Inspection on 19/10/05 for Silverdale

This inspection was carried out on 19th October 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

Silverdale 12/09/06

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 Virginia Allen Unannounced Inspection 19th October 2005 08:00 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.V259052.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 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.V259052.R01.S.doc Version 5.0 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.V259052.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th April 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. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began during a cold damp morning when the two current residents were at home. The two service users and the deputy manager of the home assisted the inspector with the inspection. The service users talked about their time at Silverdale. The inspector looked at the service user’s assessments and care plans, policy and procedures of the home, Health and Safety Certificates and staff training and recruitment documentation. Further information was gathered during a second visit to the home and the manager of the home forwarded some more to the commission. The inspector was kept waiting at the front door for some time. What the service does well: What has improved since the last inspection? 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. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 6 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.V259052.R01.S.doc Version 5.0 Page 7 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): 2,3,4,5 Each service user has a written contract and their files contain terms of conditions of the home. All service users have a full assessment and are assured prior to admission that the home will meet their needs. Prospective service users and their relatives and friends have the opportunity to visit and assess the quality of the home. EVIDENCE: The inspector viewed the files of the two service users. The files contained the statement of terms and conditions supplied to service users along with their contract. The information outlined the overall care being offered, and the rights and obligations of the service user and the provider. Prior to admission the prospective service user is fully assessed by the registered manager. A service user is only accepted into the home provided Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 8 the home can meet the needs of the service user. This is determined through the assessment process and was evident from the service user files. In the files, the inspector observed an outline of the daily routine for each service user. Risk assessments were also in place. The admission procedures are documented in the service user files. The deputy manager informed the inspector that the service user and their relatives have the opportunity to visit the home before admission. When a decision is made that the needs of a service user can be met, they are given the opportunity to be admitted to the home for a trial period. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 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 the following standard(s): 7,10,11 Care plans would benefit from giving a more detailed account of action to be taken. Service users feel they are treated with respect and their right to privacy upheld. EVIDENCE: Each service user file contained a comprehensive assessment of service user needs. There was a copy of the daily routine and an action care plan. However, the care plan could be expanded to include a more detailed explanation of the actions to be taken. The inspector spoke with each of the service users who reported that they were treated with dignity and respect. Service users wear their own clothes at all times and are called by their preferred term of address. The wishes of the service user and their family in the event of the death of the service user have been documented. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 10 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 Service users are given a choice about their daily activities. Visitors are welcome to the home. Service users receive a wholesome and nutritious diet. EVIDENCE: The deputy manager informed the inspector that the service user could choose his or her own daily activities. Currently one service user likes to go out during the day and will travel independently. He enjoys visiting the area where he once lived. The other service user prefers to relax at home during the day but will go out in the car with the manager or deputy manager when they go shopping. She also enjoys sitting outside in the garden in the summer. The manager encourages exercise and will do dance exercise with the service user three or four times a week. Both of the current residents are visited by their family regularly and the deputy manager told the inspector that visitors could come at any time. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 11 One of the service users has expressed the wish that her daughter handle her finances. The daughter is happy with this arrangement. The other service user receives his weekly allowance from the manager and spends this as he wishes. A written record is kept of his allowance. The inspector viewed the weekly menu. This was varied and nutritious. It took account of personal preferences and the fact that one service user is on a special diet. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 12 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): 16,17,18 Residents are protected by the complaints and abuse procedures. Their legal rights are protected. EVIDENCE: The home has a complaints procedure that complies with regulations and this is kept in the policy and procedure file. There have been no complaints since the last inspection. The deputy manager informed the inspector that none of the current residents use advocacy services. They have been given the right to vote but neither of them wishes to be registered to vote. The manager and the deputy manager have recently undertaken the Protection of Vulnerable Adult training. The home has a policy relating to the protection of vulnerable adults and whistle blowing. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 13 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): 19,20,21,23,24,25,26 Service users live in a safe, well-maintained environment, which has comfortable communal facilities inside and outside. Service users have sufficient bathroom and toilet facilities. Their rooms suit their needs and are comfortable, safe, clean and hygienic. EVIDENCE: Service users are provided with comfortable indoor and outdoor facilities. The inspector noted that the garden area surrounding the home was very well maintained. Inside the home there were two comfortable sitting rooms that were smoke free. The layout of the home suited the needs of the current two service users. The décor of the home is domestic in nature and the furnishing is of a high standard. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 14 One service user has an en-suite bathroom while the other service user has bathroom facilities that are next to his bedroom. These were found by the inspector to be clean and tidy. The two bedrooms of the current service users were adequate in size. They were furnished comfortably and had carpet on the floor. The rooms were decorated with their own personal belongings. The rooms were naturally ventilated with standard sized windows. The doors were lockable and the keys kept by the management. The bedrooms are centrally heated and the temperature can be controlled at each radiator in the room. The radiators are low temperature. The service users reported to the inspector that they were happy with their rooms. Clothes washing facilities are in the kitchen. The Environmental Health Officer has been consulted and agreed that provided washing is done in the evenings then this can continue. The inspector did not find that the home had any offensive odours. The home has a policy for infection control. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 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 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 The service user’s needs are met by the mix of staff and are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and the staff are trained to do their jobs. EVIDENCE: The registered manager of the home has completed her NVQ level 4 in management. The deputy manager is registered to continue training in NVQ level 2. The volunteer staff has completed Induction and Foundation training. Documentation showed that the manager had completed training in medication 1997, Dementia training 2002, manual handling 2002, continence training 2002, COSSH 2002, Life Support 2003, First Aid 2004, POVA training 2005, Supervision of a care home 2005, and Health and Safety 2005. The Deputy Manager has completed Medication training 1997, Dementia training 1999, First Aid training 2000, Food Hygiene 2004, Life Support 2004, supervision in a care home 2005, POVA 2005 and Health and Safety 2005. All staff is required to have a current CRB check before working at the home. The inspector viewed the CRB certificates and they were seen to be current. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 16 The registered manager has recently undertaken training in supervision of a care home, health and safety and protection of vulnerable adults. The deputy manager has recently undertaken health and safety and protection of vulnerable adult training. It is recommended that the deputy manager undertake a course of training in manual handling and refresher training for the administration of medication. It is also recommended that the deputy manager undertake a current first aid certificate. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 17 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): 31,32,35,38 The home is run and managed by a person who is fit to be in charge. Service users benefit from the managerial approach and their financial interests are safeguarded. Health, safety and welfare of the service users and staff are promoted and protected. EVIDENCE: The registered manager is qualified and experienced. The records show that the manager undertakes periodic training to update her knowledge and skills and therefore meets the recommended standards. The service user’s needs are met and they are well cared for. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 18 The deputy manager informed the inspector that one of the current service users had a daughter who managed her finances (as per page 12). The other service user has his money paid to the home and the manager gives him the cash. Records are maintained of all transactions. The certificates relating to appliances and equipment were made available for the inspector. These were up to date. Fire safety systems are checked weekly with fire drills practiced quarterly and recorded. Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 X 3 3 3 3 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 3 3 X X 3 X X 3 Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 20 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 Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Silverdale DS0000017489.V259052.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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