CARE HOMES FOR OLDER PEOPLE
Solway House Solway Terrace Sea Brows Maryport Cumbria CA15 6EL Lead Inspector
Paula Banham Unannounced Inspection 31st October 2005 11:20 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.V257809.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. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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.V257809.R01.S.doc Version 5.0 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 7th March 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 and Mrs 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, conservatory, bedrooms, toilets and a bathroom and 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.V257809.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 31st October 2005. The inspection focussed on how well the home meets the needs of the people living there. This was assessed by speaking to residents and care staff, observing activity in the home and reading the records which care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better:
All of the standards assessed at this inspection were met and there were no areas identified as requiring action. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 Page 6 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.V257809.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 Solway House DS0000022613.V257809.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): 3, 4 and 6. Residents’ needs are assessed before they move into Solway House. The services and facilities in the home are suitable to provide the support residents need. The home does not provide intermediate care and standard 6 does not apply. EVIDENCE: A thorough assessment is carried out of individuals’ needs before they are offered accommodation in Solway House to ensure that the services and facilities are suitable to provide the support they require. The records held about residents include evidence that the care provided has improved individuals’ skills and increased their independence. Residents spoke highly about the care provided in the home and the staff who work there. Solway House does not provide intermediate care and standard 6 does not apply to the home. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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): 7, 8 and 10. Residents receive the personal and health care support they require to meet their needs and maintain their welfare. Residents are treated with respect and their privacy and dignity are protected in the home. EVIDENCE: The support individuals require is identified and recorded in their personal records. Care staff are knowledgeable about individuals’ needs and the support they require. Assistance is provided in a manner which respects residents’ wishes and takes into account their personal preferences. Residents are treated with respect and are comfortable with the staff who support them. Care staff take appropriate actions to respect residents’ privacy and dignity. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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 15. The home offers a variety of activities which provide residents with stimulation and recreation. Residents receive visitors as they wish and maintain contact with their friends and families. Residents are provided with a nutritious and varied diet which takes account of their preferences. EVIDENCE: Residents choose how and where to spend their time in the home and whether to take part in the activities provided. Residents choose whether to be with other people in the home’s sitting room and conservatory or to spend time in their own rooms. Residents said their families and friends visit them in the home and are made welcome by the staff working there. The home provides a balanced and nutritious diet and residents said the meals are “lovely”. Residents’ preferences are taken into account when planning meals. Assistance with eating is provided in a patient and discreet manner as residents require. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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): 18. Residents are protected from harm in the home. EVIDENCE: Risks to residents are assessed and appropriate actions taken to protect them from harm. Systems are in place to ensure that residents who are at risk if they leave the home are protected, without restricting their rights. Staff are knowledgeable about the procedures to follow if they are concerned that a resident is at risk. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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 and 26. The home is clean, safe and well maintained and provides a pleasant environment for residents to live in. EVIDENCE: Solway House is maintained and furnished to a high standard and the accommodation is suitable to meets the needs of the residents living there. A conservatory has been added to the front of the property, overlooking the sea and harbour. Residents said they enjoyed sitting in the conservatory “watching what’s going on outside”. The sitting/dining room has been redecorated to ensure that the environment is maintained at a high standard. The home is clean and hygienic and provides residents with comfortable and pleasant accommodation. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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 and 30. Residents benefit from receiving support from staff who are skilled and trained to provide the care they require. EVIDENCE: Care staff have received a range of training to give them the skills to provide a high standard of care and to carry out their duties safely. Staff work with residents in a patient and unhurried manner and provide support as individuals require. Residents are comfortable with the staff working in the home and made many positive comments about the staff and standard of care provided. Residents said, “The staff are all lovely” and “the staff work very hard, nothing is too much trouble”. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 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): 33 and 38. Residents know that their views about the home are listened to and that they can affect how the home is run. The procedures in the home protect residents’ health and welfare and maintain their safety. EVIDENCE: Systems are in place to allow residents to voice their views about the home and the services provided. Comments from residents are listened to and acted on and residents know they can affect how services are provided. Menus have been changed to take into account residents’ views and preferences. Procedures are in place to ensure that the environment is safe and residents’ welfare is protected. Care staff have received training to give then the skills and knowledge to carry out their duties safely. Solway House DS0000022613.V257809.R01.S.doc Version 5.0 Page 15 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Solway House DS0000022613.V257809.R01.S.doc Version 5.0 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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.V257809.R01.S.doc Version 5.0 Page 17 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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