CARE HOMES FOR OLDER PEOPLE
Solway House Solway Terrace Sea Brows Maryport Cumbria CA15 6EL Lead Inspector
Paula Malaney Unannounced Inspection 16th February 2006 11:50 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 Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Solway House Address Solway Terrace Sea Brows Maryport Cumbria CA15 6EL 01900 817651 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) solwayhouse@fsmail.net Solway House Limited Ms Mary Hoskins Care Home 18 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (18) of places Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 18 service users to include: up to 18 service users in the category of OP (Old age, not falling within any other category) up to 9 service users in the category of DE(E) (Dementia over 65 years of age) Date of last inspection 31st October 2005 Brief Description of the Service: Solway House is a residential care home registered with the Commission for Social Care Inspection to provide accommodation for up to eighteen residents. Solway House is owned by Solway House Limited. Ms Mary Hoskins is the registered manager, responsible for the day-to-day running of the home. Solway House is situated in a residential area of Maryport, close to the town centre, and has views over the sea and harbour. The home is an older style property which has been adapted for use as a care home. Accommodation for residents is provided on the lower ground, ground and first floors. On the lower ground floor there is one bedroom, a lounge, laundry and office. The ground floor consists of a large sitting room with dining area, sun lounge, bedrooms, toilets and a bathroom. On the first floor there are further bedrooms, a bathroom and toilets. The first floor is accessed by a passenger lift and there is a stair lift between the ground and lower ground floors. There are handrails, grab rails and other equipment to assist people to move around the home. The home provides sixteen single bedrooms and there is one double bedroom which two people can choose to share. There are appropriate toilets and bathrooms close to all the accommodation used by residents. There are pleasant gardens with seating to the rear of the home and an enclosed courtyard with seating which is accessed from the lower ground floor. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 16th February 2006. The inspection focussed on how well the services provided in the home meet the needs of the people living there. This was assessed by speaking to residents, care staff and the manager, observing activity in the home and examining the records which care homes are required to hold. What the service does well:
Solway House is a good home and residents receive a high standard of care. Residents’ needs are known to care staff and they receive the support they require. Residents are supported to make decisions and maintain control of their lives. The home has a good procedure for handling new admissions. Prospective residents are invited to look around the home to see if the service is suitable for them. Residents said they were familiar with Solway House before they decided to move there and chose the home over others in the area. The home has an established staff team. Residents benefit from receiving care from staff whom they know and with whom they have developed positive relationships. The atmosphere in the home is friendly and relaxed. Residents are comfortable with the care staff who support them. Care staff take time to talk to residents as they carry out their duties. Residents said they liked talking to the staff and that they “enjoy the crack”. The home provides a choice of activities which take into account the preferences of the people living there. The activities provided give residents opportunities for recreation and stimulation. The atmosphere in the home is welcoming and inclusive. Many residents came from the local area before moving into Solway House and know the home and care staff. The manager and care staff ensure that residents who are not from the local area do not feel excluded in the home. Care staff are trained and competent and provide a high standard of care. Over seventy-five percent of care staff have obtained a National Vocational Qualification in Care at level two or above. This exceeds the recommendation of the National Minimum Standards for Older People. Care staff support residents to self-care and promote their independence. Residents said care staff “are always there when you need them”. Care staff ensure that residents’ privacy and dignity are protected. Residents are supported to access the health care services they need to maintain their health and well-being. Solway House has been adapted for use as a care home for older people. Residents have shared use of the communal lounge and sun lounge and private use of their rooms. Residents said, “my bedroom is very nice” and “I like my room”. Residents enjoy sitting in the sun lounge which has views over Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 6 Maryport harbour. The property is well maintained and provides a safe and comfortable environment for residents to live in. Solway House is well managed. Residents’ rights and interests are protected by the procedures in the home. The home’s management team are committed to promoting residents’ independence and rights. There is a clear complaints procedure which explains how concerns about the home can be raised. Residents said they would be comfortable raising concerns with the management team or staff in the home. 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. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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): 4 and 5. The home has a good admissions procedure and residents know their needs will be met by the support provided. EVIDENCE: Solway House has a good procedure for handling new admissions. Prospective residents and their families are given the opportunity to look around the home before deciding to move there. Residents said they were familiar with Solway House and chose the home over others in the area. The home provides a high standard of care which meets the needs of the people living there. Residents spoke very highly of the care provided and the staff working in the home. Care staff are knowledgeable about peoples’ needs and provide the support individuals require, as they need it. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 the following standard(s): 8, 9 and 10. Residents are treated with respect and their privacy is protected in the home. Health care support is provided to maintain residents’ well-being. EVIDENCE: Residents have developed positive relationships with the care staff working in the home. Care staff treat residents with respect and call them by their preferred name. The atmosphere in the home is friendly and relaxed. Residents are comfortable with the care staff who support them. Care staff talk to residents as they carry out their duties. Residents said they liked talking to the staff and that they “enjoy the crack”. Care staff take appropriate actions to ensure that residents’ privacy and dignity are maintained. Care staff take advice if they are concerned about a resident’s health. Residents receive health care from their own GPs, the local District Nursing team and specialist health care services as they need. The home has good procedures for handling medication which protect residents’ independence and well-being. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 and 14. Residents maintain control over their lives in the home. Activities are well managed and provide residents with recreation and stimulation. EVIDENCE: Residents are supported to make choices about their lives. The decisions residents make are respected. Residents choose where to spend their time and whether to be with other people or on their own. Visitors are made welcome in Solway House and residents keep in contact with their friends and relatives as they wish. The home provides a choice of activities which take into account the preferences of the people living there. Residents are given opportunities for recreation and stimulation. Residents choose whether to take part in the activities provided. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 the following standard(s): 16. The home has a clear complaints procedure and residents and their families know how they can raise concerns about the service. EVIDENCE: There is a clear complaints procedure which sets out how residents and their families can raise concerns about the services provided. The procedure includes contact details of agencies outside of the home to whom complaints can be made. Residents said they would be comfortable raising concerns with the staff in the home. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 the following standard(s): 19, 20 and 24. Residents are provided with safe, comfortable and pleasant accommodation which is suitable to meet their needs. EVIDENCE: Solway House has been adapted for use as a residential care home for older people. The home has specialist equipment to assist residents including passenger and stair lifts and an emergency call bell system. Residents are able to move around the accommodation, assisted by care staff as they need. Residents have shared use of the communal lounge and sun lounge and private use of their rooms. Residents said, “my bedroom is very nice” and “I like my room”. Residents enjoy sitting in the large sun lounge which has a view over Maryport harbour. The layout of the accommodation is suitable to allow a range of activities to be carried on at one time. Residents choose where to spend their time and whether to take part in the activities provided. The accommodation is suitable to meet the needs of the residents living in the home. The property is well maintained and provides a safe and pleasant and environment for residents to live in.
Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 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 and 30. Care staff are trained and skilled and provide a high standard of care. Residents’ safety is protected by the home’s recruitment procedures. EVIDENCE: Care staff are knowledgeable about residents’ needs. Residents receive the support they need in a manner which respects their preferences and maintains their dignity. Residents said care staff “are always there when you need them”. Care staff support residents to self-care as far as they are able and their independence is maintained. Care staff have received a range of training to update their skills and knowledge. Over seventy-five percent of care staff have obtained a National Vocational Qualification in Care at level two or above. This exceeds the level recommended by the National Minimum Standards for Older People. The home provides a high standard of care which meets the needs of the people living there. The home has a procedure for checking new employees are suitable to work with residents. The procedure includes rigorous checks on an applicant’s background and character to ensure residents’ safety is protected. The home has an established team of staff and no new staff have been recruited since the previous inspection. Residents benefit from receiving care from staff whom they know and with whom they have developed positive relationships. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 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 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, 35 and 38. The home is well managed and residents’ rights, safety and welfare are protected. EVIDENCE: Ms Mary Hoskins is the manager of Solway House. Ms Hoskins has taken appropriate training to update her skills and knowledge, including the Registered Managers Award. The home is well managed. Procedures are in place to ensure that residents’ rights and financial interests are protected. The atmosphere in the home is welcoming and inclusive. Many residents lived in the local area before moving into Solway House and are familiar with the home and the staff working there. The manager and care staff ensure that residents who are not from the local area do not feel excluded in the home. The home’s management team focus on promoting residents’ independence and right to maintain control of their lives. Staff receive training to ensure that residents’ safety and welfare are protected. Advice has been taken from the local fire
Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 15 safety and environmental health officers regarding providing a safe environment for residents to live in. Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 X X X 3 X X STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 X X 3 Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 Solway House DS0000022613.V281042.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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