Inspection on 24/10/05 for Salingar House

This inspection was carried out on 24th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Salingar House 07/08/07

Salingar House 10/08/06

Salingar House 07/03/06

Salingar House 22/02/05

Salingar House 22/07/04

Salingar House 17/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Salingar House 2 Logan Close Midmere Avenue Kingston Upon Hull East Yorkshire HU7 4DG Lead Inspector Kishon Dee Unannounced Inspection 09:30 24 October 2005 th Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 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 Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 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 Adults 18-65. 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. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Salingar House Address 2 Logan Close Midmere Avenue Kingston Upon Hull East Yorkshire HU7 4DG 01482 825778 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) Kingston upon Hull City Council Ms Catherine Spivey Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2005 Brief Description of the Service: Salingar House is situated on the Bransholme estate in Hull. There are a variety of local community facilities close at hand and the service users go out on a regular basis. The home is close to a bus route. The home offers long term and respite care to a maximum of eleven people of either gender whose primary need is a learning disability. It is a Local Authority run home. The environment was warm and friendly and the care provided is based on individual need. The home consists of three selfcontained flat lets and seven single bedrooms – six of which have mini kitchens. Three of the bedrooms have en-suite bathrooms (with baths) and the other four have en-suite shower rooms, all meeting the minimum requirements regarding living space. The communal areas consisted of a lounge, two dining rooms, and a rehabilitation kitchen and there is an outside area with seating and the garden is private. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This un-announced inspection was carried out with the residents of Salinger House and the staff on duty. The inspection took six hours to complete and included an inspection of the environment, discussions with residents and members of staff. Files and records relating to the service were also inspected. What the service does well: What has improved since the last inspection? What they could do better: The home must consider the purpose of the home and include in their admission process some consideration of the other people who live at the home and the impact that a new resident has on their lives. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 6 The home must implement action plans when it investigates complaints which are upheld. 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. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3&4 Service users are not given sufficient information about the home before moving in without this there is no assurance that cares needs will be met. EVIDENCE: Three residents files were looked at and each of the files had a care management assessment and care plan. This information is then developed into a plan of care. All residents have an individual file although the information held within two of them was not sufficient to provide staff with sufficient information about the individuals needs. The most recent admission did not have full assessment and admission information. The admission procedure is not adequate to guide staff on the actions to be taken to ensure that new residents needs are properly assessed and planned for. This does not give potential residents the assurance that the home is able to meet their needs. Three residents have been admitted as emergency admissions and there is no evidence that they have being provided with sufficient information about the home or its facilities. It has been noted at the last four inspections that the admissions process is inadequate and this impacts on residents. Although the home does not take people outside of its registration categories there is little emphasis placed on the impact differing needs have on the people living at the home. One resident was admitted inappropriately and has been moved to another establishment and another residents individual plan states that she Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 9 does not need residential care yet she is currently living at the home. One resident has regular respite and there have been several complaints from residents who live at the home permanently. Two members of staff said that residents stay in their bedrooms during the respite stay as the behavior of this person impacts of their lives. One resident waves his fists around and constantly asks staff when the individual is going home. Another resident likes to sit quietly in the lounge after tea but again is unable to do this. The home must consider the people who live at the home on a permanent basis, as this is their home. The home must consider the purpose of the home and include in their admission process some consideration of the other people who live at the home and the impact that a new resident has on their lives. This situation was also noted at the last four inspection visits when a requirement was made for action to be taken to ensure that proper assessments were carried out before prospective residents entered the home. There was no evidence that this action had been taken and the home must take urgent action to address this shortfall. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 Progress needs to be made to the way in which staff record, review and risk assess the care needs and expectations of the residents. These shortfalls have the potential to place people at risk. EVIDENCE: Individual care plans are in place for all residents and which set out the health, personal and social care needs identified for each person. All of the plans looked at have not been evaluated on a monthly basis. Discussion with staff suggested that some needs were being addressed even though there was a lack of clear guidance in the plans. This approach is dependent on staff memory and good verbal communication systems. Residents are at risk of not having their health care needs met if these informal systems break down. One resident said that ‘the staff are good, they look after you well. Staff enable residents to take responsible risks in their daily lives, one resident discussed how she is now able to travel independently into the local shopping centre. This has being following a risk assessment being completed and the information put into the care plan. This is a personal goal for the resident and is improving her independence. The resident has a good understanding of his/her personal limitations and abilities and recognises when assistance from Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 11 staff is needed. She is hoping to live independently. Not all risks assessments looked at where up to date or been reviewed and this has the potential to place residents at risk. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 13 & 17 Residents are provided with choice and diversity in the meals and activities provided by the home. Individual wishes and needs are catered for. EVIDENCE: Staff support the service users to participate in local community events. There are activities including activities both inside and outside of the home and service users contribute to the formulating of the programme. The service users are supported in going out on a daily basis to the shops, bowling, out for pub lunches and leisure trips. The home is situated near to a bus route and is within walking distance of a large shopping centre. Other facilities are nearby including GPs and a library. Residents spoken to are happy with the way that staff look after them, they felt that they are given choices in their everyday life and staff respected their privacy and dignity. Observations of the interaction between staff and residents showed that there is a good relationship between the two groups of people. A number of people living at the home were spoken to and everyone who commented on the food said how good it was. Menus seen offer the residents Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 13 a balanced and varied diet, with meal times being flexible enough to accommodate individual preferences. One member of staff has been doing some work with the residents about healthy eating and posters where seen on the wall in the dining room. Two residents spoke highly of one of the cooks and said ‘…………. Is marvellous’. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 & 20 Not all of the health, personal and social care needs of the residents are currently being met. These shortfalls have a potential to place residents at risk. EVIDENCE: Discussion with the staff indicated that they have a good knowledge and understanding of the care needs of each individual and how they like this care to be given. The care and support is given in a way, which promotes the resident’s dignity, privacy and independence. Two residents said that they chose what time they get up and go to bed. One resident got up late morning. Evidence indicates that times are flexible to accommodate personal choice and decisions, with the emphasis on promoting the independence of each individual. Service users’ physical and emotional health needs are met. Service users’ are supported and assisted in attending appointments including the GP, dental, chiropody and optical appointments The home has a policy and procedures regarding the storage and administration of medication. This includes a policy for people to self medicate although none of the current residents have control of all their medication. The Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 15 records were checked against the medication held and this was found to be inaccurate in some instances. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected from abuse whilst in the care home. They are able to make complaints without fear of repercussion. EVIDENCE: The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention, restraint and management of resident’s money and financial affairs. Staff spoken to have a good knowledge and understanding of Adult Protection issues and are confident about reporting concerns. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Residents are provided with a safe, clean and comfortable environment. EVIDENCE: The homes’ premises are suitable for its stated purpose, accessible and adequately maintained. The home is comfortable, clean and free from malodours. Each service user is provided with a total average living space that exceeds the minimum standard required. There is a planned maintenance programme and records are kept. Furnishings, fittings, adaptations and equipment are of excellent quality and are domestic and unobtrusive in style. All rooms reflect the individual tastes and preferences of the residents and all of the residents spoken to say they are able to personalise their room how they choose. Most of the rooms have some kitchen area and some are flatlets, which have separate kitchen facilities. All of the residents have their own bathroom. This enables residents who want to consider moving into independent living the opportunity to develop these skills. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 34 & 36 Staffing numbers are sufficient to meet the needs of the residents. The standards of recruitment, induction and training are high. Staff are not receiving adequate supervision. EVIDENCE: Staffing numbers are sufficient to meet the needs of the residents and carry out activities. There are three senior care officer vacancies at this time, which are been covered by temporary staff. The council has a detailed training programme that staff can access. This provides staff with mandatory training and specialist subjects linked to the needs of the service users. Staff supervision files show that individuals are not receiving formal supervision six times a year. This practice must be improved on to ensure that staff receive the support and guidance they need to carry out their jobs to a high standard. Discussion with the staff indicated that the manager or senior care are around on a daily basis to offer informal advice and help where needed. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 The home does not regularly review its performance. The health safety and welfare of service users is not always protected. EVIDENCE: The home does not regularly review sufficient aspects of their performance through a good programme of self-review via a quality assurance system and this needs to be done. The registered manager ensures safe working practices including moving and handling, fire safety, health and safety, first aid, infection control and food hygiene, staff have received the appropriate training. The manager has provided information that regular maintenance checks are carried out and certificates are held at the home. There are risk assessments carried out for all safe working practice topics and these were recorded. Not all of them are reviewed as regularly as they need to be. All accidents and injuries or communicable diseases are reported and recorded. Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 3 1 x Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Salingar House Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 x DS0000034546.V272162.R01.S.doc Version 5.0 Page 21 YES Are there any outstanding requirements from the last inspection? 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 YA2 Regulation 14 Timescale for action The registered person must 14/03/06 ensure that all potential service users are assessed by the manager or a representative of the home prior to admission. TIMESCALE NOT MET NEW DATE The registered person must 01/03/06 consider and consult with existing service users about the compatibility of prospective new service users. The registered person must 01/03/06 ensure that service user plans are maintained and reviewed on a regular basis. The registered person must 14/03/06 ensure that risk assessments are completed, maintained and reviewed on a regular basis. The registered person must 14/03/06 ensure that the medication records are completed accurately and that medication held matches the records. TIMESCALE NOT MET NEW DATE The registered person must 31/03/06 ensure that staff receive the support and supervision required and must include all of the areas specified in 36.4 of this DS0000034546.V272162.R01.S.doc Version 5.0 Page 22 Requirement 2 YA4 5, 14 3 YA6 15 4 YA9YA42Y 17 5 YA20 18 6 YA36 17, 18 Salingar House 7 YA39 24 standard. TIMESCALE NOT MET NEW DATE The registered person must 31/05/06 ensure that the home implements a quality assurance system. TIMESCALE NOT MET NEW DATE RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 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 Salingar House DS0000034546.V272162.R01.S.doc Version 5.0 Page 24 - 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. 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