Inspection on 02/10/08 for Sea View House Nursing Home

This inspection was carried out on 2nd October 2008.

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

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sea View House Nursing Home 14 - 16 Colne Road Clacton On Sea Essex CO15 1PY     The quality rating for this care home is:   two star good service 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. Lead inspector: Ray Finney     Date: 0 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Sea View House Nursing Home 14 - 16 Colne Road Clacton On Sea Essex CO15 1PY 01255421480 01255421480 aldanat_care@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Alan Irwin Type of registration: Number of places registered: Aldanat Care Ltd care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 19 The registered person may provide the following categories of service only: Care Home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Sea View House Nursing Home provides nursing care for persons with severe and enduring mental illness. The service aims to maintain peoples independence and provide an environment that promotes their mental health and wellbeing. The home is a three storey established property situated close to the shops and facilities of Clacton town centre. The seafront promenade is a short walk away. Accommodation consists of 11 single bedrooms and 4 shared rooms. Rooms on the upper floors are accessible by stairs. There is no passenger lift. Communal areas include a lounge, large dining room Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 19 Brief description of the care home and a smoking lounge. There is a quadrangle garden outside where people can sit. Parking is limited to the front of the property and in the surrounding roads, although there is a pay and display car park a short distance away. The home charges £675.00 for the service it provides with additional charges for personal items such as newspapers and toiletries. This information was given to us in October 2008. Information about the home can be obtained by contacting the manager. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as care plans and personnel files. An Annual Quality Assurance Assessment with information about the home was completed by the manager and sent to us at the Commission. Throughout the report this document will be referred to as the AQAA. A visit to the home took place on 2nd October 2008 and included a tour of the premises, discussions with people living in the home and members of staff. Completed surveys were received from people living in the home, relatives and staff. Observations of how members of staff interact and communicate with people living in the home have also been taken into account. On the day of the inspection we were given every assistance from the manager and his Care Homes for Adults (18-65 years) Page 6 of 30 staff team. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 Care Homes for Adults (18-65 years) Page 8 of 30 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Through the comprehensive admission process people choosing to live at Sea View House can be confident that their needs will be met. Evidence: Sea View House Nursing Home was registered with us at the Commission on 8th April 2008. As part of the registration process the homes Statement of Purpose and Service User Guide were examined and found to contain relevant information about the service including the management and staffing structure, fees, health and safety information, communication, complaints and the quality assurance system. When asked if they had received sufficient information about the service, a relative who completed a survey stated, The manager, Alan, and his team of staff have all been exceptionally helpful in all aspects pertaining to [information about the home]. Through discussions with the management team on the day of the inspection, it is evident that there is a comprehensive assessment programme in place to assess the Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: needs of anyone wishing to move in to the home. The manager was able to demonstrate a sound professional knowledge of the importance of a good preadmission assessment process. The manager stated in the AQAA, All potential residents are subject to the Care Programme Approach (CPA) and are subject to the assessment of needs required by this process. Sea View House also insists on full Nursing Needs Assessments where appropriate and a full risk assessment. An RMN (Registered Mental Health Nurse) conducts a further assessment and a decision regarding appropriate placement is based on outcomes from the published reports and professional judgement. The manager also stated that potential residents are also offered a visit to the home and in some cases a trial stay. The manager carries out the pre-admission assessment but said that they have plans around developing the process further to involve more staff. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Sea View House receive good quality care based on their assessed and identified needs. Evidence: The manager stated in the AQAA that, in addition to the care plans generated by the Care Programme Approach (CPA) process, each of the homes residents has individualised care plans reflecting personal needs. Care plans focus on social and emotional support, psychiatric assessment and treatment, personal hygiene, individual specific needs such as abstinence from alcohol, participation and occupation, risk taking and risk management. Through discussions on the day of the inspection, it was evident that the manager and the other two owners of the service work closely together as a team, each with their own area of responsibility. One person takes overall responsibility for compiling care plans. A sample of three care plans examined contained sufficient detail to ensure staff Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: had the information necessary to provide care that is appropriate for the individual. Care plans have a good background personal history and identify individual needs and what interventions are necessary to meet those needs. On the day of the inspection the management team were all able to demonstrate a wide knowledge of peoples needs and wishes. Relatives who completed surveys were complimentary about the way the service meets peoples needs. One person stated, They make individuals feel important and that they have a purpose. It was further evident from observations that people living in the home are listened to and their wishes and opinions are seen as important. Throughout the day of the inspection the managers open door policy was evident with people coming into the office frequently and speaking to the management team. The manager further stated in the AQAA, The Quality Assurance system has ensured residents choices and preferences are starting to be considered more in the development of the service. People spoken with on the day of the inspection made positive comments about how staff listen to them and it was evident that they felt able to make their choices known. One person who completed a survey stated, I am given freedom of choice and allowed to go to the local shops whenever I want. Relatives who completed surveys also made positive comments about how their relatives are supported to make choices. One person stated, I am invited to 6 monthly reviews between [my relative], the home and social worker to discuss progress. This is very much an open discussion which takes into account [my relatives] views and opinions and another stated, [My relative] loves to shop and buy clothes and staff have taken [them] out and ensured [they] are able to buy the things [they want]. Records examined contained a comprehensive range of documents relating to risk, including a general risk screening and specific individual risk assessments. The management team were able to demonstrate a sound knowledge of the importance of having a robust risk assessment process because of the complex mental health needs of the people using the service. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Sea View House can expect to enjoy a lifestyle that meets their wishes and interests. Evidence: Overall, people living in Sea View House are unable to access paid employment due to their complex and enduring mental health needs. However, the service supports people living there to participate in a range of meaningful activities. The manager stated in the AQAA, Daily activities are offered to the residents which reflect their interests. The activity list is open to regular review and audit and therefore reflects changing views. All staff are more aware of the significance occupation has on impacting on mental state and overall well being and One resident chooses to engage in volunteer work with a local organisation, with ongoing participation actively encouraged by the home. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: One of the management team explained their approach to activities. The activity planner has a structured programme of activities that people are encouraged to participate in for therapeutic reasons. Activities include an art group, cake baking, board games, card games, bingo, crosswords, a walking group and video nights. Records examined also show that regular in-house activities enjoyed by people living in the home include table tennis, darts and snooker. There is an art group and some people take part in gardening activities. The management team spoken with on the day of the inspection demonstrated a commitment to ensuring that people living in Sea View House take an active part in the local community. The manager stated in the AQAA, Sea View House enjoys good links with the local community. The home does not restrict the movement of residents in terms of engaging in community life except where clinical risks are evident. Under these circumstances staff escort individuals on community visits, promoting a level of inclusion and opportunity. Relatives who completed surveys made positive comments about how the home supports their relatives to take part in activities both within the home and in the wider community. One person stated, [My relative] has settled in very well and is very happy and feels secure. [They have] the freedom to go out and can pursue [their] lifelong hobby. [They join] in everything. After years of being in hospital this home is the best thing to happen to [them] and another stated, They are encouraged to make friends and have organised events and classes. Records examined contain evidence of trips out including racing at Gt Tey. One of the management team explained the improvements they are making to the way they plan activities and the importance of meaningful activities for the client group living in the home. People access local social clubs including Dorson House drop in centre and the Comrades Club. The manager stated in the AQAA, For those individuals who choose to maintain contact with family, Sea View House actively promotes the development of relationships and involvement. This is supported by the positive comments in completed surveys from relatives. One person stated, They encourage [my relative] to keep in touch. They have a very positive attitude. We were kept up to date on [my relatives] progress from day one and another stated, They consider my [relatives] needs and are always helpful whenever my [relative] comes to stay with me. When asked if the service supports people to live the life they choose, a relative responded most definitely. They encourage their clients to have the freedom to Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: choose what they are happy doing, albeit in a structured environment. A person living in the home who completed a survey stated, I am grateful for the standard of life that I receive. Where people do not have family involvement, records confirm that there are advocates involved to support them. The manager stated in the AQAA, Advocacy services are promoted within the home via a local organisation. On a tour of the premises, food stocks were seen to be plentiful and of good quality, including fresh fruit and vegetables. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service can expect their personal and healthcare needs to be identified and provided with the support to ensure these needs are met as they would wish. Evidence: The manager stated in the AQAA, Although in most cases the residents are capable of maintaining their own personal hygiene, there remains a lack of motivation to perform such daily tasks in some instances. Where this barrier exists, the home makes a concerted effort to encourage the residents to adopt a routine for addressing these needs. Choice and preferences are respected with the residents in control of which member of staff provides the support, where the support is given and personal preferences including selection of clothes and toiletries. Records examined, including care plans and risk assessments show evidence of the steps the home takes to ensure people receive appropriate support and assistance with personal care. Care plans contain clear guidelines for staff about how people want their personal care carried out. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: A relative who completed a survey stated, I feel totally confident that [my relative] is treated with respect and they receive the support they require and another stated, Very good communication. I still feel involved in my relatives care. Care plans examined contain ample evidence of how peoples healthcare needs are met. There is input from opticians, chiropodist, doctors and mental health services including Care Programme Approach (CPA) reviews. The consultant psychiatrist visits the home monthly to review peoples mental health needs. The manager stated in the AQAA, GP appoints are made and visits supported either at the residents request or based on clinical assessment. The home has a Registered Mental Health Nurse on duty 24 hours a day. Records examined contained a range of charts for recording issues relating to peoples health including weight charts, blood pressure and respiration. Daily clinical notes are detailed and all of the management team spoken with were able to demonstrate an indepth knowledge of peoples mental health needs. They also demonstrated an enthusiasm and commitment to providing a good quality service to the people living in the home. Mental capacity assessments have been carried out for all but two of the people living in the home. The manager stated in the AQAA, Medication is checked, ordered and administered by Registered Mental Health Nurses. The home has a good relationship with our dispensing pharmacy. Although none of the homes residents are prescribed controlled drugs, there are facilities and procedures in place to both store and control their use. One resident self administers [their] own medication , which is subject to ongoing risk assessment and review. On the day of the inspection the system for the storage, administration and recording of medication was examined and found to be robust. There is appropriate storage in place, including secure storage for controlled drugs. Medicines Administration Record (MAR) sheets were all completed appropriately. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be confident that their concerns about how they are treated are listened to and acted upon as stated in the complaints and safeguarding procedures. Evidence: The manager stated in the AQAA, The home has a clear complaints policy that is accessible to all residents. The majority of concerns raised are dealt with before a complaint is made and the residents appear to appreciate the respect their concerns are given. Records examined confirm that there is an appropriate complaints procedure in place. Minor concerns are dealt with informally and this was seen to be happening regularly throughout the day of the inspection. We discussed with the manager about documenting minor concerns as evidence that peoples concerns are taken seriously and acted upon. Following the inspection the manager contacted us at the Commission to confirm that they have decided to develop their concerns log further and have incorporated complaints, concerns and suggestions into one record, which complements their quality system. All the surveys received from relatives contained positive comments about how the service deals with concerns and complaints. Comments include, I raised one or two Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: issues in the beginning, which were dealt with straight away. They were just initial teething problems until [my relative] settled in. I think the care here is excellent, Any problems [they have] are dealt with quickly, Since the home changed management I have been happy that any concerns have been dealt with and I know there is a process but I hope I will not need to make a complaint in the future as I am presently very happy with the service. A sample of personnel records examined contained evidence that staff have received training around safeguarding and further top up training is booked. Records examined also show that peoples finances are managed appropriately and there is a robust process in place for recording individual finances. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can enjoy living in an environment that suits their lifestyle and which is well maintained and clean. Evidence: The manager stated in the AQAA, There is a programme of redecoration and refurbishment that ensures the home remains pleasant and comfortable for the residents. A tour of the premises confirmed that decorating is in progress. There is evidence throughout the home of some new flooring and new furniture in the television lounge. The manager further stated, All bedrooms to be decorated in the next twelve months. Residents to be encouraged to participate in the process. Peoples individual bedrooms reflect their interests and tastes. One persons hobby is building model trains and their room contains an impressive layout that they have made. When asked how the home can improve a relative who completed a survey stated, maybe some cosmetic changes [such as] decorating. There is a smokers lounge for the use of people living in the home. The management Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: team are trying to reduce the impact of the smell of cigarette smoke by having some periods throughout the day when the room is not in use so that the windows can be opened to allow fresh air to circulate. The manager said they are considering what else can be done to reduce the impact of the smell of smoke. However, it is recognised that a considerable number of people living in the home choose to smoke. The manager stated in the AQAA, Staff perform cleaning duties around the home and attempt to gain the assistance of residents in cleaning and tidying their own rooms. A tour of the premises confirmed that there was a good standard of cleanliness throughout the home including the bathrooms and toilets. There were no unpleasant odours throughout the home and carpets were clean. The laundry area has industrial machines that are appropriate for the size of the home and there is liquid soap and paper towels that staff use to ensure good infection control. Someone living in the home who completed a survey stated that they were, Well satisfied with its cleanliness and a member of staff stated, The upkeep of the home is always clean and tidy. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can be confident they are cared for by a competent staff team who can meet their needs and who have been employed following thorough recruitment checks to ensure people are protected. Evidence: The manager stated in the AQAA, The majority of staff either hold or are working towards National Vocational Qualification (NVQ) awards in care. Through discussions on the day of the inspection, the manager confirmed that all but two members of staff have NVQ at level 2 or above these two staff are working towards the award. These figures include domestic staff as well as carers. The sample of personnel records examined on the day of the inspection contained evidence of NVQ. A sample of personnel files examined were well organised and contained all the relevant documentation required by regulations. Through discussion the manager was able to demonstrate a good awareness of the importance of following a robust recruitment process so that people are safeguarded by being cared for by staff who have been thoroughly vetted. The manager stated in the AQAA, Recruitment has involved residents where possible, although participation has been difficult to encourage at times and depends on individual circumstance. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The manager stated in the AQAA, Sea View House has an excellent staff base, balancing the attributes expected of Registered Mental Health Nurses with a care staff team who are committed and competent in providing the support required by the homes residents and that staff have a good understanding of mental illness and its impact on the residents lives. On the day of the inspection, observations of staff interactions with people in the home confirm that staff behave professionally and treat people with respect. Someone living in the home who completed a survey stated, Staff are very good and fair. There is a training plan for the coming year in place that includes training in Manual Handling, First Aid, Food Hygiene and Fire Training. Additional courses relating to the specific needs of this client group include Breakaway and de-escalation techniques, Mental Health awareness, schizophrenia awareness, activities planning, risk assessment and care planning. Relatives who completed surveys were complimentary about the staff team. One person stated, I cannot praise enough the support given to my [relative] by the staff and another stated, I am very impressed with the empathy the carers have with the [people living in the home]. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriately managed in the best interests of people living there. Evidence: The registered manager has a number of years experience managing the home under the previous providers. He is a Registered Mental Health Nurse and is currently working towards a National Vocational Qualification (NVQ) level 4 Registered Managers Award. The manager stated in the AQAA, Management approach is open and encourages participation. The registered manager works closely with the other two owners to form a well structured, professionally qualified management team, who all take a hands on role in the day to day running of the home. The skills of the three members of the management team complement one another, each having specific responsibilities and clear roles. On the day of the inspection this was seen to work well in practice with each member of the management team able to demonstrate a sound knowledge of their responsibilities in relation to the needs of people in the home. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: During discussions the manager was able to demonstrate a thorough knowledge of issues relating to people with complex mental health needs, as well as a good understanding of managerial responsibilities, the Care Standards Act and other legislation required to run a care service. What was evident through discussions was the enthusiasm and commitment to providing a good service. Positive comments were received about the management of the home from relatives who completed surveys. One person said, I have had many meetings with the staff, particularly Alan, and feel that since he joined the home [my relatives] care has improved as Alan has implemented changes that have made a positive effect upon [my relative] and another, The manager, Alan, and his team of staff have all been exceptionally helpful. The home has developed a robust quality assurance process. One of the management team, who has responsibility for coordinating quality assurance, carries out individual assessments with people living in the home. During the assessments they discuss issues such as decor, activities and food. A quality assurance survey has been devised to seek peoples opinions of the service and there is a development plan in place for the home. Sea View House has a comprehensive range of policies in place relating to health and safety. The manager stated in the AQAA, Safe working practices are employed in line with current legislation and guidance. Delegation to care staff of key responsibilities such as infection control, health and safety and fire safety to be trialled in an attempt to give more value to the role and get all staff more involved in the running of the home. Health and Safety records were examined and found to be in order. A risk assessment carried out resulted in one person having a cigarette smoke detector installed in their bedroom. Records confirm that fire alarms are tested weekly and there are regular tests on emergency lighting, fire extinguishers and water temperatures. Records of Portable Appliance Testing (PAT) and gas safety certificates were examined and found to be up to date. A relative who completed a survey stated, This is a very well run small home. Care Homes for Adults (18-65 years) Page 27 of 30 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 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, Care Homes 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 1 24 The programme of redecoration and refurbishment should continue so that people living in the home benefit from an improved environment. The management team should continue to consider ways to further reduce the tobacco odours that are present in the area near the smokers lounge, so that people who do not smoke are not affected by the smell. 2 30 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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