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Saltmarsh House Residential Care Home Requires improvement

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Inspection report

Date of Inspection: 27 January 2012
Date of Publication: 12 March 2012
Inspection Report published 12 March 2012 PDF | 49.29 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 27/01/2012, checked the provider's records, observed how people were being cared for, talked to staff, reviewed information from stakeholders and talked to people who use services.

Our judgement

The home had systems in place to monitor the quality of care and support provided to people who use the service. People and their relatives were involved in assessing the quality of the service. Overall, we found Saltmarsh House Residential Care Home had met this essential standard.

User experience

We spoke with one relative who told us that he was regularly asked for his views about the service provided by the home.

Other evidence

The home undertook daily and weekly checks to monitor the quality of the service. For example, as mentioned earlier, the deputy manager undertook daily checks of the overall cleanliness in the home. These checks were undertaken once a day and all rooms, toilets, bathroom, kitchen, conservatory, dining and living rooms were checked to ensure that they were clean.

The registered manager underook weekly checks of the home. The day and time varied so as to ensure she had a full picture of the place. Checks were also conducted on weekends. The checks were part of her weekly internal audit that looked at various areas including the environement, general cleanliness, a review of care plans, health and safety and other areas The results of the weekly internal audit were shared with members of staff and were recorded in the daily communications book. Individual members of staff were nominated to action the areas that needed attention. For example, during one of the weekly checks, the registered manager received feedback from a few people using the service that they wanted to visit the local theatre. After appropriate risks assessments were undertaken, arrangements were made for people from the home to go to the local theatre.

Members of staff also used the daily communications book to identify any concerns that needed to be addressed. For example, if there were any comments from relatives or visitors, these were recorded in this book and members of staff were expected to review them and note the action that needed to be taken. The registered manager then checked with members of staff that the action had been taken.

The home also carried out surveys of people who use the service and their relatives. These were carried out twice a year in January and June. The latest survey was being conducted whilst we were there. We saw the results of the previous one undertaken in June 2011 and the home had identified improvements it needed to make. For example, people had commented that they wanted a variety of snacks for their afternoon tea and the home had recruited a cook who was responsible for afternoon tea. His role was to identify what each person wanted and ensure they received their choices. On the day of our inspection, we saw the cook taking requests from people about what they wanted for their tea. Other feedback the home had received from people who use the service was that they did not want to have visitors during mealtimes. As a result, the home requested that relatives and friends did not visit during mealtimes.

The results of the surveys were communciated to people and their relatives through quarterly newsletters and the monthly coffee mornings where people came together and shared their experience of the home and any improvements that needed to be made. Relatives were also given an opportunity to attended these meetings.