Inspection on 25/07/06 for Sea Point

This inspection was carried out on 25th July 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sea Point 25/06/09

Sea Point 24/07/08

Sea Point 02/08/07

Sea Point 22/11/05

Sea Point 07/06/05

Sea Point 19/11/04

Sea Point 20/07/04

Sea Point 06/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Sea Point 14 Adelphi Road Paignton Devon TQ4 6AW Lead Inspector Peter Wood Unannounced Inspection 25th July 2006 10:00 X10015.doc Version 1.40 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 Sea Point DS0000018423.V300746.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 Older People. 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. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sea Point Address 14 Adelphi Road Paignton Devon TQ4 6AW 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) 01803 556899 Paignton Guild of Social Services Housing Associations Limited Mrs Glenis Mary Rees Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12), Physical disability over 65 years of age of places (12) Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Sea Point is a Home for up to twelve older people, who may have physical disabilities, run by the charitable foundation Paignton Guild of Social Service Housing Association Limited. The house is a four storey semi-detached building on a quiet road close to Paignton sea front, shops and cafes. There are five steps to the front door, but the back door is in general use and is accessible. There is a small shaft lift that services all floors, and level access on each floor. The house is domestic in style, the rooms are attractive and most have good views. There are ten single rooms, seven with en suite facilities, and one double with en suite. There are two bathrooms, one of which has a Bathmaster hoist. The enclosed rear garden has benches for summer use, and a gate leading into the park. There is a level walk to Paignton sea front. The fees range from £292 to £358. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place over one weekday in July 2006. The focus of this inspection was to inspect all key standards and to seek the views of residents, staff, relatives and professional visitors to the home, the latter using comment cards and survey forms. The Pre-Inspection Questionnaire was also taken into consideration. One resident completed the “Have your say about Sea Point” survey form and two completed a “Service User Comment Card”. Eleven staff returned the “Care Workers Survey” form. Two doctors returned the “General Practitioners Comment Card”. No “Health and Social Care Professionals in Contact with the Care Home” returned forms with that title and five “Relatives / Visitors Comment Cards were returned. Considerable time was spent with the registered manager examining documentation. A tour of the building was undertaken. The “case tracking” methodology was used whereby four residents were selected to be consulted, along with their keyworker, relatives and any professional visitors. Care planning and other documentation, particularly relating to the “case tracked” residents was examined. A visiting friend (herself the owner of a care home) was consulted for her views of the home. By happy coincidence, the Chair and Secretary of the Paignton Guild of Social Service Housing Association Limited were at the home undertaking their regular supervision duties at the time of the inspection. Opportunity was therefore taken to discuss the strengths and weaknesses of the home with them. What the service does well: What has improved since the last inspection? Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 6 Eight requirements and three recommendations were made at the previous inspection, three of which had been made on previous occasions. The manager has worked hard to comply with those requirements. A Statement of Purpose and a Service Users’ Guide has now been produced and made available to prospective and current residents and their relatives. The home’s practices relating to medication administration have been modified to protect residents from risk of drug errors. Design solutions have been put in place to protect residents from scalds from hot water from bath and wash hand basin taps. Radiators have been covered to minimise the risk of scalds. The Registered Manager has begun to develop induction training. Committee members who make visits to the Home to fulfil the duties of regulation 26 now send a report to the CSCI. 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 Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. The systems for admission are reasonably thorough and comprehensive and allow residents and their relatives to be confident that their needs can be met. EVIDENCE: The home receives assessments from care managers and nurses and also uses their own 12-paged “Care Plan / Keyworker Assessment Form” to record the most important information about the prospective resident and his or her needs. This helps to ensure that needs are properly identified which allows the manager to determine whether or not those needs can be met. The home does not offer intermediate care. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Residents’ health, personal and social care needs are being met and they are treated respectfully. The home’s practices relating to medication administration has been modified to protect the service users from risk. EVIDENCE: Care Plans are drawn up for all residents, generated from quite comprehensive assessments. Residents said they could not be treated better and described living in the home as “wonderful” and “very good indeed”, saying that nothing was too much trouble for the staff. Medication administration has been improved: pills and capsules are no longer pre-potted and records no longer signed prior to the medication being given to residents. Residents are able to self-medicate if they wish following a risk assessment. Residents were seen to be treated with respect by staff, gently attending to their needs without patronising the residents. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Residents appeared to be content living at this home, are able to maintain contact with family and friends, are encouraged to exercise choice and enjoy nutritious and varied meals. EVIDENCE: Many residents have lived in the Paignton area all their lives and chose this home, either directly or via their relatives, because the style of the home matched their social and cultural expectations and preferences. All residents consulted appeared to be happy living at this home, and most confirmed that was the case. Further to comments from some residents at previous inspections that they would like more to do, the manager has now enabled staff to promote and carry out social and recreational activities with residents. This includes bingo, reminiscence game, ball games, card making, chair exercises and “Antics” activities. Residents are also sometimes taken out. The home has an unrestricted visiting policy. Residents said that the food was good and plentiful and should the menu not be to their taste, alternatives were always available. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Complaints and suggestions from service users, relatives or other visitors to the home, are treated seriously. Service users are listened to and issues resolved promptly. EVIDENCE: The home has a simple complaints procedure on display in the hall. Residents said that the staff, manager and committee were very approachable and they were confident that any issues of concern would be listened to and dealt with. The home maintains a complaints book, properly recording the three or four complaints from residents since the last inspection, together with the action taken, which seemed appropriate. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Residents live in a pleasant home which provides sufficient facilities to meet their needs. The home is now much safer from the risk of scalds and burns from hot water and radiators. EVIDENCE: Since the last inspection radiator covers have been installed to protect residents from the risk of burns from the hot radiators. The manager also confirmed that thermostatic valves have been fitted to all hot taps accessible to residents. There are five steps to the front door, but the back door is in general use and is accessible. There is a small shaft lift that services all floors, and level access on each floor. The house is domestic in style, the rooms are attractive and most have good views. There are ten single rooms, seven with en suite facilities, and one double with en suite. There are two bathrooms, one of which has a Bathmaster hoist. The enclosed rear garden has benches for summer use, and a gate leading into the park. The home is clean and hygienic. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Residents are usually cared for by staff in sufficient numbers, though this requires confirmation while training and supervision needs improvement in order for residents to be sure their needs are professionally met. Recruitment processes have been modified to protect residents. EVIDENCE: Residents, relatives and visitors described the staff as very kind and caring. Staff described the home as “like a family”, which is actually true, as several staff are family members of the manager. Residents confirmed they usually responded promptly to requests for assistance “unless they are busy with another resident”. A different resident said she was left on a commode while the staff member attending to her left to attend to another resident. A relative commented that there were not enough staff available to ensure hair is washed and nails cut and clean. This indicates there are not always enough staff. The manager needs to review staffing levels to ensure that residents are cared for properly. The rota indicated that there are usually two or three carers together with a chef and general assistant on duty. When on duty the manager is often the third hands-on carer. New staff now undergo a proper induction process, which is all the more important as there has been a turnover of about half the staffing complement since the last inspection. The two care staff seen during the inspection appeared confident and competent, and treated the Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 14 residents with care and respect. The Pre-Inspection Questionnaire records three (of 11) care staff with NVQ level 2 or above This represents about 27 of the care staff, compared with the required 50 that should have been achieved by December 2005. Staff training and retention must be improved to ensure that residents are cared for by a consistent staff team which has the skills to care for them. Training in the past year is listed in the Pre-Inspection Questionnaire and includes Food Hygiene and Care of Medicines, Fire Training, First Aid, POVA (Protection of Vulnerable Adults) Moving and Handling and “any free training available” is planned. Three staff files were examined. These contained application forms, written references, job descriptions and evidence of Criminal Record Bureau disclosures. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service and takes into account the views and experiences of people using the service. Sea Point is a homely environment run in the best interests of the residents. However, the management committee and registered manager need to clarify and properly undertake their respective roles to ensure that the home is run as it should be. EVIDENCE: Sea Point is owned by a charitable foundation run by a committee. The committee and manager should clarify their respective responsibilities to ensure that the home is run properly and safely and complies with the National Minimum Standards. As the Registered Provider the committee needs to allow the manager sufficient funds to protect residents, sufficient management time to undertake her managerial rather than “hands-on” caring tasks, and ensure Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 16 that she is doing her job properly. The registered manager is very experienced and quite well qualified and has worked hard over the past year or so to comply with the very many requirements made during inspections over that time. However, there is still much to do. The manager has only very recently begun to tackle some of her management tasks, such as making the home safe, creating necessary documentation and improving staff recruitment and induction. The manager has just started to use an “Individual Development Review” staff appraisal form. Staff training and supervision needs to be further developed. Residents’ monies are handled by relatives or others with power of attorney. The manager does not act as appointee for handling financial affairs. Some families give the manager money for hairdressing and chiropody and other personal items are bought by families. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 X 3 2 X 2 Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP30 Regulation 18 Requirement 50 of the staff should have NVQ level 3 to ensure they undertake their job in a professional manner.. Events which adversely affect the well-being or safety of any Service User (not just death) must be reported to the CSCI. Original deadline 22/01/06 The registered manager must ensure that care staff are properly supervised to ensure they undertake their job in a professional manner. Timescale for action 25/12/06 2. OP31 37 25/09/06 3. OP36 18 25/11/06 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. Sea Point Refer to Standard OP2 Good Practice Recommendations The Homes Residents Agreement should be read and DS0000018423.V300746.R01.S.doc Version 5.2 Page 19 signed by each Service User at the time of admission. 2. OP31 The committee and manager should clarify their respective responsibilities to ensure that the home is run properly and safely and complies with the National Minimum Standards. Sea Point DS0000018423.V300746.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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