Inspection on 12/09/05 for The Saltings

This inspection was carried out on 12th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Saltings 20/09/07

The Saltings 20/07/06

The Saltings 02/02/06

The Saltings 25/01/05

The Saltings 06/08/04

The Saltings 24/02/04

The Saltings 06/01/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Saltings 7 The Saltings Littlestone New Romney, Kent TN28 8AE Lead Inspector Geoff Senior Unannounced 12 September 2005 14:30 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Saltings Address 7 The Saltings, Littlestone, New Romney, Kent, TN28 8AE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01797 366216 01797 366216 eileen.campbell1@btinternet.com Stephen Anthony Campbell Stephen Anthony Campbell Care home only 3 Category(ies) of Learning Disability x 3 registration, with number of places The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25/1/05 Brief Description of the Service: The Saltings is registered to provide accommodation for a maximum of 3 adults with a learning disability. The Registered Providers; Mr Mrs Campbell are in day-to-day control of the Home. They are supported by 4 members of staff.The property is situated in a cul-de-sac in a residential area of Littlestone. Accommodation comprises: 3 single bedrooms, one with en-suite facilities, a quiet room and bathroom on the first floor. The Service users have use of the lounge, dining room, kitchen WC on the ground floor. The garden is accessible to the resident service users.The Home provides transport for the service users to access social, educational and recreational venues.The seafront promenade and beach and other local amenities are within walking distance The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and was undertaken on 14/9/05 at 14:30hrs.The opportunities for information gathering were limited on this occasion by the absence of service users who were all away on holiday with staff members in the New Forest. The Inspector was however able to speak with the provider Mrs Campbell and a member of staff, inspect a number of records and view the premises. What the service does well: 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. The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not Inspected EVIDENCE: The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6-10 Care plans are in place but would benefit from more detailed guidelines relating to support needs. Risk assessments need to be closely allied to personal goals. Staff indicated a good understanding of Service users rights to make decisions and be consulted on matters affecting them. These are acknowledged and respected EVIDENCE: Two client files were viewed. Care plans are in place and guidelines are available to staff in various forms in the office. There was little to show however that they had been reviewed or updated since initial introduction. The need for existing and additional information to be collated and included in the care plan documentation has been discussed with Mrs Campbell at two previous inspections. Mrs Campbell agreed that, whilst the small scale of the home helps staff in getting to know the service users, she needs to ensure that the care plans and risk assessments are sufficiently detailed and up to date to enable staff to provide care appropriate to current needs and to minimise risk. The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 9 Service users are encouraged to make decisions on a day-to-day basis regarding their general routine and lifestyle. The provider reiterated that any limitations placed on choice or use of facilities would be consistent with the Home’s duty of care. One resident manages his own finances with support from staff, whilst others’ affairs are dealt with by the Local Authority Client Finance officer. The issue of confidentiality is addressed during initial induction training. There was no private or confidential information on display and it would appear that all records are stored securely The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11-17 Staff have a good understanding of service users support needs. There is an open and relaxed feel to the home. The meals offer choice and variety EVIDENCE: All three service users attend external venues for educational and/or social activities.. The Home facilitates attendance by providing transport and escort to and from Day Centres. Most day activity is community based. Service users are encouraged to access local facilities and participate in community events according to individual preference. Leisure facilities are limited in the village but transport is available if they wish to venture further afield. Visitors are encouraged and welcomed without restriction. They may be received in the communal areas or service user rooms if more privacy is required Service users have freedom of movement within and outside the Home subject only to safety considerations. Staff are expected to seek permission before entering service users bedrooms. It was reported that service users are expected to respect one another’s privacy and personal space. Menus are planned with the service users who may also be also involved in the food shopping. Individual likes, dislikes and preferences are well known to the The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 11 staff and catered for accordingly. Mealtimes are flexible but service users are encouraged to join together for the evening meal with staff. A record of food provided is kept The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18-21 Personal support is offered in a way that promotes privacy and dignity. Systems are in place to manage service users ongoing medication and health needs. EVIDENCE: The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 13 Service users are assisted or prompted according to their individual needs. Routines (i.e. rising and retiring) are flexible around their own activities and preferences. None of the current service user group are able to independently manage their own healthcare arrangements or medication. Staff monitor and report on the general health and well being of individuals on a daily basis and record in the report books any changes and forthcoming appointments. Referrals for review of medication, advice on management of particular issues and information are sought from the appropriate agencies as necessary. Service users are registered with the local village surgery . Mrs Campbell reported that all staff have attended medication training which, she understands, will satisfy the requirements of the standard. She also reported that she undertakes an assessment of the competence of staff prior to their involvement in medication administration The Inspector previously recommended that home obtains the Royal Pharmaceutical Society of Great Britain guidelines for control and administration of medication in care homes. He was pleased to note at this visit that a copy has been obtained.The registered person reported that they aim to provide a home for life and would endeavour to provide care and accommodation for as long as is practicable and appropriate. This would be undertaken with support of GP District Nursing Service. Service users and relatives have been consulted about issues relating to this standard and preferences expressed have been recorded. The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected EVIDENCE: The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 The providers endeavour to maintain a high standard of décor and hygiene within the home. The home offers a comfortable and homely environment in which to live and work. EVIDENCE: At the time of inspection the Home appeared to be clean, tidy and well maintained. The service users’ private rooms were adequately and comfortably furnished. The service users have been encouraged to personalise their rooms according to individual choice and preference. Doors are lockable and keys available. One service user has the use of two undersize rooms as his private space There is a large communal lounge in which to sit and socialise, additionally the dining room is available At the time of inspection it was reported that there were no identified requirements for specialist equipment or adaptations for service users other than an additional handrail fitted on the advice of the physiotherapist. In response to the Fire safety Officer requirements there have been some changes to the layout of the building; access to the office is no longer via the laundry. It is now from the main hallway. The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 Staff are supervised and supported by the management in the development of skills and knowledge. EVIDENCE: Mrs Cambell has completed a supervision and appraisal course. Staff are offered regular one to one supervision sessions. Appraisals are undertaken from which, study paths are identified. The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected EVIDENCE: The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Saltings Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 19 yes 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. 1. Standard YA6 Regulation 14,15 Requirement The registered manager develops and agrees with each service user an individual Plan which may include treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet the current and changing needs and aspirations and achieve goals Timescale for action previously 31/4/05 amended to RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA9 Good Practice Recommendations Risk assessments would benefit from evidence that they have been reviewed and updated where appropriate The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 The Saltings H56-H05 S23265 The Saltings V247740 120905 Stage 4.doc Version 1.40 Page 21 - 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!