Inspection on 25/05/05 for Solent Mead

This inspection was carried out on 25th May 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

Solent Mead 10/09/08

Solent Mead 07/11/06

Solent Mead 25/10/05

Solent Mead 02/11/04

Solent Mead 29/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Solent Mead Church Lane Lymington Hampshire SO41 3RA Lead Inspector Marilyn Lewis Unannounced 25/05/05 9:30 a.m. 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. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Solent Mead Address Church Lane Lymington Hampshire SO41 3RA 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) 01590 674687 Hampshire County Council Mrs Susan Black CRH 36 MD(E) OP Category(ies) of DE(E) registration, with number of places Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Two service users may be accommodated in the category MD(E), their dates of birth are: 29/03/1913 and 13/04/1931 Date of last inspection 2/11/2004 Brief Description of the Service: Solent Mead is a Hampshire County Council run home, providing accommodation and support for thirty-six residents who are over the age of sixty-five, and people over the age of sixty-five with dementia or mental disorder. Only two residents with mental disorder are to be accommodated at any one time. Accommodation at the home is provided over two floors with access to the first floor via a lift or stairs. The home is separated into small units, each with bedrooms, a lounge, dining area with small kitchen, assisted bathrooms and toilets. There is a large enclosed rear garden. Solent Mead is located within the town of Lymington, on the edge of the New Forest. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over six hours on the 25th May 2005. The inspector had the opportunity to tour the home and to speak with six of the thirty-four residents, living at the home at the time of the visit, five staff members, two visitors and the homes’ manager. Records seen included care plans, staff records, training records, fire records, medication records and the homes’ policies and procedures. The service users living at the home prefer to be called residents and this has been respected. What the service does well: The home has a relaxed friendly atmosphere and all residents spoken to were satisfied with the care they received at the home. All areas of the home looked clean, bright and cheerful. All residents admitted to the home receive a full needs assessment and clear information on the terms and conditions for residency, prior to admission to ensure the home is able to meet their needs. Good care plans are developed and reviewed regularly and provide the information staff require to support the needs of the residents. Staff follow clear medication procedures and receive training in the administration of medicines to minimise the risk of error. Records seen indicated that residents were able to have choice and control in participation in daily living activities and residents spoke of staff treating them in a friendly, respectful manner. Meals served at lunch were nutritious, well-presented and offered choice. Residents spoke of their enjoyment of the meals provided at the home. Residents knew how to make a complaint and felt confident that all complaints would be taken seriously and investigated promptly. The home follows robust procedures when recruiting staff and staff are able to access a varied and interesting training programme. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Solent Mead H54 S37265 Solent Mead v223995 250505.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 Solent Mead H54 S37265 Solent Mead v223995 250505.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) 2, 3 and 5 No resident is admitted to the home without a detailed full needs assessment, and prospective residents and their relatives are provided with clear information and an opportunity to visit the home enabling them to make an informed decision that the home can meet their needs. EVIDENCE: Each prospective resident is asked to spend a day at the day centre adjoining the home for a pre admission assessment to be completed. The assessment covers all aspect of the persons’ care including personal, health and emotional needs. The full needs assessment is undertaken by the homes’ manager and senior care staff. An occupational therapist will visit to assess mobility issues so that any specialist equipment required can be obtained prior to admission. Information from the care manager and health professionals is included in the completed assessment report. Relatives are encouraged to participate in the assessment process. The homes’ manager visits prospective residents, who are unable to attend the day centre for the pre admission assessment, at their home or place of residence to complete the full needs assessment. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 9 A clear written contract stating the terms and conditions for residency at the home is provided for each resident. The contract states the room to be occupied and gives details of any services that require additional funding such as hairdressing and newspapers. Also included is a Charter of Rights for Residents and the Complaints procedures. Prospective residents and their relatives visit the home during the assessment process and are also able to visit at other times if they wish. Admission is based on a six week trial period followed by a review attended by the resident, their relatives, the care manager and staff from the home, to ensure Solent Mead is able to meet the residents’ needs. Since the last inspection the Health Authority no longer has use of two beds at the home for respite care and these beds have now reverted back to the home. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 standard(s) 7, 9, 10 and 11 Residents are treated with respect. Good care planning, clear procedures for the administration of medicines and sensitive policies for care of the dying indicate that Solent Mead provides good care throughout the residents’ stay at the home. EVIDENCE: Care plans seen for five residents were good. The plans were detailed and indicated that residents would be allowed to be as independent as possible , for instance, one plan noted that the resident was able to choose her own clothes and only required assistance with dressing when tired. The plans included risk assessments for mobility and falls and any specialist equipment assessed as being required was documented. The care plans had been reviewed monthly and had been signed by the resident or their relative, showing evidence of the resident or their relatives’ involvement in the review of the plans. Staff at the home follow clear procedures for dealing with medicines and only staff who have received training in the administration of medicines are allowed to give out medication. Medication records seen were up to date and had been Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 11 completed appropriately. At the time of the inspection there were no residents who chose to self-administer medication. The preferred name of the resident was recorded in their care plans and during the visit staff were seen to knock on doors before entering rooms and to speak to residents in a friendly manner. All residents spoken to said that the staff treated them with respect. Residents are able to see their GP and other health professionals in the privacy of their own room. The manager of the home stated that if at all possible residents who were dying were able to remain at the home. Advice and support was accessed from the GP, district nurses including the twilight service and the rapid response team. Relatives were able to stay for as long as they wished including over night if necessary. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 standard(s) 12, 14 and 15 Staff respect the residents wishes to exercise choice and control over participation in the homes’ good variety of social activities. Residents enjoy well-presented nourishing meals chosen from menus that offer variety and choice. EVIDENCE: The home employs an enthusiastic activities co-ordinator who is in the process of auditing all the residents likes and dislikes for hobbies and activities so that a wider programme of suitable activities can be developed. The activities currently available included cooking, gardening, hand care, music, bingo, quizzes, scrabble and floor games. Tutors from the local college visited the home to provide residents with art and crafts sessions. On the morning of the inspection a craft session was in progress, where residents were making greeting cards. Residents attending commented on their enjoyment of the sessions and spoke of items they had made previously. One resident said that ‘she was really pleased to have come as she had enjoyed it’. The activities co-ordinator said that she attends training courses on providing activities and was at present doing a music therapy course. The programme has recently been extended to include the weekends and some evenings, providing stimulation and social activity for residents throughout the week. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 13 Local ministers visit the home and a communion service is held once a month for those who wish to attend. The manager stated that at the time of the inspection there were no residents from an ethnic minority but specific cultural needs would be researched and respected when the need arose. It was evident from the care plans seen and residents’ comments during the inspection visit that they were able to exercise choice and control over their lives. One resident spoke of staff ‘respecting her wishes to spend some days in her room. Six residents spoke of their enjoyment of the meals provided at the home. The inspector spent time with residents during lunch. The meal was well presented and consisted of chicken and ham pie, potatoes, broccoli and carrots or salmon salad, followed by fruit meringue. The cook said that residents preferred a light supper and today there would be assorted sandwiches, soup, tea-cakes and fresh fruit. One resident said that ‘the food is very good and I’ve put weight on since being here.’ Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 standard(s) 16 Residents and visitors have the information needed to make a complaint and know that all complaints will be investigated promptly. EVIDENCE: The home follows Hampshire County Councils’ procedures for dealing with complaints. A copy of the clear procedures is given to each resident on admission and is also available at the home for visitors. Complaints records seen indicated that all complaints whether written or verbal are taken seriously and investigated promptly. Two residents spoken to about the complaint procedures said that they knew how to make a complaint but had no need to do so. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24 and 26 The good maintenance of the property and the provision of specialist equipment, sufficient bathroom and toilet facilities, pleasant communal rooms and garden and homely personalised individual rooms provide a safe, clean and comfortable environment for all who live and visit there. EVIDENCE: On the day of the inspection the home looked well maintained, bright and cheerful. Hampshire County Council are responsible for the maintenance of the establishment and the manager stated that meetings are held regularly to discuss any repair and refurbishment issues. A key-pad entry system is used to gain entry to the building ensuring that staff are aware of all visitors to the home. The home is divided into separate units, each with their own bedrooms, bathroom and toilet facilities, lounge and dining area with small kitchen. There is also a large room used for activities and several small sitting rooms mainly used as quiet areas or for entertaining visitors. A room is provided for smokers Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 16 on the ground floor. New flooring has recently been laid in the smoking room to provide a safer and cleaner environment for residents. Sufficient bathroom and toilet facilities are provided for residents. On the day of the inspection these rooms looked clean and in good order. The home is able to access the services of an occupational therapist from Hampshire County Council and specialist equipment such as hoists and bath seats are provided for residents assessed as requiring them. Grab rails and ramps are in place where needed throughout the home. A call alarm system is available in all rooms used by residents and during the inspection it was noted that call buttons were accessible to residents. Residents’ bedrooms suited their needs and looked clean and homely, with many personal items such as photographs and ornaments on display. One resident commented on how pleased she had been to be able to bring some personal belongings into the home and said that her room was very nice. At the time of the inspection visit the home looked clean and fresh. Staff received training in the control of infection and disposable gloves and aprons were readily available. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 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) 29 and 30 The homes’ robust recruitment procedures and good training programme ensures the safety of the residents. EVIDENCE: The home follows robust procedures when recruiting staff. The prospective employee is required to complete a suitable application form and attends an interview with the homes’ manager. Two written references are obtained plus proof of identity and Criminal Records Bureau checks are made prior to commencement of employment. Records seen for four staff members contained all the information required. New staff members are required to complete an induction programme that includes adult protection, moving and handling, infection control and emergency first aid. The manager has designed a very good folder that is given to each new staff member, containing information on all aspects of care including common illnesses and disabilities. The manager of the home said that training was regarded as high priority and all staff are able to access the good training programme offered by Hampshire County Council. All staff receive training in moving and handling, use of hoists, basic food hygiene, infection control and first aid. Some staff members have also attended training sessions for challenging behaviour and care of the dying. The manager stated that eight staff members are in the process of completing a four-module course on dementia care. Catering and domestic staff together with care staff are encouraged to complete NVQ training and at present 57 of the whole work force hold NVQ level 2 or above. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 18 Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 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) 31, 34, 35, 37 and 38 The home has an experienced manager and strong up to date policies and procedures that minimise the financial and health and safety risk to residents. EVIDENCE: The homes’ manager has experience in managing care homes for older persons having been a manager of another Hampshire County Council home prior to taking up the post of manager at Solent Mead a year ago. She holds NVQ4 in Health and Social Care and is due to complete the Registered Managers Award shortly. She is awaiting registration with the Commission. All staff spoken to commented on the support and encouragement they receive from the manager. The homes’ manager is responsible for the budget for the day-to-day running of the home. Records are kept of all transactions and the accounts are held at Hampshire County Council finance department. The manager meets with the Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 20 finance department monthly and also with her line manager to discuss any financial issues relating to the home. The manager said that residents had control over their own money and that family members were responsible for the money of residents not wishing or unable to do so. Small amounts of money were held individually in the safe for some residents. Records were kept of all transactions and records checked for two residents matched the money held. The home has good policies and procedures in place to cover all aspects of care and health and safety. The policies have been reviewed annually and are available to staff at all times. Residents are able to have access to their records on request. Records seen indicated that all staff members have received fire safety training and have attended fire drill practices. At night staff carry radios so that they can contact each other quickly in an emergency if working in different areas of the home. The manager said that with the residents consent those with high dependency needs were being moved to rooms on the ground floor when rooms became available to minimise the risks to safety should evacuation of the building be necessary. Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x 3 3 x 3 3 Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 22 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. 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. 1. Refer to Standard Good Practice Recommendations Solent Mead H54 S37265 Solent Mead v223995 250505.doc Version 1.30 Page 23 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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