Inspection on 08/08/05 for Sea Gables

This inspection was carried out on 8th August 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

Sea Gables 07/03/07

Sea Gables 15/02/06

Sea Gables 20/01/05

Sea Gables 23/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Sea Gables 6 Northcliff Gardens Shanklin Isle of Wight PO37 7ES Lead Inspector Annie Kentfield Unannounced 8 August 2005 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. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sea Gables Address 6 Northcliff Gardens, Shanklin, Isle of Wight, PO37 7ES 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) 01983 861473 Mr Anthony James Delannoy and Mrs Hannah Louise Delannoy Mr Anthony James Delannoy and Mrs Hannah Louise Delannoy Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20/1/05 Brief Description of the Service: Sea Gables is a three storey house that has been converted to provide care for six adults with a learning disability. The home is jointly owned and managed, with one of the owners managing the home on a daily basis. The owners formerly lived on the premises themselves but have moved out and increased the number of bedrooms from four to six. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection during the day, and the report is based on discussion with 4 residents, 2 members of staff, the owner/managers, and observations from a tour of the premises and inspection of some of the home’s records. Inspection comment cards were left for residents and visitors to complete, if they wished to, and two have been received from relatives with very positive comments about the home. What the service does well: 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. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 6 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 Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 7 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) 1,2,3,&4 Residents care needs are assessed before moving into the home to ensure that the home can fully meet all of their care needs. New residents have the opportunity to visit the home and meet the other residents and staff before deciding to move in. EVIDENCE: Records show that all residents have a thorough assessment of their physical, emotional and social care needs before moving into the home. The assessment process includes all relevant information from the residents, families, care managers and all people involved in the care of the residents. The assessment process continues after moving in, in order to draw up an individual care plan for each resident. New residents are able to visit the home, meet the other residents, stay for meals and take part in some of the activities, before making the decision to move in. The home has a Statement of Purpose and Service User Guide and this is being updated to reflect the increase in the number of residents and the increase in staffing numbers. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 8 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 Individual care plans are agreed and reviewed with the residents, and staff respect residents’ right to make decisions as part of this process. Residents are supported to take risks as part of an independent lifestyle and making informed choices about their daily living activities. EVIDENCE: Individual care plans show that all care is reviewed weekly with the residents and their key workers, and care plans are reviewed annually with residents and everyone involved in their care, including family, care managers and other care professionals. A ‘settling in’ period of 6 weeks is agreed initially when a resident moves into the home and the care plan reviewed and updated. The manager is very clear that the role of the care staff is to support residents to make informed choices about all aspects of daily living activities, and for the residents to take responsible risks within the home’s risk assessment and risk management strategies and as agreed within the individual care plans. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 9 Residents have individual and group responsibilities and participate in the dayto-day running of the home as much as possible, and it was evident that residents respect each other’s right to privacy and support each other. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 10 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) 11 - 17 Residents are supported to be involved, as much as possible, in valued and fulfilling activities, both within the home and in the local community. EVIDENCE: The managers and the staff are pro-active in supporting the residents to find work opportunities, and social and leisure activities, and are very knowledgeable about local resources and services that are available for the residents. It is clear that individual needs and aspirations are always considered in the day-to-day organisation of the home and residents have lots of support to take part in the activities of their choice. The policy of the home is “open house” and visitors are always welcome. Residents are supported to maintain and develop family and peer group relationships. Residents are involved in the shopping and meal preparation for the home, with the staff, and told the inspector that the food is good and there is always lots of choice. Residents have access to the kitchen and can make themselves Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 11 drinks and snacks if they wish. Each resident is supported to take responsibility for the cleaning and tidying of their own bedroom. It was evident that the routines in the home have a flexible and informal structure and meet the needs of the residents. Staff are able to produce information for residents about events and activities using both a pictorial and written format as appropriate. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 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 - 20 Residents receive personal care and support in the way they prefer. Medication is administered by staff according the home’s policies and procedures. EVIDENCE: Whatever support that residents need with health and personal care is agreed with the key worker and recorded in the care plan and regularly reviewed. Residents are encouraged to develop independent living skills and support and assistance is individually assessed and agreed. The manager and staff have good working relationships with community support services and specialist support is arranged for residents as required. The manager confirmed that medication is dispensed using a blister pack system and there is access to specialist advice and review when required. The manager would seek advice and assessment from an occupational therapist if the need for any specialist aids or equipment were identified for the residents. The home would not be suitable for any residents who were not independently mobile as the bedrooms and bathrooms are located on the first and second floors with access via stairs. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 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 health, safety and welfare of the residents is protected at all times. EVIDENCE: All staff follow an initial induction training that includes reading and understanding the policies and procedures for the safeguarding of the residents from the risk of harm or abuse. All of the senior staff have done training in adult protection and all staff have a contract and receive a copy of the Code of Practice for care workers. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 14 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) 24 - 30 Residents live in a homely, comfortable and safe environment with their own bedrooms that suit their needs and lifestyles. The home is very well maintained and decorated and furnished to a very high standard. EVIDENCE: The residents have their own bedrooms, all with en-suite facilities and there is also an additional bathroom and separate toilet. No bedroom is identical and residents are involved in choosing the colour scheme and furnishings. All of the bedrooms reflected the residents’ individual and personal taste and choice. The home has a spacious lounge/dining room, an additional sitting room, kitchen with dining area, and a garden providing a patio, lawn and flower beds and residents have access to all communal areas of the home. Residents clearly felt comfortable and at home with their surroundings and take great pleasure and pride in the way that bedrooms are decorated and personalised. One of the residents showed the inspector the garden where some re-planting has taken place recently and where residents keep two pet rabbits. There is also a cat. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 15 The right to privacy is respected by residents and staff and no-one enters bedrooms without permission. The home is very clean and tidy and well maintained and the atmosphere is welcoming and friendly. Staff who sleep in have their own room and there is also an office. Two of the bedrooms have recently been re-furbished and there was an amount of rubbish in the front garden as a consequence. However, the manager explained that this was being taken away within the next day or two. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 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) 32.33.34 There are sufficient staff to meet the needs of the residents and there is an ongoing programme of staff training and development. EVIDENCE: The inspector spoke to two members of staff who said how much they enjoy working in the home and with the residents. Staff were very positive about the training and development opportunities that they have and as well as doing NVQ level 2 and 3 in care, staff are also working to achieve training awards with LDAF (Learning Disability Award Framework). Where residents have particular care needs, specialist training has been arranged for staff. Staff feel confident and well supported by the management and supervision structure. With the increase in the number of residents, new staff are in the process of being appointed or are going through induction training. The manager confirmed that all new staff receive the required checks and do not start work until these are confirmed. Staff were confident that the hours provided on the staff rota were sufficient to meet the needs of the residents and to provide 1:1 support for residents where this has been identified as a requirement. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 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) 37,38,39,40,42 Residents benefit from a well organised and well run home that protects the rights and best interests of the residents. EVIDENCE: The home is jointly owned and managed and one of the owner/managers has day-to-day responsibility for managing Sea Gables. The manager explained that she is in the process of finishing the last units of the NVQ level 4 in care and will then have some additional units to achieve the NVQ level 4 Registered Manager Award and anticipates that this will be completed by January 2006. Although this standard is not quite met, a requirement has not been made as it is clear that this will be met in the very near future. Both owners/managers demonstrated a positive and open management approach and clearly have a good working relationship with the residents and staff in the home and all comments from residents, staff and relatives were very positive. The owners/managers have many years of experience of working in the care sector and considerable management experience. They Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 18 demonstrate a high level of knowledge and awareness of good practice in the area of providing care for adults with a learning disability and have a good knowledge of the various resources and services that are available in the local area. The managers subscribe to a number of systems that are designed to support care providers with the organisation and management of the home and these systems regularly update policies and procedures to ensure that providers are meeting their statutory requirements. Records show that weekly checks of the fire alarm and emergency lighting are carried out and the staff and residents have regular fire practice drills and these are recorded. Staff receive regular training in all aspects of safe working practice including food hygiene, infection control and first aid. The manager explained that as a small home, day-to-day issues are discussed as they arise on a one to one basis and there are no formal residents’ meetings or quality assurance systems. All records were up to date and securely stored to maintain confidentiality. Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sea Gables Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 4 3 3 3 3 x H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 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 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 Good Practice Recommendations Sea Gables H55-H04 S12587 Sea Gables V218471 140605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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. 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