Springburn House Care Home Service Adults 62 Broomfield Rd Glasgow G21 3UB Telephone: 0141 2761810 Inspected by: Kathy Godfrey Marjorie Bain Type of inspection: Unannounced Inspection completed on: 31 October 2013 Inspection report continued Contents Page No Summary 3 1 About the service we inspected 6 2 How we inspected this service 7 3 The inspection 11 4 Other information 29 5 Summary of grades 30 6 Inspection and grading history 30 Service provided by: Glasgow City Council Service provider number: SP2003003390 Care service number: CS2003001040 Contact details for the inspector who inspected this service: Kathy Godfrey Telephone 0141 843 6840 Email [email protected] Springburn House, page 2 of 32 Inspection report continued Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 4 Good Quality of Environment 4 Good Quality of Staffing 4 Good Quality of Management and Leadership 4 Good What the service does well Personal plans have good information including a detailed life history. There are detailed routines for getting up in the morning and personal care. Residents have lots of opportunities to participate in the home such as six monthly reviews of their service, residents meetings and questionnaires. They were encouraged to choose colours for a recent refurbishment. The home will be closing soon with residents moving to purpose built premises. The home have kept everyone up to date with the progress of this and arranged visits to the bedroom "mock up" for residents and relatives. Staff are very knowledgeable about residents especially health needs. They have a good induction and access to further training through an e-learning programme. What the service could do better There should be a clear trail of evidence to show how any complaints are investigated. A recommendation at the previous inspection identified that the MUST tool was not used consistently to monitor residents nutritional risks. As a result of the daily fluid and dietary intake charts not always being filled in this ecor mmendation is repeated. Springburn House, page 3 of 32 Inspection report continued We found poor use of ABC charts for people whose behaviour could at times be challenging. Where charts did exist they were generally either incomplete, some had gone missing or lacked appropriate detail. We advised that staff should be retrained in the use of ABC charts. There was a lack of stimulating, meaningful activities. We observed that due to the lay out of the building and the care duties staff need to do there are not enough staff to offer a stimulating environment. We feel staffing levels need to be further reviewed. We observed that most of the toilets did not have a bin with a lid. This is an infection control issue as all toilets should have a bin with a lid. The provider must meet their responsibility to submit relevant notifications to the Care Inspectorate. The manager should establish a system of recording contact with residents and visiting relatives. We noted the manager had issued a questionnaire to staff seeking feedback about the quality of supervision, management and general support for staff. Although these had been returned there was no evidence of an action plan to deal with any issues raised. What the service has done since the last inspection Personal plans now detailed how the home intended to meet new residents health, welfare and safety needs within 28 days of starting the service. The servery area had been refurbished to a good standard. There was now an extra "floating" staff member on each early and late shift to help out in the units. Conclusion The service have good personal plans with detailed life histories. There are lots of ways for residents to participate in the service. Staff are very knowledgeable about the support needs of the residents. There should be a stimulating, meaningful activities programme. The provider should review staffing levels to enable staff to deliver a stimulating environment. Springburn House, page 4 of 32 Inspection report continued Who did this inspection Kathy Godfrey Marjorie Bain Springburn House, page 5 of 32 Inspection report continued 1 About the service we inspected The Care Inspectorate regulates care services in Scotland. It awards grades for services based on the findings of inspections. These grades, including any that services were previously awarded by the Care Commission, are available on www.careinspectorate.com Springburn House is registered as a care home to provide support to a maximum of 46 older people. At the time of the inspection visit, the service was provided to 37 adults who required support due to needs associated with frailty and/or dementia. The home is located within a residential area in the Springburn area of Glasgow. The service is managed by Glasgow City Council. The accommodation comprised of two floors with two units on each floor. Each unit has their own dining room and lounge area. Bedrooms were provided on a single occupancy basis with wash-hand basin. Shared bathing and toilet facilities were available in each of the units. A small garden area is available at the front of the home. Before 1 April 2011, this service was registered with the Care Commission. On this date the new scrutiny body Social Care and Social Work Improvement Scotland (the Care Inspectorate), took over the work of the Care Commission, including the registration of care services. This means that from 1 April 2011 this service continued its registration under the new body, the Care Inspectorate. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 4 - Good Quality of Environment - Grade 4 - Good Quality of Staffing - Grade 4 - Good Quality of Management and Leadership - Grade 4 - Good This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website www.careinspectorate.com or by calling us on 0845 600 9527 or visiting one of our offices. Springburn House, page 6 of 32 Inspection report continued 2 How we inspected this service The level of inspection we carried out In this service we carried out a low intensity inspection. We carry out these inspections when we are satisfied that services are working hard to provide consistently high standards of care. What we did during the inspection We wrote the report following an unannounced inspection. The inspection was carried out by Kathy Godfrey and Marjorie Bain over 2 days the 30th and 31st of October 2013. In this inspection we gathered evidence from various sources, including the relevant sections of policies, procedures, records and other documents including: Certificate of Registration Accident log Incident log Complaints/suggestions log Medication records Quality Assurance Audits Questionnaires Resident meeting minutes Carer meeting minutes Personal plans Staff training records Staff meeting minutes Staff supervision notes Self assessment document Newsletter We met with the manager, four senior care workers and three care workers. We spoke with 19 residents and three visiting relatives or friends. We gave feedback to the manager of the service on 31st October. Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Springburn House, page 7 of 32 Inspection report continued Details of what we found are in Section 3: The inspection Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at www.firelawscotland.org Springburn House, page 8 of 32 Inspection report continued What the service has done to meet any requirements we made at our last inspection The requirement The service provider must ensure that service users' personal plans set out how the health, welfare and safety needs of the individual are to be met within 28 days of the date they first eceivr e the service.This is to comply with The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI2011/210), Regulations 5(1)Timescale - Within 1 week of publication of this report, the provider must meet this requirement. What the service did to meet the requirement We looked at personal plans and could see that this had been carried out The requirement is: Met - Within Timescales What the service has done to meet any recommendations we made at our last inspection The service should ensure that there is consistent use of the MUST to monitor residents nutritional risk and their progress.