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Care Home: Solent View Residential Care Home

  • 41-43 Victoria Grove East Cowes Isle Of Wight PO32 6DL
  • Tel: 01983290348
  • Fax: 01983290348
  • Planned feature Advertise here!

Solent View is an extended detached house in a residential area of East Cowes within reasonable walking distance of all amenities. Solent View is registered to provide care and accommodation for a total of nineteen people over the age of sixty-five years. Accommodation is on two levels and a shaft lift enables access to all areas. With the exception of two twin bedrooms all bedrooms are for single occupancy, all but one bedroom has en-suite facilities. The home also provides day care up to five people per day. Respite care is available when a bedroom is vacant. The home is owned and managed by Mr David Elliott. Weekly fees range from £376.67 to £472.77 dependant on assessed needs.

  • Latitude: 50.750999450684
    Longitude: -1.2840000391006
  • Manager: Manager post vacant
  • Price p/w: ~
  • UK
  • Total Capacity: 19
  • Type: Care home only
  • Provider: David Elliott
  • Ownership: Private
  • Care Home ID: 14041
Residents Needs:
Dementia, Old age, not falling within any other category, Physical disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 22nd May 2008. CSCI found this care home to be providing an Good 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 Solent View Residential Care Home.

What the care home does well The service has comprehensive admission procedures that should ensure that only people whose needs can be met at the home are admitted. People have a detailed plan of care that related to the persons assessment. The care plans are person centred and written in plain language providing detailed information as to how needs should be met. Risk assessments in care plans viewed appeared appropriate to the persons needs. Observations of staff interactions indicated that people are treated with respect and their right to dignity maintained. People confirmed that staff listen and act on what they say. The routines for daily living and activities made available are flexible and varied to suit people`s individual needs. Family and friends are able to visit. People receive a balanced, nutritious diet with choice available at all meals and special diets catered for. People and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. People are protected from abuse. The home employs appropriate numbers of care staff that ensure that the needs of people living at the home are met. Staff have received training. Good recruitment procedures are in place. The home is well managed in the best interests of the people who live there. What has improved since the last inspection? This was the first inspection of a new service registered in December 2007. What the care home could do better: There were no requirements or recommendations made following this inspection visit. CARE HOMES FOR OLDER PEOPLE Solent View Residential Care Home 41-43 Victoria Grove East Cowes Isle Of Wight PO32 6DL Lead Inspector Janet Ktomi Unannounced Inspection 22nd May 2008 10.00 X10015.doc Version 1.40 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 Solent View Residential Care Home DS0000070680.V363726.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 Older People. 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. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Solent View Residential Care Home Address 41-43 Victoria Grove East Cowes Isle Of Wight PO32 6DL 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) 01983 290348 01983 290348 solentviewcarehome@tiscali.co.uk David Elliott Care Home 19 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0), Physical disability (0) of places Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Physical disability (PD) 2. Dementia (DE) The maximum number of service users to be accommodated is 19. Date of last inspection New Service Brief Description of the Service: Solent View is an extended detached house in a residential area of East Cowes within reasonable walking distance of all amenities. Solent View is registered to provide care and accommodation for a total of nineteen people over the age of sixty-five years. Accommodation is on two levels and a shaft lift enables access to all areas. With the exception of two twin bedrooms all bedrooms are for single occupancy, all but one bedroom has en-suite facilities. The home also provides day care up to five people per day. Respite care is available when a bedroom is vacant. The home is owned and managed by Mr David Elliott. Weekly fees range from £376.67 to £472.77 dependant on assessed needs. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report contains information gained prior to and during an unannounced visit to the home undertaken on the 22nd May 2008. All core standards and a number of additional standards were assessed. The visit to the home was undertaken by two inspectors and lasted approximately six hours commencing at 10.00 am and being completed at 4.00 p.m. The inspectors were able to spend time with the registered manager and staff on duty. The inspectors were provided with free access to all areas of the home, documentation requested, visitors and people who live at the home. Prior to the inspection visit the registered manager had completed the homes Annual Quality Assurance Questionnaire (AQAA), this was received at the Commission within the required timescales and information from it is included in this report. Information was also gained from the home’s service file containing notifications of incidents in the home. Surveys were sent to the home for distribution prior to the inspection visit, at the time of writing the report one response from a person who lives at the home and four survey response from staff members had been received. Following the inspection visit the inspector telephoned a local health professional who regularly visits the home. What the service does well: The service has comprehensive admission procedures that should ensure that only people whose needs can be met at the home are admitted. People have a detailed plan of care that related to the persons assessment. The care plans are person centred and written in plain language providing detailed information as to how needs should be met. Risk assessments in care plans viewed appeared appropriate to the persons needs. Observations of staff interactions indicated that people are treated with respect and their right to dignity maintained. People confirmed that staff listen and act on what they say. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 6 The routines for daily living and activities made available are flexible and varied to suit people’s individual needs. Family and friends are able to visit. People receive a balanced, nutritious diet with choice available at all meals and special diets catered for. People and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. People are protected from abuse. The home employs appropriate numbers of care staff that ensure that the needs of people living at the home are met. Staff have received training. Good recruitment procedures are in place. The home is well managed in the best interests of the people who live there. 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 summary of this inspection report can be made available in other formats on request. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The statement of purpose, service users guide and terms and conditions of residency (contract) are provided to all people who live at the home. All people are assessed prior to moving into the home to determine that their individual needs can be fully met. People, or their representatives, are able to visit the home prior to admission to assess the quality, facilities and suitability of the home. Standard 6 is not applicable, as the home does not provide intermediate care. EVIDENCE: As this was the first key inspection for a new service the inspector requested copies of the statement of purpose, service users guide and sample contract/terms and conditions of residency. The inspector was shown one that was ready to be provided to a new person. This contained all the necessary Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 9 information in a suitable format for the person. People who live at the home confirmed that they had been provided with information about the home. The registered manager explained the homes admission procedure and the pre-admission assessment for a person admitted since the home was registered by the current provider was viewed. The inspector discussed admissions with care staff. If an initial enquiry from either social services or from a person or their family indicates that the home would be able to meet the persons needs the manager will arrange to visit the person, either at their home or in hospital. A comprehensive pre-admission assessment is completed including where possible members of the persons family and professionals involved in their care. Care manager assessments were seen in care plans viewed. The person is provided with verbal information about the home and where practicable is invited to visit the home before making the decision as to whether to move in on a four week trial basis. When the person is unable to visit the home a relative is invited to view the available room and facilities at the home. The manager stated that sometimes people have day care prior to commencing residential care. This was the situation with the admission viewed. The manager stated that he also visits people who have been in hospital to ensure that the home is able to continue to meet their needs on discharge. The home has an assessment tool that covers all the relevant areas necessary for the home to decide if it is able to meet a prospective persons needs. The manager was clear about the level of care needs the home can accommodate. The same procedures are used for respite as well as longer term care. Discussions with care staff confirmed that they felt they had enough information about new people admitted to the home. People living at Solent View tend to be long term, however the home could provide respite or short stay accommodation if a suitable room were available. The home also provides a day service for up to five people per day. There was no evidence that this arrangement had any negative impact on people who live long term at the home. The home does not provide dedicated accommodation for, intermediate care or specialised facilities for rehabilitation. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are set out in an individual plan of care that clearly states how peoples needs should be met. Medication is correctly stored and administered with full records maintained. People are treated with respect and their dignity maintained. EVIDENCE: Four care plans were viewed one for a person recently admitted to the home and the others for people who had been living at the home for a longer time. The inspector’s discussed with staff, a visitor and people who live at the home how care needs were met. The inspector telephoned a health professional who regularly visits the home. Care plans contained all the necessary information for staff to ensure that all aspects of health, personal and social care needs could be individually met. People have a detailed plan of care that related to the persons assessment. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 11 The care plans are person centred and written in plain language providing detailed information as to how needs should be met. Plans are reviewed on a monthly basis. Photographs were seen in all care plans. Care plans contained relevant risk assessments and management plans including nutrition, falls and any individual risks such as resulting from age related memory loss. Care plans also contained guidance for staff in how inappropriate behaviours should be managed by care staff. Risk assessments viewed appeared appropriate to the persons needs. The inspector’s were able to talk with many of the people who live at the home who stated that they always received the care and support (including medical care) they need. A relative met during the visit to the service confirmed that they felt that the needs of their relative living at the home were met. A health professional who regularly visits the home was telephoned following the inspection visit. They stated that they had no concerns about the home and felt that staff had knowledge about the people who live there and that peoples health needs were met. Care plans contained individual manual handling assessments. Manual handling equipment was viewed in the home and care staff stated that they had received manual handling training and this was recorded on the homes training matrix. A member of staff has completed a manual handling training course. A visitor and people who live at the home stated that they felt that staff always treated them with dignity and respect. Observations of staff interactions indicated that people are treated with respect and their right to dignity maintained. All people confirmed that staff listen and act on what they say. The home provides mainly single bedrooms with the two twin rooms containing screens to ensure privacy during personal care tasks. Care staff confirmed that they had sufficient time to meet people’s needs and discussions indicated that they had a good understanding of individual peoples needs and how these should be met. Care staff have received training to meet the specific needs of people. At the time of the inspection visit nobody was self administering his or her medication. The manager stated in the homes AQAA that should people choose to self administer they would be provided with a lockable cabinet in their rooms and a full risk assessment would be undertaken. The manager stated during the inspection and on the homes AQAA that staff have undertaken training with regard to the safe administration of medication. Care staff confirmed that they have undertaken medication training. Medication is stored in a locked medications trolley, which is secured to the wall when not in use. With the exception of liquids the local pharmacist dispenses most medication into blister packs. The home uses medication administration record sheets supplied by the pharmacist. These were viewed and found to be fully Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 12 completed. The home did not have any controlled medications. The home has the necessary recording books for controlled medications however it should consult with the pharmacist regarding the correct storage of the controlled medications, as the current arrangements may not meet the current regulations. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The routines for daily living and activities made available are flexible and varied to suit people’s individual needs. Family and friends are able to visit. People receive a balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: We carried out a case tracking exercise looking at recorded information about peoples assessed needs and identified wishes. Assessments and care plans clearly identified peoples interests, like, dislikes and also included some details of their history. Daily monitoring records included written evidence of the type of activity the person engages in, including records of trips out in the homes mini-bus. People spoken to confirmed that there were activities available frequently at the home and they had full choice about being involved in these activities. A number of people confirmed that they especially enjoyed the regular trips out in the mini-bus. The staff member who plans and takes Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 14 people out in the mini-bus explained how trips were arranged and confirmed that care is taken to ensure trips out met both the needs and the wishes of people involved. Two other staff members interviewed confirmed that the home had recently benefitted from an increase in staffing levels that ensures they have the time and resources to carry out the activities identified on the notice board at the home. In addition to this the home often arrange for entertainers to come into the home, and there are seasonal events celebrated as well as birthdays. During the visit a local vicar attended the home in order to celebrate a religious ceremony. People said they enjoyed these services and the way the home arranges to meet their religious needs. Other people confirmed they were free to make alternative arrangements to meet their specific religious beliefs and needs. These needs and wishes are recorded within plans of care. We interviewed one visitor who confirmed he could visit the home at any convenient time, and often popped in to see his relative during his lunch hour. He confirmed the home always make him feel welcome, and he is updated with any news by both his relative and/or the staff. People interviewed also confirmed that visiting is encouraged by the home, and that there is a flexible approach toward visitors. People can always choose to see their visitiors in private, and can choose who they see. In addition the home has a clear visiting policy that is available on request. The home also take in day care people from the local community. Senior staff and management were clear about the need to always provide sufficient staff to ensure the support needs of day care clients does not detract from the resident group. There was evidence that people are supported and encouraged to take control over their lives. Assessments and plans of care and support are kept under regular review and interventions are monitored on a daily basis and recorded. Peoople confirmed that their individuality, dignity and choice is promoted and protected. Wherever needed external advocacy is arranged, people are offered daily choices in such areas as activities and food and have access to their personal records. People are supported and encoraged to bring personal items with them into their individual rooms. The home employs a regular cook who has worked in kitchens for over 10 years and is suitably trained and qualified. The cook was interviewed and explained that she saw the people who live at the home every day she was on duty, usually at breakfast, and takes feedback and comments very seriously. She confirmed that she has access to good resourses and is able to keep everyone reasonably happy most of the time. People spoken to confirmed that they were happy with the quality and quantity of food provided on a daily basis. People are regularly consulted about menus and the co-owner was just planning the new seasons menus with the cook based on feedback from people who live at the home. The main meal of the day included three choices Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 15 including a vegetarian option, and two choices of dessert. People are advised of the daily menu each morning and are able to choose their preferred option. People confimred that if what was on offer did not fully meet their needs they were offered an alternative. Special diets such as diabetic are catered for. The home has received a five star rating (the maximum available) from the local environmental health team for food hygiene. People can take their meals in their bedrooms, in the communal dining room or the coffee lounge. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. People are protected from abuse. EVIDENCE: The home has a clear complaints policy and procedure and a copy is in the statement of purpose/service users guide, available in the hallway and provided to all prospective people and their relatives in the service users guide. The relative, the inspector met, stated that they were aware of how to complain and felt they would do so if they had any concerns. Discussions with staff confirmed they were aware of what to do if a person complained or raised an issue. The manager identified in the homes AQAA that the home had received no complaints in the past year. The inspector was shown the complaints book in which care staff record minor concerns from people. Discussions with visitors and people during the inspection visit, and the complaints book, indicated that people feel able to make their views and opinions known and are not afraid to raise issues with the homes staff or management. The home has a policy and procedure relating to safeguarding adults and ensuring that people are not at risk of abuse. A copy of the local safeguarding flowchart is on the office wall and in the care station. Care staff have had safeguarding adults training as part of their induction and as specific update Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 17 training as seen in the homes training matrix and confirmed by staff. Discussions with care staff indicated they had a good understanding of adult protection and what they should do if they suspected abuse may have occurred. People stated they felt safe at the home. The homes policies and procedures in respect of people’s personal finances and recruitment should ensure that people will not be financially abused. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a clean, safe, well-maintained home that meets their individual and collective needs. EVIDENCE: Solent View comprises of two semi-detached houses with an extension to the rear. The home is located in a residential area close to the shops and other facilities in East Cowes. Solent View is domestic in style and provides comfortable and homely accommodation. There is limited off road parking to the front of the home with additional parking available in the road outside the home. The home has a large rear garden, mainly laid to lawn with a patio area. The inspector’s viewed the communal areas and some bedrooms. The home was clean and tidy throughout and there were no unpleasant odours. At the Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 19 time of the visit the home was comfortably warm throughout. The visitor and people who live at the home confirmed that the home is always warm and clean. The home employ’s a cleaner five days a week with care staff undertaking essential cleaning tasks at the weekend. The manager stated in the AQAA that all lounge chairs have been replaced. The home has mainly single and two twin bedrooms. The inspector’s viewed a number of bedrooms. These vary in size, all but one has ensuite facilities, with bathroom and WC’s are located around the home and convenient to the communal areas and bedrooms. People stated they were happy with their bedrooms and these were seen to contain personal items. The home has communal space with a range of seating. The home has the necessary moving and handling equipment and the baths are fitted with hoists. The home has a shaft lift to enable access to all bedrooms. The homes laundry was visited and is appropriate and fit for purpose with new machines capable of washing to disinfection standards. Members of staff spoken with confirmed they had received infection control training and had access to all the necessary equipment to prevent any risk of cross infection such as disposable gloves and aprons, supplies of which were seen during the visit to the home. Substances hazardous to health (COSHH) were stored securely. The home has a sluice room. The manager confirmed information in the homes AQAA that the home has an ongoing refurbishment plan, one bedroom now vacant being prepared to be redecorated before it is re-occupied. The home plans to refurbish the first floor bathroom with an integrated bath and battery powered chair to lift and transfer people into the bath. The home is also about to provided a new heating and hot water system incorporating solar power with new gas condensing boilers. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home employs appropriate numbers of care staff that ensure that the needs of people living at the home are met. Staff receive the necessary training and a high number have a recognised qualification in care. EVIDENCE: All comments from people who live at the home, visitors and professionals were positive about care staff. Duty rotas were seen during the visit to the home. Duty rotas stated that three care staff are provided throughout the day and two care during the evening and at night. The home also employs a cook, housekeeper and another member of staff whose duties include basic maintenance, decoration and outings in the homes minibus. In addition to care staff the manager and his wife who is the homes head of care, are present weekdays and available at other times if required. During the inspectors visit staff on duty corresponded to those on the duty rota. Care staff stated that they generally have sufficient time to meet people’s needs and throughout the inspection care staff appeared to have time to meet people’s needs. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 21 The manager provided training and qualification information during the inspection and on the AQAA. With the exception of one carer all care staff have either got or are doing an NVQ of at least level 2 with some having level 3. The inspector spoke with care staff who confirmed that they had either got, were to undertake their NVQ. The homes deputy head of care is an NVQ assessor. A training matrix was seen on the homes office wall stating what qualifications and training staff had and that required. The matrix identified when training should be received and updates due. A member of staff is a manual handling trainer. As well as mandatory training care staff have undertaken relevant training specific to the needs of people who live at the home such as continence training and vision awareness training is planned. The manager stated that staff are paid for the time they attend training. Care staff stated that they felt they had the necessary skills to meet people’s needs and were not expected to undertake activities for which they had not been trained. Responses in surveys from staff all confirmed that they received training to met the needs of the people who live at the home. Added comments included ‘I get very good training, the manager usually puts forward staff to go on courses, I am very pleased with the courses I have done’. The recruitment records for the three people recruited since the home was registered under the new providers were viewed. These contained all the required information and confirmed that all staff are fully checked including references, CRB and POVA checks prior to commencing employment at the home. The manager explained the homes induction procedure that includes a workbook that conforms to the common induction standard. A new member of care staff confirmed that the above recruitment procedures had been undertaken. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 and 38 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The provider/registered manager has the necessary skills and experience to ensure that the home is appropriately managed and run in the best interests of the people who live there. People’s financial interests are safeguarded. Staff are supervised. Records are well maintained. The health, safety and welfare of people and staff are promoted. EVIDENCE: The home is owned and managed by Mr David Elliott. Prior to his purchasing the home he had been managing the home on behalf of the previous owner since January 2006 and was registered with the commission as registered Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 23 manager in June 2006. The manager confirmed that he has undertaken all mandatory training and will attend training specific to his role as manager. The manager has an NVQ in Management and twenty-three years working within the army medical service. Throughout the inspection visit the manager demonstrate knowledge of the people who live at the home and the mechanisms by which support can be obtained when necessary. The manager works full time and provides an on call service when not in the home. Care staff, people who live at the home and visitors were clear that they felt able to discuss any issues/concerns with the manager. The provider/manager has the support of his wife, the head of care who has a background in managing care services and the deputy head of care who has an NVQ level 4. Discussions during the inspection visit indicated that management activities had been divided with each being aware of what were their main areas of responsibility. Positive comments were made to the inspectors and on surveys completed in relation to the manager. These included the comments ‘the issues we have brought up such as the bathroom, which is now to be dealt with’. Also ‘Solent View is a very good home the residents are well looked after. The home is on the up. Since the new bosses have taken over they have good ideas of what is to come which is please’, ‘since Dave and Lyn Elliott have taken over the home has become a friendlier place and pleasant to work at’. The manager completed the homes AQAA to a very comprehensive standard providing all the information requested within the given timescale. The home undertakes some quality assurance work including residents and staff meetings and has provided survey forms for people to complete. People are requested to complete a quality assurance questionnaire shortly following admission and then at six monthly intervals thereafter. In the main reception copies of quality assurance forms are available for visitors to complete. The inspector was informed that these contained positive comments but had not been collated. The home identified in the AQAA that it could improve the quality assurance system and there was some discussion about this during the inspection. The home holds small amounts of personal money on behalf of some of the people who live at the home but does not become their legal appointee. This money is used for small personal expenses such as hairdressing and newspapers. Access to this money is restricted to the manager and his wife with petty cash being available if required at weekends. The systems in place and records seen re people’s personal money are robust and well maintained. All staff have formal recorded supervision approximately every two months. Care staff confirmed during discussion that they are appropriately supported and supervised with an on call system in place when the manager is not at the home. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 24 Various records were viewed during the inspectors visit. All records were appropriately stored with access only available to people who should have access. Records were seen to be well maintained. During the inspectors visit there were no concerns in respect of health and safety identified. The home is well maintained and clean, with staff having relevant training to meet people’s needs. The home undertakes weekly checks of the fire detection equipment with all records regarding fire in place. The maintenance person undertakes Portable Electrical Appliance Tests (PAT). The local environmental health department has awarded the home five stars (the maximum) for food hygiene. Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone 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 Solent View Residential Care Home DS0000070680.V363726.R01.S.doc Version 5.2 Page 28 - 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. 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