Care Home: Springfield Park Residential Care Home

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What the care home does well The home was generally clean and tidy. There were no mal odours evident. Residents and relatives said that the home was always kept clean. We spoke to three relatives who said that they were happy with the standard of care provided. They said that staff kept them informed of changes to the health of residents. They said that residents always looked clean and well cared for. Relatives told us that staff were kind and patient with residents. They said that they had visited at mealtimes and where offered a meal which was very good. We checked the arrangements in place to ensure that residents receive good nutrition and sufficient fluids. There was very good information available in the kitchen about individual`s specific dietary needs. The cook had a diet notification plan for all residents. This recorded their likes and dislikes as well as special diets. The cook was very knowledgeable about the special requirements of people and described how one resident had recently required more nutrients and calories to aid wound healing. Care staff were also very knowledgeable about the nutritional needs of people. They were able to identify who required help to eat and who needed to have their food and fluid intake recorded.Records of food and fluid were properly filled in, this enabled staff to see at a glance if residents were eating or drinking enough. Staff use the providers standard record of food intake, this is not a good document as it does not give any indication of portion size. Staff therefore supplement this document with their own version which records food intake in a better way. We ate the food at the home. The food was very well cooked, hot enough and tasty. We noted that residents were offered good sized portions and staff helped people to eat where needed. The home has recently introduced `protected mealtimes`, this means that disruptions are kept to a minimum whilst residents are eating. For example medication is not given out during this time. The dining room was very attractively set and there was a good relaxed atmosphere. Each table was set with a large jug of juice and hot drinks are also offered at each mealtime. Those people who were identified as at risk of tissue damage due to pressure were nursed on appropriate pressure relieving mattresses and cushions. There were care plans in place for staff to follow to ensure that people`s risk of getting pressure sores was reduced. One resident who acquired a serious pressure sore in hospital had a very good plan of care to address this. The sore is now healed. We case tracked two people. This means that we identified those people and discussed their care needs with staff. We then matched our observations to what was written in the care plan. Both care plans did reflect the current needs of the residents. Care plans had been regularly evaluated and contained some good information about the health and social needs of people. The plans were very person centred and contained detailed individual information including personal likes and dislikes. We examined the arrangements made for the storage, administration and disposal of medication. Medication was properly stored in a secure room. All administration records were fully completed. The auditing of medication was very good. All tablets are counted by the senior care staff at every drug round and the manager completes a weekly audit. The service has received very few complaints. Residents spoken to said they would complain to the manager if they needed but none of them had any current complaints. There is a complaints record. This showed that previous complaints were taken seriously and properly investigated. Staff have received recent training in the recognition and management of abuse. The manager is clear regarding her responsibilities for reporting this and there was evidence that she has done so in the past. There were sufficient numbers of staff on duty to care for residents. Staff confirmed that these numbers are maintained every day. Records showed that staff were up-to-date with mandatory training and had received some training in relevant subjects such as care of people with dementia. 50% of the care staff are trained to NVQ level II or above and the remaining 50% are currently training for it. Staff spoken to confirmed that they recieved a lot of training on a regular basis. The manager has a system of auditing which ensures that all areas of the home run smoothly. She has developed a reminder matrix to ensure that staff receive regularformal supervision. This enables staff to contribute to the development of the service and address any training needs they might have. We examined the records of incidents and accidents in the home, including those that must be notified to CQC. All accidents, incidents and deaths had been appropriately notified. The manager has an overview of accidents and verifies the accident reports in the home. What the care home could do better: The kitchen walls and floor are becoming damaged. This area was clean but will become more difficult to clean unless the wall tiles are repaired. The Provider is required, under regulation 26 to visit the home monthly, carry out an audit and produce a report of that visit. The visits for the last two months have been carried out, however, there were no visits in November and December 2009 or January and March 2010. Random inspection report Care homes for older people Name: Address: Springfield Park Residential Care Home 2 Eastern Villas Forest Hall Newcastle Upon Tyne NE12 9AE three star excellent service 05/05/2009 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: Janet Thompson Date: 0 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Springfield Park Residential Care Home 2 Eastern Villas Forest Hall Newcastle Upon Tyne NE12 9AE 01912702424 01912701238 springfield_park@accreit.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Ankers Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Healthcare (Focus) Limited care home 30 Number of places (if applicable): Under 65 Over 65 30 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who may be accommodated is 30. The registered person may provide the following category of which 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 30. Date of last inspection Brief description of the care home Springfield Park is a care home which provides residential care for 30 older people. Residents can access all areas of the home through level access or via a passenger lift. All rooms are currently used as singular occupancy. Residents have Care Homes for Older People Page 2 of 9 0 5 0 5 2 0 0 9 Brief description of the care home access to comfortable lounges and dining areas on both floors. Landscaped gardens surround the home and there are sitting areas outside for residents to use. The home is centrally located for shops and local transport links. The fees for the home vary. further information is available from the manager. More information about the home can be obtained from the service users guide, which contains the previous inspection reports. This can be found in the main entrance of the home. Care Homes for Older People Page 3 of 9 What we found: The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We made this quality rating at a key inspection of the home in May 2009. The purpose of this inspection was to check that the home was still performing at an excellent level. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service 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. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they care for people. This inspection was unannounced and took place on 1 June 2010. During the visit we talked with people who use the service, some staff, some relatives and the deputy manager. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. Following the inspection feedback was given to the deputy manager. The registred manager for the home was on leave. What the care home does well: The home was generally clean and tidy. There were no mal odours evident. Residents and relatives said that the home was always kept clean. We spoke to three relatives who said that they were happy with the standard of care provided. They said that staff kept them informed of changes to the health of residents. They said that residents always looked clean and well cared for. Relatives told us that staff were kind and patient with residents. They said that they had visited at mealtimes and where offered a meal which was very good. We checked the arrangements in place to ensure that residents receive good nutrition and sufficient fluids. There was very good information available in the kitchen about individuals specific dietary needs. The cook had a diet notification plan for all residents. This recorded their likes and dislikes as well as special diets. The cook was very knowledgeable about the special requirements of people and described how one resident had recently required more nutrients and calories to aid wound healing. Care staff were also very knowledgeable about the nutritional needs of people. They were able to identify who required help to eat and who needed to have their food and fluid intake recorded. Care Homes for Older People Page 4 of 9 Records of food and fluid were properly filled in, this enabled staff to see at a glance if residents were eating or drinking enough. Staff use the providers standard record of food intake, this is not a good document as it does not give any indication of portion size. Staff therefore supplement this document with their own version which records food intake in a better way. We ate the food at the home. The food was very well cooked, hot enough and tasty. We noted that residents were offered good sized portions and staff helped people to eat where needed. The home has recently introduced protected mealtimes, this means that disruptions are kept to a minimum whilst residents are eating. For example medication is not given out during this time. The dining room was very attractively set and there was a good relaxed atmosphere. Each table was set with a large jug of juice and hot drinks are also offered at each mealtime. Those people who were identified as at risk of tissue damage due to pressure were nursed on appropriate pressure relieving mattresses and cushions. There were care plans in place for staff to follow to ensure that peoples risk of getting pressure sores was reduced. One resident who acquired a serious pressure sore in hospital had a very good plan of care to address this. The sore is now healed. We case tracked two people. This means that we identified those people and discussed their care needs with staff. We then matched our observations to what was written in the care plan. Both care plans did reflect the current needs of the residents. Care plans had been regularly evaluated and contained some good information about the health and social needs of people. The plans were very person centred and contained detailed individual information including personal likes and dislikes. We examined the arrangements made for the storage, administration and disposal of medication. Medication was properly stored in a secure room. All administration records were fully completed. The auditing of medication was very good. All tablets are counted by the senior care staff at every drug round and the manager completes a weekly audit. The service has received very few complaints. Residents spoken to said they would complain to the manager if they needed but none of them had any current complaints. There is a complaints record. This showed that previous complaints were taken seriously and properly investigated. Staff have received recent training in the recognition and management of abuse. The manager is clear regarding her responsibilities for reporting this and there was evidence that she has done so in the past. There were sufficient numbers of staff on duty to care for residents. Staff confirmed that these numbers are maintained every day. Records showed that staff were up-to-date with mandatory training and had received some training in relevant subjects such as care of people with dementia. 50 of the care staff are trained to NVQ level II or above and the remaining 50 are currently training for it. Staff spoken to confirmed that they recieved a lot of training on a regular basis. The manager has a system of auditing which ensures that all areas of the home run smoothly. She has developed a reminder matrix to ensure that staff receive regular Care Homes for Older People Page 5 of 9 formal supervision. This enables staff to contribute to the development of the service and address any training needs they might have. We examined the records of incidents and accidents in the home, including those that must be notified to CQC. All accidents, incidents and deaths had been appropriately notified. The manager has an overview of accidents and verifies the accident reports in the home. What they could do better: 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 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 1 33 26 The Provider must visit the 01/07/2010 home monthly and produce a report of that visit. This ensures that the provider continually monitors the standard of the service provided. 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 1 19 Redecorate the kitchen and replace the floor. 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. 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