Inspection on 07/06/05 for Sea Point

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 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 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 25/07/06

Sea Point 22/11/05

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 Announced 7 & 8 June 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 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 D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Sea Point Address 14 Adelphi Road, Paignton, Devon, TQ4 6AW 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) 01803 556899 Paignton Guild of Social Services Housing Association 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 D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 19/11/04 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. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place on over two weekdays in June 2005. A tour of the home was undertaken and a sample of relevant documentation including that relating to client assessment and care planning, staffing and health and safety was examined. The Registered Manager assisted throughout the inspection. The Chair of the Housing Association also assisted during part of the inspection. Several staff were informally interviewed during the two days. All residents who were at home were asked for their views of their experience of living at the home. Additionally two residents and two relatives completed Comment Cards. What the service does well: What has improved since the last inspection? Twelve requirements were made at the previous inspection, seven of which had been made on previous occasions. Nine of these have been actioned or partly actioned • • The Registered Manager has now produced a draft Service Users’ Guide though this now needs to be made available to residents. The Registered Manager has arranged for an external Activities Organiser to visit the home one afternoon per fortnight to run such as card making classes, word games, armchair aerobics etc., though the Registered Manager should enable the home’s own staff to promote and carry out social and recreational activities with residents. The Registered Manager did obtain professional assessment by an Occupational Therapist for a Service User with major mobility problems. D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 6 • Sea Point • • The Manager has now produced a protocol for the laundry to ensure that no contamination occurs between clean and soiled laundry. A Quality Assurance system has now been established. This was first required by 14/11/03. The Registered Manager has devised a resident and relative satisfaction survey, undertaken the survey and started to analyse the results, which she plans to publish shortly. The Registered Manager has made proper provision for the storage and recording of Controlled Drugs. The Registered Manager made arrangements to ensure that the waking night care staff member does not sleep while on duty. However, a complaint alleging that that happens was received since the last inspection and is currently under investigation. The Registered Manager has now made supervision arrangements. The Registered Manager has implemented a suitable smoking policy. • • • • What they could do better: • • • • The Home must make available to prospective and current residents and their relatives the recently produced Service Users’ Guide. The Registered Manager must enable the home’s own staff to promote and carry out social and recreational activities with Service Users. Design solution must be put in place to protect residents from scalds from hot water from bath and wash hand basin taps. Radiators need to be covered. This was first required by 14/11/03. During the tour of the building with the Chair and Manager it became apparent that some radiators in resident’s rooms were so hot that they would have caused severe burns to a resident if touched. Immediate requirement and action necessary. The Registered Manager must develop induction training. The Registered Manager must ensure that the waking night care staff member does not sleep while on duty. A complaint alleging that that happens was received since the last inspection and is currently under investigation. • • Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 7 • • Committee members who make visits to the Home to fulfil the duties of regulation 26 must send a report to the CSCI. Events which adversely affect the well-being or safety of any Service User (reg 37e) must be reported to the CSCI. 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 D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 9 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 standard(s) 1,2, 3, 4, 5 Reasonably thorough and comprehensive systems for admission allow service users and their relatives to be confident that their needs can be met. EVIDENCE: Sea Point has a draft Statement of Purpose and Service User Guide, which is being revised to include full and accurate information about the accommodation and service provided. These now need pulling together and made available to prospective and incumbent residents and their relatives. A Residents’ Agreement is available, to clarify what is included in the service, and should be signed on admission. The house is not suitable for wheelchair users, and the service is not designed or registered for people with dementia. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7, 8, 9, 10 and 11 Service users health, personal and social care needs are being met and service users are treated respectfully. The home’s practices relating to medication administration protect the service users from risk. EVIDENCE: Sea Point have good formats for care planning and risk assessment. Service users said they could not be treated better and described living in the home “lovely” and “excellent”, saying that nothing was too much trouble for the staff. Care plans detailed service users’ care needs. Medication administration records were well maintained and medication was stored safely. Residents are able to self-medicate if they wish following a risk assessment. Residents were seen to be treated with respect by staff. “Staff are gentle and respectful” said one resident. Residents said they felt safe at this home and were confident that their needs would continue to be met. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 13, 14, 15 Residents appeared to be happy living at this home. Residents were able to maintain contact with faimily and friends. The manager strives to ensure that food provided by the home is wholesome and to each individual’s liking. EVIDENCE: All residents appeared to be happy living at this home, and most confirmed thiat this was the case. The inspection coincided with the fortnightly visit of an external activities organiser, who led a session of word games, armchair aerobics and armchair ball games. This was attended by all those who wished, which was most residents, all of whom thoroughly enjoyed the experience. This session was not only enjoyable, but helps to keep the residents mentally and physically active. However, some residents said they would like more to do. The Registered Manager must enable staff to promote and carry out social and recreational activities with residents.Two residents go out in taxis. The others need help to go out, and if they go out it is with family members. The manager has recently conducted a satisfaction survey of residents and relatives, but has yet to fully analyse and publish the results. Service users said that the food was good and plentiful and should the menu not be to their taste, alternatives were always available. The home has an unrestricted visiting policy and procedure in place. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 12 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 standard(s) 16, 18 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: Service users and a visiting relative said that the committee, manager and staff were very approachable and they were confident that any issues of concern would be listened to and dealt with. The home has received no complaints since the last inspection. However, an anonymous complaint was received by the Commission alleging that the waking member of staff is allowed to sleep in a bed provided in the office. This is currently under investigation. A copy of the complaints procedure was displayed on the notice board in the hall. This is also detailed in the home’s Statement of Purpose and Service User Guide, which will shortly be made available to all residents and relatives. Staff have received training in issues relating to abuse and the protection of vulnerable adults and described the actions they would take should an issue of abuse be suspected. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 19, 20, 21, 23, 24, 25, 26 Residents live in a very pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. However, the home is not entirely safe due to the risk of scalds and burns from hot water and radiators EVIDENCE: Sea Point is on a quiet road close to Paignton sea front, with access through a garden gate into a park which gives a level walk to the sea front. During the storms of 27 October 2004 the lower ground floor was flooded at high tide, causing considerable damage, which has now been repaired. The lounge is smart and comfortable, with large windows and attractive lighting. The dining room is set out with three tables. The stairways are well lit, carpeted and attractively decorated. The committee have worked hard to make all the bedrooms attractive. All are now above the National Minimum Standards in size and eight have en-suite facilities, two of which have baths, and three have showers. Soft furnishings are attractive and there was a variety Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 14 of furniture belonging to individuals or provided by the Home, and personal items. There are bedside lights as well as central lighting. Suitable locks have been provided on bedroom doors, and lockable storage space has been provided. Service Users have sufficient electricity sockets. There are toilets on each floor. There are two bathrooms, one with a batterypowered seat. The most popular bathroom has a Bathmaster hoist. The premises and facilities have not been assessed by a qualified Occupational Therapist. Grab rails, raised toilet seats, a lifting belt and bath aids have been provided. There is a shaft lift, but it is not large enough to accommodate a person in a wheelchair. There is excellent natural lighting, and interesting views. Radiators are not yet guarded. Some of these were so hot during the inspection that I insisted on immediate action to safeguard the residents in those rooms from the risk of a burn. Previous inspectors have been told that all hot water outlets have been fitted with thermostatic control valves. During this inspection I discovered that that was not the case. Water from some hot bath and wash hand basin taps was so hot – off the thermometer scale in some cases - that I insisted on immediate action to safeguard the residents with access to those rooms from the risk of a scald. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Service users are cared for by caring staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment processes protect vulnerable service users. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. New staff shadow experienced staff rather than undergo a proper induction process. Staff seen during the inspection appeared confident and competent, and confirmed that they receive supervision from the manager. No staff are recorded in the Pre-Inspection Questionnaire as having NVQ qualifications to ensure that they have the skills to care for older people. Staff interviewed were keen to undertake training. Training in the past year has been confined to Food Hygiene and Care of Medicines. Food Hygiene and Moving and Handling is the only training planned. Most staff files examined contained application forms, written references, Criminal Record Bureau disclosures, and had photographic identification. The Home’s procedure for recruiting staff meets the standard. A rota is kept showing who is on duty and in what capacity. During the mornings there are two care staff and one general assistant. The Manager is often included in the care rota, which means that she will necessarily be called away to deal with phone calls and other business. The cook works from 8 – 1pm seven days per week, and also as cleaner from 1 – 3pm Monday to Friday. During the afternoons there are two care staff, which should be Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 16 sufficient when they are spending time with residents rather than doing domestic tasks. Sea Point employs one waking and one sleeping night carer. At the previous inspection the inspector found that the waking staff member was routinely sleeping between call bells, and an immediate requirement was made to deal with this. The inspector was subsequently informed that corrective action had been taken. However, since that last inspection an anonymous complaint was received by the Commission alleging that the waking member of staff is allowed to sleep in a bed provided for the purpose in the office. This is currently under investigation. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 38 The management team strives to provide a homely environment that respects and protects residents’ rights and best interests. EVIDENCE: Sea Point is owned by a charitable foundation run by a committee fronted by an active chair and secretary who share management responsibilities with the registered manager. It is recommended that the committee, its main officers and the manager review their respective roles and responsibilities to ensure that the home is run properly and safely. For example, that the committee allows the manager sufficient funds to provide radiator covers and thermostatic radiator vales to protect residents from burns and scalds. The Registered Manager has seven years experience in senior management of residential care, and has virtually completed the Registered Managers’ Award. Sea Point D54-D07 S18423 Sea Point V223573 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x x 2 Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 19 YES 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 1 Regulation 5 Requirement The Home must make available the recently produced Service Users’ Guide in a form that will suit the Service Users. The first deadline given to accomplish this was 14/02/03. The Registered Manager must enable the homes own staff to promote and carry out social and recreational activities with Service Users. Previous deadline12/08/04. Design solution must be put in place to protect residents from scalds from hot water from bath and wash hand basin taps. Radiators need to be covered in order of risk assessment priority. Risk assessment to be completed by14/07/05. Action to start by 07/09/05. This was first required by 14/11/03. The Registered Manager must develop induction training. This was first required by 14/05/03. The Registered Manager must ensure that night care staff do not sleep while on duty. Committee members who make visits to the Home to fulfil the duties of regulation 26 must D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Timescale for action 07/09/05 2. 12 16 07/09/05 3. 25 13 Immediate 4. 25 13 07/09/05 5. 6. 7. 30 27 3 18 19 26 07/09/05 Immediate Henceforth Sea Point Version 1.30 Page 20 send a report to the CSCI. 8. 31 37 Events which adversely affect the well-being or safety of any Service User (reg 37e) must be reported to the CSCI. Henceforth 9. 10. 11. 12. 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. 2. 3. 4. Refer to Standard 16 2 31 Good Practice Recommendations The Home should record issues and concerns that are raised, so that action taken can also be recorded, and so that it will become obvious if a problem is recurring. The Home’s ‘Resident’s Agreement’ should be read and signed by each Service User at the time of admission. It is recommended that the committee and manager review their respective roles and responsibilities to ensure that the home is run properly and safely. Sea Point D54-D07 S18423 Sea Point V223573 070605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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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