Care Home: Springfields Care Centre

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Annual service review Name of Service: Springfields Care Centre The quality rating for this care home is: The rating was made on: three star excellent service 1 3 0 2 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Clare Medlock Date of this annual service review: 0 7 0 1 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: Springfields Care Centre 33 Springfield Road Elburton Plymouth Devon PL9 8EJ 01752482662 01752482210 Telephone number: Fax number: Email address: Provider web address:   www.fshc.co.uk Four Seasons (DFK) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: There will be no more than the maximum of eighty five (85) service users in the home at any time. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 1 3 0 2 2 0 0 9 Number of places (if applicable): Under 65 Over 65 20 20 0 10 20 20 25 65 Annual Service Review Page 2 of 8 Springfield Care Centre is an 85 bedded purpose built home that provides nursing and personal care to adults who suffer from physical or mental health problems in separate units. There are presently 20 registered nursing beds on the dementia care unit that can be used for adults or the elderly. The remaining beds are to be found in two other distinct units, one providing general nursing care, and one that provides residential (personal) care. The residential care unit is undergoing refurbishment to provide separate facilities for older people and older people who suffer from early signs of dementia. The home has a Registered Manager who has overall responsibility for the running of the home. In addition to this each unit is separately staffed and has its own unit manager. Each of the two nursing units are managed by a registered nurse, and have a registered nurse on duty 24 hours a day. The residential care unit is managed by an experienced Senior Carer who may call on the District Nurses for any nursing needs the clients might have that do not warrant placement in a nursing home bed. The units are arranged over two floors with shaft lifts between each floor. There is an enclosed garden at the rear of the home lying between the ground floor accommodation wings of the home. In February 2009 the homes fee structure began at 357 Pounds rising to 560 Pounds plus the funded nursing care contribution. For up to date fees, please contact the manager at the home. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service Surveys received from people who use the service, staff, and healthcare professionals. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations and professionals. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) well within timescales . It was clear and gave us all the information we asked for and was submitted well within timescales. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. The AQAA stated that they are continuing to listen to the views of people who use the service in of riot you ways which included Residents and relatives meetings minutes, Annual customer survey results, Regulation 26 reports by a Regional Manager, Quality Audit results, Remedial Action Plan, Home Manager open door policy, Complaints investigation outcomes, Completed Customer Feedback leaflets, Staff induction and training matrix, Liaison with purchasing authorities, and our complaints procedure is available in a variety of formats and languages. As a result of listening to people who use the service, and monitoring practices within the home the home continue to ensure our standard of care is provided to people in the home. The AQAA read Following a trial first In February, then in the summer we have changed the main meal of the day from lunchtime to the evening. Residents are no longer as hungry in the morning, we have found that overall weights have increased, accidents at night have decreased and as a result of this trial we have reduced the use of night sedation within the home. In addition to this, the AQAA recorded further changes We have worked hard on the dementia units to provide a stimulating environment that the residents respond to. The residents and families from the nursing unit have requested that we develop one of the Annual Service Review Page 4 of 8 lounge areas on a similar theme where residents and families can go to relax. We are currently raising funds to create an under the sea themed lounge with an aquarium and other sensory equipment. The AQAA also recorded the improvements that have been made in the last 12 months. The information provided to people and their families has improved by the introduction of the service user guide in CD format, and ensuring that is available in a variety of languages. The AQAA informed us that Health care has improved by ensuring The majority of staff have undertaken Liverpool care pathway training and developing links with the local hospice. The AQAA also records the implementation of a project within the care home to ensure the delivery of care for people to venture is more person centred and planned according to the residents perspective using dementia care mapping. The act also states that the use of psychotropic medication and night sedation has reduced substantially with the home and staff continuing to work with the GPs to reduce this further. The AQAA informs us that, with regard to daily life and social activities The home has continued to develop staff with training and staff meetings on what activities actually are. All staff within the home have now embraced this perspective and the residents daily lives are now further enriched by being offered meaningful rather than just scheduled activities. The dementia units have been developed with beamed corridors, tactile and interactive objects, rummage boxes and rest areas. The AQAA informed us that A cafe and activity room have been created upstairs, with an imaginary shop where residents can purchase items. The home informs us that sickness and absence rates of staff within the home continue to decrease. The AQAA also informed us that staff meetings are themed, and give the staff opportunity to feedback and implement real change within the home. Staff are encouraged to try new ideas and are supported by their colleagues and management to do so. Staff training continues at the home. The AQAA informs us that more staff had completed NVQs in level two and three. We received nine surveys from people who live at the home. People were generally very satisfied with their care. Comments included My personal care is good, They look after me well, The meals are good and I like the activities. Suggestions included more regular hairdressing, which had been identified by the home. Another suggestion from a person was getting newspapers on time, whilst another person wrote about a specific issue relating to them which was fed back to the manager who was aware of this issue and had introduced solutions. Because many of the people in the home were unable to communicate because of their illnesses, we sent surveys to relatives of people living in the home. These surveys were distributed with individual stamped addressed envelopes, by a nominated relative in the home. We received seven surveys from relatives. The majority of these surveys were complimentary, with a few suggestions and minor grumble is mentioned. When asked what the service does well, relatives wrote comments which included Everything Annual Service Review Page 5 of 8 in my and my mothers case, They keep him clean and tidy, They have very good activities and entertainment, and On a medical basis and my fathers hygienic needs, there are no issues as he is pleased with the level of care he receives. Another comment read The home is generally very good. The staff are very caring and dedicated but overworked at times to meet their commitments. They are a very friendly and approachable staff from the matron manager to the cleaner. Other comments included The care centre is run very well indeed. It is very clean (most important). However, one comment did highlight that odours were present at times. Relatives were complimentary about the food provided. One comment read I would especially like to tell you about the kitchen staff. They look after my husband is like a Lord!. Another comment read they have very good catering staff providing a wellbalanced menu to suit individuals. People were pleased with the social activity programme and wrote They have done a great deal of work lately on stimulation and personal profiling etc. The musical entertainment is stimulating and includes singing, dancing which are seasonally connected. We have pancake day, Guy Fawkes celbrations, skittles days and national celebrations. Another comment read they have very good activities and entertainment staff which helps to stimulate the residents. One comment received regarding activities was a suggestion for more male orientated activities. This was fed back to the manager who informed us that a new activity coordinator had been employed, and was organising more male orientated activities. Another comment read A good garden has been established and is used with chairs, tables etc but sometimes there is not enough staff to accompany the patients outside. Comments and suggestions regarding staffing levels featured regularly within surveys. When asked what the service could do better, comments and suggestions included make sure that staffing levels are adequate, have more staff to help out, staffing levels are not adequate, especially at mealtimes. improve response times to the call bells when they are pushed- i.e. to go on the commode and On several occasions after my relative has arisen in the morning, it can be late in the day before his bed is made and room cleaned, which he finds very uncomforting. These comments regarding staffing levels were fed back to the manager who confirmed that she continually monitors staffing levels, but this often comes down to funding issues. The AQAA stated We have found that during the last 12 months the following issues have made it hard for us to improve as much as we would have liked-Publically funded placements continue to be at less than the true cost of care and as a result have Ongoing negotiation with the funding authority. Relatives were complimentary about the management at the home. One comment read The matron and does her up most to keep a high standard. The five staff surveys we received also appreciated the management at the home. One member of staff wrote I always feel able to approach the home manager or any concerns. She has an open door policy, and I feel I can go to her for anything personally or professionally. Annual Service Review Page 6 of 8 When asked what the home does well, staff wrote We treat people well and value the diversity of the individual, Springfields has a very happy environment with both staff and residents. I feel Springfields is very focused on person centred care. Staff have worked very well and hard, with paper work being mostly kept up to date. Another comment read We meet the individual needs of every resident and to deal with incidents that occur professionally and immediately. We support relatives and always listen and deal with any concerns. The dementia care and services are excellent. We are always open to anyone -- they can just come to the door and they will be welcomed and shown around if they so wish. One member of staff wrote I am always proud to tell people where I work. The home manager down to the pot washers all work to make the residents stay here as happy as possible. We had a lot of fun with the residents there is nothing sad about Springfields. I can only finish by saying I would have no problem in placing any family of mine here for care, and that properly sums up Springfields. When asked what the home could do better, staff told us they would like different activities outside of the environment., to spend more time with the residents and less time worrying about time, and more appreciation of the work we do is individuals We have not received any complaints about Springfields since the last key inspection. Staff surveys, relative surveys, and surveys from people living in the home or indicated that they knew how to make a complaint if they were unhappy at the home. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do another annual service review in 2011 and a key inspection by February 2012. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. 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