Inspection on 25/10/05 for Solent Mead

This inspection was carried out on 25th 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

Solent Mead 10/09/08

Solent Mead 07/11/06

Solent Mead 25/05/05

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 Inspection 25th October 2005 09:30 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 Solent Mead DS0000037265.V253629.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. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Solent Mead Address Church Lane Lymington Hampshire SO41 3RA 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) 01590 674687 Hampshire County Council Mrs Jacqueline Budd Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (36) Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user may be accommodated in the category MD(E), whose date of birth is 13/04/31 25th May 2005 Date of last inspection 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 in the home is provided over two floors with access via a passenger lift or stairs. The home is separated into small units, each with bedrooms, lounge, dining room with small kitchen area, assisted bathrooms and toilets. There is a large enclosed garden to the rear of the property. Solent Mead is located within the town of Lymington, on the edge of the New Forest. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 25th October 2005. The inspector toured the home and met with ten residents and four staff members. Care plans were sampled for three residents and records were seen for medicines, fire safety and fire drills, staff rotas and staff supervision. On the day of the inspection, the home looked clean, cheerful and homely. This was the second unannounced inspection for 2005/2006. Details of the first inspection can be found in the inspection report dated 25th May 2005. What the service does well: The home has clear information available to inform prospective residents and their relatives about life at the home. Good care plans provide staff with the information they need to fully support and meet the needs of the residents. Residents’ health is protected by staff who follow clear procedures when dealing with medicines. Residents are able to exercise control over their daily lives and can choose to participate in a varied programme of activities, can receive visitors as they wish and enjoy nutritious meals. Residents are protected by staff awareness of abuse issues and the procedures to be followed should abuse be suspected. Solent Mead provides a safe, clean and homely environment for those who live and work there. Residents’ needs are fully met by the sufficient number and skill mix of staff employed at the home. Residents benefit from the registered manager’s open approach to management and they are care for by staff who receive regular supervision. The safe working practices followed at the home, protect and promote the health, safety and welfare of the residents. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 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 DS0000037265.V253629.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 Solent Mead DS0000037265.V253629.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): 1, 4 and 6 Prospective residents and their relatives are provided with good information about life at Solent Mead and know that their needs will be met by the services offered there. EVIDENCE: The home has a statement of purpose and service user guide in place that provides prospective residents and their relatives with good information about life at the home. The documents include the organisational structure of the home, staffing levels and qualifications, leisure activities provided and admission criteria. A copy of the most recent inspection report is provided with the documents. The registered manager has the qualifications and experience required to ensure the residents’ full care needs are met. Staff access Hampshire County Council’s training programme for care staff that covers all aspects of core skills for care and also provides training sessions on topics relevant to the residents such as dementia care. Staff are also encouraged and supported to gain NVQ level 2 or above. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 9 At the time of the inspection there were no residents from an ethnic minority living in the home. However policies and procedures are in place that indicate staff would be able to meet the specific needs of someone from an ethnic minority admitted to the home. The home does not provide intermediate care and therefore standard 6 does not apply. Solent Mead DS0000037265.V253629.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): 7, 8 and 9 Good care plans provide the information required for staff to fully support the residents, who are protected by staff following clear procedures when dealing with medicines. EVIDENCE: Care plans were sampled for three residents. The care plans provided clear information on all aspects of care including personal, health and social care needs. The care plans contained a detailed personal history profile with information on past occupations, friends and family and likes and dislikes. Risk assessments were included in the care plans. The registered manager said that arrangements were being made to change the format of care planning to a new system put in place by Hampshire County Council. It was evident when looking at the care plans that GPs, district nurses and other health professionals visit residents are required. The home has clear procedures in place for dealing with medicines. Assistant unit managers are responsible for the medicines and all medication brought into the home and disposed of is checked be a staff member. Medication Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 11 charts seen had been completed appropriately. Records for medication kept in the controlled medicines cupboard were checked and found to match the stock held. One resident was responsible for administering her own medication at the time of the inspection. Medication was kept in a locked drawer in the resident’s room. The home has procedures in place for residents who are assessed as able to administer their own medication. Solent Mead DS0000037265.V253629.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): 12, 13, 14 and 15 Residents are able to choose to participate in a varied programme of activities, can receive visitors as they wish and enjoy nutritious, well balanced meals. EVIDENCE: Two care staff members are responsible for the development of a programme of social activities. The staff members have allocated additional hours to their care hours to allow them to fulfil their roles. Both staff members have attended training courses in providing activities in a residential setting. On the day of the inspection staff were due to take some residents out for a trip in the minibus. However, due to the poor weather conditions this was not thought advisable and arrangements were made for some residents to spend the morning making decorations for Halloween instead. The residents involved said they had enjoyed making the decorations and were pleased their work was going to hang in the main hallway and reception area. The activities programme for the week was on display in the main hall way and in the units. The programme included crossword and quiz time, games, music and bingo. The home works closely with the Recreation and Heritage department of Hampshire County Council who provide tutors for arts and craft work on two days of the week. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 13 The registered manager said that staff take residents on mini bus trips into the countryside and to the coast. Trips had also been arranged for cream teas and fish and chip lunches. Some residents are able to go into the town shopping and one resident visits local social clubs. Local clergy visit the home regularly and a communion service is held once a month for those who wish to attend. The registered manager said that there were no restrictions on visitors and a resident commented on her family and friends being able to visit at any time. Six residents spoken to commented on their satisfaction with the food provided at the home. Menus seen indicated that meals were varied and well balanced. On the day of the visit lunch consisted of pork chop, fresh cauliflower, sprouts and potatoes or salmon salad, followed by fruit pie and cream. The cook said that there was choice of main meals and residents were also able to have an omelette or cold meat if they wished. Cheese on toast or assorted sandwiches, cake and fresh fruit were on the menu for tea. The home caters for people with special dietary needs such as diabetics. Solent Mead DS0000037265.V253629.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 Residents are protected by staff awareness of abuse issues. EVIDENCE: The home has Hampshire County Council’s procedures to be followed should abuse be suspected. All staff have received training in abuse awareness and the registered manager and assistant unit managers have also attended more detailed training courses. Leaflets on abuse awareness are readily available for residents and visitors to the home. Solent Mead DS0000037265.V253629.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): EVIDENCE: These standards were assessed during the inspection dated 25th May 2005. All the standards were met. At the time of this inspection, the home looked clean and welcoming. Four residents in their rooms at the time of the inspection said that they liked their room. Residents are able to personalise their rooms with photographs, pictures and ornaments making them look homely and individual. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 16 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): 27 and 28 Service users needs are met by the sufficient number and skill mix of staff employed at the home. EVIDENCE: The registered manager said that staffing levels were flexible to ensure the changing needs of the residents were met. This is particularly important as the home is split into five separate units and residents also access the main reception area and activities rooms. Since the last inspection night co-ordinators have been recruited to take responsibility for night shifts. The co-ordinators have spent time on induction with the assistant unit managers and have received training in fire safety, handling medicines and first aid as well as core training sessions that includes moving and handling and infection control. A key worker system has been established in the units. Each resident has a carer who is their key worker, involved in all aspects of providing care. The key worker also attends review meetings with relatives, care managers and GPs. The home employs a registered manager, six assistant unit managers, and twenty three carers. Separate staff are employed for administration, catering, laundry and domestic duties. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 17 The registered manager said that staff are encouraged to attend relevant training courses and this was confirmed by four staff members spoken to during the inspection visit. Fifty seven percent of staff hold NVQ level 2 or above. Some staff have accessed a training course for Dementia Care at a local college. Tutors from the college have been working alongside the staff at the home as part of the training course. The registered manager said that staff involved in the course, had worked to improve the care plans by expanding the social history information documented and to provide social activities that were more relevant to residents with dementia. Solent Mead DS0000037265.V253629.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): 31, 32, 33, 36 and 38 The home is well run in the best interests of the residents, who benefit from the open approach to management and who are protected by staff who are supervised and who follow safe working practices. EVIDENCE: The registered manager has experience in managing care homes for older persons, having managed another Hampshire County Council run home prior to taking up the post of manager at Solent Mead eighteen months ago. She holds NVQ4 in Health and Social Care and has recently completed the Registered Managers Award. Since the last inspection Jacqueline Budd has registered with the Commission. The registered manager has an open approach to management that is appreciated by staff and residents who said that she was easy to talk to and offered them encouragement and support. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 19 Meetings are held four times a year giving residents an opportunity to voice their opinions on the care provided at the home. Questionnaire surveys are also carried out on a two monthly basis. The registered manager said that the surveys are based on one topic such as food provided or the activities programme. Information gained is acted upon. One survey on the key worker system, indicated that some residents did not know who their key worker was and that name badges worn by staff were not clear enough for some residents to read. The registered manager informed each resident about their key worker and new badges have been obtained that are easier to see and read. Minutes of the most recent meeting were displayed on the notice board in the main reception area. Meetings are not held for relatives and friends but the open door approach to management provides opportunities for them to discuss any concerns. Staff meetings are held regularly. Separate meetings are held for the assistant unit managers and key workers and there are also general meetings for all staff. Staff receive regular formal supervision. The registered manager supervises the assistant unit managers and the night co-ordinators who then supervise the care staff. Records are kept of supervision meetings. The home has good policies and procedures in place to cover all aspects of care and health and safety. At the time of the inspection the kitchen looked clean and in good order. Food was stored appropriately and the temperatures of the fridges and freezers were monitored and recorded. Staff involved with the preparation and cooking of food had received food hygiene training. Staff have all received training in moving and handling and infection control. Records seen indicated that all staff had also received training in fire safety and had attended fire drills. Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 20 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 3 x x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 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 x 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 x 3 Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Solent Mead DS0000037265.V253629.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 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. Extracts may not be used or reproduced without the express permission of CSCI Solent Mead DS0000037265.V253629.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!