Inspection on 06/06/05 for Silverwood Care Centre

This inspection was carried out on 6th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Silverwood Care Centre 10/04/07

Silverwood Care Centre 29/05/06

Silverwood Care Centre 01/10/05

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 S66 0QT Lead Inspector Alan Bartrop Unannounced 06 June 2005 10:00. 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 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 J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 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 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 PC Care Home only 64 Category(ies) of DE(E) Dementia 31 registration, with number OP Old Age 33 of places SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Both units must have separate staff groups. 2. One specific service user under the age of 65, named on variation dated 7th July 2004, may reside at the home. Date of last inspection 07 February 2005 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 J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which started at 09:30 and ended at 13:00 on 7/6/05. At the time of the inspection there was no Registered Manager in post, the home had recruited a person for the post and an application was being processed to commence the Registration process. The inspection included a partial walk round the building, discussions with the staff and residents, inspection of care files and other documentation. Lunch was also observed in the upstairs dining room. What the service does well: What has improved since the last inspection? What they could do better: There has been a gap between the last manager leaving and the new one being appointed which has resulted in drift with the way the National Minimum Standards have been approached, I feel that it is particularly surprising that staff supervision frequencies have not been kept up during this period of change. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 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 J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 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 standard(s) 3,6 Intermediate care is not provided in Silverwood. There is a comprehensive assessment process that provided good details on which to draw up the care plan for the service user. EVIDENCE: The home is not registered to provide intermediate care, nor are there the specific facilities required for such a client group There is a comprehensive assessment form that was completed for all the service users whose files were inspected. There was evidence that the details from the assessment had been transferred to the care plan which also contained details of the action the staff should take to address the identified needs. The care plans included social and emotional needs as well as physical. Observation of the staff interacting with the residents confirmed that the care was on delivered on an individual basis. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 The care plans are individualised and show both the identified needs of the service user and the action to be taken by the staff to meet these needs. The medication within the home continues to cause concern. EVIDENCE: The service users care plans showed that they had been written on an individual basis and that they stated both the identified need and the action that the carers should take to meet that need. The care of the residents in the EMI unit is overseen by a specialist in that field and he had done an inspection on the same day indicating that he was happy with the care provided. A treatment room was found to be dirty, untidy and there were medications that could not be accounted for. At the last inspection the medication trolley had been criticised and this had been put right. The treatment rooms need the same monitoring. The tablets found in the treatment room proved that there was no effective medication audit trail within the home. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 There are a rang of activities offered within the home and these are posted on notice boards as well as the residents being told about them on an individual basis. The visiting times are very flexible and visits can be carried out in private if required. EVIDENCE: The activities planned by the home are posted in the entrance hall and the residents confirmed that they were kept up to date with what was planned and asked if they wanted to join in. Resident meetings are held and minutes are kept, the residents confirmed that they were often asked what their opinions were of different issues. A visitor confirmed that there were no restrictions on visiting times and that they were always made welcome. The visitor also confirmed that if they wanted to see their relative in private this could be done either in their bedroom or in a quiet lounge. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 16 Complaints are investigate thoroughly and records of these are kept in a specific folder. Care must be taken to ensure that the ‘Diary’ of complaints is kept up to date. EVIDENCE: A complaint was identified where the investigation had been carried out but the ‘Diary’ had not been completed. There is a comprehensive complaints procedure and the details of the complaints are kept in a specific book. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19 There is a program of planned maintenance that keeps the home in good condition. Where bedroom door locks are ineffective they must be put right immediately the problem is identified. EVIDENCE: Routine maintenance records seen. Home and grounds in good condition and well maintained. Bedroom door locks found to be defective and addressed. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 There are adequate numbers of staff on duty at all times to meet the identified needs of the service users. Only 4 of the 39 staff have National Vocational Qualification level 2. There are good recruitment policies within the home and there is evidence that these are followed. EVIDENCE: Staff rotas indicate that there are adequate numbers of staff on duty at all times. Recruitment policies are company wide and have been inspected on numerous occasions in the past, and they had not been changed immediately prior to this inspection. Records indicate that 50 of staff do not hold National Vocational Qualification level 2 SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The residents finances are kept securely and the records enable both income and expenditure to be accounted for and audit trailed. EVIDENCE: Several of the service users accounts were checked and found to be accurately kept and up to date. On some of the records it was noted that where a mistake had been made and corrected the original entry had been obliterated. In future the mistake should be crossed through with a single line and the correction made at the side of it. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 16 yes 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. Standard 9 Regulation 13 Requirement Treatment rooms be cleaned out and all medication no linger neede be returned to the pharmacist An effective medication audit be introduced and used 50 of staff be qualified to National Vocational Qualification level 2 Timescale for action 25th July 2005 25th July 2005 31st December 2005 2. 3. 9 28 13 18 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 9 35 Good Practice Recommendations Medication Administration and Request sheets be printed with times that are specific to the medication detailed. When errors are made on financial records the error is crossed through with a single line and the correction made to the side. SILVERWOOD CARE CENTRE J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster South Yorkshire 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 J55-J07 S3088 Silverwood V194943 060605 Stage 4.doc Version 1.30 Page 18 - 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. 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