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Saltmarsh House Residential Care Home Requires improvement

All reports

Inspection report

Date of Inspection: 15 November 2013
Date of Publication: 18 December 2013
Inspection Report published 18 December 2013 PDF

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 looked at the personal care or treatment records of people who use the service, carried out a visit on 15 November 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

Annual quality assurance audits were completed by an external company and during the inspection we saw a copy of the most recent audit. The audit was detailed and covered all the relevant areas including health and safety, medication, staffing, safeguarding, nutrition and care and welfare. The care manager completed a separate audit around medication on a monthly basis. Following the annual audit an action plan had been created for the manager and staff to implement in the service. There was evidence of action taken by the manager and staff to address any areas identified in each assessment.

A complaints procedure was available and displayed in a prominent place for people who used the service. Staff told us that people could complain if they wanted to and that the manager was always available. One member of staff told us "they can raise a complaint verbally to any member of staff or the manager. There is also a written complaints policy that residents and their family are advised about. The manager is approachable and therefore family or residents will go to her if they are not happy".

During the inspection we looked at thank you cards and letters from professionals and family members. One letter said "it is hard to find the right words to express our thanks to you all for the care and kindness you have shown, since she found her safe haven with you". Another family member wrote "many thanks and appreciation for all that you did for mum whilst she was with you. Not only for mum but all the encouragement and support you gave us as we had to adjust to her changing stages in this illness".

Annual surveys were completed by people using the service and their family. The surveys focussed on specific areas including food, staff, the suitability of the property and any suggestions for improvement. During our inspection we saw copies of surveys completed in February 2013. We saw evidence during the inspection that people using the service were involved and were given the opportunity to convey their thoughts and suggestions. Recommendations made by people using the service had been acted upon and included menus being printed and placed in each person's room. A family member told us "in the early days we suggested more interaction with the residents which was taken on board and they now do a lot of activities in the service. I think it is an exceptionally good home and I have never had any problems".

There were risk assessments for each person using the service and for issues relating to the home environment. Staff confirmed that risk assessments were reviewed and updated regularly to ensure the safety and wellbeing of people who use the service. Policies and procedures were reviewed in 2013 and were in place for the delivery of the service which ensured the safety and wellbeing of staff and people who used the service.