Care Home: Silverdene

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What the care home does well We found through, reading care plans, daily records and speaking to people, that staff provided personal support to those living at Silverdene in a way that they preferred. We saw that people were supported to achieve an excellent standards in personal care and grooming. We found that routines in the home were flexible and dependant on peoples individual choice. We found that people were supported to access specialist and routine health provision. We found that care staff sought the advice and input of different health care professionals. Records and reports confirmed that staff followed the instructions that were provided. We saw that each person has a summary of their needs available so that this can be included in information provided if the person needs an emergency hospital admission. We saw that staff successfully monitored peoples illnesses and documented changes in health needs and the action taken to treat any condition or prevent further deterioration. We checked the management of medication at Silverdene and found that this was in keeping with the Royal Pharmaceutical guidelines. We saw that medication was signed in and out of the home. We found that medication was stored securely, and we found that there was a record of the medication administered to people living at Silverdene. We saw that if a medication that was refused was also recorded. The training record indicated and staff confirmed that regular medication training was provided by both a training company and the pharmacist who provides the medication. We found that the manager has introduced a complaints record folder which is to be usedby staff. We looked at the information about a complaint that had been made. We saw that the concerns had been fully investigated in keeping with the homes complaints procedure. The manager had also sent CQC detailed report about the investigation and the changes that would be made in response to some of the issues highlighted. We found that the Adult Protection policy was robust and provided staff with useful information about how to respond to different adult protection matters. The policy also informed staff of who they should contact if they had a concern. We found that the Protection of Vulnerable Adults training that had been booked for March 2010 had been unavoidably cancelled. We also noted, however, that all staff had received this training in 2009. We interviewed a member of staff on the topic of adult protection. She told us that the training she received in 2009 had reminded her of the way people should be shown respect and the different types of abuse, the training also set her thinking about the rights and abilities of the young people living at Silverdene. This person understood that it was important to take what people told her seriously. And she was aware that it was essential to record concerns and raise matters with the manager or social services. People using the service said: `They look after me well and make sure my skin doesn`t breakdown.` ; `I go shopping for her own clothes.` And `People talk to me properly and listen to what I have to say. I am entertained and we sit and have talks. I like living here and I also like all the staff I feel safe here.` What the care home could do better: We found that staff have not received Mental Capacity Act 2008 and Deprivation of Liberty Safeguarding training. We assess that this training is essential to ensure that all concerned are aware of, the relevance and application of this legislation, and their role in promoting peoples right to make choices in all aspects of their lives. This matter was discussed with the registered manager. Random inspection report Care homes for adults (18-65 years) Name: Address: Silverdene 709 Moston Lane Moston Manchester M40 5QD 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: Michelle Haller Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Silverdene 709 Moston Lane Moston Manchester M40 5QD 01616824901 F/P01616824901 dannyhughes11@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maria Hughes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Maria Hughes care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 10 The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of people who can be accommodated is: 10. Date of last inspection Brief description of the care home Silverdene is a privately owned residential home which is registered to provide personal care and accommodation for six people with a learning disability and one person with a physical disability. The accommodation is also part of the registered providers family home and residents are treated as part of the family. The property is a large dorma bungalow with a separate detached property, which has been recently built to the rear of the main house. The main house can accommodate 5 Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home residents in ground floor single rooms and the detached external extension building can accommodate a further 2 residents. All bedrooms are single and are furnished to a very high standard. One room has a purpose built en-suite shower room to meet the needs of the individual resident. One large lounge area was available for residents to use. A well-fitted kitchen and dining area was available which led out to a separate utility area to accommodate the laundry facilities. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We conducted this random inspection as a compliance check in relation to the excellent rating awarded to Silverdene at the previous key inspection on the 30th April 2007. We looked at the Care Homes for Adults (18-65), National Minimum Standards outcome areas for Personal and Healthcare Support and Concerns, Complaints and Protection. The inspection involved assessing the information we had received about the service since the previous inspection in 2007. This included notifications or events that the manager has told us about, information from other sources such as social services, health workers or people using the service. We also considered the outcome of the previous key inspection we conducted in 2007. We received five completed Care Quality Commission (CQC) surveys from staff and seven surveys from service users. We visited the Silverdene unannounced, meaning that the registered manager and staff members did not know we were going. We examined the care plans, risk assessments, daily records and other documents concerning this person. We talked to people living at Silverdene and members of staff. What the care home does well: We found through, reading care plans, daily records and speaking to people, that staff provided personal support to those living at Silverdene in a way that they preferred. We saw that people were supported to achieve an excellent standards in personal care and grooming. We found that routines in the home were flexible and dependant on peoples individual choice. We found that people were supported to access specialist and routine health provision. We found that care staff sought the advice and input of different health care professionals. Records and reports confirmed that staff followed the instructions that were provided. We saw that each person has a summary of their needs available so that this can be included in information provided if the person needs an emergency hospital admission. We saw that staff successfully monitored peoples illnesses and documented changes in health needs and the action taken to treat any condition or prevent further deterioration. We checked the management of medication at Silverdene and found that this was in keeping with the Royal Pharmaceutical guidelines. We saw that medication was signed in and out of the home. We found that medication was stored securely, and we found that there was a record of the medication administered to people living at Silverdene. We saw that if a medication that was refused was also recorded. The training record indicated and staff confirmed that regular medication training was provided by both a training company and the pharmacist who provides the medication. We found that the manager has introduced a complaints record folder which is to be used Care Homes for Adults (18-65 years) Page 4 of 8 by staff. We looked at the information about a complaint that had been made. We saw that the concerns had been fully investigated in keeping with the homes complaints procedure. The manager had also sent CQC detailed report about the investigation and the changes that would be made in response to some of the issues highlighted. We found that the Adult Protection policy was robust and provided staff with useful information about how to respond to different adult protection matters. The policy also informed staff of who they should contact if they had a concern. We found that the Protection of Vulnerable Adults training that had been booked for March 2010 had been unavoidably cancelled. We also noted, however, that all staff had received this training in 2009. We interviewed a member of staff on the topic of adult protection. She told us that the training she received in 2009 had reminded her of the way people should be shown respect and the different types of abuse, the training also set her thinking about the rights and abilities of the young people living at Silverdene. This person understood that it was important to take what people told her seriously. And she was aware that it was essential to record concerns and raise matters with the manager or social services. People using the service said: They look after me well and make sure my skin doesnt breakdown. ; I go shopping for her own clothes. And People talk to me properly and listen to what I have to say. I am entertained and we sit and have talks. I like living here and I also like all the staff I feel safe here. 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 5 of 8 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 6 of 8 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 1 23 2 The registered provider must 23/07/2010 ensure that staff receive Mental Capacity Act 2008 and Deprivation of Liberty Safeguard training. This is so that all concerned are aware of the relevance and application of this Act and so know how to prevent the breach of peoples Rights. 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 7 of 8 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 8 of 8 - 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. 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