Inspection on 06/12/06 for 26 Seabrook Road

This inspection was carried out on 6th December 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

26 Seabrook Road 28/11/08

26 Seabrook Road 02/02/06

26 Seabrook Road 20/09/05

26 Seabrook Road 24/02/05

26 Seabrook Road 15/09/04

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Southfields

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33 St John`s Church Road

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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 Wendy Gabriel Key Unannounced Inspection 6th December 2006 10:00 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 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.V309449.R01.S.doc Version 5.2 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.V309449.R01.S.doc Version 5.2 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.V309449.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 Brief Description of the Service: 26 Seabrook Road is registered to provide personal care to three people with a learning disability. All bedrooms are single. The home has good access to shops, public transport and other amenities and facilities, and is only a short distance from the sea. Parking is limited to the roadside outside of the premises. The Service Users at 26 Seabrook Road have the opportunity of using the facilities of 167 Seabrook Road, another home in the same ownership nearby. Mrs. Sharyn Buss is the owner and Registered Manager. Mrs Buss owns two other homes, one in Folkestone and the other in Hythe. Fees are £535.84 per week. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were two Service Users and one support worker in the home at the time of the unannounced inspection and another Service User was at the SEC. Another member of staff picked up one of the Service Users later on in the day to accompany out to a swimming session. A tour of the premises was undertaken accompanied by the support worker or Service Users. Some records were viewed. Individual discussion with a support worker and visiting manager from the co-owned home nearby took place. The two Service Users were invited to show their rooms to the Inspector. Although communication was limited both expressed their satisfaction with their rooms. One requirement and some recommendations were made and all were agreed. The home undertakes quality assessment in the form of questionnaires for families, health care professionals, visitors and neighbours. The results seen were outstanding in the positive comments made about the standards of care in the home. What the service does well: Staff attitude towards Service Users was seen to maintain equality and encourage communication. The quality assessment questionnaires as indicated previously are good practice and the Inspector suggested that this be collated for the information of families. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 6 Service Users were dressed in an age appropriate manner and with regard to the time of year. Clothes appeared to be of a very good quality. 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. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 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.V309449.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective Service Users know their needs will be assessed. Prospective Service Users can visit the home before making a choice about living there. EVIDENCE: The support worker said that the Registered Manager would visit a prospective Service User in his or her own home to meet the individual and find out what their needs were. The Registered Manager assesses and adds this to the assessment information given by care managers and Health care professionals if available. A completed assessment was not seen at the time but a previous inspection details the homes own assessment format and that it covers a wide range of needs and aspirations. The prospective Service User will then be invited to visit the home several times and stay for a short visit prior to moving into the home permanently. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 9 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 10 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): 6,7,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users know their assessed needs are met and reviewed. Service Users are enabled to make decisions about their daily lives. Recording personal finances is to be kept up to date. Risks are assessed to support Service Users towards an independent lifestyle. Confidential information is handled appropriately. EVIDENCE: Care plans viewed cover a variety of emotional and physical needs and includes risk assessments. Individual risks have been identified. A recommendation was made to increase the information for advising staff on actions to be taken regarding each risk. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 11 Money is recorded and receipts kept, but this must be detailed as soon as possible as a shortfall was noted in one Service Users individual record. The support worker and the visiting manager both stated where the money had been spent previous day but that the person who usually records the information was not on duty. The manager agreed to ensure records are completed daily. Service Users meetings are to be held more regularly the visiting manager stated. The support worker said that there are regular discussions with Service Users to ensure they are able to express a choice about their lifestyle in the home. It was evident throughout the inspection that the people living in the home were comfortable talking to the staff about their choices for the day. One person said that she liked looking at the garden from the windows of her bedroom. Another person has chosen the paint for his bedroom and is going to help paint it in the near future. Confidential information is secured appropriately. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 12 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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users know that opportunities for appropriate activities are maintained. Service Users can access activities in the local community. Daily routines are dictated by Service Users assessed needs and aspirations. Family relationships are encouraged. Menus meet dietary needs. EVIDENCE: One person goes to college twice a week and another to the local SEC once a week. Two Service Users displayed various educational certificates they had achieved. The home has a computer for Service Users and one person attends a computer skills course. Visits to the local community and further afield are taken in the mini bus. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 13 Social activities include swimming, cinema, pub lunches paid for by the home, and shopping in Canterbury and Folkestone. Service Users have a regular ‘home day’ where different activities and some assisted house cleaning may be undertaken. Individual day diaries record activities. Service Users visit their families regularly and occasionally stay with them for holidays. Menus are varied and take into account cultural requirements. The support worker was able to explain clearly the need for diet to meet the chosen needs of individuals. Food storage included fresh vegetables. Meals are taken in the dining area off the main kitchen. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 14 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): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users can make choices based on their risk assessments. Procedures are in place to address healthcare needs. Medication administration is supported by the homes policies. EVIDENCE: Service Users are enabled to make choices about their daily lives as evidenced by the individual choices of educational courses and subsequent certificates of achievement. The support worker said that there are regular informal house meetings where Service Users will be encouraged to express their opinions and choices. The manager said that there were plans to formalise the meetings and hold them more regularly. The home has contact with the local learning disability team and has previously had the community nurse and the dietician involved with named Service Users 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 15 although these issues have now been able to be closed. There was recorded evidence of health care appointments. Medication was secured but new storage is being provided as the manager has identified the current storage area as not being in the optimum position. Medication administration recording was up to date. The manager stated that the current practice of records of medication in and out of the home being held in the main office of the co-owned home is to cease and will be maintained directly at the home. Medication storage was clean and tidy. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users know their concerns will be listened to. Staff are safeguarded against abuse by suitable policies. EVIDENCE: The home has a complaint format for dealing with issues raised. The complaints recording book was empty. The Commission for Social Care Inspection has received no reports of concerns in the past year. The home employs a policy for adult protection and prevention of abuse. The support worker was clearly able to understand and explain the whistle blowing procedure and knew who to contact if abuse was alleged. The manager and the support worker said that abuse issues and adult protection training are undertaken during induction. It was not made clear if new staff are assessed on their understanding of prevention of abuse. The support worker said that she had not had adult protection training apart from during her NVQ. A recommendation is made that all staff receive training for adult protection. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 17 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): 24,25,26,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The environment is homely and comfortable and locks to named cupboards will improve the environment. Bedrooms enhance Service Users lifestyles. Bedrooms promote Service Users independence. The home is clean and hygienic. EVIDENCE: The home was clean and tidy and free from offensive odours. The laundry, which is situated off the kitchen and in a conservatory area, was clean and tidy. A recommendation was made for a lock to be put on the COSHHE storage and of some bathroom storage in one area. The manager agreed to this. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 18 The premises are very homely and comfortable and are well furnished and decorated. Bedrooms are of a good size and contain many personal items that reflect the tastes of each individual. One person has chosen the colour for his bedroom and will be helping to paint the room in the near future. Two people kindly invited the Inspector to see their rooms and made it clear that they liked their bedrooms. They showed the Inspector photographs and items that were part of their daily life choices. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 19 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): 32,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users benefit from a competent staff team. Recruitment practices support Service Users. Staff receive support and supervision to carry out their jobs. Service Users will benefit by ensuring staff training is kept updated. EVIDENCE: The home is fully staffed and the manager said that having a team of staff who had mostly worked there for some time created stability for the Service Users. The support worker was clear in discussing her responsibilities in the home and spoke with empathy about the needs and choices of the Service Users. Recruitment practices include CRB checks and references. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 20 Training certificates were seen for a variety of courses for the staff and a recommendation made previously in the report to ensure all staff receive the adult protection and abuse training. The skills for care website was discussed with the manager as a suitable source of information to enhance their induction policy. Staff receive regular formal supervision and an annual appraisal. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 21 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): 37,38,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service Users benefit from a well run home. Service Users benefit from the management ethos of the home. Service Users know they will be enabled to express their views about their daily lifestyle. Health and safety is maintained and will be enhanced by further advice from the fire officer. EVIDENCE: Mrs Buss is qualified with the Registered Managers award and has run this and two other homes, supported by managers, for several years. Staff confirmed she is approachable and supportive of their points of view. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 22 The home has an appointed person to undertake the fire checks around the home including evacuation. These are recorded but were not all up to date. The home has a basic fire detection system and a requirement was made for the manager to consult with the local fire authority to ensure the system meets their criteria. This does not indicate that the home is not undertaking suitable procedures, only that it may need reviewing. Quality assurance and monitoring is now considered by the Commission for Social Care Inspection as an important part of providing ongoing good quality care for Service Users. Mrs Buss has established a comprehensive system for obtaining comments from families, Health care professionals, visitors and neighbours and the results seen were outstanding. Some comments included “you really listen to your clients and celebrate them by responding to their communication”, “staff always have a warm and welcoming attitude”, “excellent intuition from the staff team”, “genuine caring attitude” and “thank you very much, I am very happy with you all”. The manager agreed that they might collate the findings for the benefit of the families of the Service Users. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 23 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 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 2 X 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 YA42 Regulation 23 (4)(a) Requirement Consult with fire officer regarding current fire detection system. Timescale for action 08/01/07 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. 4. Refer to Standard YA9 YA23 YA7 YA24 Good Practice Recommendations Increase information for staff in individual Service Users risk assessments. Ensure all staff have received adult protection training. Personal finances are to be recorded on the day of transaction. Locks are to be put onto named cupboards. 26 Seabrook Road DS0000023753.V309449.R01.S.doc Version 5.2 Page 25 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.V309449.R01.S.doc Version 5.2 Page 26 - 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. 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