Inspection on 02/02/06 for 26 Seabrook Road

This inspection was carried out on 2nd February 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

26 Seabrook Road 28/11/08

26 Seabrook Road 06/12/06

26 Seabrook Road 20/09/05

26 Seabrook Road 24/02/05

26 Seabrook Road 15/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 26 Seabrook Road 26 Seabrook Road Hythe Kent CT21 5N Lead Inspector Julian Graham Unannounced Inspection 2nd February 2006 14.00 26 Seabrook Road DS0000023753.V280812.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 26 Seabrook Road DS0000023753.V280812.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. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 26 Seabrook Road Address 26 Seabrook Road Hythe Kent CT21 5N 01303 266453 01303 237694 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) Mrs Sharon Dierdre Buss Mrs Sharon Dierdre Buss Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2005 Brief Description of the Service: 26 Seabrook Road is registered to provide personal care to three people with a learning disability. It is a terraced property on the edge of the small town of Hythe. The residents have single room accommodation on the ground and first floors and appropriate toilet and bathroom facilities are provided. There is a lounge, kitchen/dining room, and a conservatory on the ground floor. The interesting, and accessible garden area has an array of plants and two ponds. The home has good access to shops, public transport and other amenities and facilities, and is only a short distance from the sea. The residents at 26 Seabrook Road have the opportunity of using the facilities of 167 Seabrook Road, another home in the same ownership nearby. The provider and manager is Mrs. Sharyn Buss. Mrs Buss owns two other homes, one in Folkestone and the other in Hythe. She also manages the home in Folkestone. There are currently two residents living at the home. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 2.00 p.m and took around three hours. Two residents are currently living in the home, and both were spoken with on their return to the home following their day at the local day centre. Time was spent with the manager looking through some of the documentation and a staff member was spoken with. The premises was viewed. Residents looked in good health and spirits, and seemed very settled and at ease in the home. What the service does well: What has improved since the last inspection? A comprehensive induction programme based on the draft standards drawn up by Skills for Care is now available for when new staff commence their employment in the home. This is a thorough programme, with the expectation that staff are tested on their understanding of key issues, by answering questions such as “can you think of a circumstance that may mean that you need to break confidentiality?” This was a requirement at the last inspection. The manager said that the induction programme would be undertaken in conjunction with NVQ training. Activities are being planned more on the basis of the needs and wishes of the two residents living in the home. Previously, residents in all three of Mrs Buss’ homes often used to go out together in a large group. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 6 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. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 7 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 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 8 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): Not inspected on this occasion. The previous inspection revealed that prospective residents’ needs are suitably assessed. EVIDENCE: 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 9 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): 6,7,8 Care plans are clear and reasonably detailed. Residents are supported in making choices and decisions as far as they are able, and participation in the life of the home is encouraged. EVIDENCE: Care plans and risk assessments are in place, and are being reviewed every six months. These provide staff with the information they require to give the care and support the residents need. Both residents need support with communication and this features prominently in the care plans, for example. As required at the last inspection, improvement was noted regarding staff signing and dating documentation. Residents are being enabled to make choices. Both are very particular about the community facilities and activities they want to participate in, with one preferring less crowded places, for example, and their wishes are respected. Whilst there are written menus as a rough guide, residents are asked what they would like to eat for the main meal of the day, and if necessary, foods are bought there and then from the local supermarket which is in walking distance. The residents are encouraged to help out with routine household tasks, 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 10 including some cooking; and one resident was seen putting out the place mats for the evening meal. One resident said, “I help to clean my room.” 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 11 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 Residents are being enabled to go out with the appropriate level of support. They are being encouraged to do as much as they can themselves. Contact with residents’ families is encouraged and supported. EVIDENCE: Opportunities for personal development are being given to the residents. Both residents were new to the home at the time of the last inspection, and it was good to see how easily they had settled in. It was also very apparent how much more both were communicating. Support from the Community Learning Disability Team in this regard is still being provided, with a speech therapist visiting during the course of the inspection and providing an updated communication book for one of the residents. Residents were described by staff as liking to spend time at home. However, in addition to attending day centres several days each week, community activities, such as the monthly disco, trips out to local attractions, visits to local social clubs and so on are regularly offered and taken up. Each activity undertaken outside the home is recorded, with an assessment of how much residents actually enjoyed the experience, using the “marks out of ten” 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 12 method. This is a good way of gauging whether any given activity or excursion is valued and enjoyed by the residents and worth doing again. Residents were looking very nicely presented, indicating that the promotion of dignity and self-esteem is promoted in the home. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 13 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): 19,20 The home ensures that residents’ health needs are reviewed and recorded on a regular basis. Systems for the administration and handling of medication are satisfactory. EVIDENCE: Records were seen of contacts with GP’s and other health and social care professionals. One of the residents is taking medication, and arrangements for the safe handling and administration are satisfactory. MAR charts were in order, with no gaps in administration noted. Any handwritten entries are being countersigned to minimise the risk of errors. Assessments of staff competence in handling medication were seen. It was good to see that a review of the person’s medication took place in October last year. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 14 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): Not inspected on this occasion. EVIDENCE: 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 15 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): 24,25,26,27,28,30 The standard of the environment is good, providing residents with an attractive, comfortable and homely place to live. EVIDENCE: A brief tour of the premises revealed good standards of decoration and maintenance. All parts of the home were clean, fresh and inviting. The residents were again pleased to show their rooms, which were individually personalised, attractive and welcoming. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 16 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): 31,32,33,36 Residents benefit from a settled staff team who are well trained. Staffing levels are sufficient to meet residents’ needs. Whilst staff are feeling supported, formal one to one supervision should be more frequent. EVIDENCE: No staff have left the employment of the company since the last inspection, although the manager said that she is in the process of recruiting. This makes for a settled staff team that provides continuity and consistency of care, which benefits the residents. The staff member who was spoken with, said she enjoys working with the residents and is about to complete her NVQ 2 training. This person demonstrated good understanding regarding her role of supporting residents to be more independent and to participate in the life of the home. All except one staff who are working in the home have either obtained a NVQ or are in the process of doing so. There are two residents living in the home at present, and one staff member normally covers shifts. In addition, Mrs Buss remains available much of the time, and these levels appear sufficient to meet the needs of residents and enable them to go out when they want to. The staff member spoken with said she does feel supported in her work, but the last recorded one to one supervision on her file was dated 29/09/05. To supplement the ongoing informal supervision on a daily basis, it is 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 17 recommended that to comply with the standard, recorded one to one formal supervision is carried out with staff at least six times a year. As noted in the summary of this report, there is now a very comprehensive induction programme in place for when new staff start working in the home. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 18 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): 37,38,42 Residents benefit from a management approach that is open, positive and inclusive. EVIDENCE: Mrs Buss has owned and managed this home and two others for several years and is experienced and knowledgeable. She has the RMA qualification. Very good relations have been developed with professionals from the local health and social services. Most of the staff within the company are long standing employees, and she has the respect of her staff. She clearly has a strong determination to provide an enabling environment for the residents in which they can thrive, and a supportive one for the staff. A friendly, easygoing atmosphere was again noted, with residents and staff interacting with each other with liking and respect. No obvious health and safety hazards were noted. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 19 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 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 x 35 x 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x 3 3 x x x 3 x 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 20 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 Refer to Standard YA36 Good Practice Recommendations Staff have regular, recorded supervision meetings with their senior/manager at least six times a year. 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 26 Seabrook Road DS0000023753.V280812.R01.S.doc Version 5.1 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!