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Saltmarsh House Residential Care Home Requires improvement

All reports

Inspection report

Date of Inspection: 27 January 2012
Date of Publication: 12 March 2012
Inspection Report published 12 March 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

Care plans we reviewed contained detailed and accurate information about people’s needs and the actions that should be taken to meet their needs. We found risk assessments had been undertaken and people received care that met their needs. Overall, we found Saltmarsh House Residential Care Home had met this essential standard.

User experience

We spoke with three people living at Saltmarsh House Residential Care Home and asked their views on the care that they received. They all told us that the care was “good.” One person told us, “They look after me when I am ill.”

Other evidence

The manager told us that people’s needs and preferences were assessed before they arrived at Saltmarsh House Residential Care Home. A member of staff from the home visited the person in their home or the hospital to assess their needs. When the person arrived at Saltmarsh House Residential Care Home, a detailed review of people’s preferences was undertaken. The assessment focussed on their health and social needs, life history, the composition of their family, the food they liked and disliked, risk assessments, activities they enjoyed doing and other relevant information that provided the home with an overall picture of the person. The registered manager told us: “All this information helps us to build a picture about the person and gives us information on how to make their stay comfortable as this is their home.”

Once the person was in the home they, or where appropriate their relatives, were involved in developing their care plans. The registered manager told us that families were involved in the care plans as it gave them an opportunity to ask questions about the services provided. We spoke with a family member who told us: “I was involved in my dad’s care plan and found the home very much wanted to learn more about him from us.”

Members of staff told us that they found the care plans were helpful and said they were updated when people’s needs changed. For example, recently one person had been feeling lonely since Christmas (December 2011). We saw the care plan had recorded what the person wanted to do and members of staff had arranged for the activities to take place. Since Christmas, the person had been out several times shopping, visiting the local library and to the theatre. We spoke to the person who appeared happy and was looking forward to the planned visit to the cinema that had been arranged.

We saw that care plans had been reviewed every month and any significant changes had been noted in the monthly review. We saw records which confirmed that people were weighed monthly, and where appropriate, blood pressure checks were carried out monthly. Members of staff completed detailed daily notes about each person. We looked at some records and found detailed information about what the person had eaten, the activities they had been involved in and general information about their daily well being.

The care plans we reviewed showed that the home accessed health and social care professionals such as general practitioners, chiropodist, district nurses, community psychiatric nurses and others on behalf of the people who use the service. We spoke with a district nurse who regularly visited the home and she told us that she had no concerns about the care provided in this home.

Risk assessments were also undertaken, where appropriate. Risk assessments identified hazards that people may face and provided guidance on how staff should support people to minimise the risk of any harm occurring..

The home organised various activities for the people, including visits to the theatre, church, cinemas, local pubs and to the shopping centre. For example, on the day of our visit, the home was visited by a musician who entertained people. We found people enjoyed this activity and there was lots of laughter throughout her stay. The home also organised visits by a priest who came in once a week to give holy communion to people. One person enjoyed working in the garden and the home had prepared an area of the garden for her to work in. They had also arranged for a gardener to come in every week for an hour to spend time with her taking care of her garden patch. Another person enjoyed doing woodwork and the home had, after undertaking an appropriate risk assessment, provided him with tools to enable him to continue to pursue his interest. They also arranged for his work to be sold at a local market and monies were given to a local charity of his choice.