Inspection on 02/02/06 for The Saltings

This inspection was carried out on 2nd February 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

The Saltings 20/09/07

The Saltings 20/07/06

The Saltings 12/09/05

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 Announced Inspection 2nd February 2006 10:00 The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 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 The Saltings DS0000023265.V270360.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 Adults 18-65. 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. The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Saltings Address 7 The Saltings Littlestone New Romney Kent TN28 8AE 01797 366216 01797 366216 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) Mr Stephen Antony Campbell Mrs Eileen Mary Campbell Mr Stephen Antony Campbell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 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 and 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 and 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 DS0000023265.V270360.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was undertaken on 2/2/06. The inspector met and spent time with the proprietor Mrs Campbell, a member of staff and one of the service users at home during the course of the visit. Mrs Campbell has several years experience working with people with a learning disability in a residential setting. She indicated an awareness of the NM Standards and expressed a commitment to compliance with the standards within a reasonable timescale. The inspector observed, throughout the visit, the staff’s attention to the service user’, their patient, friendly and respectful manner and consideration of each service user as an individual. A range of documentation was viewed and an accompanied tour of the premises undertaken. The findings of the visit and any requirements or recommendations are contained within the body of the report. 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 DS0000023265.V270360.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 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 the following standard(s): 2,3,4. There is a system in place for undertaking preadmission assessments and information gathering which includes a consideration of the mutual benefit of the placement and compatibility of the service users. EVIDENCE: There have been no recent admissions to the home. Mr and Mrs Campbell indicated that, in the event of a referral, they would meet with prospective service users, prior to admission, in their current accommodation or other familiar environment. Pre-placement assessments would be undertaken and written documentation obtained from the previous placement. The service would not be offered to any prospective service user unless their needs had been fully assessed and a decision made as to the mutual suitability of the placement. Compatibility with the existing group would also need to be assessed prior to placement. A prospective service user would be given opportunity to visit, meet and spend time with the existing service user and staff and stay overnight before any decisions on the placement are made. The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 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 the following standard(s): 6,8,9. The care plans are generally clear and accessible, enabling the staff to provide for the service users needs. Personal support practices promote the privacy, dignity and independence of the service users. EVIDENCE: Care Plans, derived from initial and on-going assessments have been drawn up by Care Management, the home and, where possible, the Service User.. Risk is regarded by the management as part of living within the home and staff on duty expressed a clear understanding of a residents’ right to take responsible risks. Written risk assessments have been undertaken where potential hazards are identified. Service users are encouraged to make decisions on a day-to-day basis regarding their general routine and lifestyle. 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 DS0000023265.V270360.R01.S.doc Version 5.0 Page 9 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 the following standard(s): Not inspected at this visit. EVIDENCE: The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 10 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 the following standard(s): Not inspected at this visit. EVIDENCE: The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 11 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 the following standard(s): The home has a written complaints procedure available to service users, staff and visitors. Staff have received training in the awareness and understanding of adult protection issues in order to protect service users from risk of harm or abuse. EVIDENCE: Mrs Campbell previously reported that she endeavours to maintain a smallscale ‘family’ environment in which service users feel able to freely express any concerns or discontent. This was confirmed during conversation with one of the service users. A complaints policy and procedure is now available in the home’s policy folder. It was reported that staff recently attended Adult protection training. The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 12 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 the following standard(s): Not inspected at this visit. EVIDENCE: The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 13 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. There are sufficient numbers of staff on duty at all times. Staff are given the opportunity for training and development. EVIDENCE: There is a good and mutually supportive team that ensures at least two members of staff on duty at the home during the day at the home or supporting various activities. Mrs Campbell offers staff a comprehensive induction programme for newly appointed staff. She is aware of forthcoming changes and will implement in due course. Staff are supported to attend statutory and service specific training courses as well as NVQ care at appropriate levels. The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 14 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home is well run with an ethos of inclusion, support and development. The health, safety and welfare appear to be promoted and protected. EVIDENCE: It appeared from discussion and observation that the Mrs Campbell is approachable and supportive. She operates an open door policy and frequently meets with staff individually and collectively on a formal and informal basis. An open and inclusive atmosphere appears to have been established within the Home. Mrs Campbell was pleased to announce that she has recently been assessed as meeting the standards for an Investors in People Award. A service user assured the Inspector that his views are actively sought in all matters relating to lifestyle and daily routine at the Home. The inspector was informed that regular health and safety, environment and equipment checks are undertaken. The Saltings DS0000023265.V270360.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 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 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Saltings Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 x DS0000023265.V270360.R01.S.doc Version 5.0 Page 16 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 The Saltings DS0000023265.V270360.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Kent and Medway Area Office 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. 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