Inspection on 07/11/06 for Solent Mead

This inspection was carried out on 7th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 25/10/05

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 Anita Tengnah Unannounced Inspection 7th November 2006 10:00 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 Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 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.V314674.R01.S.doc Version 5.2 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 25/10/05 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. The fees charged ranged from £395-£430 per week. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was undertaken on the 7th of November 2006. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 5 staff and 7 service users views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. There were 33 service users accommodated at the time of the visit and 4 of the service users had been identified as requiring nursing care. The manager reported that they are planning to be moving out shortly to a home that provided nursing. The commission received 9 comment cards from the service users and their relatives. They indicated that the home provides a reliable service and that they felt safe at the home. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and care was provided in a respectful manner. Positive comments were received from the service users spoken with about the care that they are receiving at the home. What the service does well: Accommodation is provided a safe, clean and homely environment for the service users and meet with their satisfaction. The service provides good information to the service users that help them in making informed choices when choosing a care home. The care plans and assessment process ensures that the care needs are identified and care plans contained details on how these will be met. The service has staff that are skilled and knowledgeable about the care needs of older people. The meals are well managed offering the service users variety and choices. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 6 The service has a manager who has an open approach to management and staff are supported in their work. There is a good procedure for dealing with the service users’ personal allowances as managed by the home that ensures that they are protected from abuse. 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.V314674.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. The pre assessment process is good and ensures that service users’ needs are assessed and the home can meet them. The home has a good process in place in sharing information about the service. EVIDENCE: The care records of two newly admitted service users were seen as part of case tracking. The process included visiting the service users prior to admission and an assessment of their needs is carried out. Care records seen indicated that these were detailed and included a pen picture/ family history. Care management assessments are sought as part of the assessments that staff stated are used as part of the care planning. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 9 The service users are offered a visit to the home. The manager stated that not many service users visited due to their frailty and that the family visited instead as they advocated for their relatives. Service users spoken with said that “this is the best home around” and that they were happy with the care that they were receiving. Information is available to all prospective service users such as the statement of purpose and the service user’ guide. The manager reported that additional information on equality and diversity forms part of information available to the service users. Information is available in large prints and some in audiotape as requested. The manager is pro active and ensures that she involves the service users/ family in the assessment process and answers any queries as needed. Comment received from the service users indicated that they were satisfied with the information provided to them and their families. The home does not provide intermediate care as the manager confirmed. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. The care plans are detailed and staff have clear information about the support that the service users required. The medication management is adequate and protects the service users. The service users are treated with respect and their dignity maintained. EVIDENCE: The care plans of four service users were examined as part of this visit to look at how the home plans to meet the needs of the service users. Care plans seen were detailed and contained good information. One record included a past medical history, manual handling assessment, the use of hoist and detailed personal care. Another service user with limited mobility was identified as being at risk of falls and the care plans contained details such as walking for short distance with assistance of carer. The home has a number of service users with varying degree of dementia. The care records of three service users with dementia contained the Pool Activity level that is used as part of the Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 11 assessment and all records contained personal history profile. The manager said that these ensure that care is personalised according to their abilities/ needs. There was evidence of regular reviews to ensure that the changing needs of the service users are recognised. All the service users are registered with a GP and the staff reported that they are well supported by the district nurses. There were 4 service users that have been identified following reviews that they will be requiring nursing care and the manager stated that the transfer of these service users is planned and the primary healthcare team was supporting them with caring for these service users during this period. The medication administration process was observed at lunchtime. The Medication Administration Record (MAR) sheet was completed appropriately. Staff stated that they had completed training in medication and found this useful in their practices. There were no service users who were administering their own medication at the time of the visit. Staff were aware that service users could administer their own medication following assessment to ensure their safety. All medication was stored securely including controlled drugs. Five service users spoken with were all very complimentary of the care provided by the home. They stated that staff were very helpful and were treated with respect. One service user commented that if a carer did not knock prior to entering she would not hesitate to remind the carer to do so. Comments included ”the staff are always very kind” and “ I could not have chosen better”. Another service user said that “this is a good home and I like living here”. They also said that the staff are always respectful and kind and their privacy and dignity are respected when receiving care. Comments received and observation on the day showed that the staff had developed good relationship with the service users and treated them with respect. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. There are some activities at the home however information regarding what is available is poor. Service users say that their autonomy and choices are respected. The meals are well managed and meet with the service users satisfaction. The home provides the service users with varied meals and choices are available. EVIDENCE: The home has support workers that undertook activities with the service users. One service user stated that she was aware that activities happen but did not know when. There was no information about type of activities for the day/ week at the time of the visit. This was discussed with the manager and would be rectified. Another service user said that she preferred her radio and the television and did not join in the activities and staff respected this. Two service users said that they would like more “activities and outings”. The manager stated that the service users joined the day care service users on Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 13 trips during the week. The minibus was only available to the home at the weekend. Service users said that they went out with their families, there were no restrictions on visiting and they saw their visitors in private as they chose. Service users spoken with said that staff respected their choices and there was no restriction on activities of daily living. The home has a planned menu in place that the chef reported is rotated on a four weekly basis. Meals are taken in dining areas attached to each unit. Lunchtime meal was observed on the day of the visit. Staff were observed to offer support with meals in a sensitive manner and meals were not rushed. Meals appeared well presented, appetising and choices were available. Service users said that the meals were good. Comments from the service users included that the food “was very good” and “food excellent and no grumble” and that they enjoyed the meals and the choices offered. The service users confirmed that hot and cold drinks were available at all times. One service user said that cooked breakfast was available and this was “a nice change” at the weekend. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The complaint management is good and service users are confident that their complaints would be listened to. Staff have clear understanding of adult protection and ongoing training ensures that the service users are protected. EVIDENCE: The home has a complaint procedure in place and service users spoken with said that they would approach the manager if they had any concerns. The manager maintained a complaint log of complaints received. There were two complaints received since the last visit and records seen showed that both of these had been investigated and responded to in line with the home’s complaints procedures. Feedback received from service users indicated that they were happy with the care they are receiving. Comments from service users’ surveys included “no complaint” and “very happy”. The home has Hampshire County Council’s procedures to be followed should abuse be suspected. There is an ongoing training programme for staff in abuse awareness and the registered manager and assistant unit managers have also attended more detailed training courses. Staff spoken with had clear understanding in reporting any allegations of abuse. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home provides the service users with a comfortable and homely environment that meets their needs. The infection control procedures and practices observed ensure that the service users are protected. EVIDENCE: A tour of the building was undertaken as part of the visit. The home had an ongoing programme of refurbishment and accommodation was provided in a well- maintained, spacious and homely environment with a good complement of communal areas for the service users. Adaptation and equipment were available to maintain and support the service users in maintaining their independence. Service users spoken with said that the home was “very nice” and liked their rooms. All the bedrooms seen were highly personalised and it Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 16 was evident that the service users were supported in bringing in items of personal belongings when they moved into the home. The manager stated that the family are also involved in ensuring that their relatives’ rooms are to their likings. The home has a laundry room and the staff reported that all the service users’ laundry was undertaken internally. The laundry room was appropriately equipped and a hand- washing facility was available. The home has information on infection control procedures and staff practices observed showed that the infection control guidelines were followed. All parts of the home seen were clean and no adverse odours were present in the home on the day of the visit. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home has system in place to ensure that staff have the skills to deliver care safely. There is a robust recruitment process in place that safeguards the welfare of the service users. There is a good training programme in place to ensure that staff are supported in their work. EVIDENCE: The home has a duty roster for carers and a separate roster for domestic’ kitchen staff. The home has a key worker system in place and the staff are responsible for each of the units. Each resident has a carer who is their key worker, involved in all aspects of providing care and the manager stated are involved in reviews for the service users. The service users spoken were aware of the staff responsible for their care and commented that the staff are “very good “ and they felt able to discuss any issues with them. It was evident from interaction observed that the staff and the service users had developed good relationships with each other. Comments from the service users included Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 18 that staff “are always available” when they need them and that the staff attended to them usually promptly. Staff stated that most of the times there are adequate staff and the assistant unit manager provided them with support. All newly recruited staff follow the company’s induction programme and the manager reported that all staff have up to date manual handling training/ update prior to starting work. The home supports the staffing achieving the National Vocational Qualification (NVQ) and information received indicated that 83 of staff have achieved this. A sample of two staff records was seen as part of the visit. This indicated that the home has a thorough recruitment procedure in place to ensure that all necessary checks are completed prior to employment. Both files contained application forms, references, induction and criminal record bureau checks and identifications. There was evidence that overseas workers were also registered with the home office on the job scheme as appropriate. The home has an ongoing training programme in place. Recent training included first aid, infection control, medication training, prevention of abuse and dementia care. The staff reported that training in dementia care has been very good and helped them in understanding the needs of people with dementia. This had been reflected in care planning and in particular looking at their personal history and likes and dislikes. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home has a registered manager who was responsible for the day- to- day management and discharges her responsibilities fully. There is a good process in place to ensure that the service users financial interests are safeguarded. There is a satisfactory process in place to ensure the health and safety of the service users are protected. EVIDENCE: The home has a registered manager who has completed her NVQ 4 and the registered manager’s award. She undertook regular training in order to Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 20 update/ maintain her skills. Comments from the staff and the service users indicated that they felt well supported and they would approach her with any concerns. One service user comment about the manager included,” she will always listen” and “ go to the top” when asked about the staff. A sample of the personal allowance as managed by the service was looked at. There is a robust procedure in place to ensure that the service users’ financial affairs are safeguarded and the home two designated persons to deal with this. Records of all transactions including receipts were maintained and a random check of balance as recorded showed that these were accurate. Information received and staff practices observed on the day of the visit indicated that staff followed procedures in infection control. There is an ongoing programme for the servicing of equipment at regular intervals to ensure the safety of the service users. All substances that are hazardous to health were stored safely as required. The environmental health officer had visited the home recently and had made some recommendations that the home was working to meet. A sample of food and temperature record seen showed that the chef was aware of food safety and appropriate checks are undertaken and temperatures of food and fridge freezers were recorded. Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Solent Mead DS0000037265.V314674.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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.V314674.R01.S.doc Version 5.2 Page 23 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.V314674.R01.S.doc Version 5.2 Page 24 - 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!