Inspection on 13/06/07 for Selkirk House

This inspection was carried out on 13th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Selkirk House 20/12/05

Selkirk House 06/10/05

Selkirk House 02/02/05

Selkirk House 27/10/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Selkirk House Church Road Plymstock Plymouth Devon PL9 9BD Lead Inspector Jane Gurnell Unannounced Inspection 13th June 2007 09:15 X10015.doc Version 1.40 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 Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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 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. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Selkirk House Address Church Road Plymstock Plymouth Devon PL9 9BD 01752 492850 01752 480496 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) sharon.blackwell@anchor.org Anchor Trust Mrs Carolyn Kendall Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39), of places Physical disability over 65 years of age (39) Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Home may accommodate one extra named person making the total number of places 40. Numbers to revert to 39 when the named person leaves. 20/12/05 Date of last inspection Brief Description of the Service: Selkirk House is situated in Plymstock close to local amenities and is one of the Anchor Homes Group of Residential Care Homes for Older Persons. The Home is registered to provide accommodation and personal care for 39 people of both sexes over the age of 65; a temporary condition to the registration allows for one extra person to be accommodated. People living in the home may have a varying degree of dementia and/or physical disabilities. The Home does not provide nursing care. Accommodation is offered on the 1st and 2nd floors of a 3-storey building with a shaft lift providing access to each floor. The Home offers 35 single rooms all of which have en-suite shower rooms and a kitchen area, and 4 larger apartments, which offer a separate kitchen, lounge and bedroom. The Home has 2 lounge rooms and a large dining room. The Home is attractive and welcoming. The garden offers seating areas and is accessible with ramps and handrails. Residents are encouraged to maintain their gardening interests if they wish. The current weekly fees range form £276 to £470 depending upon the care needs of each person and their chosen accommodation. Items such as chiropody treatment, personal toiletries, newspapers and magazines and transport costs are not included in the fees. Information relating to the services provided at Selkirk House can be obtained directly from the home. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 13th June 2007. Mrs Kendall, the Registered Manager, was present and she and her staff team assisted the inspector throughout the visit. The inspector spoke to 10 people who live in the home, as well as the staff on duty and made a tour of the building. The care plans for 3 people with whom the inspector had spent time with were examined in detail, as were the recruitment and training documents for 2 staff, one of whom was newly employed. Other documents relating to the Registered Manager’s quality audit review of the services provided in the home as well as those relating to maintaining the building in a safe order were also examined. What the service does well: What has improved since the last inspection? The care planning and health assessment documentation has improved significantly since the previous inspection. These plans give a very clear Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 6 description of each person’s needs and the action required by staff to meet these needs: this enables care to be given in a consistent manner and for changes in someone’s health or well being to be identified immediately. Staffing levels have been increased at night, indicating that the home increases its staffing levels in response to increased care needs. An activity co-ordinator organises and facilitates daily activities that include a Newspaper Club, a Music Night, a Film Club and armchair aerobics. These activities have improved the opportunities for people to socialise with each other. Anchor Trust continues to invest in the environment and many of the bedrooms have had new kitchen cupboards and bathroom equipment fitted and new carpets laid. The bathrooms have been upgraded with baths, toilets and sinks renewed. The main hallways have been redecorated and new carpets fitted. What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough and comprehensive pre-admission assessments and visits to the home enable people to have confidence that their personal care needs can be met at Selkirk House. EVIDENCE: A Service User Guide, the document that describes the services provided at the home, was available for people considering moving to Selkirk House and provided the information required to allow people to make a choice over the suitability of the home. The inspector spoke to a newly admitted person: she described how she and her family had been able to visit and had participated in an assessment of her care needs before making a decision to move in. She said she felt she was being fully supported and was pleased she had chosen to move into Selkirk House. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of those living at Selkirk House are being met and people are treated respectfully. The home’s practices relating to medication administration are safe. EVIDENCE: Those people spoken to all confirmed that they felt very well supported at the home. When asked if they could think of anything that would make their lives more comfortable they said they could not think of anything. They described living at Selkirk House as “excellent”, “very nice” and “couldn’t be better”. People said they considered their rooms to be their homes and that the staff respected them as such; staff were seen to knock on doors and wait to be invited in. The care plans for 3 people with whom the inspector had spent time with, including one person with significant care needs, were examined in detail. The style of care planning document had been improved significantly since the Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 10 previous inspection and provided a very clear description of each person’s needs and the action required from staff to meet those needs. Additional assessments had been completed for specific needs such as pressure area care for those with restricted mobility, nutritional needs for those at risk from malnutrition, and risk assessments regarding activities for daily living and healthy lifestyle choices. A summary of pictorial prompts and a written description were used to highlight the results of these additional assessments making it very easy for staff to identify areas of special need. “End of Life” care plans had been commenced to allow staff to be aware of each person’s personal wishes should they become terminally ill. Care plans were reviewed monthly to ensure they continue to describe current care needs. Formal reviews are held one month after admission and every 6 months thereafter to ensure Selkirk House is providing a quality service to each person; relatives are included in this review with the person’s consent. Prior to these reviews people are provided with a written survey to allow them to comment upon their experiences and whether they are satisfied with the quality of the services being provided. The results of these surveys are included in the home’s quality assurance processes. The District Nursing Service visits Selkirk House to support the care staff with meeting people’s health care needs. People with terminal illnesses may remain at the home if the staff team and the District Nursing Service can continue to meet their needs. Each person had an emergency evacuation plan that described whether the person would be independent in leaving the building or the assistance that would be required. This demonstrates very good practice as it enables the manager to prioritise her staff and assist the emergency services should there be a major disaster at the home. Medication was stored safely and the records, including those for controlled drugs, were accurate. The Registered Manager confirmed that people could retain the responsibility for their own medication if they wished and were able to do so. Anchor Trust had a “care specialist team” that provided support to the Registered Managers to ensure the care needs of each person are fully identified in their care plans and any specialist advice or equipment is sourced. The team does unannounced spot checks to ensure the documentation is in order. This demonstrated very good practice and contributed to the Trust’s Quality Audit of its services. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14,and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Social activities are managed well and provide daily interest for the people living at Selkirk House. Meals are nutritious and varied. EVIDENCE: An activity co-ordinator had been employed since the previous inspection whose role it was to organise daily group and individual activities. The group activities included armchair aerobics; Newspaper Club where the local and national news is discussed; a Film Club; a Music Night with either a “request” night where people chose the music they would like to listen to or an evening when a local choir or other musicians are invited into the home. Those people spoken to said how much they enjoyed and valued these activities and that it had introduced them to many of the others living in the home; previously due to the nature of the accommodation many people had chosen to stay in their own self-contained flats. A Newsletter provides information about forthcoming events. A wide choice of meals is offered daily and each person is given a copy of the menu to enable them to make a selection over the week. The meals were described as “excellent”. The chef met regularly with those living in the home Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 12 to discuss menu planning and preferences. People were able to make drinks and snacks in their rooms and were provided with tea/coffee and bread etc to do this. People are free to come and go as they please from the home and are actively encouraged to continue with hobbies and friendships outside of the home. Relatives and friends are free to visit at all reasonable times of the day. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and suggestions from those living in the home, their relatives or other visitors to the home are treated seriously. People are listened to and issues resolved promptly. EVIDENCE: Those people spoke to said the Registered Manager and the staff were very approachable and they are confident that any issues of concern would be listened to and dealt with. Neither the home nor the Commission had received any complaints about the services provided at Selkirk House since the previous inspection. A copy of the complaints procedure was available in the Service User Guide. Care staff have received in-house adult protection training to ensure they are aware of the risks associated with aging and vulnerability, as well as their responsibilities should they suspect anyone is at risk from being abused. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Selkirk House provides a very pleasant home to those who live there. The home is well-maintained, spacious and comfortable, with sufficient facilities to aid people to be as independent as possible. EVIDENCE: All communal and private rooms were pleasantly decorated and furnished. The home was found to be very clean and tidy and those spoken to confirmed that this was always the case. Selkirk House was purpose built and provides selfcontained accommodation: all rooms offer a kitchen area and an en suite shower room, some provide a separate lounge and bedroom which make these rooms particularly suitable for couples to share. In addition to the en suite shower rooms, bathrooms are provided for those who prefer a bath and these have been designed for ease of use for people with restricted mobility. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 15 Radiators are covered and hot water temperatures in the bathrooms and bedrooms are controlled reducing the risk of injury from burns and scalds. The home employs a full time person to take care of day-to-day maintenance and repairs. He is also responsible for overseeing health and safety issues, including arranging the servicing of equipment, such as the passenger lift, and the weekly testing of the fire alarm system to ensure all are in good working order. The garden was very pleasant and easily accessible, with plenty of seating. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 16 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30.Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are well trained and motivated and employed in sufficient numbers to meet the needs of those currently living in the home. Recruitment practices protect vulnerable people. EVIDENCE: Staff were described as very kind and caring and those people spoken to confirmed they responded promptly to requests for assistance. Examination of the duty rota confirmed that there were usually 5 care staff on duty in the mornings and early afternoons, 4-5 care staff on duty in the afternoons and early evenings (dependant upon the planned activities) and 3 care staff available during the night. These numbers did not include the Registered Manager who was in the home 5 days a week unless undertaking training herself or providing training to others within the Trust. Care staff are supported by catering, laundry, domestic and administrative staff, as well as the activity co-ordinator. The call-bell system installed in the home provided a printed record each time someone rang for assistance. The record indicated how long the call was taken to answer and the Registered Manager reviewed these regularly: this demonstrates very good practice in reviewing whether assistance is provided promptly and contributes the overall quality review of services. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 17 Staff have an individual training and development portfolio and Anchor Trust has a strong commitment to training with identified trainers within the organisation. Staff have received training in first aid, fire safety, health and safety and moving and handling ensuring they have the knowledge and skills to deal with emergencies, as well as issues relating to the care needs of older people such as Dementia Care. Seventy percent of care staff have a National Vocational Qualification: a qualification awarded by an external training provider for which staff must demonstrate their knowledge and skills regarding caring for older people. Newly appointed staff follow a planned induction training programme and work alongside a more experienced member of staff until they are assessed as competent. Those staff files examined contained the required pre-employment documentation including 2 written references and a Criminal Record Bureau Disclosure indicating as far as possible only suitable people are employed. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 18 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Selkirk House is a well managed home. The Registered Manager and her staff team strive to provide a stimulating, safe environment that promotes independence and respects and protects peoples’ rights. EVIDENCE: Those people spoken to said they felt safe and secure in the home and that they found the home to be well managed. The Registered Manager was described as very professional, knowledgeable and approachable. She meets formally with those living in the home and the staff team allowing consultation on the day-to-day running of the home and future planning. As part of the quality assurance process, representatives from other Anchor Trust homes undertake regular “customer journeys” through the building to Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 19 assess the impression it gives to prospective residents and the ease of use and cleanliness of the facilities for those who live at the home. Further Quality Assurance processes include providing written surveys to ascertain views regarding the quality of the services being provided. An open day had been planned for the weekend following the inspection: members of the local community and school had been invited to attend. Those spoken to said that they were very much looking forward to the day when relatives and friends would be attending. The school children had prepared a display of the local area over the past 100years. People retain responsibility for their own finances and staff do not have access to peoples’ money without their express permission to assist with the purchase of items such as toiletries. Care staff confirmed that they receive regular formal supervision to discuss their personal development and training needs. Fire safety training and unannounced fire drill practices were well documented as was fire equipment testing and servicing to ensure the system is safe and staff are aware of their responsibilities. Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 4 3 4 4 3 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 3 3 3 Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Selkirk House DS0000003525.V332007.R01.S.doc Version 5.2 Page 23 - 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!