Inspection on 01/06/05 for Silverdale Residential Home

This inspection was carried out on 1st June 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 Residential Home 06/08/08

Silverdale Residential Home 08/08/07

Silverdale Residential Home 31/05/06

Silverdale Residential Home 09/12/05

Silverdale Residential Home 01/12/04

Silverdale Residential Home 30/06/04

Silverdale Residential Home 30/10/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Silverdale Residential Home 8 Buregate Road Felixstowe Suffolk IP11 2DE Lead Inspector John Goodship Announced 1 June 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Silversdale Address 8 Buregate Road Felixstowe Suffolk IP11 2DE 01394 278424 01394 278424 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) Mr David Austin Mr David Austin Care Home 8 Category(ies) of LD Learning Disability (8) registration, with number LD(E) Learning Disability over 65 years of age of places (8) Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/12/04 Brief Description of the Service: Silverdale is a privately owned care home registered to provide personal care and accommodation to up to 8 service users with a learning disability, some of whom are over the age of 65.It is owned and managed by Mr & Mrs Austin, who operate with a family ethos and whose son is also involved in the administration and maintenance of the home.The home is situated in a residential area of Felixstowe town, close to the sea front and the town centre, where there are amenities such as shops, pubs and churches. The building is a three-storey Victorian terrace with a small front and back garden and on street parking. There are 2 single and 3 double bedrooms at present, although there are plans to increase the number of single rooms as vacancies occur. Only 1 single bedroom has an en suite toilet and shower facility. Stannah stair lifts give access to all three floors. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Wednesday 1 June 2005, and was announced. The registered provider Mr D Austin had unfortunately been taken to hospital shortly before the visit. However, Mrs S Austin and Mr J Austin were present with the senior carer. A second inspector, Jane Offord, was present as part of her induction. All 6 residents were in the house during the inspection and the inspectors spoke to those able to communicate. Comment Cards had been received from 2 residents with no adverse comments. 3 relatives had replied, offering compliments on the home and its care. What the service does well: What has improved since the last inspection? Policies and procedures have been reviewed and a plan for annual reviews put in place. The plans for the extension had been given planning permission and work had started. However, the council had now asked for some changes Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 6 which had delayed the project. These changes will not affect the plans for the residents’ rooms which are in the second phase. 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 Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 There is comprehensive information available to prospective residents and their representatives, with the opportunities to try out the home, and to check compatibility with the existing residents. EVIDENCE: The Home’s statement of purpose had recently been revised to make clear that the Home was able to admit people with challenging behaviour after proper assessment and with an agreed care plan to address the behaviour. The care plan of the most recent resident showed that these procedures had been followed. Trial stays in the home were arranged for prospective service users, usually over weekends to give the maximum time for interacting with the current service users. The home reviewed all new admissions after 3 months, or as soon as possible thereafter. Each resident was funded by local authorities, and had a statement of the conditions of residence. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9. Residents are fully involved in deciding how to live their lives. They can participate as much as they wish or are able in the day-to-day running of the home. The taking of risks is planned and assessed, to allow residents to become more independent and responsible if appropriate. EVIDENCE: The health records in the care plans were up-to-date and comprehensive. Regular reviews were held with the resident and recorded. One resident’s behaviour had been recorded daily to help assess progress towards improvement targets. Another resident had started fitting. A chart had been kept of each episode. With 3 of the residents being over 65, the staff were especially aware of their changing needs. These were captured at regular reviews, including medication and equipment. Risk assessments had been prepared for each resident including falls, moving and handling, crossing the road and the dangers of electricity. The manager said that residents’ meetings had been tried but were not successful. It was more productive to speak to everyone individually. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. Residents have many opportunities for leisure and social activities inside and outside the home, with appropriate support from staff. They are encouraged to be as independent as possible. EVIDENCE: The 3 older residents spent most days in the home, where they were encouraged to do suitable activities with staff support. Other residents went to the local day service for some days. Otherwise there were individual and group opportunities for outside trips and activities. These were all recorded in the care plans. One of the residents was hoping to make a video of the home and their life to send to a relative in Australia. In the afternoon of the inspection, this resident was making plaster of paris models, in the garden. Messy but obviously enjoyed. They were hoping to visit the pub at the end of the road in the evening. The home had a good relationship with the landlord who helped to support residents if necessary. Some residents helped with domestic tasks, especially in keeping their own rooms clean and tidy. Some prepared their meals, with support. One resident Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 11 was very pleased that they had cooked their lunch in the microwave. Residents chose what their meals were, and were encouraged to eat a balanced diet. Fresh vegetables and fruit were available. After some changes in the location of the office, the manager was hoping to teach 2 residents computer skills. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20,21. Residents are monitored closely to make sure their physical and emotional needs can be met. The home works closely with the GPs to keep medication at appropriate levels, and to keep staff trained to administer safely. Better recording of this training is recommended. The home has supported the residents well through the loss of 2 residents, one who died, and one who moved to another home. EVIDENCE: Residents had regular health checks, and visits by and to health professionals were recorded. There were examples of action being taken when health needs changed, using regular reviews and outside professionals. One resident had been referred to the community nurse with symptoms of dementia. An assessment was awaited. If diagnosed, the home would need to apply to the Commission for Social Care Inspection for a variation to their registration. Some staff had already attended training in caring for people with dementia. This resident had been assessed for mobility aids, for moving and handling, and for bed-rails. One resident was being closely monitored following a number of seizures, while the GP was assessing the correct dosage of medication. Medication procedures and paperwork were in order, and the administration of medication at lunchtime was properly carried out. The training of staff and Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 13 refresher training was carried out internally, but was not clearly documented. The home is currently supplied with drugs in bottles. This would shortly change to blister packs. The recent death of a long-term resident had been well handled by staff to help residents understand and cope with the loss. One resident was able to talk about their feelings, and explained what support they had received. The manager had been concerned that one resident was losing weight following this death, and referred them to the doctor. Nothing adverse was found and their weight was now stable. One resident was sad that another resident had moved to another home, “as she was my friend”. The manager was hoping to arrange for them to visit this person who now lived in the north of the county. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23. Staff were aware of adult protection issues and how to report them, so that residents were protected from abuse. EVIDENCE: The home had recently been subject of an allegation of abuse to a resident. This had been referred to the police, but it was agreed that no action would be taken, and the complaint was not upheld. Arising from that complaint, the Commission for Social Care Inspection identified 2 requirements that the home had to meet. The first required the statement of purpose to include the acceptance of people with challenging behaviour as an admission category, and the second required the home to inform the Commission immediately of adverse events as described in regulation 37. Both of these requirements have now been actioned. There were no other complaints made to the home or the Commission in the past 12 months. Relatives who submitted Comment Cards were complimentary about the care of their relatives. The policy on the protection of vulnerable adults was up-to-date and clearly set out. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30. The environmental standards are met. The shared rooms will be phased out to increase privacy. EVIDENCE: The environment had been modified to make it suitable for the ageing and less mobile service users, whilst retaining a homely ambience. Ongoing refurbishment and redecoration of the home was in hand. The top floor toilet was to be tiled, and the top landing was to be redecorated with new doors. The home had three shared bedrooms and only two single bedrooms and the registered owners had received planning permission for an extension to release office rooms to convert to single rooms. No new admission would be placed in a shared room. Rooms were highly personalised by décor and equipment. There was a stair lift to both upper floors, and 2 variable height beds were in use. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. Residents have good support from staff at the appropriate level for their ability, to enable them to make choices about what they do. There was one documentary gap in staff records but this did not affect the safety of residents. More regular supervision sessions with each staff member would highlight training and development issues. The manager must ensure that residents’ feelings about the way they are cared for can be expressed openly with a senior person. EVIDENCE: Responsibilities were clearly defined among the 2 co-owners, the manager and the deputy manager. Staffing was organised according to the programmed activities, and day service attendances of residents. Staff were in radio contact through out the building for alerting to situations. Residents were open and chatty with the staff on duty, but 2 residents had not told the manager about the attitude of one staff member who they felt spoke sharply to them. This was relayed to the manager to be discussed with the person. The manager was required to report the outcome and action to the Commission. Staff on duty showed good interaction with residents, who were supported in cooking, planning what to do and craft work. Although all staff had received the CRB disclosure certificate before starting work, the documents provided to obtain that certificate had not been retained in the staff’s file. This is required by the Regulations. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 17 There is an appraisal/review meeting for staff every 6 months. There is a requirement for a 2 monthly supervision session. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42,43. Residents benefit from the size of the home which encourages a homely and family feel, with the close involvement of the owners in meeting residents’ needs. Although all staff are committed to ensuring the welfare of residents, the concerns of 2 residents highlighted that the home must devise ways of encouraging residents to raise issues of concern. EVIDENCE: Mr James Austin who shares the running of the home with his parents would complete his NVQ Level 4 in care and management in August 2005. All policies were now dated at introduction with dates for their regular review, usually annually. The fire log was up-to-date and complete. The staff were planning to provide some suitable signs to improve residents understanding of the action to take on hearing the fire alarm. Residents meetings had been tried, but the manager said that they had not been a success. He felt that the close daily contact with staff allowed matters to be heard. This had not happened with the comments described in the Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 19 previous section. As part of the home’s quality assurance policy, residents must be able to express their opinions on sensitive matters with an appropriate person, either within or outside the home. Residents were consulted on many aspects of the home’s daily activities, and had been asked to choose where the next holiday should be. This would probably be timed to coincide with the most difficult phase of the alterations planned. The manager was reminded of the range of events which require the Commission to be notified under Regulation 37. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Silverdale Residential Home Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 3 3 I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 21 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. 2. Standard 34 36 Regulation 19 18 Requirement The registered person must keep copies of the documents listed in this regulation in staff files. Staff must receive documented supervision sessions at least 6 times a year. Timescale for action Immediate and ongoing. Immediate and ongoing. 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 20 39 Good Practice Recommendations Training in the administration of medication should be fully documented, with records of attendance in staff files. The registered person should improve the opportunities for residents to raise concerns. Silverdale Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 5th Floor St Vincent House Cutler Street Ipswich IP1 1UQ 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 Residential Home I54 - I04 S24488 Silverdale V223144 050601 Stage 4.doc Version 1.30 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. 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