Inspection on 20/09/05 for 26 Seabrook Road

This inspection was carried out on 20th September 2005.

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 02/02/06

26 Seabrook Road 24/02/05

26 Seabrook Road 15/09/04

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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 Announced Inspection 20th September 2005 08:15 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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.V249356.R01.S.doc Version 5.0 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.V249356.R01.S.doc Version 5.0 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.V249356.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th February 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. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over four and a half hours. Three residents are currently living in the home and time was spent with them before they went off to attend the local social education centre for the day. Two of the residents have not been living in the home for very long, with one moving in just six days ago. Both were settling in to their new home well. Staff were seen interacting with the residents in a caring manner. The rest of the time was spent in discussion with the manager, the newly appointed manager of 167 Seabrook Road, and a staff member was interviewed in private. Some paperwork was examined, including residents’ care plans and a staff file, and a tour of the home was undertaken. Questionnaires were sent out to the residents and relatives before the inspection to get their feedback on the care and service provided. Residents needed assistance to complete the forms, and the two forms, which were returned from them, and were positive. The two forms returned from relatives were also favourable, as was one sent in by someone who visits the home regularly. What the service does well: What has improved since the last inspection? The premises has been redecorated throughout since the last inspection, and provides a very homely, attractive and comfortable environment. The needs of two residents have changed dramatically since the last inspection, requiring care and skilled interventions that the home is not able to 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 Page 6 provide. The home is now much better at recognising when it does not have the capacity to continue providing appropriate care in certain situations, and since the last inspection one resident has moved on to another home. Another resident is now needing care and support beyond which the home is equipped to give. The home is doing well in recognising this, seeking the necessary interim support from healthcare professionals and providing additional staff, whilst a more suitable placement is sought for this person. 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.V249356.R01.S.doc Version 5.0 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.V249356.R01.S.doc Version 5.0 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): 2,4 Prospective residents’ needs are comprehensively assessed. EVIDENCE: The case files of the three residents were looked at, and it was clear that senior staff undertook full written assessments before decisions were made that the home could meet the persons’ needs. In addition to the funding authorities’ joint assessments and care plans, the home’s own assessment covered a wide range of needs, including personal care, mobility, communication, sensory disabilities and so on. Prospective residents’ interests and preferred activities were identified, and also food likes and dislikes. Trial visits were offered and the manager said that all three residents had the opportunity to visit the home several times before the decision was made to move in. With regards to one of the residents who may soon be moving on to a more suitable placement, the full extent of this person’s needs which have turned out to be complex, were not apparent at the time of assessment or admission. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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): 6,7,8,9 Residents’ care plans enable staff to understand what their care needs are and how they should be met. Residents are able to make choices and as far as they are able, are being encouraged to participate in the life of the home. EVIDENCE: Two of the residents are new to the home, with one being admitted only a few days before this inspection; and staff are still in the process of getting to know them. Care plans for these persons therefore, are still being developed, but nonetheless give a clear picture of the person and the degree of support they need. With regards to the resident who has been in the home a little longer, there was evidence of regular review in the light of changes to this person’s health and behaviour. Care plans, risk assessments and other documentation should be signed and dated. Residents are being supported to make decisions on a day to day basis. The staff member who was interviewed was very clear as to residents’ right to make choices and gave examples of these. One resident, for instance, makes the decision sometimes not to go to the club, Cuppas. One of the residents has a communication book and showed how she uses this aid. Fortnightly meetings with residents are now taking place, with opportunities for residents to choose where they would like to go on an outing. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 Page 10 Risk assessments are in place for activities, including crossing the road, climbing the stairs and preparing and cooking a meal. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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): 11,12,13,14,15,17 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: Residents have opportunities to practice household skills, such as laying the table and washing up. One resident said that she helps prepare and cook meals sometimes. An occupational therapist from the Community Learning Disability Team, visits the home once a week to offer support with this activity. Staff said that they are slowly introducing new tasks, such as “taking her plate to the sink”, to the resident very new to the home. This is to allow her time to settle in and become more comfortable. Opportunities to meet other people are provided to the residents, with two going to local clubs in the locality. Whilst there are times when residents can go out individually with staff (one resident was going out with a staff member for a meal later on in the day, for example), they often go for outings as a group or with residents living in the other two homes belonging to the company. A trip was made to the museum of life recently for example. The 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 Page 12 importance of residents not always having to go out with residents from other homes if that is not their choice, was briefly discussed with the manager. Keeping contact with their families is encouraged. One resident is a keen photographer, and has a facility in her room enabling her to print her photographs. She showed a number of family photos to the inspector and said she sees her family regularly. The manager said that she also phones them up when she wants. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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): 18,19 Residents are receiving good support to meet their health and social care needs. EVIDENCE: Care plans detail the amount of support residents need with regards their personal care, and residents were looking nicely presented. One resident showed her attractively varnished nails, which she said a staff member had helped her with; and the manager said this person has chosen a new hairstyle to have and will be having this done at a local hairdresser’s soon. Discussion with the manager confirmed that the recent behavioural difficulties concerning one of the residents is being carefully monitored and that all appropriate professional support is being accessed. Medication was not inspected on this occasion, although it was noted on a staff file that documentation regarding the assessment of staff’s competence in administering medication was not clear. The record did not confirm whether the assessor was satisfied with the competence of the staff member or not. A requirement is made to address this. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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): 22,23 The home’s ability to respond to complaints and allegations of abuse should they occur would be strengthened by making sure that new staff during their induction fully understand what to do in the event of a complaint or allegation of abuse. EVIDENCE: The home has a clear and understandable complaints procedure and adult protection and whistle blowing policy. No complaints have been made to or about the home since the last inspection. There is an open and inclusive atmosphere in the home, and the inspector is confident that any complaint or allegation of abuse would be handled well and appropriately. The staff member interviewed knew to inform the manager if abuse was alleged or suspected, for example. It was not clear however, whether complaints and adult protection issues were adequately covered during her induction, and she has yet to attend formal training on abuse issues, which the manager said, is provided to staff routinely over a twelve-month period. It is a requirement of this report that in addition to reading the policies and procedures on complaints and adult protection, new staff’s understanding of these important matters is checked and assured. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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): 24,25,26,27,28,29,30 The standard of the environment is good, providing residents with an attractive, comfortable and homely place to live. EVIDENCE: The manager said that since the last inspection, the premises has been redecorated throughout, and there was a clean, fresh feel to the home. Two of the residents were pleased to show their rooms, which they said they like and feel comfortable in. These rooms were individual in style and appearance and were personalised. Railings have been fitted up the stairs to assist one of the residents. Bathroom and toilet facilities were clean and inviting and meet the needs of the residents. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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, 33, 34, 35, 36 Staff are motivated and have a good understanding of residents’ support needs. Good supervision and support is being provided to enable staff to do their work well. EVIDENCE: Two new staff have been appointed by the company since the last inspection and are working in the home. No disruption has been caused, as two of the residents are new to the home themselves, and the manager and several longstanding staff who help out in the home when needed provide continuity and consistency. Staff were seen interacting positively with the residents, and the staff member who was interviewed in private, was clear on her role and responsibility. The home is normally covered by one staff member, with the manager also available a lot of the time. This is usually sufficient to meet residents’ needs. Recently, an additional carer has been working in the home to support one of the residents whose behaviour is becoming increasingly more challenging. The file of a staff member new to the company was viewed, and showed that all the necessary checks had been carried out. Improvement to the recruitment checklist is recommended to enable the home to demonstrate the dates CRB and POVA checks, references and so forth are applied for and returned. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 Page 17 The process of regular formal staff supervision is underway and records were seen in support of this. The staff member interviewed said she “has had a lot of support from people.” Staff training records were not viewed on this occasion, although the manager said that staff within the company attend ten of the core training courses run by KCTA each year, including mandatory training, such as moving and handling and infection control. Reference to the induction programme is made in the Complaints and Protection section of this report. Records of the home’s in house induction programme were seen. The manager is aware of that there are new induction standards devised by Skills for Care and plans to implement these. This will be inspected at the next inspection. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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, 40,42 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. Most of the staff within the company are long-standing employees. An open and welcoming atmosphere was noted, with staff and residents at ease and communicating well with each other. No obvious health and safety hazards were noted. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 26 Seabrook Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x 3 x DS0000023753.V249356.R01.S.doc Version 5.0 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. 1 Standard 20 Regulation 13 Requirement Records showing that staff have been assessed as competent to administer medication must be in place. The manager must make sure that all aspects of the home’s induction programme, including the complaints and adult protection procedures, are properly covered and understood by new staff. Timescale for action 20/10/05 2 35 19 20/10/05 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 Refer to Standard 6 34 Good Practice Recommendations Care plans and risk assessments and other documents relating to residents should be signed and dated by the person writing them. Recruitment checklist to be expanded, to include the dates requests for police checks and references are sent and returned. 26 Seabrook Road DS0000023753.V249356.R01.S.doc Version 5.0 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.V249356.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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