Inspection on 20/01/06 for 2 Seymour Terrace

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

2 Seymour Terrace 28/01/09

2 Seymour Terrace 07/02/07

2 Seymour Terrace 06/10/05

2 Seymour Terrace 21/10/04

2 Seymour Terrace 14/09/04

2 Seymour Terrace 04/03/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 2 Seymour Terrace Totnes Devon TQ9 5AQ Lead Inspector Graham Thomas Unannounced Inspection 20th January 2006 09:00 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 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 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 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 Adults 18-65. 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. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 2 Seymour Terrace Address Totnes Devon TQ9 5AQ 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) 01803 867506 Mr Simeon Ramsden The Very Rev Archpriest Benedict Ramsden, Katherine H L Finnigan, Mrs Lilah Ramsden Mr Stephen Escott Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: 2 Seymour Terrace belongs to the Community of St. Anthony and Elias which specialises in the care and support of people with mental health needs. The Community has a number of homes in the Plymouth and South Hams areas of Devon. The premises are close to the centre of Totnes where there is a range of shops as well as cultural and recreational amenities. The home reopened for residential care in August 2005 after a reconfiguration of the accommodation and general refurbishment. Places are now provided for a maximum of two service users in a homely environment. Service users are supported to maintain and develop their social contact, activities and interests. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection, the inspector spoke with one of the two service users, attended a staff handover meeting and spoke with staff and the Assistant Manager. Care plans were examined and the communal areas of the home were inspected. Not all of the previous recommendations were reviewed at this inspection. What the service does well: 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. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Service users can feel confident that their needs and goals are well reflected in their plans. Service users’ choices are promoted and respected EVIDENCE: Both care plans were examined. These were signed by service users. Each plan set out detailed goals regarding the physical emotional and social needs of the individual. Documents were seen in the files relating to specialist mental health support. Reviews had taken place under the Care Programme Approach. The plans had been regularly reviewed within the Community, one very recently. Details of restrictions on usual freedoms were recorded with the reasons for such restrictions. In the handover meeting attended by the inspector staff showed an awareness of the contents of the plans to which they were evidently adhering. Within the plans there were comprehensive risk assessments and risk management plans. In discussion, a service user confirmed that his choices were respected in relation to food, activities and daily living. The choices available to service users were evident from care plans and discussion at the staff handover. One service user, for example, has chosen to receive regular specialist massage which accords with an interest in alternative therapies. One-to-one staffing 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 9 allows for a high level of support in pursuing activities of choice and transport is available if required. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 Service users are well supported to pursue their own lifestyle choices. EVIDENCE: Both service users enjoy a relatively high degree of independence. Access to the Community’s commendably well developed activities programme includes outdoor activities, arts and crafts and music. In each case qualified workers are employed by the Community to work with individuals and groups. Both service users have been able to pursue their interest in music through this part of the service. At the time of inspection, one service user was negotiating with staff concerning a possible trip to a neighbouring town. The other went out to a pre arranged massage session. One service user was pursuing a voluntary job. The arrangement of the staff shift system enables a flexibility in supporting activities during the day and evening. Individual choices to be alone or in company were discussed at the handover meeting and confirmed by a service user. Interaction between staff and service users was generally relaxed and supportive. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the above standards was inspected on this occasion 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 28 Service users’ comfort, safety and convenience are well provided for by the home’s environment. EVIDENCE: All the areas of the home inspected on this occasion were found to be clean and free from offensive odours. Communal areas are comfortably furnished in a relaxed domestic style. Pictures including service users work and photographs adorn the walls and communal areas. The new heating system was working efficiently and all areas had adequate light and ventilation. At the time of this inspection the kitchen and the home’s office on the lower ground floor were being redecorated. Although the home now has only two bedrooms it remains registered for three service users 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Though staff are experienced, there is not yet an adequate proportion of qualified staff. Service users are adequately protected by the home’s recruitment policy EVIDENCE: Staffing records were inaccessible at the time of the inspection due to the absence of the Registered Manager. The Assistant Manager stated that none of the current staff group of four were qualified to NVQ level 2 or above. However, two staff were gathering the necessary evidence to commence these courses and one of these staff confirmed this in discussion with the inspector. All staff receive a two-week induction and further training. This includes issues specific to the service user group as well as the principles of care, health and safety topics, and the worker’s role. Training needs are identified as part of the system of regular staff supervision and appraisal and form the basis of an individual training plan. All training is organised centrally within the Community of St. Anthony and Elias. Recruitment policies and procedures are adopted for the whole Community. These include a request for two references, checks against criminal records and the national list for the protection of vulnerable adults as well as an interview. Prospective staff have the opportunity to spend time in the home prior to their application. New staff receive statements of terms and conditions and all appointments are subject to a probationary period. During the inspection information was sought from the organisation’s head office 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 15 concerning the home’s most recent staff recruit. It was stated that all checks including criminal records checks had been conducted. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 2 Seymour Terrace is well run for the benefit of service users. EVIDENCE: The Manager of 2 Seymour Terrace is experienced and qualified to NVQ level 4 in Care. He has also completed the Registered Managers Award. Since the last inspection he has successfully completed the registration with the Commission. Evidence form this inspection including discussion with a service user, staff and the Assistant Manager indicate that the home is well run. This is further confirmed by the ongoing maintenance seen during the inspection and the general physical condition of the home. Together with examination of the care planning documents, the above indicators suggest that the home is well run for the benefit of service users. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 18 No Are there any outstanding requirements from the last inspection? 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. 1 2 3 Refer to Standard YA25 YA39 YA42 Good Practice Recommendations It is recommended that the number of places for which the home is registered should be reduced to two to reflect changes in the accommodation. A quality assurance system should be fully implemented in the home A risk assessment concerning legionella should be completed. 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 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 2 Seymour Terrace DS0000003629.V262481.R01.S.doc Version 5.1 Page 20 - 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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