Inspection on 20/09/07 for The Saltings

This inspection was carried out on 20th September 2007.

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 20/07/06

The Saltings 02/02/06

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 Paul Stibbons Key Unannounced Inspection 20th September 2007 10:20 The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 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.V348325.R01.S.doc Version 5.2 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.V348325.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Saltings Address 7 The Saltings Littlestone New Romney Kent TN28 8AE 01797 366216 F/P 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 Mrs Eileen Mary Campbell Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2006 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. Mr and Mrs Campbell also operate another home in the locality. The service users may, on occasion, mix socially and for day activities. The reported fees are £790 per week. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of three hours. The home’s manager had returned a completed Annual Quality Assurance Assessment (AQAA) to the CSCI prior to the inspection. The provider and two members of staff were present during the visit, the two residents were out at a day resource therefore were unable to share their views. There are no family members to contact but the Care managers contacted spoke positively and supportively of the service. A variety of documents and records were examined and a tour of the building carried out. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements or recommendations arising from this inspection; the manager is aware of the need to continuously strive for improvement within the service. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 7 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.V348325.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information on which to make an informed decision as to whether the home will meet their needs. Comprehensive pre-admission assessments are conducted to ensure the service can meet individual needs and that they are compatible with existing service users. People considering living in the home have the opportunity to visit and spend time with staff and existing service users before deciding on a permanent placement. People living in the home benefit from the security of an individual written contract detailing the terms and conditions of residency. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home provides a Statement of purpose and service user guides to inform prospective residents or their representatives about the facilities available within the home. There have been no recent admissions, but two care plans viewed of existing residents, demonstrated that pre-admission assessments had been conducted to ensure the service was able to meet their needs and aspirations and compatibility with residents already in the home. The manager states that prospective residents have the opportunity to visit and spend time with staff and existing residents before deciding on a permanent placement, this was later confirmed in discussions with a care manager. Two individual care plans were viewed and both residents had an individual written contract and statement of terms and conditions with the home. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have their assessed and changing needs reflected in their individual care plan. Residents are supported to take risks as part of an independent lifestyle and are consulted on, and participate in, all aspects of life in the home. The residents’ right to confidentiality of information is upheld. EVIDENCE: Care plans and support guidelines viewed were generally clear and accessible, enabling the staff team to provide for the individuals needs. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 11 Staff members spoken with demonstrated a good understanding of resident’s rights and responsibilities in getting along with other people in the home. One resident has moved to another placement following a review of their changing needs. A letter was viewed from this service users Care manager praising the home on the support they had given whilst the resident was in their care and the transition period. Residents are supported to make decisions and are offered opportunities to participate in the life of the home. Written risk assessments are in place for potential hazards that have been identified The two residents in the home have communication difficulties and therefore some decisions in the home are based on the past experiences of their likes and dislikes. Confidential records are kept secure in the managers office and staff members awareness of procedures for maintaining confidentiality is reinforced through their induction, NVQ training and supervisions. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the opportunity for personal development and are able to take part in age, peer and culturally appropriate activities. Residents are supported in maintaining appropriate relationships. Residents benefit from a healthy and balanced diet that is of their choice. EVIDENCE: There is a full and varied programme of activity and residents’ days are for the most part meaningfully occupied, as evidenced in residents daily diaries and The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 13 care plans. Daily diaries show that residents attend discos, gateway club, snooker, bowling, football matches and pub lunches. On the day of the visit both residents were out at a Day opportunities centre. The home has its own transport for taking service users’ to different activities and venues. Residents have enjoyed two holidays this year, one in Devon and the other in Wales. The two residents living in this home have no family who wish to remain in contact and have formed friendships with others met during their daily activities. Menus viewed indicated a healthy and balanced diet and staff state that residents participate in shopping and with choice of meals. Staff members spoken with demonstrated a good understanding of the likes and dislikes of residents. One care manager spoken with states “very happy with the care and support given by this service. The residents have developed since being admitted”. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ physical and emotional health needs are met and they receive personal support in the way they prefer and require. Service users are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Residents’ physical and emotional health needs are monitored as evidenced by records of referral to other healthcare professionals and the review and alternative placement of one individual whose needs had changed. Two individual care plans that were viewed are clear in detailing the support requirements and the preferred manner for residents’. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 15 Medication is appropriately stored in a medication cabinet that is secured in the manager’s office. Medication records viewed were legible and complete. The manager states that all staff responsible for administering medication have received “Safe handling of medication” training and further competence based training within the home, this was confirmed by certification seen in staff records. The home has attempted to ascertain the wishes of residents or their representatives in the event of serious illness or death and these had been recorded in the individual care plans viewed. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have access to a complaints procedure where their views are listened to and acted on. People living in the home are protected from abuse and neglect. EVIDENCE: Residents are encouraged and enabled to state their views and express concerns in formal and informal settings. Staff observation for signs of distress expressed by residents is important due to communication difficulties. The staff members spoken with are familiar with the procedures for supporting residents in raising concerns. Complaints records viewed indicate that no complaints have been received since the last inspection, and none have been received by the CSCI. Staff records viewed confirmed that all staff had received training around the safeguarding of vulnerable adults. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a homely, comfortable and safe environment with adequate personal and communal space. Resident’s bedrooms suit their needs and lifestyles. People living and working in the home benefit from a clean and hygienic environment. EVIDENCE: At the time of the visit the home was clean, tidy and well maintained. There is a good standard of furnishing that provides a comfortable environment for The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 18 people living in the home. One care manager spoken with, commented, “the home creates a good family atmosphere”. Residents’ bedrooms viewed had adequate space to meet their needs with evidence of possessions on display that reflect their interests and lifestyles. The manager states that residents have freedom of choice in colour schemes for their rooms. There are sufficient toilet and bathroom facilities to meet the needs of residents and no specialised equipment other than the installed grab rails is required. The kitchen and laundry facilities are domestic in nature and suitable for this small home environment. There are ample communal areas and an enclosed garden with patio and seating for residents to enjoy in fine weather. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are supported by sufficient numbers of competent and qualified staff. Residents’ benefit from well-supported and supervised staff. People living and working in the home are protected by the homes robust recruitment procedures EVIDENCE: Staff rotas demonstrate that residents are supported by sufficient numbers of staff to meet their individual and joint needs. Training records evidence that staff receive training that is appropriate to their roles and responsibilities for example health and safety, food hygiene, first aid, The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 20 fire awareness, infection control and 50 have achieved an NVQ qualification in care. One staff member spoken with commented, that, “there are plenty of training opportunities”. The home has robust recruitment policies and procedures in place that ensures that at least two satisfactory references are obtained and CRB/POVA checks are carried out. Three staff files examined confirmed this practice. Written records viewed in two staff files confirm regular supervision sessions are conducted with each member of staff to discuss practice, training and other relevant issues. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of residents and their health, safety and welfare is promoted and protected. EVIDENCE: There is an open and inclusive atmosphere in the home and the manager states that individual meetings with residents seeks to get their views in The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 22 matters relating to living in the home, indeed one person who has moved on to another placement telephoned during the visit, apparently this occurs on a daily basis, such is the rapport built up between staff and residents. Two staff members spoken with said the manager was approachable and open to their views. The home has an “Investors in People award” and the manager states that going through this process had informed her on methods of quality assurance that will help in forming a development plan for the home. Policies and procedures are reviewed annually, the last review was in 2006 and the manager states this years review is about to commence. Health and safety records were viewed that included portable electrical equipment, fire equipment, food temperatures and COSHH assessments. These records evidence that the health, safety and welfare of people living and working in the home is promoted and protected. A tour of the building identified no obvious health and safety hazards. The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 x The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 24 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 The Saltings DS0000023265.V348325.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000023265.V348325.R01.S.doc Version 5.2 Page 26 - 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!