Inspection on 02/03/09 for Blatchington Court

This inspection was carried out on 2nd March 2009.

CSCI found this care home to be providing an Good service.

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

Blatchington Court 14/03/08

Blatchington Court 14/02/07

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Blatchington Court 13 St Peters Road Seaford East Sussex BN25 2HS two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Melanie Freeman Date: 0 2 0 3 2 0 0 9 Information about the care home Name of care home: Address: Blatchington Court 13 St Peters Road Seaford East Sussex BN25 2HS 01323896939 01323873883 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Phyllis Sammars care home 20 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 20 The maximum number of service users who can be accommodated is: 20 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia - DE Date of last inspection Brief description of the care home Blatchington Court is a residential home in Seaford and is registered to provide personal support and care for up to 20 people with a dementia type illness. The home is situated in a quiet area, approximately three quarters of a mile from the seafront. There are attractive gardens to the rear that are accessible and used by residents when weather permits, and there is small parking area to the side of the building. The premises provides fourteen single bedrooms and three double rooms, communal areas consist of two lounges on the ground floor, one is used as a dining area and for quieter activities. The other lounge is larger and residents are able to watch the television if they wish. There is sufficient space for religious and social Care Homes for Older People Page 2 of 9 Brief description of the care home activities. There is no lift in the home and residents are only admitted if they can access the first floor using the stairs or chiar lift with the assistance of staff. The fees charged can be obtained from the registered owner or home manager. Additional charges are made for hairdressing, chiropody, and newspapers. Intermediate care is not provided. Care Homes for Older People Page 3 of 9 What we found: This random inspection was completed on the 2 March 2009 and included an unannounced visit to the home. The visit lasted approximately three hours and replaced the scheduled Annual Service Review. It was completed following information received with regard to an accident in the home. The commission needed to confirm suitable arrangements were in place to ensure that resident,s were as safe as possible. At the time of the visit there was 18 residents living in the home, the care manager was in charge of the home and was working with 3 care staff (a further carer was working on an induction day) and 2 cleaners. She was completing the catering duties but was providing a supervisory and management role. The inspection visit focused on the staffing arrangements, staff training provided and the risk assessment framework used to promote resident safety. As part of the inspection process the duty rota was examined and all staff on duty were spoken to. Training records for staff were seen during the visit, and the registered owner also provided in depth records following the visit. The staffing levels were discussed with the staff working in the home and later with the registered owner. The individual care records pertaining to three residents were examined in depth, which included individual personal risk assessments and environmental risk assessments. The routine environmental risk assessments that covers the whole home and the garden, was not available at the time of the inspection visit. This was later supplied by the registered owner. What the care home does well: On the whole the care documentation was good and reflected an individual approach to care. It included individual risk assessments and written records confirmed that these were responded to, and expanded on within the plans of care. For example one resident could become agitated during the delivery of personal care and the best way to distract her was with singing. Another example recorded the risks associated with a resident wandering at night on the stairs, this resident has now been moved to a ground floor room. Each resident has a record of whether they are able to use a call bell and if they are unable to call for help, what has been put in place to address this matter. A duty rota was displayed within the home and this recorded what staff were on duty and what capacity they were working in. The home has an on call arrangement and this is usually provided by the registered provider or the registered manager. The care manager confirmed that they both live very close to the home, and would be able to get to the home within 10 minutes, if they were needed. The staffing arrangements were discussed with the care manager and the registered owner and both advised that the current staffing arrangements were suitable for the current residents care and supervision needs. Three care staff work throughout the waking day and two care staff work at night. The staffing levels have been reviewed this year and increased. Day care staff now start at 7 am providing an hour overlap in Care Homes for Older People Page 4 of 9 the morning and one day carer works until 10 pm providing a two hour overlap. Management staff are provided in addition to the care staff, and records indicated that staffing arrangements are flexible, and respond to the changes in residents needs. During this visit it was identified that one resident was needing a high level of supervision and the homes management were providing extra support from 6 am in the morning. The night staff routines had also been changed to provide further individual supervision. Staff training records and discussion with staff indicated that staff working in the home receive a good level of training with all staff having completed training on safeguarding vulnerable adults and a high ratio of staff attaining a National Vocational Qualification (NVQ) in care at level 2 and above. Most staff have also completed relevant health and safety training and training on dementia care. Environmental risk assessments for the home have been completed and were supplied to the inspector. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 3 14(1) That registered person 10/07/2008 confirms in writing that having regard to the assessment made on any prospective service user that the home can meet those needs. Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 30 19 That all care staff working in 01/05/2009 the home are given specific training on how to care for people with a dementia type illness. This should include work on understanding the condition, how it can present and the best ways to respond. This will ensure staff are suitably qualified, and have the skills and experience to look after the residents that are accomodated at Blatchington Court. 2 38 13 That risk assessments are 01/05/2009 completed by staff who have had suitable training in the process, and record this within the risk assessment documentation. This will ensure that risks are fully documented, and demonstrate that any uneccessary risk to a resident or staff, are identified and as so far as possible eliminated. Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 27 That the duty rota is changed as necessary on a dialy basis to reflect an accurate record of which staff are on duty at any time during the day and night and in what capacity. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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