Inspection on 13/12/05 for Seabank House

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 21 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seabank House 31/08/09

Seabank House 24/07/08

Seabank House 22/11/07

Seabank House 21/06/06

Seabank House 17/03/06

Seabank House 10/01/05

Seabank House 21/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Seabank House 111 Seabank Road Wallasey Wirral CH45 7PD Lead Inspector Helen Carton Unannounced Inspection 13 & 19 December 2005 13:00p th th Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 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 Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 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 Adults 18-65. 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. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Seabank House Address 111 Seabank Road Wallasey Wirral CH45 7PD 0151 630 2791 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) Ms Helen Gifford Ms Helen Gifford Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2005 Brief Description of the Service: Seabank House is a large detached house in the Wallasey area within easy reach of New Brighton and Liscard town centre. There is a wide range of facilities such as shops, churches, community centres, a library and public transport within walking distance. The house has a large rear garden, with a driveway to the front. Accommodation is provided for nine adults with a learning disability with bedroom accommodation being offered in one shared room and six single rooms. There is a lounge, separate dining room, bathroom and a separate toilet on the ground floor. The registered person has begun to replace the most damaged and worn windows. However the overall condition of the building is poor with work required to improve the living environment for residents. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Eight residents were living at Seabank House at the time of the visits. The inspection was unannounced and took approximately five hours over two days. The inspector spent time with one resident and spoke to the manager. What the service does well: What has improved since the last inspection? What they could do better: The condition of the building is poor and considerable work needs to be carried out to make sure it provides a safe and comfortable environment for residents to live. Equipment and furnishings in the home are very worn and damaged and need to be repaired or replaced. The inspector discussed with the manager the need for information to be provided to the Commission about how and when work will be carried out to improve the building, the equipment and furnishings. The home must make sure they can meet the assessed needs of people who are interested in living at the home before they offer them a place to live. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 6 If a resident has been assessed as needing special equipment to assist them be lifted from one place to another the home must use it. 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. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1& 3 The home did not demonstrate it was able to meet the assessed needs of prospective residents’ needs. EVIDENCE: During the first visit to the home the inspector was told by a member of the staff team a person was being admitted to the home next week. Further discussion and examination of records showed the home could not meet the prospective resident’s physical needs. As the fixed bath chair was broken, the bath panel was damaged and restricted the use of mobility hoists required by the prospective resident and an existing resident. Also the hallways were cluttered making it difficult for a wheelchair user to move around easily and safely. The inspector telephoned the manager who is also the owner to discuss the issues raised during the first visit to the home. Particularly that the home had agreed to admit a resident knowing they could not meet their personal care needs. The manager told the inspector she had been unable to remove the fixed bath chair however would make sure it was removed before the prospective resident moved into the home. Also that the bath panel would be repaired and the home tidied with unnecessary items stored away. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 9 The inspector told the manager a further visit would be made to the home the following week. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6&9 The care planning system in place does not always meet the assessed needs of service users. As the home has not provided the staff team with the necessary equipment and facilities to adequately meet residents’ needs. EVIDENCE: On the second visit to the home the manager showed the inspector the care plan and risk assessment information she had produced for the resident being admitted to the home that afternoon. The care plan provides the staff team with good information about the resident’s personal care, social and emotional needs. However personal care support being provided to another resident prior to the removal of the fixed bath chair in the ground floor bathroom was not in line with his assessed needs. As part of the pre admission assessment the home is providing extra support worker hours to meet the persons assessed needs. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13 & 15 The home supports residents to maintain and access community-based activities including educational opportunities. The home supports residents to maintain positive relationships. EVIDENCE: Residents attend college courses, day services, evening clubs and access local amenities such as pubs, restaurants and leisure services. During the first visit to the home the inspector spoke to many of the residents who were looking forward to Christmas. One resident told the inspector they were going away for Christmas. Residents told the inspector they had enjoyed their holiday in the summer and were looking forward to planning next years. Records show the home actively supports residents to access communitybased activities and provide support and advice to maintain positive friendships and relationships. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Some of the personal support in the home is not offered in such a way as to promote and protect residents’ safety, privacy, dignity and independence. EVIDENCE: As detailed earlier in this report on the first day of the visit the inspector became aware the fixed bath chair was broken. Examination of residents’ records showed a hoist should be used to lift and move one resident safely particularly to assist during bathing. The hoist is not being used to assist with bathing as the fixed bath chair is in the way. The manager told the inspector her and her partner who is also employed at the home lift and slide the resident into the bath from the sloped end. No other member of the staff team is expected to lift the resident. The inspector advised the manager this practice was unsafe and did not promote the resident’s independence or dignity and should stop. The manager told the inspector she would have the broken bath chair removed as soon as possible. On the second visit to the home the manager told the inspector the chair had been removed inspection of the bathroom confirmed this. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Some of the home’s care practices do not protect residents form possible forms of abuse and neglect. EVIDENCE: As detailed in earlier parts of the report issues about some of the care practices being carried out were discussed with the manager. As they are potentially unsafe and do not promote residents’ dignity and independence. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,29 & 30 Overall the standard of décor within the home is poor with little evidence of improvement through maintenance or future planning. The home does not, therefore, provide residents with a homely and comfortable environment. EVIDENCE: In the last three inspection reports the worn and poor condition of the home’s windows have been raised with the manager. Over the past twelve months a number of the windows have been replaced with the most damaged being replaced first. However the overall condition of the home is poor with much of the decoration, furnishings and carpets being worn and damaged. The painting on the rendering on the outside of the home is worn and damaged, the front garden area is untidy and part of the wall is damaged. This does not provide a welcoming environment for residents or visitors. The inspector noticed that a bedroom window that had been replaced at the time of the last inspection visit on the 10/01/05 still had newspaper covering it to provide privacy for the resident until curtains could be fitted. The inspector was told since then another resident had moved into the room. The inspector advised the manager curtains should be fitted to the windows as soon as possible. To make sure the resident’s privacy and dignity are maintained. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 15 During the first visit to the home the inspector was told the electricity supplying lighting to parts of the ground floor were not working. An electrician had visited and had ordered special fuses on the second visit to the home all lights were working. Many of the curtains were not hung properly with large gaps being visible where hooks should be fitted. On the first floor landing there was an old television set, socket leads and an old handrail left on the floor. On entering the dining room the inspector noticed wall pictures were left on the floor and had been there since the last inspection visit. There were also two large cans of Fast Drying Black Bituminous Paint left in the corner of the room. The inspector noticed that a lifting hoist was being stored in the lounge. The inspector discussed with the manager the need for the home to be clean and tidy at all times to provide residents with a comfortable and safe environment to live in. The inspector has discussed this issue with the manager at previous inspection visits. On the second visit to the home the inspector noted it was cleaner and tidier. The manager told the inspector she had received a quote to replace all the downstairs carpets this work will be carried out by the end of January 06. A non-slip floor covering has been fitted to the downstairs bathroom. The inspector advised the manager a requirement of this visit would be for the home to produce a detailed schedule of works with timescales. Detailing work to be carried out in each room to ensure they provide residents with safe, comfortable and homely areas to live in. Also that the home’s environment meets residents’ needs and lifestyles. On the first visit to the home the inspector noted the staff teams sleep in room has been changed into a bedroom for a prospective resident to move into. The inspector advised the manager this change should have been discussed with the Commission prior to work being carried out. The manager told the inspector this change would provide a ground floor single room and would mean the home would only have one shared room. After the inspection visit the manager faxed the Commission information about the change. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, & 35 There are currently gaps in the home’s staffing levels that may restrict residents’ choices with regard to personal care support and activities. The home is committed to supporting the staff team to access training, which enables them to provide the most appropriate support to residents. EVIDENCE: Since the last inspection visit the manager and members of the staff team are taking part in a range of training to help them support the residents in the most appropriate way. The manager informed the inspector she had two members of staff who were under the age of 18 years of age. They do not work unsupervised and do not provide personal care. The inspector advises the manager to make sure they are registered on a Sector Skills Council standard training programme. The inspector looked at the home’s staffing rotas and noted that it showed that only one member of staff was on duty at the weekends up until 12noon. The manager told the inspector all the residents have a lie at the weekends and her and her partner come in early in the mornings. To assist with the personal care needs of residents. The inspector advised the manager to record all support Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 17 hours and to ensure staffing levels provided residents with the support they need at all times. On the second visit to the home the manager told the inspector when the prospective resident is admitted to the home staffing levels would be increased to three support workers in the evenings and weekends. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The manager does not appear to have a clear development plan and vision for the home. Resulting in the home in general appearing chaotic and unkempt. EVIDENCE: The office in the home is very untidy with documents not being held in an orderly manner this issue has been discussed with the manager at previous inspections. Residents told the inspector Seabank house was their home and they liked the staff team and talked warmly about the manager. They told the inspector about their holiday last summer and appeared very comfortable in their home. As detailed earlier in the report issues about the homes ability to meet the assessed care needs of residents and a prospective resident were discussed with the manager. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 19 The overall poor condition of the building and facilities are raised in this report and will form part of the requirements of this report. Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 1 2 X 3 1 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 1 25 1 26 X 27 2 28 X 29 2 30 1 STAFFING Standard No Score 31 X 32 2 33 2 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 1 X X X 1 X 2 X X 1 1 Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 21 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 YA1YA2 Regulation 4, 14 Requirement The registered person must ensure the home can meet the assessed care needs of prospective residents. With particular regard to the equipment and facilities provided by the home. The registered person must ensure the home provides facilities and equipment identified as required in the care plan. The registered person must ensure care practices are safe and follow the guidance as detailed in residents’ risk assessments and care plans. The registered person must provide the Commission with a detailed schedule of works. Detailing timescales as to when work will be commenced DS0000018938.V275973.R01.S.doc Timescale for action 19/12/05 2 YA6 15 19/12/05 3 YA6YA9YA29YA42 12 19/12/05 5 YA24YA25YA27YA29 23 28/02/06 Seabank House Version 5.1 Page 22 and completed. To ensure the building and the exterior of the home provides a safe, wellmaintained and homely environment for residents. This schedule should be forwarded to the Commission within the stated timescale. 6 YA24YA25YA27YA29 16 The registered person 28/02/06 must provide the Commission with a detailed plan of refurbishment for the interior of the home. This plan must include timescales as to when work will be commenced and completed. To ensure the interior of the building provides a safe, well-maintained and homely environment for residents. The registered person must ensure the home is clean and tidy and free from hazards at all times. With particular regard to tripping and chemical hazards left on the floors of the home. The registered person must ensure staffing levels provided meet the care needs and aspirations of residents. Particularly with regard to support provided at weekends. The registered person must ensure the management practices in DS0000018938.V275973.R01.S.doc 7 YA30YA42 13 19/12/05 8 YA32YA33YA35 18 19/12/05 9 YA37 10 19/12/05 Seabank House Version 5.1 Page 23 the home promote a safe, comfortable environment. And enable residents to make positive choices with regard to their environment. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. Extracts may not be used or reproduced without the express permission of CSCI Seabank House DS0000018938.V275973.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!