Inspection on 07/06/05 for 5 Seafield Road

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

5 Seafield Road 08/08/06

5 Seafield Road 10/11/05

5 Seafield Road 13/12/04

5 Seafield Road 12/07/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 5 Seafield Road 5 Seafield Road Seaton Devon EX12 2QS Lead Inspector Bel Heginworth Announced 7 June 2005 th 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 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 Stationary 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. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 5 Seafield Road Address 5 Seafield Road Seaton EX12 12QS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01297 22423 01297 24641 Sense Ms Dorothy Sharp CRH PC Care Home providing Personal Care 6 Category(ies) of LD Learning Disability [6] registration, with number PD Physical Disability [6] of places SI Sensory Impairment [6] 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The registered manager must obtain NVQ level 4 in care and the Registered Manager’s Award by the 30th December 2007. Date of last inspection 13th December 2004 Brief Description of the Service: Seafield Road cares for people with significant sensory impairments who may also have a learning disability, challenging behaviour and/or a physical disability. The home is a large converted terraced property close to the centre of Seaton. Bedroom accommodation is on three levels. The second floor also has a sensory room and two offices. There are two ground floor bedrooms that are suitable for wheelchair users. However, the home does not have a lift and therefore the first floor rooms are unsuitable for anyone with mobility difficulties. Wheelchair users cannot access the sensory room or activities room. There is a ramp to the dining room to enable wheelchair users easy access to this room, but there are two steps down into the kitchen that cannot be ramped, and therefore wheelchair users can only access this room via an outside ramp. To the front of the property there is a small garden area and to the rear there is a pleasant, paved patio area and a sensory garden with raised flowerbeds and swing bench. The home is run by a national organisation Sense, who provide registered care homes and other services for people with sensory impairments and learning disabilities. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The people living at Seafield Road have significant sensory impairments and limited verbal communication skills. They were unable to contribute fully to the inspection process. Time was spent with the residents at various points of the day and observations were made. Throughout this report “service users” are referred to as residents. This announced inspection took place over five and a half hours. The manager, the team leader, and a representative from Sense were present throughout the day. Four carers were consulted and their views on the home were discussed. A number of records were inspected. What the service does well: What has improved since the last inspection? What they could do better: It is particularly important that people making decisions on behalf of individuals living in the home, are provided with detailed information to help them in making the correct decisions. For example, transport charges were discussed with relatives and care managers but a limited amount of information about the breakdown of the cost of running the transport was 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 6 provided. There was no information given about how the use of the transport would be monitored, to ensure that each person is charged fairly. By not providing this information it is harder for people to make an informed choice. Another example is where residents’ freedom of movement is restricted for their own safety; the records should include the reasons and have an assessment that sets out how to reduce the risk. Staff training on medicines should be provided by an external qualified source to ensure residents are protected by appropriately trained staff. 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. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 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 standard(s) 5 The majority of residents are protected by individual contracts. EVIDENCE: While most residents have a contract describing the service to be received and payment arrangements, one does not. This could lead to avoidable problems in the event of a dispute. Sense are working hard to get this last contract in place. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 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 standard(s) 6, 7 & 9 Care planning and risk assessments provide staff with the information they require to satisfactorily and safely meet the residents’ needs. Some improvements are needed in relation to the decision making process. EVIDENCE: The people living at Seafield Road have severe sensory impairments with extremely limited verbal communication skills. They have a limited understanding of care plans and are therefore unable to easily contribute to their formulation or reviews. The ethos in the home is very much centred on the resident first and foremost. Individuals’ records are written in a respectful and considered manner. They include detailed information about their likes, dislikes and aspirations. Clear guidelines are provided about how each individual likes to be approached. This is very important given peoples’ sensory and communication impairments. Hazards are assessed, with a clear description on how to reduce risks from identified potential hazards. The manager intends to divide the care plans / risk assessments into sections to make the information easier to follow. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 10 The home consults families and relevant professionals appropriately over decisions and dilemmas in individuals’ lives. This is particularly important given that the residents have limited ability to contribute to decisions. Improvements were needed in relation to linking decisions made on behalf of individuals with risk assessments and care plans, particularly when the decisions might infringe on their freedom of movement. For example, the front door of the house is locked and the bottom half of the stable door in the kitchen is bolted. This is done to prevent people from leaving the home unescorted, or entering the kitchen unsupervised, where they would be at risk of coming to harm. Staff had a good knowledge and understanding of individuals’ needs. They said the details in the care plans and risk assessments provided them with good information and guidelines on each person. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 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 standard(s) 17 The meals in the home are nutritious, healthy and well-balanced. Specialist dietary needs are catered for. EVIDENCE: Individuals’ daily records and the home’s menus confirm a varied and healthy diet is provided and choices are respected. The atmosphere during lunch was relaxing. Staff spoke to people in a caring and respectful manner and choices were offered. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18, 19 & 20 The quality of personal health care and support provided in the home is very good. EVIDENCE: Care plans provide written confirmation that healthcare needs are assessed regularly with GPs and other community professionals. The care plans also describe how individuals like to be approached and how they communicate. This helps residents to feel confident and in more control of their lives. The manager and team leader provide training and guidelines on the safe administration of medicines. It was agreed that all staff responsible for administering medicines will receive training from an outside specialist source. This will ensure that residents are protected by appropriately trained staff. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 23 The home has good systems in place to protect residents people from abuse, neglect and self-harm. Improvements are needed in relation to information about transport costs. EVIDENCE: Staff demonstrated an excellent knowledge of policies and procedures relating to adult protection issues and knew what to do if they suspected abuse. The nominated Responsible Individual at Sense has worked hard to open individual bank accounts for each person living in the home. Individuals have 2 accounts, one for fees and the other for savings and day-to-day spending. The accounts for the fees are managed by Sense. Sense has overall financial responsibility for individuals’ monies, however, the second account is operated by the manager and team leader of the home. Sense operate good financial recording and monitoring systems. These newly opened accounts had limited information to inspect on this occasion. The accounts will be looked at again during the next inspection. The home has two vehicles for transportation. Until recently they were not charged for this service. Sense now charges approximately 60 of each person’s mobility benefits. Relatives and care managers were consulted about the charges and agreements were reached. However, the information given to relatives and care managers did not describe what the contribution pays for and how the use of transport is monitored. It was recommended during the last inspection that the home should compile information / policy / agreement that addresses the following suggested items 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 14 • • • • • • • • • What is included in the charge. An auditable breakdown of the costs of running the vehicle. How the use of the transport will be monitored to ensure there is equitable use. How often charges will be reviewed. There should be an option to opt out of the scheme, and information should be provided about other forms of transport. It should be clear how the home would manage financially if a person leaves the scheme, e.g., would other individuals in the home be expected to pay additional costs until a new person joins the scheme, or would the home have a contingency plan? The management of rotas to ensure the availability of drivers. The home’s procedure for reviewing the driver’s status. There should be an auditable process. This work has not been completed. Jennie Hardy, the nominated Responsible Individual said that the issues relating to transport costs / policies and agreements is being discussed at a higher management level. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 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 standard(s) 0 Not inspected on this occasion. EVIDENCE: 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 & 35 People living at the home are supported by an effective, competent and experienced staff team and recruitment practices that ensure their proper protection. EVIDENCE: The home’s recruitment procedures and practices ensure that the necessary checks are carried out on new staff, for the protection of individuals living at the home. For example, two written references and police checks are obtained. Sense provides good training and induction programmes that help staff meet the needs of deaf / blind people. Staff talked about the variety of training they had attended. It ranged from adult protection, mandatory health & safety, autism, to understanding people with sensory impairments. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 & 42 The home’s policies and procedures protect deaf residents’ best interests, safety and welfare. EVIDENCE: The manager completed a pre-inspection questionnaire prior to this visit. It provided evidence that policies and procedures are in place. Staff had a good knowledge of how and where to find and use them. Residents’ records are held securely with proper regard to privacy and confidentiality. The fire logbook was up to date and accurate. It included a record of staff fire training and risk assessments relating to fire. 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 18 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 x x x 3 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 5 Seafield Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 3 D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 19 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 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 YA7 Good Practice Recommendations Records of decisions made on behalf of the people living in the home, particularly decisions that restrict peoples freedom of movement should include reasons and a risk assessment. All staff responsible for the administration of medicines should receive accredited training. There should be detailed information and policies on the costs of transport that includes a breakdown of the costs and how it is monitored. This should be provided to advocates / relatives making decisions relating to transport on behalf of the people living in the home. 2. 3. YA20 YA23 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 5 Seafield Road D54 D06 S21859 5 Seafield Road V221714 070605 Stage 4.doc Version 1.30 Page 21 - 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!