Inspection on 10/06/10 for The Island Home
Also see our care home review for The Island Home for more information
This is the latest available inspection report for this service, carried out on 10th June 2010.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
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What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
We spoke to a number of service users in both units. All service users spoken with told us they were happy at the home, felt supported by staff, and enjoyed being with other service users. We spoke to a number of service users in both units. All service users spoken with told us they were happy at the home, felt supported by staff, and enjoyed being with other service users. One service user said `the food is good, the people are good and I like my room`. Another service user told us `the staff are great. They understand me. This is the best home I have lived in`. We asked some service users if they knew how to make a complaint. All the service users spoken with told us they would speak to the manager or the owner, and they indicated they felt confident their complaint would be listened to. Discussion with service users and staff, and inspection of records evidenced that service users are consulted and supported to make decisions about their lives. We looked at minutes of residents meetings. These minutes indicated that meetings are not only used as a discussion forum about the home and activities, but it is also a time where service users are kept up to date about any events or changes in the home, and discussions are held about how to raise complaints or concerns. The activities folder evidenced further consultation with service users, and contained records of individual interests and preferred activities, and a record of all activities undertaken, offered or declined by service users. Staff told us that shopping and pub lunch trips were popular, and these trips occurred twice a week. All service users at the home benefit from free membership of a local gym and swimming pool. The staff training matrix evidence that staff receive regular training. There are some gaps, and training in infection control has been identified for most of the staff team as a training need. This is being addressed and booked. The home uses a distance learning tool for much of its staff training. Part of this training relies on staff undertaking learning and recording their learning in booklets. Staff are expected to do this mainly outside of work hours. We discussed with the management team how some staff might find this difficult, and they are looking at ways to ensure staff are trained in work time.
What the care home could do better:
We looked at the records of two service users from the under 65 physical disability unit, and the records of one service user from the older persons unit. We looked at pre admission assessments for all three service users. We found all pre admission assessments inadequate. Many areas on the pre admission assessment were not filled in, and where a need had been identified on the form, no details regarding type of level of support were recorded. Similarly, when risks had been identified at pre assessment, we found that there was no support plan in place to reduce or minimise the risk. We saw one assessment which identified the service user had physical health and mental health needs, but the home had not put any care plans or risk assessments in place to address or support these needs. Although the management team described to us good examples of support given to this service user, none of this had been recorded. The home needs to develop better recording systems when assessing prospective service users, and when developing care plans and risk assessments. This will ensure that the care plans and risk assessments which are generated from information gathered at pre assessment are robust, identify the support needs of individuals and provide clear guidance for staff with regard to meeting those needs. We also found that the home needs to improve how they communicate with outside professionals. Discussion with the management team and assessment of records evidenced that poor communication with the district nurse team had led to uncertainty about the health care needs of a service user. The home informed us they will ensure all visits from health care professionals are recorded, include outcomes and actions, and ensure these are immediately used to update care plans or risk assessments when required. We found many areas of the environment required attention. The shower room and bathrooms throughout the home require window coverings to ensure the privacy and dignity of service users. Rusted and broken equipment in the shower room and bathrooms require replacing, as these are hazardous to service users. Consideration needs to be given to flooring in the downstairs bathroom and shower room due to chipped ceramic tiles and rust in some areas of the floor. The lock to the laundry room is broken, and a cupboard containing hazardous materials was open. One of the bedrooms we assessed had a chair which requires replacing as the arms were ripped and stuffing was coming out. The bedding appeared dirty and stained. The lounges in both units were comfortable, and had a range of equipment for use by service users. This included a pool table, televisions, games and music.