bedrooms have ensuite toilets. Information about the services provided in the home can be obtained from the home. Up to date information on fees is available in from the home. Items not included in the weekly fee are chiropody, hairdressing, newspapers, and personal toiletries and clothing. Care Homes for Older People Page 3 of 9 What we found: This inspection was a random inspection, to look at a few key aspects of the service. As the inspection was not comprehensive the inspection cannot alter the current rating of the home. As part of this visit we looked at the records relating to care of two people who had recently moved to the home. We looked at the way controlled drugs are managed, and observed medication being administered. We also looked at the recruitment records of one person who had started work at the home. We spoke briefly with two people who use the service. In addition we had received a completed questionnaire from Mr Jahmeerbacus, the Registered Manager, about the service, and also received nine returned surveys from people who live at the home and four returned surveys from staff. What the care home does well: What they could do better: We looked at the accident records, and noted that one person in particular had a fall in recent months. Mr Jahmeerbacus explained that actions had been taken to ensure that this individual was now safer including rearranging the bedroom. We were told that this had been discussed with the relatives and relevant professionals. However, there was no risk assessment on file that would have demonstrated that these measures were sufficient and appropriate. In looking around the home we noted that whilst some locks had been fitted to some toilet doors, others still did not have proper locks. We also found that there were still vision panels in some bedroom doors that meant that the occupants privacy was Care Homes for Older People Page 4 of 9 impinged. Mr Jahmeerbacus told us that the risk assessments in relation to avoiding harm from hot radiators, had not all been completed and implemented. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 8 13 Risk Assessments must be completed in relation to all significant risks, including falls. This requirement was initally made on on 18/8/09 to be met by 1/10/09, and still has not been met. People should not be exposed to unnecessary harm. 01/09/2010 2 24 12 Vision panels in bedroom and 01/09/2010 bathroom doors must be obscured. Suitable locks must be provided on all bathroom and toilet doors. This requirement was made on 31/7/10 to be met by 1/10/09, and was not met. Peoples privacy and dignity must be respected. 3 24 13 Potential injury from hot radiators must be risk assessed, and appropriate action taken. This requirement was made on 31/7/10, to be met by 1/10/10, and has not been completed. Hot radiators can cause serve injury if a person falls and lies against such a 01/08/2010 Care Homes for Older People Page 6 of 9 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action surface. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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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