Random inspection report
Care homes for older people
Name: Address: Saltshouse Haven Nursing And Residential Home 71 Saltshouse Road Kingston Upon Hull East Yorkshire HU8 9EH one star adequate service 24/07/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Steve Baker Date: 2 7 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Saltshouse Haven Nursing And Residential Home 71 Saltshouse Road Kingston Upon Hull East Yorkshire HU8 9EH 01482706636 01482376216 Telephone number: Fax number: Email address: Provider web address: www.bupa.com Name of registered provider(s): Name of registered manager (if applicable) BUPA Care Homes (CFHCare) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 150 Number of places (if applicable): Under 65 Over 65 150 150 150 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 A maximum of 5 people under 65 years of age may be accommodated in the intermediate care facility in Preston Lodge. A maximum of 7 people under 65 years of age, excluding those people referred to in condition 1 & 3, may be accommodated in PD, DE or TI categories. Registration includes one younger disabled person Preston Lodge, two younger disabled in Coniston Lodge Date of last inspection 2 5 1 1 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Saltshouse Haven is a large care home with nursing, caring for people with a wide range of needs including dementia and physical disabilities. It is part of the BUPA group of care homes, is situated in a residential area and is close to public transport routes into the city of Hull. The home is based in six separate lodges; all connected by footpaths and covered walkways. The main lodge contains the laundry, kitchen, staff training, administration and management functions. The other five lodges are individually named and can accommodate up to thirty people in each. Preston Lodge and Meaux Lodge provide residential care. All thirty placements in Coniston Lodge are for nursing care and Bilton Lodge provides support for people with dementia care needs. Since the last inspection in July 2009 Sutton Lodge, which was for nursing care and intermediate care has closed. All Lodges have ground floor, single bedroom accommodation, a large communal lounge/dining area with a built on conservatory and a smaller quiet room for those people that wish to smoke. The home is nicely decorated and well equipped. Wellmaintained, landscaped grounds surround each lodge and there is ample car parking facilities. Information about the home and its service can be found in the statement of purpose and service user guide, which are available from the manager of the home. A copy of the latest inspection report for the home is on display in the reception area of the main lodge. The homes weekly rate is dependent on need and ranges from 359.50 to 580 pounds depending on the care required. People receiving nursing care will have an amount ranging between 106.30 pounds and 146.30 pounds deducted from the 580 pounds total, as this will be paid for by the Health Authority for the nursing part of their care. People will pay additional costs for optional extras such as hairdressing and private chiropody. Care Homes for Older People Page 3 of 8 What we found:
The reason for carrying out this inspection visit was to assess the progress made against the medication requirements issued at the last inspection of the home on 25th November 2009 and against the contents of the subsequent Statutory Requirement Notices (SRNs) issued on 10th December 2009. A pharmacist inspector spent 5 hours in the home looking at the medication ordering, storage, record-keeping and disposal arrangements, examining a sample of the current medication administration record charts (MARs) and speaking to the manager and senior staff. The outcome is as follows. We found no administration gaps on the current months MARs sampled. Records examined showed that all items checked in medication trolleys and the controlled drugs cupboards were found to be correct. Regular checks are now made by senior staff of the accuracy of record-keeping and of the quantities of medication kept in the home. We found no evidence this time that people were unable to receive their medicines because none were available to give. Together this indicates that people living in the home can expect to receive their prescribed medicines correctly as directed. Further improvements in tracking changes to medication choice and dosage are being implemented to ensure all changes are acted upon quickly and correctly. Hand written MAR entries were clear, accurate and had been checked by a second person. This helps to make sure that any changes to peoples medicines are correctly understood and consistently followed by all staff. Additional information on the use of medicines prescribed to be given when required has been updated is kept with the MARs. This helps to make sure that these medicines are given correctly by all staff as and when needed. We found that all medicines were stored securely. The medication storage areas are clean, tidy and well-organised so that staff can work efficiently and effectively. There are good systems and records in place to support someone who wishes to look after their own medicines whilst living in the home. Since the last inspection, the manager has put in place a range of medication checking systems to make sure sufficient medicines are always available and that medication records are accurate and up to date. Staff also check the monthly prescriptions for completeness and for any changes. This good practice helps to make sure that medicines are given correctly and that no-one should ever be without a supply of their medicines. We were told that the home now uses a different pharmacy supplier and that a local NHS medicines management pharmacist is working with the homes manager to ensure prescribers review and update their repeat prescribing records. We were shown records of recent medication safety training updates given to all staff, and the safety of staff work practices is now regularly assessed. Having well trained up to date staff handling and giving medicines helps to reduce the risk of any error occurring in the home. Staff told us that they understood and accepted the need to make improvements and that they welcome the refresher training they are undertaking in medication practice and safety awareness. One member of staff told us that they believe the changes are already producing benefits in the way people are cared for. They also value the hard work put in by the management team and the companys experts. Care Homes for Older People Page 4 of 8 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 18 12 The lessons learned from 11/09/2009 investigations into complaints and safeguarding of adults referrals should be implemented and monitored via quality assurance processes, documentation, staff supervision and training, and observations of practice. This will help to ensure poor practice continues to decrease and the welbeing of residents continues to increase. Not assessed at this inspection but will be checked at the next key unnanounced inspection. Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
