Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/12/05 for Silverdale Residential Home

Also see our care home review for Silverdale Residential Home for more information

This inspection was carried out on 9th December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to meet all the National Minimum Standards. It is able, because it only caters for up to 8 residents, to provide a homely environment where residents can play a proper part in deciding many aspects of day-to-day life. Staff support and encourage residents to lead as independent a life as possible, with some of them able to go out of the home on their own after assessing the risks and helping them gain the confidence and knowledge to do so. Care plans give full information about each resident, with their likes and dislikes recorded. These plans, which are agreed with each person, are reviewed regularly. This is especially important for the older residents whose needs for personal care are increasing. The family who own the home are dedicated to the support of the residents, and make it as close to a real family home as possible.

What has improved since the last inspection?

The home has brought its recruitment documentation up to standard and improved the supervision of staff. The new pharmacy supplier has provided medication training for the staff. Residents seem able to talk easily to staff without fear.

What the care home could do better:

The planned extension will provide all single rooms which will increase resident privacy.

CARE HOME ADULTS 18-65 Silverdale Residential Home 8 Buregate Road Felixstowe Suffolk IP11 2DE Lead Inspector John Goodship Unannounced Inspection 9th December 2005 02:20p Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 Residential Home DS0000024488.V258727.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 Adults 18-65. 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 Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Silverdale Residential Home Address 8 Buregate Road Felixstowe Suffolk IP11 2DE 01394 278424 01394 278424 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) Mr David Austin Mr David Austin Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 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 onstreet 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 DS0000024488.V258727.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which followed the announced inspection on 1 June 2005. Mrs Austin and Mr Austin junior were present. Three residents were in the home at the start of the inspection and two more arrived back from their day activities later. The inspection checked that the requirements and recommendations from the previous visit had been actioned, and confirmed that some of the standards which were met then were still being met. All key standards have now been inspected over the two inspections and were met. The inspector spoke to the residents who all seemed satisfied with how they were living, and were chatty and communicative. What the service does well: What has improved since the last inspection? What they could do better: The planned extension will provide all single rooms which will increase resident privacy. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5. The previous report judged that the home met all these standards to allow prospective residents to decide if the home is right for them. EVIDENCE: No new residents have been admitted since September 2004, but the procedures for doing so are in place. Admissions are sourced from the funding authority. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 the following standard(s): 6,7,9. 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. EVIDENCE: Care plans for all six current residents showed that they were regularly reviewed every month by the home, and once a year with the social worker. All current residents had had this annual review shortly before the inspection. Plans covered health and social needs, and contained relevant risk assessments. A resident whose care plan was case-tracked was able to speak about their perception of their behaviour, and what caused them to be agitated. These trigger points were noted in the care plan, with guidance to staff on preventing and de-escalating any episodes. With three of the residents being over 65, the staff were aware of their changing needs. These were captured at the monthly reviews, and included changes in medication and the need for specialist equipment. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,16. Residents have opportunities for leisure and social activities to suit their choice and abilities. EVIDENCE: The three oldest residents did not have a regular programme of outside day care or other activities outside the home, because of their frailty and lack of mobility. They were encouraged to do suitable activities with staff support, such as craft work. One of them did receive visitors three times a week. One resident attended a day centre on Fridays, and went to church on Sundays. They also liked to go to the local pub at the end of the road, sometimes on their own. The landlord was happy to keep an eye on them, and the staff had supported the resident to control their drinking. Another resident had been asked to leave their day activity because their behaviour was unacceptable. This was partly caused by a trigger point that the day centre was unable to control. However the resident was able, with some support to cross the road, to go out by themselves, and liked to walk along the promenade. A risk assessment for this activity was filed in the care plan. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 11 The other resident attended a day centre three days a week in the locality. This person was not able to go out on their own as they had a limited knowledge of road safety, so staff always accompanied them. The home, and the residents, were looking forward to their Christmas party the following day. Some residents helped with domestic tasks in the house, especially in keeping their own rooms clean and tidy. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 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 the following standard(s): 19,20,21. Residents are monitored closely to make sure their physical and emotional needs are met, particularly as they get older. The training of staff in the safe administration of medication protects residents from harm. EVIDENCE: The home had now changed their pharmacy supplier, who had completed the training of staff in the administration of medication. The home was waiting to receive the certificates of completion for each person. Tablets were now supplied in blister packs, which decreased the chances of errors. Residents had regular health checks, and visits by and to health professionals were recorded. Particular attention was paid in the care plans to the changing needs of the older residents, for medical and nursing interventions. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 13 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 the following standard(s): None of these standards were inspected. EVIDENCE: Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 25,26,28. New residents will benefit from only being offered single room accommodation. Existing residents are content with the current arrangements, and will not be forced to move from shared rooms if they do not want to. EVIDENCE: The owners had plans awaiting planning approval to extend the house at the rear partly to provide another single bedroom. There would then be the opportunity to alter the existing office and sleep-in rooms to provide further single bedrooms. The aim would be to eliminate the shared rooms, when vacancies occurred or when residents chose to change. Rooms were highly personalised by décor and equipment. One resident in a shared room had needed more care particularly from the District Nurse. So the other occupant had been offered the option of moving in with another resident in a shared room to avoid disturbance and to allow more privacy for the frail resident. Both new sharers appeared compatible, although the inspector was only able to speak with one of them. They expressed that they were content in their new room. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36. Residents are supported by staff who are properly and safely recruited, trained and supervised. Residents have good support from staff at the level appropriate to their ability, to enable them to make choices about what they do. EVIDENCE: There were no new members of staff on the payroll since the previous inspection. One person had started but had been dismissed during their probationary period for poor timekeeping and absences. Two care staff had almost completed NVQ Level 2.Three staff had just completed a Food Hygiene certificate with the District Council Environmental Health Department. This meant that all staff were now certificated. There had been an EHO inspection on 24 November 2005 which had had found all aspects of food hygiene were up to standard, and no action remedial action was required. All required documents were now in personal files together with supervision records. Staff were seen to provide good support to residents in doing everyday tasks. One resident made a cup of tea in the kitchen, under supervision. Other staff Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 16 were seen to interact well with residents. Two residents said that they liked all the staff and got on well with them. Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 17 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42,43. Residents benefit from the homely and family feel of the home, with the close involvement of the owners in meeting residents’ needs. Residents are protected by the health and safety procedures of the home. The proposed extension and associated changes will give residents more privacy in single rooms. EVIDENCE: The registered manager was spending less time in direct management of the home. This was being taken on by his son. He had completed his NVQ Level 4 in Care and Management. His coursework was awaiting validation. It was noted that the stair lift and hoist had recently been maintained. Refresher training on the use of the hoist had been arranged with the manufacturer and was to take place shortly. The home had had two vacancies for residents since April 2005. This was a significant percentage out of eight places. The local authority referrers were Silverdale Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 18 aware of this, and a meeting had been arranged between the home and Social Care Services for the week following the inspection. Silverdale Residential Home DS0000024488.V258727.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 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 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 X 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Silverdale Residential Home Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 3 DS0000024488.V258727.R01.S.doc Version 5.0 Page 20 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. 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 Residential Home DS0000024488.V258727.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk 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 DS0000024488.V258727.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. 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!