Inspection on 07/09/05 for Saltmarsh House

This inspection was carried out on 7th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Saltmarsh House 29/01/09

Saltmarsh House 01/03/07

Saltmarsh House 03/01/06

Saltmarsh House 18/01/05

Saltmarsh House 05/07/04

Saltmarsh House 09/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Saltmarsh House 12 Saltmarsh Lane Hayling Island Hampshire PO11 0JT Lead Inspector Sue Kinch Unannounced 7 September 2005, 10:00 th 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 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 Older People. 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. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Saltmarsh House Address 12 Saltmarsh Lane, Hayling, Hampshire PO11 0JT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 9246 2183 Mrs Karen Dixon Mrs Karen Dixon Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Dementia - over 65 years of age (12) Mental Disorder, excluding learning disability or dementia - over 65 year of age (12) Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18/01/05 Brief Description of the Service: Saltmarsh House is a large detached property situated in a quiet, residential area of Hayling Island. The accommodation comprises of twelve single rooms, of which eight have en-suite facilities. The shared space within the home includes a large lounge, a conservatory and a dining room. Outside is an attractive well maintained garden to the rear of the house with tables, chairs and umbrellas. To the front of the house is a swimming pool not currently used by residents. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first statutory, unannounced inspection for the year 2005-2006. The inspection was carried out on 7/9/05 10.00-14.00. The inspector had a range of short and longer conversations with approximately 8 residents and 3 visitors to the home. Discussion was held with 2 care staff and the cook. The manager was not available for the inspection although some aspects were discussed during a telephone call in the week after the inspection. A sample of records was viewed. What the service does well: What has improved since the last inspection? What they could do better: Security for residents’ records needs to be provided. Recording of pre admission information needs to be reviewed. It is advised that the duration of staff training is also recorded to demonstrate the amount of training received. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 6 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. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The system in place ensures that resident’ needs are assessed so that their needs can be met when they are admitted to the home but some attention is needed to the paperwork. EVIDENCE: There had been admissions since the last inspection. Two people were asked if they were aware of their needs being assessed before they came to the home. One thought that it had happened and another said that the manager makes visits before people come in. Records of pre-admission assessments were shown to the inspector and dependency levels had been assessed although some of the dating was not clear. Other information was recorded on the back of the assessment sheet indicating that other information had been asked for. For one person information had been obtained from the previous home. It was advised that some attention was given to the written work to state needs more clearly and ensure that it can be demonstrated that the process happens before admission. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8,10 The home offers residents a respectful environment in which their privacy is mainly upheld but records need to be held securely. Residents’ health and welfare is monitored regularly and needs are met. EVIDENCE: Health needs were discussed with three residents who were confident that their health needs would be met. An example was given by one resident of how a particular health need had been met. A resident’s file was seen and medical needs were recorded. There was also evidence of monitoring. A nurse practitioner holds a monthly clinic in the home. Relatives are encouraged to be involved in taking residents for dental and optical appointments. In the house newsletter for August it states that a charge would be made if the home needed to provide support. The manager confirmed that this is included in the terms and conditions of residence. Without exception residents spoke well of the respect that they received at the home and that rights are upheld. Conversations included discussions of how personal care was given and comments confirmed that privacy was considered Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 10 and maintained sensitively by staff. During the inspection staff were seen to be courteous and polite to residents. Residents’ records are held on an open shelf in an area of the home used by staff. However, although the staff need to have easy access to these records they must be stored securely when not in use. The manager agreed to address this. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Residents benefit from a relaxed environment where they have choice over their routines and activities and their visitors are welcomed. The home promotes a healthy and varied diet which residents enjoy. EVIDENCE: Conversations with residents confirmed that they feel able to be as active as they wish to be, that activities are available sometimes and there were people to talk to. An exercise class was held during the morning of the inspection, which five residents chose to attend. Residents also sat in the shade in the garden. Details of previous activities are documented in the home’s newsletter. Some residents were asked about choice and control .The comments heard confirmed that there was choice over routines and activities. The call bell was accessible to those needing support and it was confirmed that the support comes when needed. Residents have free access to the front and rear gardens. Visitors are welcomed to the home. This was seen during the inspection and residents spoke of it. Visitors are offered refreshments. They are sometimes invited to stay for meals. One resident said that they were free to have visitors when they wanted. Residents are encouraged to be active .One resident went out for lunch with friends. Another went for a morning walk alone. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 12 The lunchtime was a relaxed affair and residents’ choose where they eat. The food provided at lunchtime was served in the dining room from the hot plate so that residents could choose their meal and items within it. One option was an all day breakfast, which had been specifically requested by one of the residents. Residents spoke very highly of the food and confirmed that it was always good, including at the weekends. Comments received included ‘food wonderful, beautiful puddings’, ’she’s a marvellous cook’ and ‘taste’s lovely’. Meals are looked forward to and one resident said that the ‘cooks try to make a bit of a difference’. A menu board is displayed daily and residents knew where to find it. Choices are made at the meal times. The cook confirmed that she always had enough for residents to make a choice. Records of food provided and choices are held. The home has well stocked stores of frozen, chilled and dry food. A wide variety of foods were stored and use of local providers was emphasised by the cook. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed EVIDENCE: Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed EVIDENCE: Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 A culture of learning is promoted in the home which updates staff and enables them to meet residents’ needs. EVIDENCE: Training is promoted in the home and the staff have a very positive attitude towards it. It is viewed as necessary and important for updating. One member of staff said that she had had training in MRSA, moving and handling and medication in the last year. Records were sampled and these showed that a range of training had been provided for staff in the last 12 months. These included, stoma care, falls, trips and slips, wound care, effective communication fire, nutrition and preventions of abuse. Records were checked for two staff. One had completed two courses and another four. In order to assess that the standard of a minimum of three days training for each member of staff had been met the records need to include the duration. This is advised to demonstrate that there is adequate written evidence. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 The management fosters an environment in which residents’ interests are assessed and supported. EVIDENCE: Throughout the inspection residents spoke well of the management and staff. They confirmed that they had choices in their day-to-day lives .Of the manager one resident said that she ‘sees to what you want and does not keep you waiting’. Another person said that if you were upset a ‘carer would put you at your ease’. A third said that ‘if you woke at two in the morning they would make you tea’. Three residents were asked about money management. All were happy with their private arrangements, which do not involve the management of the home. Therefore records are not required to be held by the home for those people. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 18 no 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 10 Regulation 17.(1)(b) Requirement The registered person must ensure that the residents files are held securely. Timescale for action 17/9/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 3 30 Good Practice Recommendations it is recommended that records of pre admission assessments are revised. It is advised that duration of staff training sessions is added to the records. Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Hampshire Area Office 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Saltmarsh House H54 S11784 Saltmarsh V248926 070905 Stage 4.doc Version 1.40 Page 20 - 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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