Latest Inspection
This is the latest available inspection report for this service, carried out on 13th April 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for Saltways Cheshire Home.
What the care home does well The home is effectively and competently managed, and all staff were observed being very caring and considerate to residents. The rights and interests of residents are clearly promoted by staff and residents were appreciative of this. Maintains high environmental standards for residents to live, which is specially equipped and adapted so residents can be as independent as possible. The staff team are well motivated and trained. This enables them to provide positive standards of care to people who have very complex and challenging care needs. The staff team work well with residents to engage them within their care. What the care home could do better: The service works hard to maintain and improve their high standards, no requirements have been made as a result of this inspection, and they remain an excellent rated service. It is recommended that activities at weekends and evenings are reviewed to ensure people can have more choice to participate if they wish to. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Saltways Cheshire Home Church Road Webheath Redditch Worcestershire B97 5PD three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Christine Potter Date: 1 3 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Saltways Cheshire Home Church Road Webheath Redditch Worcestershire B97 5PD 01527452800 01527452850 saltways@lc-uk.org www.LCDisability.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Leonard Cheshire Disability care home 24 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 24 The maximum number of service users who can be accommodated is: 24 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Physical Disability (PD) 24 Date of last inspection Brief description of the care home Saltways Cheshire Home [Redditch] is a single-storey building located in a suburban district of Redditch. The home comprises of four wings [or units]. All residents are accommodated in single en - suite bedrooms which are specially equipped for there use. In addition to the bedrooms the home provides lounges, dining room, and specialist bathing facilities. The grounds are accessible for the residents use and provide a pleasant outlook from the home.
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The home provides 24-hour nursing care mainly for people under the age of 65 years who possess a physical disability. It can and can also accommodate up to five people over the age of 65 years who also possess a physical disability. The home is owned by the Leonard Cheshire group who have many homes throughout the country. The registered manager is a first level nurse with many years experience working in the health and private sector. A range of activities are provided for the people living at the home and assist people to maintain links with the local community. Information about the fees are not included in the Service User Guide, for up to date information about the fees please contact the home direct as the fees are based on individual needs and assessments. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This unannounced random inspection of Saltways Cheshire Home was carried out on the 13th April 2010. The reason for the inspection was to monitor the homes progress following the last key inspection on the 13th April 2007. Following this inspection the home was given an excellent quality rating, and annual service reviews have been completed, which indicated that the service was still providing an excellent service. There were 20 people being accommodated on the day of the inspection. We met with the manager, deputy manager, and care staff. We reviewed care records, staff records, maintenance records and the homes internal systems. Surveys from people using the service, and staff, provided positive comments about the service and the quality of care provided. We found the home to be well organised and all records requested were available and up to date. These were the findings of our inspection. Choice of Home: [standards 1 to 5] Saltways review and update their Statement of Purpose and Service User Guide annually or when there are changes in the home. The information is available in alternative formats which are suited for the people using the service. They can also produce the documentation in Braille on request. The manager and physiotherapist assess people prior to accepting them into the home to ensure that they can meet their health and personal care needs fully. The other standards from this section were not assessed at this inspection. Surveys received from people using the service confirmed that they had received sufficient information about the home to assist them with their choice. Comments from people using the home included: make everyone happy and inform people what is going on. The nursing care is excellent and the standard of care is exemplary due to constant training and the high callibre of nurses and carers employed. Individual Needs and Choices [standards 6 to 10] We looked at the care records available for two people and found comprehensive records and assessments in place. The individual or relative had assisted in developing the care records to provide clear guidance for the staff to assist them in meeting their health and personal care needs. The care records and assessments showed that they were being regularly reviewed and updated by the staff. Staff spoken to were aware of the individuals health and personal care needs and were able to demonstrate this to us. The surveys received prior to the inspection confirmed that people felt that their care needs were being addressed and that their care preferences were respected. Comments included promotes independence for our disabled clients,looks after the needs of individuals and provides a high level of care for people, by ensuring their physical and emotional needs are met as well as possible. Lifestyle standards [11 to 17] Since the last key inspection the home has employed a new activities person. We received positive comments about the current person. The manager told us that they work 30 hours a week over five days and plan some events at the weekends for the
Care Homes for Adults (18-65 years) Page 4 of 10 residents. They have developed a more one to one program for the residents and keep separate records to show what the individual has been doing. The home have developed a sensory room for residents and a portable sensory trolley which takes sensory equipment into peoples bedrooms if they are unable to go to the sensory room. The manager told us that they have purchased a new mini bus to take people out. They are having problems with volunteer drivers which can limit peoples choices in respect of going out. The homes routines are fairly flexible for people living in the home and this is respected by the staff. The service have some volunteers who assist the residents in a number of ways with activities. Comments from people using the service included would like more entertainment in the evenings, the current activities co ordinator always puts on plenty of interesting activities during the week when they are on duty. The last environmental health officers report rated the kitchen five stars which is the highest award. Comments received about the food were all complementary and included: good enjoyable meals, and always good food. The dining room had been upgraded since the last inspection and provides a bright pleasant environment for people to have their meals. It was colour co ordinated with table cloths and fresh flowers on the tables. The home welcomes visitors and refreshments are available for them. All staff were observed being respectful to the residents, and residents confirmed that staff are really helpful, and respect their wishes. Where possible, residents are offered choices about how they spend their day, what time they get up, go to bed and food preferences. Personal and Healthcare Support [standards 18 to 21] The care records for two residents reviewed showed that the residents specialist health, nursing and dietary requirements are clearly recorded in each of their care notes. The care records show that they are being regularly reviewed and updated with the assistance of the individual and or their family. The home is in the process of going through the gold standards framework, this is to assist them in ensuring best practice in end of life care. Residents have access to health and remedial services and a record of all visits is recorded in the residents care plan for reference. The home has a physiotherapist five days a week to assist with moving and handling assessments and provides physiotherapy for people who need treatment. The management of medication was not reviewed at this inspection. We have not received any notifications from the home reporting medication errors. The manager completes a monthly audit on their medication system. Concerns, Complaints and Protection: [standards 22 to 23] In the last 12 months we have received two complaints about the home. One was referred to the safeguarding authority and following the investigation this complaint was upheld. The second complaint related to choice of food, and staffing levels, this complaint was investigated and not upheld. Environment: [standards 24 to 30] These standards were not fully assessed at this inspection. Since the last key inspection
Care Homes for Adults (18-65 years) Page 5 of 10 in 2007, the service has continued to improve and upgrade the home. This includes: Redecoration to all the corridors, which the residents helped to choose. The dining room has been redecorated, this provides a bright area for people to eat their food. The tables are attractively laid with fresh flowers. New boilers have been fitted. The Laundry equipment has been replaced. A sensory room has been developed with mobile sensory equipment which can be taken into residents bedrooms. The double glazing has been replaced throughout the whole home. All areas of the home were clean and tidy. Comments from people included: very good at maintaining the cleanliness of the home, the home creates a warm and friendly atmosphere and being well equipped helps to promote independence for our disabled clients. Staffing: [standards 31 to 38] We were informed that there were 20 people living in the home on the day of the visit. We looked at the staff duty rotas for the home and these showed sufficient staff numbers and skill mix for the 24 hour period. We spoke to staff who said that they had enough time to ensure that the health and personal care needs of people were met. One member of staff told us that it would be useful to have an extra person at meal times, to assist people with their food. In addition to the care hours, the home has an activities co ordinator, two domestics, one laundry person, one cook, gardener, maintenance plus administration staff. The manager confirmed that they currently have vacancies for nurses and carers, so were using regular agency staff to cover shortfalls. The manager confirmed that residents still assist with the recruitment of staff to ensure that the right staff are appointed. We looked at the recruitment records for one member of staff. These showed that the home had carried out appropriate safety checks prior to the person commencing. We looked at the training records for the staff which is computerised to assist in auditing to ensure staff have regular training and updates. Staff told us that they felt that they had enough training from the organisation to assist them to meet the needs of all the people living in Saltways. Comments received from people about the staff included: the nursing care is excellent, as well as the support staff, I have worked here for 27 years and have always found my job rewarding and the organisation supportive.and the staff do an amazing job. Conduct and Management of the Home [standards 39 to 43] The Annual Quality Assurance Assessment received from the home clearly showed how Saltways were meeting the standards and their plans for further improvement over the next 12 months. There has been no change with the registered manager for the home, since the last key inspection. A deputy manager has been appointed and settled really well into the home. All staff who responded in the surveys told us that the manager and deputy are really supportive and always approachable for advice. The manager and deputy receive regular training, the manager has just completed a qualification in health and safety. The manager told us of changes with the organisation, for which training is being provided for all staff. The area manager visits monthly to complete the regulation 26 visits and offers support to the manager. Care Homes for Adults (18-65 years) Page 6 of 10 They have a good quality audit process in place and are introducing a new system which links in with the CQC standards. All maintenance records were available and up to date. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
