Inspection on 12/09/06 for Silverdale

This inspection was carried out on 12th September 2006.

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

Silverdale 19/10/05

Silverdale 03/11/04

Silverdale 29/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Silverdale 13 Sudbury Court Road Harrow Middlesex HA1 3SD Lead Inspector Richard Adkin Key Unannounced Inspection 12th September 2006 08:30 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 Silverdale DS0000017489.V308837.R03.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. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverdale Address 13 Sudbury Court Road Harrow Middlesex HA1 3SD 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) 020 8385 0841 020 8385 1970 silverdale13@hotmail.com Mrs Pauline O’Donnell Mr James O’Donnell Mrs Pauline O’Donnell Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4) of places Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: Silverdale is a small care home providing personal care for up to 4 elderly persons. Silverdale is a well-appointed house situated in a quiet residential area within walking distance of local shops and transport. The interior of the house is well maintained and furnished and has been redecorated throughout. There are three single rooms on the first floor. Service users and owners dine together and share the communal space in the home, living together as a family unit. There is a well-kept garden at the rear of the premises. Mainly the two proprietors, who live on site, provide care in the home. One is also the registered manager. A volunteer visits the home to assist as needed. Fees are currently in the range of £385-£470 per week. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection took place over 6.5 hours on a weekday in September. The focus of the inspection was to look at the key national minimum standards. Opportunity was afforded to meet and talk with the three current residents at the home and some visitors. A tour was made of the premises and grounds and care records and policies were inspected. The Inspector was made most welcome by the Manager and her husband (the co-owner) and by the residents. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations arising from this inspection. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 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. Silverdale DS0000017489.V308837.R03.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 Silverdale DS0000017489.V308837.R03.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. All residents have a comprehensive assessment of their needs and are assured that prior to admission that the care home will meet their needs. Significant time and effort is spent making admissions to the home personal and respectful. EVIDENCE: The Inspector looked at the files of two residents. Prior to admission, the prospective resident is fully assessed by the registered manager. The care needs assessments for two of the residents were thorough and up to date. Each resident has a one month trial stay in order to establish that the resident will be settled and also that the resident will get on with the other residents which is essential in such a small group of residents. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 9 The ‘New Client Admission Policy’ is clear on the importance of integrating, in that the views of the other clients living in the home are taken into consideration when introducing a new client into the home. From speaking to the Manager there was strong indication that considerable time was spent with potential new residents and their carers that prompted dignity and respect. New residents and their families are encouraged to look around the home and receive a copy of the home’s service user’s guide. Guidance is available on emergency admissions to the home. No residents are assessed for intermediate care, though one resident was receiving respite care at the time of the inspection. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 10 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 the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The home has a strong ethos of involving residents in all aspects of their life. Robust care plans are in place. Strong relationships exist with health professionals. Medication policy and procedures and practice are effective. EVIDENCE: Each resident’s file contained a comprehensive assessment of those residents’ needs. The daily logbook is summarised helpfully each month for the resident. The files were all up to date and comprehensive and wide-ranging. Included in the file is the residents profile, the individual 24 hour care plan, a monthly care plan, health appointment index, risk assessment, the aforementioned care needs assessment, an occupational therapy/mobility/functioning assessment, personal preferences information, detailed missing persons information, clients views and so forth. One resident attends hospital regularly each week and is supported in the home in meeting his health needs by being ready for appointments and Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 11 monitoring and supporting the residents well-being, for instance, addressing the dietary needs. Positive feedback was received from the residents as to their experiences in the home. Residents were well dressed with their choices and preferences supported. The Inspector observed residents being engaged sympathetically and with the upmost respect by the manager and her husband. One resident said that everyone is kind to one another, friendly and puts themselves out. The medication records and medication secured in the cupboard were all in order; some improvements were in hand for one resident in moving from a dossette box to a blister pack. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Residents enjoy a varied lifestyle that reflects their views and interests. Residents are supported in maintaining contact with family and friends. The dietary and cultural needs of residents are reflected in the food provided. Routines are flexible. EVIDENCE: Two residents were having breakfast in the kitchen dining area when the Inspector arrived. The two residents were sitting down to a breakfast that gave them both satisfaction; they were positive about the food offered and the flexibility of when served. The setting was most homely and comfortable. Breakfast was taken upstairs for another resident. Bowls of fruit and vases with flowers were distributed around the living areas. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 13 Lunch was nutritious, recognising the dietary needs of residents. One resident welcomed the cooking on occasion of meals that he enjoyed from his country of origin. Residents spoke positively of maintaining their strong links with the community and with their family and friends. One resident spoke of friends and family visiting and being made welcome and being fed. One resident received visitors during the course of the inspection and they were hospitably received. Visitors were positive about the attention and care given to residents. Considerable thought and attention was given by the manager in supporting residents in maximising their potential and taking part in local resources such as church, swimming, shopping and the like. One resident attends a specialist day service three days a week. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 14 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 the following standard(s): 16, 18 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. There is a clear complaints procedure in place. Residents feel safe and protected at the care home. EVIDENCE: There is a complaints procedure in place that is kept in the policy and procedures file. All residents and carers receive a copy of the service user guide that has a section on making complaints. There have been no complaints for several years. Records of compliments are also kept. The Manager and her husband have undertaken POVA training with the London Borough of Brent and also with the London Borough of Harrow (December 2005). There have been no incidents involving POVA in the last 12 months. The home has policies in place for POVA and the London Borough of Brent guidelines are accessible. Residents spoken to felt they were safe and supported at the home. This view was confirmed by visitors spoken to by the Inspector. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 15 None of the residents are interested in voting; there is no advocacy currently in place at the home. There is a volunteer that comes in occasionally who helps out around the house. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 16 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 the following standard(s): 19, 20, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The home is well-maintained, safe and attractive. The home is clean, tidy and smells fresh. EVIDENCE: The home was spotlessly clean and smelt pleasant and hygienic throughout. The home is decorated to a high standard and is well maintained. There are attractive, well-maintained accessible gardens to the front and back of the house. These are well kept. There is a fish pond that is fenced off for the protection of residents, but is accessible with supervision. Cleaning was taking place throughout the home during the course of the inspection. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 17 Some maintenance work on windows was taking place during the course of the inspection. There are two comfortable sitting rooms for residents. Resident’s bedrooms are comfortable and personally furnished. There are call bells in the three bedrooms that are linked to the co-owner’s bedroom at night and to the living area during the day. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents and their carers experience their care needs being met by skilled staff. They are confident that staff care for them. Training is ongoing for the staff. EVIDENCE: The registered Manager of the home has completed NVQ level 4 in management. The manager’s husband (and co-owner) is just finalising completion of NVQ level 2 (through Stanmore College). He has found this an informative process. He is intending to go for level 3 in the near future. There is a recruitment policy in place, but no one is employed at the care home. The Manager keeps an up to date record of training that she and her partner have undertaken, along with the domestic/volunteer. Training is ongoing for the safe running of the home. The deputy Manager for example, had attended an emergency first aid course earlier in the year. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The Manager is competent and manages the running of the home well in conjunction with the co-owner. There is a strong commitment to ensuring the health, welfare and safety of residents are met. EVIDENCE: The registered Manager is qualified and experienced, having run the care home for 10 years. She and her husband have maintained training to continually update their knowledge and skills. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 20 Quality assurance systems are in place and there is a considered quality assurance policy. Feedback is received from residents in their own words and through a question and answer format. The Manager is undertaking some work to further capture the views of relatives, friends and professionals. All the electrical appliances were tested in the care home on 2nd September 2006. The gas safety check was undertaken on 5th September. Fire drills take place every three months. The fire checks last took place on 10/10/05. The Manager and partner have undertaken fire training recently (18/10/05). Temperature checks of the fridge and freezer happen daily and are up to date. The London Borough of Brent has provided sound environmental guidance and working documents for safe methods of cleansing, food hygiene and related matters. The family looks after two resident’s finances. One resident receives his pension, which is in cash, which the resident secures in his own room. The records of this were looked at by the Inspector. Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 21 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 X X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 3 4 X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 22 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. 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 Silverdale DS0000017489.V308837.R03.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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. 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