Care Home: Springfield House Residential Home

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What the care home does well A strength of this home continues to be its lively, bustling atmosphere that is both warm and welcoming. Staff interact with service users in a lively and stimulating way, encouraging conversation and response by using the knowledge of the service users` interests and also using humour with respect and sensitivity. As a result of effective cleaning and maintenance routines the home maintains a high standard in relation to cleanliness, tidiness and safety. Service users commented on their attractive surroundings, comments included: "We have got a new T.V. and some new furniture." "We are all comfortable here." The home has an enthusiastic staff team who aim to provide a good and supportive service. One member of staff commented, " I love working here, everyone works as a team it`s good." This helps service users to feel comfortable and confident in the people that care for them. Staff are well trained which means that service users are supported appropriately and skilfully. Service users are well cared for and this is reflected in their appearance, this promotes their dignity and self-respect. What has improved since the last inspection? All store cupboards are now kept locked when not in use. This means that the contents inside are not a source of risk to people who may be a little confused. The numbers on the telephone used by service users have now been replaced so that they are clearer and service users can see them. This means that service users are more able to promote their independence when using the telephone. What the care home could do better: So that the home has the maximum information about a new service user an a current care plan, as well as an assessment of need, should be included with the information gathered prior to admission. When a service user has diabetes or any other medical condition that might cause risks to the person, risk strategy plans must be in place so that staff are aware of the risks and have guidelines to follow that will reduce the risks and keep service users safe and free from unnecessary complications. So that service users are confident that the home takes their concerns seriously consideration should be given to how the home informs the service user and records the steps taken to deal with it. Depending on the severity of the concern may decide whether they are recorded either in the person`s daily file or following the home`s complaints procedure. As a result of the difficulties found by the home when attempting to support service users to open individual bank accounts where they can deposit accumulated money, it was advised that individual independent advocates are sought to support service users with this task. CARE HOMES FOR OLDER PEOPLE Springfield House Residential Home Bunker Hill Philadelphia Houghton-le-spring Tyne And Wear DH4 4TN Lead Inspector Mrs Elsie Allnutt Key Unannounced Inspection 20th November 2007 10:00 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 Residential Home DS0000015764.V355000.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 Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield House Residential Home Address Bunker Hill Philadelphia Houghton-le-spring Tyne And Wear DH4 4TN 0191 512 0613 0191 512 0614 admin@northumbriacare.com 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) Northumbria Care Limited vacant Care Home 36 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number disorder, excluding learning disability or of places dementia (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (5), Old age, not falling within any other category (36), Physical disability over 65 years of age (1) Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2006 Brief Description of the Service: Springfield House provides care to older people over the age of 65 years, some of whom may have dementia or mental health needs and there is one place for a person who may have a physical disability. It has a variation to its registration to enable it to take one person under the age of 65 years. The home provides personal care only and any health needs are dealt with by the Community Nursing Services. The home is purpose built and offers ground floor accommodation to all areas with staff facilities being sited on the first floor. It is a detached building that stands in its own grounds. There is a large garden to the rear of the home that is used by service users and their visitors. The home is situated in a cul-de-sac, which overlooks the cricket field, as well as being close to a local college and housing estate. Although there are few other community facilities within the area a regular bus service operates from the front of the home enabling easy access to the Galleries in Washington or to Sunderland City Centre. The home has developed a Service User Guide that is attractively illustrated with photographs and offers information to current and prospective service users in a way that is easy to understand. The home has also developed a small brochure about the service. The current fees charged by the home are either £381 or £396 depending on the assessed needs of the person. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This scheduled unannounced Key Inspection was carried out over one day in November 2007. The inspection included the examination of information provided by the provider in the Annual Quality Assurance Assessment (AQAA) and comments received from service users and their relatives via surveys sent out prior to the inspection. The care experienced by a sample of service users was ‘case tracked’ and time was spent chatting with service users and observing life in the home. A tour of the building took place, and a sample of staffing and service users’ records was inspected. A meal was taken with service users. The judgements made are based on the evidence available to the inspector during the inspection, the AQAA and the surveys completed by service users and their relatives. What the service does well: A strength of this home continues to be its lively, bustling atmosphere that is both warm and welcoming. Staff interact with service users in a lively and stimulating way, encouraging conversation and response by using the knowledge of the service users’ interests and also using humour with respect and sensitivity. As a result of effective cleaning and maintenance routines the home maintains a high standard in relation to cleanliness, tidiness and safety. Service users commented on their attractive surroundings, comments included: “We have got a new T.V. and some new furniture.” “We are all comfortable here.” The home has an enthusiastic staff team who aim to provide a good and supportive service. One member of staff commented, “ I love working here, everyone works as a team it’s good.” This helps service users to feel comfortable and confident in the people that care for them. Staff are well trained which means that service users are supported appropriately and skilfully. Service users are well cared for and this is reflected in their appearance, this promotes their dignity and self-respect. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with good information about the service that helps them to make an informed choice about where they would like to live. Preadmission assessments received from the referring agencies and carried out by the home demonstrate service users’ needs and assist the home to make an informed judgement as to whether they can meet these. EVIDENCE: The home has developed a Statement of Purpose and a Service User Guide that clearly informs people about the service delivered. However both documents need to be reviewed and updated to reflect the recent change of management in the service. The home has a policy that states that prior to anyone moving into the home as much information as possible about the person is received from the Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 9 referring agency. The home also carries out their own assessment with the service user and their family. This and other information gathered by the home is used to develop the home’s care plan and included in the care files. However one file of a recently admitted service user did not include a current care plan from the Care Manager. The home’s assessment document is comprehensive and generally completed well. One section of the document collects important information about each individual’s life history, however for some new service users not all of this information is complete. When fully complete this information can introduce the reader to the whole person including their background from which they came, the life they lived and the things they enjoyed. This profile is an important piece of information for carers to refer to when working with the individual service user and assisting them to make decisions and choices about their lives. The care needs assessment is kept in the care file so that it can be reviewed and adjusted when needs change. When the decision is made that the home can meet a prospective service user’s needs a letter is sent out to the person to confirm this and a copy is kept in the individual care file. This home does not provide intermediate care. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. 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. Service users’ personal and healthcare needs are met in a flexible manner and in a way that promotes their dignity and acknowledges their right to privacy. Care plans are in place that guide staff to appropriately support service users’ with individual care needs. Medication arrangements are appropriate to the needs of service users and they are managed safely and appropriately, ensuring that the welfare of the service users is safeguarded. EVIDENCE: A new care plan document has been developed by the home and this is used with the assessment document to ensure that the identified care needs and identified risks if relevant, are addressed. Care plans are currently being reviewed and the information in them is generally in good detail and guides staff to support the service users in the Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 11 appropriate and individually preferred way. The manager feels that as the new document is used more and staff have more practice, the way information is recorded will improve. A new risk assessment/strategy plan document is also being developed. A discussion took place about this regarding how and where information should be recorded. Individual risk assessments are in place and clear risk strategies guide staff to minimise the identified risk. The manager agreed that individual risk assessments and strategy plans are more effective when recorded directly with the care plan they relate to. It was noted however that although a nutrition assessment is in place for one service user with diabetes there are no risk strategy guidelines in place to guide staff in relation to the possible clinical effects of the condition. Although staff are trained to carry out their role effectively and address their duties professionally they are also aware of their limitations and therefore gain further advice when needed from specialist healthcare professionals, for example relating to dementia care, diabetes, pressure and continence care. One care plan clearly records the equipment in place for one service user who is at risk of pressure damage and another refers to the responsibility the district nurse has regarding the changing of wound dressings. The home has received several compliments from healthcare professionals about the high standard of care evident within this home, this includes a letter from a GP, a CPN and comments from district nurses who regularly visit the home. Care plans are monitored and evaluated monthly when changing needs are addressed and care plans adjusted. Although all service users have a review meeting with the social worker at the end of their six week placement at the home the manager was reminded that a review should be held annually where all service users and their family can discuss the placement and care plan in place. Senior members of staff are responsible for the administration of medication and all have received appropriate training to effectively manage this. Appropriate procedures are followed and the medication is stored in a locked trolley that is taken around the home and from which the medication is directly administered and signed for. A full audit of medication was not carried out on this occasion. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. Staff support service users to live appropriate and fulfilling lifestyles while also maintaining contact with family and friends, however without the Activities Coordinator solely employed to work with this task, activities can be compromised when support with personal care tasks is needed. Meals are healthy, nutritious and attractive, and are prepared to meet the individual dietary needs of each service user. EVIDENCE: Due to recent care staff shortages in the home the person who usually organises the activity programme has been designated to a care role. This means that there has been limited time to address the usual variety of activities within the home. Service users commented: “Not a lot has been going on lately.” “I only go out when my family comes.” Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 13 Although several activities are organised for the period leading up to Christmas including a visit to the pantomime, a Christmas shopping event and a Christmas party and two entertainers have performed in the home over the past month, there was no activity programme evident in the home to inform and stimulate service users’ attention about such events. It is noted however that plans are in place to improve the activity programme and community contact. The manager has plans to introduce new activities within the home and to expand on community participation. A weekly Wednesday Club is to take place within the home where members of the local community are invited to come along to an over 65s’ event and other activities such as baking sessions and quizzes are to be organised. The manager also has plans to reinstate a member of staff to their role as activity organiser with the sole responsibility to coordinate activities. There are also plans to install an Interactive Social Media System within the home that will enable service users and their families to contact families and friends who live overseas and other parts of the country. The service users and families will be able to interact verbally and visibly with their contacts via a T.V. big screen. The food served at lunchtime was tasty and nutritious. Service users confirmed that the food is good and that they have a choice of menu each day. The cook and others who work in the kitchen have attended training in relation to food hygiene and the cook is appropriately trained in issues around nutrition and food management and has the Intermediate Food Hygiene Certificate. There is also good interaction between kitchen and care staff in relation to individual service user’s dietary needs. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to help protect service users from abuse and to seriously address complaints and concerns about the service. EVIDENCE: The home has a comprehensive complaints procedure of which service users and their representatives are aware. Service users were confident that their concerns or complaints would be addressed appropriately. Service users and their representatives are encouraged to discuss their concerns on a daily basis and these are addressed directly. A book that records comments concerns and complaints is available for anyone to access. Over the years this has been primarily used for the recording of compliments made by service users, families and visiting professionals. It is good to note there are many compliment letters, comments and cards included. The provider was pleased to confirm that few complaints have been made over the years and records showed that no complaints have been made or recorded over the past twelve months. A discussion took place with the manager and the provider in relation to how complaints are recorded and the importance of demonstrating to service users and others that their concerns are taken seriously. It was concluded that in Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 15 order to maintain confidentiality any complaint made would be recorded in a separate Complaints Book and kept in the home’s office. Staff receive training regarding the local authority’s Safeguarding Adults procedures and they are aware of the action they would take if an abusive incident was observed or reported to them. Investigations were recently carried out regarding allegations made in relation to service users’ personal monies. The home followed the appropriate procedures and suitably supported the investigation. The outcome confirmed that the allegation was unsubstantiated. The home holds money for most service users and for some, who lack the capacity to deal with their finances, the home receives the full personal allowance each week to keep safe for the service user. Clear individual accounts are kept that identifies monies paid in and out and receipts are kept of all monies spent and each person’s money is kept separately and securely in the home’s safe. However difficulty has arisen where the individual service user has no bank account into which accumulated money can be paid. For one person there is an excessive amount of money kept by the home and for which the home’s insurance policy does not cover. Discussions took place around this issue and it was suggested as a matter of urgency that advice be sought on this matter and an independent advocate accessed. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, warm and well maintained offering service users a homely and safe environment in which to live. EVIDENCE: This home is situated in an attractive setting away from the main road and within well-maintained grounds that includes well-stocked gardens to the back of the house and patio areas at the front that overlook the cricket ground. Service users confirmed that they use these areas in the warmer weather. The well-kept, safe and comfortable environment reflects a comprehensive maintenance programme. New furnishings are regularly purchased, the necessary equipment is bought and rooms are regularly decorated. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 17 Some areas of the home are currently in the process of being decorated and other areas have recently been newly furnished, this includes individual bedrooms. Relatives of a prospective service user who were looking around the home commented they were “delighted” at the standard of decoration and furnishings of the bedroom to be occupied and the standard of the home throughout. Although the home has a pleasant temperature throughout the communal areas, two of the bedrooms visited felt cold. This was brought to the attention of the manager. A comment about the need for “back up heating” in a bedroom was referred to in one of the surveys. There are three lounges where service users can choose to sit all have wide screened televisions that can be easily viewed by people with poorer sight. The cleanliness throughout the home reflects effective cleaning routines that are discreetly and safely carried out by the domestic staff team. All staff have completed training regarding infection control. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. The home employs a competent and qualified staff complement that effectively meets the needs of the service users. The robust recruitment procedures followed ensures that the interests of the service users are protected. EVIDENCE: There was sufficient staff on duty to effectively meet the service users needs, this includes 4 care assistants, 1 senior member of staff, the deputy manager 1 cook, 1 kitchen assistant and 2 domestics. The manager is in addition to this number and works Monday to Friday. An examination of the rotas and discussions with service users and staff confirmed that this number is consistent. This is particularly good to note considering the home has experienced staffing and recruitment difficulties over the past few months as a result of several staff leaving. The process of filling the vacancies is now progressing well. Care practices observed in the home reflect the skill and dedication of a well trained and motivated staff team. Staff interact sensitively with service users and work as a team. Service users made several complimentary remarks about them and the care that they provide. The majority of staff are qualified in NVQ relevant to their role, including kitchen and domestic staff. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 19 Training is varied and up to date and recently has included moving and handling and fire safety. Although some certificates were evident in staff files not all included these, neither did staff files include evidence of individual training and developing programmes, however there are plans in place to address this during staff supervision sessions. Plans are also in place for all new employees and recently employed staff without NVQ, to work through a new induction programme based on the Skills for Care Induction Standards. Appropriate recruitment records of staff recently employed demonstrate that the home’s robust recruitment procedures are followed. Application forms identifying a clear up to date record of employment, 2 written references and a satisfactory CRB (Criminal Records Bureau) checks are in place for newly employed staff, however as one reference did not refer to the person’s integrity, skills and attitude a telephone conversation was recorded in the file confirming their suitability. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a strong, competent, well trained senior care team supporting a new manager to develop and maintain a well run service, that is run in the best interests of the service users. EVIDENCE: The manager has been in post for two weeks and is currently completing the application forms to be the registered manager for this home. She is a competent person and has worked in care for 25 years, 12 of those years have been in the role of manager. The manager has worked leading teams of staff in various services for older people, including residential and domiciliary care services, as well as a day service for people with dementia. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 21 Her qualifications include a Diploma in Management, the Registered Manager’s Award, NVQ4 in Care and the D32/33 Assessors Award, she is also up to date with mandatory training. Although the supervision of staff will eventually be delegated and shared with the senior staff team the manager is currently taking the opportunity to meet with and get to know the staff team through carrying out structured personal supervision sessions. There is a clear administrative system that supports a well run home. Records are accessible, clear and stored securely. Observations and discussions with service users and staff confirmed that effective relationships continue to develop between service users, staff and the manager. Service users and staff spoke about the manager and the running of the home with confidence and respect. There are good quality monitoring systems in place and evidence that these are carried out appropriately. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 22 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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N0 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 OP1 Regulation 6(a) Timescale for action The registered person must 31/12/07 ensure that the Statement of Purpose and Service User Guide are updated to reflect the change of management within the home. So that the home has full 31/12/07 information about a prospective service user the registered person must obtain a current care plan as well as the preadmission assessment from the referring agency prior to a person moving into the home. The registered person must 31/12/07 ensure that risk strategy plans, that guide staff to reduce any evident risks, are put in place when a risk is evident due to a medical condition such as diabetes. Where a person lacks capacity to 31/12/07 address their own finances and they do not have support from family to do this, the registered person must facilitate access to available advocacy services. Requirement 2 OP3 14(1) 3 OP8 13(4)(c) 4 OP17 12(1) Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 24 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 2 3 Refer to Standard OP13 OP16 OP25 Good Practice Recommendations The plans to reinstate the member of staff as activity organiser to solely organise and support activities in the home should go ahead. Thought should be given to how concerns made by service users and others are recorded. Depending on the severity of the concern should determine where they are recorded. The heating in service users’ rooms, as well as other parts of the building, should always be kept at a temperature that is comfortable for the individual person. In the event of a service user requesting that the heating is turned off or at a temperature that is assessed as not comfortable then this should be reflected in the individual care plan. Springfield House Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South Shields Area Office 4th Floor 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 Residential Home DS0000015764.V355000.R01.S.doc Version 5.2 Page 26 - 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!