Inspection on 06/12/05 for Seabourne House

This inspection was carried out on 6th December 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seabourne House 07/06/06

Seabourne House 17/02/06

Seabourne House 28/09/04

Seabourne House 11/05/04

Seabourne House 15/01/04

Similar services:

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Seabourne House Seabourne Close Dymchurch Kent TN29 0PU Lead Inspector Geoff Senior Announced Inspection 6th December 2005 10:00 Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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 Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Seabourne House Address Seabourne Close Dymchurch Kent TN29 0PU 01303 875154 01303 875154 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) Lothlorien Community Ltd Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2004 Brief Description of the Service: Seaborne House is part of the Craegmoor Health Care Group and is a residential care home registered to provide care and accommodation for up to five people who have a learning disability. The current service user group is all female as is the staff group. There is currently no registered manager in post. The day-to-day management is undertaken by Ms. McManus. Seaborne House is located in a quiet residential area of Dymchurch within walking distance of the seafront and the village centre. The house is a substantial detached property. The accommodation is arranged on two floors. All service users have their own bedrooms. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was undertaken on 6/12/05 and commenced at 10am. In the course of the visit the inspector met and spent time with the manager, and spoke generally with all staff on duty. The level of functioning of the service users precluded the opportunity for any meaningful verbal interaction. However the inspector observed, throughout the visit, the staff’s attention to the service users’ immediately expressed needs, their patient, friendly and respectful manner and their treatment of each service user as an individual. The Inspector viewed parts of the premises and inspected a range of records;. The home provides a reasonably clean, tidy, comfortable and varied environment for the service users. Communal areas and the bedroom seen appeared to be adequately furnished and. reflected service user need, choice and involvement. Any areas where action is required or recommended in order to comply with current National Minimum Standards are incorporated in the report What the service does well: What has improved since the last inspection? What they could do better: The Home provides a good service for the residents with thoughtful and sensitive care and support. The opportunities for choice and diversity in outings and activities are limited by the availability of suitable transport. Given that the service users conditions may on occasions require at least I-I supervision the registered person needs to ensure that the staffing levels throughout night and in transporting to activity venues do not compromise safety of service users or staff or inhibit the opportunity for choice. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 6 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. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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 Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): 2,4 There is a system in place for undertaking pre-admission assessments of prospective service users and an understanding of the need to ensure compatibility with the existing resident group EVIDENCE: The majority of the service user group have lived at Seaborne House for a number of years, the most recent admission having been approx 18 months ago. The manager is aware of the level of detail required by the NMS relating to admissions. The company admission procedure and process allows for a protracted introduction and assessment period prior to any admission. It includes; offering opportunity for visits, overnight stays and re-evaluation before the final agreement and encourages the involvement of family and representatives in all stages. The current client group is all female, as is the staff team ,and any admission would be subject to a compatibility assessment. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): 6-10 Service user plans identify the needs of the resident group. Service users are enabled to make decisions affecting their daily lives. Risks are assessed positively . Staff are aware of issues of confidentiality and records are securely stored. EVIDENCE: The Manager reported that there has been no significant changes to individual service user care plan documentation. This was previously seen to contain detail on aspects of need and delivery of services and included physical and social needs, health care, medical information and behavioural guidelines.. It was reported that service users family and representatives are encouraged to be involved in the formulation of care plans and participate in the regular reviews. Two service users are able to verbalise opinions and are consulted whenever appropriate and possible. Other service users are non verbal but staff communicate with pictures and limited Makaton and have a good working knowledge of their likes, dislikes and preferred routines. Service user response to any change in routine is noted and acted upon accordingly. There is a structure to the weekdays but routines remain flexible. Decisions are made and choices determined on a daily basis relating to activities, mealtimes and any Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 10 other issues requiring user participation. Staff were observed interacting with the service users in a friendly and non-patronising manner and efforts were made to include them in any interactions. Staff are aware of issues of confidentiality and records are securely stored. There was no public display of private or confidential information. The management undertakes and records where potentially hazardous activities are identified or planned in order that service users can participate in chosen activities with appropriate support. Any restrictions imposed need to be documented. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): 11-17 The Home offers a range of therapeutic and leisure activities based on personal needs, wishes and interests. Family and friends are welcomed to the home and contact with the local community is maintained. A varied and balanced diet is offered to the service users. Transport arrangements need to be reviewed to ensure choice and safety are not compromised. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 12 EVIDENCE: Staff support the service user’s development of independence and life skills on a daily basis as part of the general living routines. These are dependent on varying levels of ability and need. Service users are encouraged to take part in meal preparation and household tasks. A daily programme of day care was reported for in-house and external activities. In addition to house or organisation based activities one service user assists in a local playschool. The programme is predominantly for daytime activities with ‘quieter evenings’ in house The Home has use of a vehicle but this appeared to be insufficient for the needs and may compromise choice and safety. Visitors are encouraged and welcomed without restriction and may be received in the resident’s own rooms or in the communal areas. Family contacts and home visits are facilitated where it is the service users wish The service users group is generally well established. The staff members are aware of individual likes and dislike relating to food and cater accordingly. Staff confirmed that a choice is offered at mealtimes. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): Not fully assessed at this visit EVIDENCE: Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): 24,25,28,30. The premises appear to be generally well maintained, clean and hygienic. The home provides a comfortable environment in which to live and work. The Manager needs to ensure that arrangements regarding external door security do not contravene fire regulations and ventilation in one bedroom and the laundry comply with relevant requirements. EVIDENCE: The inspector viewed the communal areas of the Home and one of the bedrooms. The house appeared to be generally well maintained and presented a comfortable, environment in which to live and work. The property is of a domestic style and is in keeping with the neighbourhood. Shared spaces are adequate for the activities of the home. A no smoking policy operates in the home. There is an enclosed rear garden. The manager agreed to check with the relevant agencies the appropriateness of the current security arrangement for external doors and the light and ventilation in the laundry. One of the bedrooms has no windows but slide opening patio doors. In the interests of security and privacy these remain locked and the glass obscured. The manager is to pursue the provision of a brick wall and opening window to provide more security, privacy and ventilation. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): 31,32,33,36 Recruitment practices provide for the protection of service users. Staff are accessing training courses to enable them to work more effectively with the service users. The staff team is well supported and supervised by the management and is clear about its roles and responsibilities The registered person needs to ensure that the staffing levels throughout night do not compromise safety of service users or staff or inhibit the opportunity for choice. EVIDENCE: It was confirmed that the company has a written policy on staff recruitment. All staff are offered a job description and a statement of terms and conditions of employment. The staff group is fairly well established; those spoken to appeared to have an appreciation and understanding of the individual service user’s needs. The general rota pattern indicates two staff per shift plus the manager and a support worker to work on a one to one basis with a service user during the day. There are no staff specifically employed to undertake catering and domestic duties. Night Staffing levels should be reviewed in the light of the currently expressed needs of the service user group. Given that the service users conditions may on occasions require at least I-I supervision the registered person needs to ensure that the staffing levels throughout night do not compromise safety of service users or staff or inhibit the opportunity for choice. It was reported that staff are offered supervision on a 6 weekly basis and following any particular Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 17 incidents. Staff have an annual appraisal with their line manager to review performance against job description and agree a career development plan. The Organisation offers a staff development programme. There is an induction process that staff are supported through and mandatory training is provided. A number of the staff group have attained or are attending NVQ training at level2 and 3.Additional courses are also provided covering a wide range of issues from epilepsy awareness to managing challenging behaviour. The Manager is undertaking NVQ 4 and RMA training. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 X X 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score 3 3 2 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seabourne House Score X X X x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000023522.V257964.R01.S.doc Version 5.0 Page 20 no 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 YA24 Regulation 16 Requirement The home’s premises are suitable for its stated purpose; accessible, safe and well maintained; meet service users’ individual and collective needs in a comfortable and homely way; and have been designed with reference to relevant guidance. The manager agreed to check with the relevant agencies the appropriateness of the current security arrangement for external doors and the light and ventilation in the laundry. One of the bedrooms has no windows but slide opening patio doors. The home has an effective staff team with sufficient numbers and complementary skills to support service users’ assessed needs at all times. Staff numbers/hours relating to the needs of service users are based on guidance recommended by the Department of Health. Given that the service users conditions may on occasions require at least I-I supervision the registered person needs to ensure that the staffing levels DS0000023522.V257964.R01.S.doc Timescale for action 10/02/06 2 YA33 18 10/02/06 Seabourne House Version 5.0 Page 21 throughout night do not compromise safety of service users or staff or inhibit the opportunity for choice RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA16 Good Practice Recommendations The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the individual Plan and Contract (subject to Standards 2 and 6 if necessary).Transport facilities should provide for choice and safety. Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Seabourne House DS0000023522.V257964.R01.S.doc Version 5.0 Page 23 - 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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