Inspection on 18/05/06 for Solway House

This inspection was carried out on 18th May 2006.

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

Solway House 16/02/06

Solway House 31/10/05

Solway House 07/03/05

Solway House 26/08/04

Solway House 18/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Solway House Solway Terrace Sea Brows Maryport Cumbria CA15 6EL Lead Inspector Mrs Margaret Drury Unannounced Inspection 09:30 18th May 2006 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.V289149.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.V289149.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.V289149.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 16th February 2006 Brief Description of the Service: Solway House is registered with the Commission for Social Care Inspection to provide accommodation for up to eighteen older people, some of whom may have varying forms of dementia. The home is owned by Solway House Limited with Ms Mary Hoskins 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. It is an older style property that has been adapted for use as a care home. Accommodation 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 that is accessed from the lower ground floor. The home provides a statement of purpose and terms and conditions that give any prospective resident and/or their families details of the facilities on offer. The fees in this service range from £385.00 - £422.00 per week as at April 2006. There are extra charges for private chiropody and hairdressing. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection of the home and took place over one day in May. The registered manager was on duty on the day of the inspection and was available to assist the inspector during the visit. During the inspection, time was spent talking with the manager, the shift leader and care staff on duty. The inspector was also able to speak to the residents in groups during lunch and on in one to one meetings. The inspector also spent time looking at records to do with the day-to-day running of the home and the care of residents. The report refers to “case tracking”, a process by which the inspector is able to focus on a small number of residents and includes a review of their care documentation. It should be noted that this process is not detrimental to the other residents living in the home Time was spent with some of the residents individually and in groups, and some parts of the home were looked at. What the service does well: All prospective residents have an in-depth assessment before moving into the home to ensure all individual needs can be met. A complete care planning system is in place and those residents who wish, are involved in the process and sign the monthly review forms. The care staff are given all the information they need to deliver a high level of care and meet the assessed needs. All healthcare needs are met and there is an up to date record of professional healthcare visits and appointments documented with the daily record sheets. Regular medication reviews, with the doctors who visit the home, are completed to ensure the correct medication is provided. There is a limited programme of organised activities for residents to join in if they wish, and Holy Communion is offered to those who want to partake. Catering staff make every effort to ensure that a nutritious and varied menu is provided with an alternative choice provided at the main meals if necessary. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 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. Solway House DS0000022613.V289149.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.V289149.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): 1, 2, 3, 4 & 5 Quality in this area is good. This judgement has been made using the available evidence including a visit to the home. Residents and their families are given sufficient information about the home to make an informed choice about moving in. The assessment process is good and ensures the needs of the residents can be met. EVIDENCE: The home has an introduction pack that is given to anyone who makes an enquiry about any vacancies there may be. It includes the statement of purpose, resident guide, complaints procedure and other documentation about services on offer at the home. This gives all the necessary information required for any prospective resident to make an informed choice about moving into the home and having their needs met. All prospective residents are fully assessed prior to admission to ensure the home is able to meet the assessed needs. Information obtained from this assessment is then used as a basis for the plan of care. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 9 All residents have a Social Services contract and also a copy of the terms and conditions of residency. Copies of this documentation are held on each file. All those wishing to move in are invited and encouraged to visit the home to meet the staff and other residents and to enjoy a meal and/or refreshments. This also gives opportunity to view the accommodation provided. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 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 & 11 Quality in this area is good. This judgement has been made using the available evidence including a visit to the home. Residents health, personal and social cares needs are addressed in the care plans and care needs are met effectively. Residents are treated with dignity and respect at all times. EVIDENCE: All the residents in Solway House have a detailed plan of care and the inspector case tracked 3 residents during the visit. The care plans were all found to be up to date and contain a wealth of information to assist the care staff in the delivery of care. The registered manager has responsibility for ensuring all the reviews are completed on time. She works closely with the care staff in the delivery of care, which benefits the residents and guarantees that the assessed needs are met. Discussions with a number of residents and family members during the visit confirmed they find the care staff “very kind and helpful” and that they are always treated with respect and courtesy. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 11 The policy for handling the death of a resident is clear, with residents’ wishes recorded on the care plans wherever possible. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 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 in this area is good. This judgement has been made using the available evidence including a visit to the home. The daily routines are flexible and well managed ensuring residents can live as they choose. Visits from family and friends are encouraged and all are made welcome. EVIDENCE: Discussions with the residents evidenced that they all have control over their lives. They can rise when they want to and retire when they wish. Some of the residents were in their rooms during the inspection whilst others were enjoying conversations in the day room. Those who spoke with the inspector said, “we can do what we like “ and “ the staff let us please ourselves”. Visitors are welcome at anytime except during the main meals hours unless by prior arrangement. The inspector was able to speak with a visitor who expressed how much she appreciated the care and support given to her father. One resident was very pleased to have the opportunity of receiving communion every fortnight. The inspector was able to speak with the cook who confirmed that she speaks to the residents on a daily basis about the meals and the choices they have. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 13 The residents choose the menu on a daily basis and there is a record kept of meals taken. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 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, 17 & 18 Quality in this area is good. This judgement has been made using the available evidence including a visit to the home. Arrangements for complaints and concerns are handled well and taken seriously. Procedures for dealing with and reporting abuse are good, ensuring people are adequately protected. EVIDENCE: The home has a full complaints procedure in place and all the residents who spoke with the inspector said that if they ever had a concern to raise they “would speak to Mary or Alison”. They did, however, tell the inspector that they had “no reason at all to complain”. Although very few residents take part in local or general elections they are all given the opportunity to vote in person or to use the postal vote system. The care staff have, in the past, completed training in adult protection and this subject is also covered in the NVQ training. The manager is, however, aware of the need to ensure that adult protection issues are always in the forefront of the care provided. She has arranged for two members of staff to complete a “trainers” course starting in September to enable the staff in question to pass on the information to the staff team. The staff members who were interviewed during the inspection showed a good awareness of the concept of protection of vulnerable adults and the action they would take if it were ever necessary. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 15 Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 16 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, 22, 23, 24 & 26 Quality in this area is good. This judgement has been made using the available evidence including a visit to the home. The home offers very comfortable, homely accommodation and all areas are well maintained. This contributes to a good quality of life for the residents. It provides aids and equipment to meet the care needs of the residents. EVIDENCE: This home has a high environmental standard with good quality furniture and fittings. The manager conducts regular inspections of the home and notes any minor repairs that may be required. These are then dealt with as soon as possible. The large lounge/diner has a conservatory attached, which gives spectacular views over the Solway Firth to Scotland. The carpeting on the ground floor has recently been replaced making the area warm and comfortable. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 17 The inspector was able to view several bedrooms and found them to be nicely decorated and furnished. They were all personal to the residents with ornaments, pictures and photographs. All but three of them have en-suite toilet facilities and some are also fitted with showers. Residents told the inspector “ I really like my room and I like having my own facilities. There is assisted bathing, a hoist that can be used when required and handrails on corridors to assist with movement around the home. External space is provided by a well-tended garden with sitting areas. The property is clean and well maintained and provides a pleasant and safe environment for those living in the home. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 18 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 area is good. This judgement has been made using the available evidence including a visit to the home. Staffing arrangements are appropriate ensuring the needs of the residents are met. Staff have completed the required training and provide a skilled and experienced workforce. EVIDENCE: The staffing arrangements in this home are good with 3 members of care staff plus the manager on duty during the day and 2 waking staff at night. There are also catering and domestic staff on duty during the day. The staff team is both experienced and qualified with 12 already qualified to NVQ level 2 or above and a further 2 working towards the award. The inspector was able to observe the staff and found their attitude to be caring, supportive and enabling. This attitude ensures that the residents can maintain as much independence for as long as possible. There is a full recruitment and selection process that ensures all the legal checks are completed prior to new staff starting work. This ensures the safety and security of the residents. There is a very low staff turnover and the residents benefit from knowing they are cared for by a stable staff team that they know and have confidence in. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 19 The home has an established staff training programme and the inspector was able to examine the records detailing staff development Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 20 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, 35, 36 &38 Quality in this area is good. This judgement has been made using the available evidence including a visit to the home. The home is well managed and run in the best interests of the residents. There is a strong sense of leadership, ensuring the staff are well directed to deliver good quality care to those living in the home. The home has a good record of meeting the relevant health and safety requirements and legislation. EVIDENCE: Discussions with the registered manager confirmed her commitment to giving the highest level of care to the residents. She works closely with the staff team to ensure all the residents’ assessed needs are met. She is well qualified, and has considerable experience in the care and support of older people. During Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 21 the inspection she demonstrated clear lines of responsibility and delegation to the senior care team but also provided a “hands on approach” when necessary. Discussions with the residents and staff evidenced that she ensures the home is run in the best interest of the residents and that all appreciated the fact that that could enjoy a laugh and joke with her. All staff supervision and appraisals are up to date with records held on staff files. There are procedures in place to ensure that residents’ personal finances are safeguarded even though the families are ultimately responsible for residents’ personal monies. The home has a full set of policies and procedures in place and the manager is always looking at ways to ensure these are kept completely up to date. Record keeping is of a high standard, which safeguards the residents. The home’s owner is responsible for health and safety and all fire safety procedures are in place. The manager ensures that fire drills and that fire safety equipment are tested on a regular basis. All risk assessments are in place and reviewed at the same time as the care plans. Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 22 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 X 3 X 3 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 3 3 X 3 3 X 3 Solway House DS0000022613.V289149.R01.S.doc Version 5.1 Page 23 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. 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.V289149.R01.S.doc Version 5.1 Page 24 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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