Inspection on 01/10/05 for Silverwood Care Centre

This inspection was carried out on 1st 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

Silverwood Care Centre 10/04/07

Silverwood Care Centre 29/05/06

Silverwood Care Centre 06/06/05

Silverwood Care Centre 07/02/05

Silverwood Care Centre 30/09/04

Silverwood Care Centre 25/03/04

Silverwood Care Centre 01/07/03

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

CARE HOMES FOR OLDER PEOPLE Silverwood Care Centre Flanderwell Lane Sunnyside Rotherham South Yorkshire S66 0QT Lead Inspector Alan Bartrop Unannounced Inspection 7th October 2005 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 Silverwood Care Centre DS0000003088.V253247.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. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Silverwood Care Centre Address Flanderwell Lane Sunnyside Rotherham South Yorkshire S66 0QT 01709 532022 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) Modelfuture Limited, Post Vacant Care Home 64 Category(ies) of Dementia - over 65 years of age (31), Old age, registration, with number not falling within any other category (33) of places Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Both Units must have separate staff groups One specific service user under the age of 65, named on variation dated 07 July 2004, may reside at the Home. 10th June 2005 Date of last inspection Brief Description of the Service: Silverwood Care Centre is part of the Ashbourne group and has the company systems in place. Silverwood Care Centre is a purpose built home providing personal care for up to 64 older people. It has accommodation over 2 floors connected by staircases and 2 lifts. All the rooms are single and have en-suite toilets. The home is internally compartmentalised into 2 units. The first floor accommodates up to 32 older people, the ground floor up to 32 older people with Dementia. Each unit has dedicated staff, accommodation and activities. Both have access to secure gardens. A central kitchen and laundry serve the home. Silverwood Care Centre DS0000003088.V253247.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 that started at 09:00 and finished at 14:30. The inspection included speaking to service users and staff, a tour of the building, reading documents, observation of residents, and discussions with the prospective manager. There is no registered manager in post, but a manager has been appointed and is going through the registration process with Commission for Social Care Inspection. What the service does well: What has improved since the last inspection? What they could do better: There are very few staff trained to National Vocational Qualification level 2, and the training plans do not indicate that 50 will hold this qualification by 1st January 2006. Errors were noted in the way medication was administered which could cause cross contamination for residents. The service of meals on the EMI unit should be speeded up. Silverwood Care Centre DS0000003088.V253247.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. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 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 Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5,6 Prospective residents and their families are able to visit the home before making up their mind whether or not this is the best place for them. Intermediate care is not provided in Silverwood. EVIDENCE: Residents said that their families had visited the home before they came to live here. A relative stated that they had visited the home to discuss the care of their mother before deciding whether or not this was the right place for them. The home is not registered to provide intermediate care, nor are there the specific facilities required for such a client group. None of the residents had been admitted under the Intermediate Care Scheem. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 9 Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8,9,10 There are a lot of details in the care files that are used to ensure that the residents have their health care needs met. Residents are often checked two hourly during the night which disturbs their sleep but there are no reasons for this intrusion recorded. The storage and recording of medication has improved a lot but there are still areas of concern. EVIDENCE: Care files were seen where residents were being checked in every 2 hours but the recording of these checks did not indicate either that there was a plan to do this or that the staff had given any help to the person during the check. Staff were seen handling tablets before giving them to residents which could cause the tablets to become contaminated before the resident puts them into their mouth. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 11 The residents were addressed by their first names in some cases but there were a lot of staff using terms like “sweet heart” and not linking this term with the resident’s name. It is especially important that staff use the resident’s name, especially on the EMI unit to reinforce the person’s sense of who they are. Residents said that they had been asked what they preferred to be called and that the staff used these names. Care files contained information about what each service user liked to be known as, none of these documents inspected said that the resident wished to be called ‘sweetheart’. A relative said that they were happy with the way the staff addressed their mother. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14,15 The meals are well prepared and presented but the service on the EMI unit was very slow. Staff ask the service users to make choices about aspects of their daily lives. EVIDENCE: The lunch was sampled in the EMI dining room, it was well prepared and presented. Different meals were served according to the resident’s choice and dietary requirements. The service was very slow with some residents being expected to sit at the table for 40 min. before they were served with their meal. Residents were getting up and walking out of the dining room before their meal was served and between finishing the main course and being served pudding. One resident sat for some 30 minutes and then tried to leave the dining room, this behaviour lasted throughout the meal which spoilt their enjoyment of the lunch. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 13 Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The adult protection procedures are those of Rotherham Metropolitan Borough Council. EVIDENCE: When a concern was raised about a member of staff employed by an agency the Rotherham Metropolitan Borough Council adult protection procedure was implemented. Commission for Social Care Inspection were informed of the allegation. The issue was investigated under the adult protection procedure and the lead for this investigation is Rotherham Metropolitan Borough Council. The prospective manager for the home is trying to move the investigation forward as quickly as possible. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The home is generally kept clean and tidy but there were unpleasant smells noted. EVIDENCE: A tour of the home proved that all the areas were kept tidy, so that the residents could move around in safety. All the cleaning chemicals seen were appropriately used or stored. The cleaning staff were aware of what chemicals they use for different purposes so that any danger to confused residents was minimised. There were unpleasant smells noted in the corridor of the EMI unit at 11:00, by which time it would be expected that these smells would have been removed. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 16 Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28,30 There is a training and development plan that shows the staff receive regular training on different aspects of care. Only 3 care staff are trained to National Vocational Qualification level 2 in Care. EVIDENCE: The training plan showed that the staff had received 3 days paid training per year so that they can keep up to date with care practices without taking up their own time. The training plan does not indicate that the minimum requirement for 50 of care staff to be trained to National Vocational Qualification level 2 by 1st January 2006 will be met. Medication training for staff who administer drugs is carried out in house and is not accredited by an academic body, which means that it does not meet the National Minimum Standard. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 18 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): 35,38 When staff look after resident’s money it is recorded on a balance sheet and stored in a safe place. The home is maintained in a safe way to minimise any risk to residents. EVIDENCE: The balance sheets were checked and found to be accurate, up to date, and completed so that an audit trail of the money could be made. Receipts for spending are kept in a folder so that they can be directly related to the balance sheets they relate to. Should an error be made this is crossed through and the correction made at the side. During a tour of the home there were no health and safety issues identified that needed immediate rectification. Silverwood Care Centre DS0000003088.V253247.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 X X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 x 18 3 X X X X X X X 2 STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Silverwood Care Centre DS0000003088.V253247.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. 1 Standard OP8 Regulation 12 Requirement Residents are not checked every two hours through the night unless there is an identified reason for this to be done recorded in the care plan. Staff must not touch tablets before they are given to the resident Staff who administer medication must pass accredited medication training The cleaning regime should be changed to one that removes unpleasant smells form the corridors of the home promptly 50 of care staff be qualified to National Vocational Qualification level 2 Timescale for action 01/12/05 2 3 4 OP9 OP9 OP26 13 13 16 01/12/05 31/03/06 01/12/05 5 OP28 18 31/12/05 Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 21 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 OP12 OP15 OP35 Good Practice Recommendations Resident’s activities be made a standard agenda item for the residents meetings. The service of meals on the EMI unit be speeded up. Money held in the bank on behalf of residents is not held in a pooled account, but in separate accounts for each resident. Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Silverwood Care Centre DS0000003088.V253247.R01.S.doc Version 5.0 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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