Random inspection report
Care homes for older people
Name: Address: Sea Breeze 34 Carnarvon Road Clacton On Sea Essex CO15 6QE zero star poor 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Michelle Love Date: 2 1 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Sea Breeze 34 Carnarvon Road Clacton On Sea Essex CO15 6QE 01255435515 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) : Dr Elsie Damien care home 19 Number of places (if applicable): Under 65 Over 65 0 19 dementia old age, not falling within any other category Conditions of registration: 19 0 The total number of service users accommodated in the home must not exceed 19 persons. Date of last inspection Brief description of the care home Sea Breeze is a care home for older people, situated in a residential area of Clacton, opposite the library and within walking distance of the seafront, town centre shops and amenities. The home is a short walk from the railway station and is also accessible by bus. The property has some off road parking to the front and there is a pay and display car park nearby. The home can accommodate nineteen people; there are seven single rooms and six double rooms, twelve of which have an en-suite facility. Bedrooms, toilets and bathrooms are on the ground and first floor. Access to the first floor is by stairs. There is no passenger lift but there is a chairlift available. Communal areas
Care Homes for Older People Page 2 of 8 Brief description of the care home consist of a lounge and a dining room. The garden to the rear of the property is a small paved area with a detached storage building, raised flower border and garden table and chairs. The home charges £390.39 a week for the service it provides, with additional charges for services such as dry cleaning, chiropody and hairdressing and for personal items including toiletries and newspapers. This information was given to us at the time of the last inspection. Care Homes for Older People Page 3 of 8 What we found:
The reason for this inspection was to check compliance with the Statutory Requirement Notice dated 12th November 2009. No written representations by the registered provider were made to the Regional Director for the Eastern Region. You were required by 11th December 2009 to: 1. Prepare a written plan (the service users plan) as to how each service users needs in respect of their health and welfare are to be met. Ensure that when circumstances change, the care plan for each person is revised and updated accordingly so as to inform carers of the method and delivery of care and support to be provided. 2. Where service users are at heightened risk of harm, a risk assessment must address those risks, and adequately set out how those risks of harm are to be managed, so as to eliminate or minimise such risks. On the day of the site visit six people were observed to be present in the home. We looked at four care plans and in general, care plans are much improved and provide detailed guidance for staff on how to manage identified care needs of residents. Records showed that new care plan formats have been introduced since our previous visit to the service and these include formal assessments relating to peoples mental wellbeing, physical healthcare needs, personal risks, moving and handling, behaviour risks, pressure area care, falls, dependency and nutrition. Risk assessments were observed to be completed for all areas of assessed risk and included steps as to how these should be minimised and risks reduced so as to ensure peoples safety and wellbeing. There was evidence to show that since the new documentation has been implemented each of the care files had been reviewed. Records showed that the healthcare needs of people were being recorded, including evidence of outcomes from visits by a healthcare professional. Daily care records were observed to be more detailed providing evidence as to how people spend their day and staff interventions. The registered provider stated that all staff have been provided with instruction and guidance by her to complete care plan documentation and associated records e.g. food and fluid charts. However, the care plan for one person who was prescribed paracetamol for pain relief did not contain any description of any non-verbal signs of pain which may be demonstrated as was the instruction on the medication record chart. This person is also prescribed a medication when required to control behaviour, although the care plan carried detailed guidance on how care staff were to manage this persons behaviour, it did not include guidance on at what stage the medication could be used. In addition the care plan for one person was noted in some areas to contain inaccurate information which had been transferred to the new care plan format. This related specifically to information about their emotional care needs and mental wellbeing and how these present. We confirmed during the site visit with a member of care staff that the persons needs recorded did not tally with their actual care needs. During feedback with the registered provider we were advised that the information recorded related to a different person who no longer was resident in the home and was recorded in the wrong
Care Homes for Older People Page 4 of 8 file and should have been removed. Apart from the minor deficiencies mentioned above, the requirements of the Statutory Requirement Notice are considered to have been met. What the care home does well: 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 of 8 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 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 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
