Inspection on 17/03/06 for Seabank House

This inspection was carried out on 17th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 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 13/12/05

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 17th March 2006 11:30 Seabank House DS0000018938.V287249.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.V287249.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.V287249.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.V287249.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 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.V287249.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Nine residents’ were living at Seabank House at the time of the visits. The inspection was unannounced and took approximately four hours. The inspector spent time with three residents and spoke to the manager and a member of staff. 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. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 6 The home’s record keeping is poor particularly records held detailing the care and support residents’ need to enjoy their lives in a safe and stimulating manner. 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.V287249.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.V287249.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): 2 At the time of the most recent admission the home did not demonstrate it was able to meet the assessed needs of a prospective resident. EVIDENCE: Since the last inspection visit an admission to the home has taken place. Documentation examined indicates the manager carried out an assessment of the resident’s needs prior to an offer of a placement being made. However the manager arranged for the admission prior to having necessary equipment and facilities in place to meet the individual’s physical needs. Since the admission all required facilities and equipment are in place to ensure the resident receives the appropriate support. The inspector spent time in the home with the resident who appeared relaxed and happy. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 9 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, 7 & 9 Care planning and risk assessment systems in place are poor resulting in limited information being provided to the staff team to enable them to provide appropriate and safe support. The home acts in a proactive manner to support and enable residents to make positive choices in their lives. EVIDENCE: The inspector examined a sample of care plans and risk assessments the overall quality of the information held in these documents are poor. Providing the staff team with out of date information in a chaotic format making it difficult to find the information needed to enable them to provide appropriate support. The resident who has recently been admitted to the home has a detailed care plan and risk assessment information. The inspector discussed with the manager the need to ensure all residents’ care plans and risk assessment information provides the same level of detailed and robust information. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 10 During the visit the inspector spent time with residents’. One resident said they had been to a party with the manager’s daughter and her friends had a few drinks and enjoyed themselves. Another resident was going to a music concert. The inspector observed residents’ the manager and members of the staff team interacting in a comfortable, sociable and respectful manner. Residents’ were happy to talk to the inspector and show them around the home and tell her what they enjoyed doing. Seabank House DS0000018938.V287249.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): 16 & 17 The home actively supports residents’ to make positive decisions and choices and to take responsibility for these choices. The home encourages residents to be involved in decision-making regarding their dietary needs. EVIDENCE: The home works hard to support residents’ to make positive decisions and choices in their lives including being involved in voluntary work, college courses, leisure activities, holiday destinations and relationships. The home has few set routines. However there is an expectation that residents’ will assist with some household chores such as tidying their rooms and helping with meal preparation. Residents’ are encouraged to view Monday to Friday as time to carryout work related tasks and the weekend as leisure time. In the past two years the home has supported a resident’s to leave the home and live semi independently. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 12 Residents told the inspector Seabank house was their home and they enjoyed living there and were happy being supported by the manager and the staff team. The home encourages and supports the residents’ to eat a balanced diet with specific dietary needs catered for such as low sugar and soft foods. Residents’ told the inspector went with the manager shopping for food for the home and were involved in decisions about what meals they would like to eat. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 13 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 & 19 The home relies heavily on verbal information resulting in personal care being offered in an inconsistent manner. The home supports residents’ well with their health and emotional needs. EVIDENCE: The staff team rely heavily on verbal information to ensure appropriate personal support is provided. The inspector discussed with the manager the need to provide the staff team with detailed information to ensure the type and level of support provided to residents’ is appropriate and safe. During the visit to the home the residents’ appeared comfortable and confident and were happy to talk to the inspector about a range of things. Residents’ daily record sheets provide the staff team with information regarding events that had occurred during the day. Which may have an impact on residents’ emotional well being enabling them to offer appropriate support and comfort. Residents’ daily diary sheets indicate the home seeks the advice of health care professionals and other interested parties. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 14 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): 22 & 23 The home seeks the views of residents’ and acts upon them in an appropriate manner. The home’s care practices and training programme protect service users from possible abuse, neglect and self-harm. EVIDENCE: The home has a detailed complaints procedure, which is in a user-friendly format. Since the last inspection neither the home nor the commission have received complaints about the service being provided at Seabank House. There appears to be a relaxed atmosphere in the home where residents’ are able to express concerns or worries. Since the last inspection visit the manager has contacted Wirral social services to arrange adult protection training for the staff team. Daily diary sheets indicate the staff team are vigilant in observing residents and identifying changes in behaviour or mood, which may indicate possible incidents of abuse. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 15 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 & 30 Overall the standard of décor within the home is poor. The home does not, therefore, provide residents’ with a homely and comfortable environment. EVIDENCE: The poor condition of the home’s windows has been an issue in the last four inspection reports. However the manager continues to replace windows as monies become available from the business. Since the last inspection the windows in the dining room have been replaced as has the door and the radiator. The manager told the inspector she had discussed with the residents’ and which windows would be replaced next. At this visit the hall, stairs and landing is being decorated with carpet samples being delivered during the visit. The manager told the inspector all carpets on the ground floor were being replaced with laminate being ordered for fitting in the dining room. However the inspector advised the manager at this visit the overall condition of the home remained 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 and back garden areas are untidy with old items of equipment and furnishing discarded on the concreted area. The inspector viewed a number of bedrooms Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 16 and noted many had curtains were not hung properly to rails, bedding was worn and stained and pillows were lumpy. This does not provide a welcoming environment for residents’ to live or people to visit. The inspector and the manager discussed these issues at length the manager acknowledged the physical environment must to improve and feels she has started to make sustainable improvements. Since the inspection visit the manager has sent the inspector information about work to be carried out on a monthly basis. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 17 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, 34 & 35 The home is committed to supporting the staff team to access training, which enables them to provide the most appropriate support to residents’. The home’s recruitment practices protect residents’ from possible abusive practices. EVIDENCE: The manager told the inspector she had arranged training event for the staff team for the month of April 06. With one member of the staff team undertaking NVQ level 3 training and a further three undertaking NVQ level 2. Examination of staffing records indicate the home carries out all relevant checks prior to the offer of employment being made. Since the last inspection visit the manager has increased the number of support hours provided to meet the physical needs of two residents. Seabank House DS0000018938.V287249.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 There are few systems within the home resulting in recording keeping and documentation management being chaotic. Care practices and interaction between residents and the staff team indicates the home values residents’ involvement in the running of the home. The home does not promote residents’ health and safety. EVIDENCE: Since the last inspection visit the manager has recommenced her NVQ Level 4 manager’s award. On the whole the home’s documentation is poor resulting in the staff team relying heavily on verbal information. The fire logbook indicates checks and testing of equipment have not been carried out within the required timescales. Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 19 As detailed earlier in this report work needs to be carried out regarding the information held in residents care plans and risk assessments. The atmosphere within the home is very relaxed with residents’ having the confidence to talk to the inspector, the staff team and each other about things that are important to them. The manager and the staff team work hard to support residents to make positive choices and take responsibility for their actions in their daily lives. Since the last inspection the manager has started to make improvements to the environment. Seabank House DS0000018938.V287249.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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 1 26 X 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 X X 2 X 3 X X 2 X Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 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 care practices are safe and follow the guidance as detailed in residents’ risk assessments and care plans. The registered person must risk assessments provide detailed information to ensure the staff team provide appropriate support, supervision and interventions if required. The registered person must ensure care plans and risk assessment information provide detailed information regarding the type and level of personal care support required by residents’. The registered person must DS0000018938.V287249.R01.S.doc Timescale for action 30/05/06 2. YA6 12 30/05/06 3. YA9 12 30/05/06 4. YA18 12 30/05/06 5. YA24 23 30/06/06 Version 5.1 Page 22 Seabank House provide the Commission with a detailed schedule of works. Detailing timescales as to when work will be commenced 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. YA25 16 The registered person must 30/06/06 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 the management practices in the home promote a safe, comfortable environment. And enable residents to make positive choices with regard to their environment. The registered person must ensure the home’s fire logbook is appropriately maintained. 17/03/06 7. YA30 13 8. YA37 10 30/05/06 9. YA42 23 17/03/06 Seabank House DS0000018938.V287249.R01.S.doc Version 5.1 Page 23 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.V287249.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.V287249.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. 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