Inspection on 03/05/07 for Silverpoint Court Care Home

This inspection was carried out on 3rd May 2007.

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

Silverpoint Court Care Home 27/06/08

Silverpoint Court Care Home 17/05/06

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Silverpoint Court Care Home Silverpoint Marine Canvey Island Essex SS8 7TN Lead Inspector Nicola Dowling Unannounced Inspection 30th May 2007 09:00 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 Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Silverpoint Court Care Home Address Silverpoint Marine Canvey Island Essex SS8 7TN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company Name of registered manager Type of registration No. of places registered (if applicable) 01268 515564 01268 510404 silverpoint.court@nellsar.com Nellsar Limited Manager post vacant Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2006 Brief Description of the Service: Silverpoint Court provides residential accommodation for thirty six older people. The home is a purpose built property with accommodation on three floors with a passenger lift allowing access to each floor. The home is situated in a residential area of Canvey Island and close to the seafront. There is a garden to the rear of the property and car parking facilities are available. The home’s facilities include two large lounge areas on the first and second floors and the main dining room on the ground floor. There are thirty single and three double bedrooms and several toilets and bathrooms. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection site visit took place over a nine hour period on one day. The site visit consisted of a tour of the home, talking with staff, residents, and relatives, observing the care given and reading of documents. Three relatives, three staff and five residents were spoken to. The manager was on duty at the home and an area manager for Nellsar also visited the home. In addition five resident survey forms and two relative survey forms also contributed to this report. The inspector would like to thank the staff, residents and relatives for their help and hospitality during the visit. What the service does well: What has improved since the last inspection? What they could do better: Documentation of information including care plans, complaint records and reporting incidents to the Commission for Social Care Inspection must be Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 6 better. These areas ensure that residents needs and welfare are being cared for properly. The storage of medication that was due to be returned to a pharmacy was inappropriate. Access to medication via the keys did not follow pharmaceutical guidelines leaving this a risk area. Evidence of staff training records were not up to date. Their was no record in the home to show that staff have received recognised training that is relevant to the needs of the residents. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good needs assessment is carried prior to admission and residents have the opportunity to see the home before they decide to move in. EVIDENCE: Three care files were seen and all contained a needs assessment that was undertaken before the resident moved into the home. These assessments were detailed and covered social, physical and psychological areas of care. Risk assessments were also included in the pre assessment, for example a risk of falls tool was evidenced in the residents file. The manager has recently attended training on dementia. This training should be cascaded down to staff to update their knowledge on this subject. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 9 One resident remembered viewing the home before moving in. The room that they viewed was the room that they moved into. The resident was happy with the way they moved into the home and how staff helped them to settle in. The Service User Guide was made available and this is presented in a standard text format. This guide can be translated into other languages if required. From surveys there was a mixed picture regarding access to information. Some felt that information was usually available whilst others felt that information was available only if you asked for it. The manager is developing an information point. Here information about the home such as, survey results, the service user guide and statement of purpose along with the last inspection report will all be accessible. This home does not provide intermediate care. Silverpoint Court Care Home DS0000066764.V340995.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care is delivered to residents well however care planning is poor. Some areas of medication storage do not follow good practice guidelines. EVIDENCE: Care plans in the home were poor. They contained little detail on how care is to be delivered to the resident. Residents spoken to were not involved in their care planning, and there was no evidence in the care file that they had input into these plans. The care planning documentation has recently changed. Senior staff have attended care planning training. This training is now being rolled out to all staff. The manager has identified this as a difficulty and hopes that once the training is complete the care plans will improve. Comments from residents and relatives say that “staff are very good” and that the attention to health care is good. For example the home have good relations with the local GP surgery and often the practice nurse will call in to Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 11 offer immediate advice. Daily care notes were good and visits by medical and professionals are recorded. For example residents had access to chiropodists and opticians. Currently no residents administer their own medication. Staff authorised to give medication have received training in this area. Part of the medicine round was observed and the administration of medication was good. However it was observed that the medicine keys are held on the same bunch as other master keys for the home. Also medication that was due to be returned or that would not fit into the medicine trolley was kept in a cupboard used to store other things. Storage of medicine in this way is not good practice and is an area of risk to staff and residents. Staff were observed to deliver care in private. Screening is available in shared rooms. One relative commented that the staff treated her family member with “respect” even when their behaviour makes them hard to care for. Silverpoint Court Care Home DS0000066764.V340995.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can enjoy a variety of activities at the home with nutritional food. EVIDENCE: The home have an activities co-ordinator that visits the home five afternoons a week. Residents and relatives both commented how they enjoyed these sessions and praised the co-ordinator for their efforts. For example on the day of inspection residents played a game in the lounge. Other residents said they liked the “exercises and the quizzes”. Residents are given the choice to attend these activity sessions. Some residents spent time in their room as they preferred not to join in. Residents confirmed that they can get up or go to bed at a time when they choose. Meals are given to residents in their rooms if they prefer it. Residents spoken to said that they could do what they wanted in the home, however this was contradicted by one relative saying that this was sometimes the case, but not always. They also felt that the food was of a poor standard. However on balance more people said that the food was ok rather than poor. The home have also conducted a survey on food. The outcome of this is that the Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 13 manager intends to monitor the food to meet the expectations of the residents. The dinning area was inviting and attractively laid out with table cloths and flowers. Menus are displayed and if residents do not like what is available an alternative is offered. The home welcomes relatives. During the day relatives were seen to come and go. Residents spent time with their relatives in the lounges or in their bedroom. There is no dedicated visitor area. Residents confirmed that they could bring their own possessions to the home and keep in their room. The home do not manage the residents finances, however they will keep small amounts of money in the safe if required. Silverpoint Court Care Home DS0000066764.V340995.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are dealt with quickly and residents are protected by the homes policies and procedures. EVIDENCE: There is a complaints procedure and this is going to be accessible on the new information point. This inspection year there have not been any recorded complaints as the manager likes to deal with issues as soon as they arise. For example one relative raised a complaint with a member of staff. By the time they had gone to the manager to speak about it, the manager knew what the problem was and was attending to it. This has meant that although complaints have been dealt with immediately, there is no written record of the initial problem. This was brought to the attention of the manager who agreed to keep a record of all complaints received. Staff have received training in adult protection and staff spoken to confirmed that they know what abuse is and who to report it to. Residents spoken to said that they felt safe and relatives spoken with trusted the staff. Confirming that staff listen to their concerns and act upon them. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, clean and secure environment for the residents. EVIDENCE: The environment in the home is clean and well kept, with no odours. Furnishings appeared comfortable. The home has purchased new sitting room armchairs for the comfort of the residents. For the safety of the residents security alarms have been fitted to some external doors to alert staff to people exiting the building. The manager pointed out some areas that needed attention. These areas are due for refurbishment and include the sluice and kitchen floor. Resident’s rooms that were seen contained their own possessions and were clean. The home employs a domestic staff team, leaving care staff able to fulfil their role as carers not cleaners. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 16 Residents’ commented that their rooms were “cleaned daily” and that they were happy with the standard of cleanliness in the home. The issue of sufficient bathing facilities was highlighted at the inspection and this has been discussed in previous inspection visits. As yet no new bathing facilities have been created. However the manager and area manager agreed to discuss this further. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. It is unclear how well staff are trained however they are fit to care for the residents and are employed in sufficient numbers. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 18 EVIDENCE: This home does not employ agency staff. Staff reported that they feel supported in the work that they do and that they are happy and like coming to work. Staff are employed in sufficient numbers to attend to the needs of the residents. However staff training could be better. For example all staff receive basic training but some staff require updates. The manager is in the process of assessing all staff training, and care planning is due to be cascaded to all staff in June. Also there was little evidence of specialist training, for example continence management for care staff or control of substances hazardous to health (COSHH) for domestic staff. Updated knowledge in specialist subjects will enable a better outcome for residents care. The home do have a thorough recruitment procedure. Three staff files were checked at random and all documentation was in place. There was evidence of induction training and staff spoken to remembered undertaking this before commencing work. These records evidence that staff receive the proper checks, ensuring that people fit to do so, care for residents. Silverpoint Court Care Home DS0000066764.V340995.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Satisfactory management systems are in place to ensure that the safety and welfare of the residents is not overlooked. EVIDENCE: The new manager of the home has been in post since February 2007. This manager has the appropriate experience and skills to run a home. The manager is a trained registered mental health nurse and has also owned and managed a care home in the past. Currently the manager is undertaking the registered managers award. The manager reported that an application to be registered manager for Silverpoint Court will be submitted once the criminal records bureau (CRB) check has been returned. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 20 Since commencing work at the home the manager has undertaken a quality assurance survey and produced a report on the food at the home. The report was very positive about the food in the home and the way that it was served. Questionnaires are also available on the information point for relatives and others to comment on the home. As yet there is no other forum for residents to voice their opinion. The manager intends to set-up residents meetings in the future so that residents’ views can be heard. The home does not manage any of the residents’ financial affairs. The home have a safe if residents want to keep money or valuables there. The home have a system for recording money held for residents. A random sample of safety certificates was checked. Most certificates were up to date however the gas safety certificate was out of date. This was dealt with immediately. A new certificate was issued and evidenced by the inspector. Also the fire plans displayed in the home need to be updated to indicate where the fire assembly point is. Reporting incidents under regulation 37 must improve. Accident records are kept in the home and appropriate action was evidenced in the recording of these accidents. However the Commission for Social Care Inspection have not been kept informed of incidents and accidents that affect the welfare of the residents. The registration certificate that was displayed was a photocopy and not the original. The manager was informed that the original certificate must be displayed not a copy. Silverpoint Court Care Home DS0000066764.V340995.R01.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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 2 Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP1 Regulation 4(1)(c) Sch15 (e) Requirement The service user guide should be in a suitable language and format for the residents. It must include a copy of the complaints procedure and the address and telephone number of the Commission. The statement of purpose must include all the information listed in Schedule 1 of the National Minimum Standards. Timescale 01/01/06. 30/05/07 not inspected The registered person must ensure that residents have a plan of care that is; • User focussed • Details their needs • Is kept under review The registered person must ensure that medication is; • Stored separately from other items. • Medication keys are not held on the same bunch with other master keys for the home. The registered person must DS0000066764.V340995.R01.S.doc Timescale for action 15/08/07 2 OP7 15(1) 15/08/07 3 OP9 13(2) 15/08/07 4 OP30 18(c)(1) 15/08/07 Page 23 Silverpoint Court Care Home Version 5.2 ensure staff have suitable training and keep records of this training. 5 OP38 37 The registered person must ensure that the Commission for Social Care Inspection is notified of events, accidents or incidents that affect the welfare of the residents. 15/08/07 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 3 Refer to Standard OP16 OP33 OP38 Good Practice Recommendations It is good practice to keep a record all complaints including verbal complaints. The home should establish residents meetings so that residents can air their views. The home should ensure that assembly points on the fire plans are up to date. Silverpoint Court Care Home DS0000066764.V340995.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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