CARE HOMES FOR OLDER PEOPLE
Seabourne Residential Home 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ Lead Inspector
Tracey Cockburn Unannounced Inspection 12:00 1 December 2005
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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 Residential Home DS0000003978.V269814.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Seabourne Residential Home Address 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ 01202 428132 01202 420050 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) Mr Sookdeo Gunputh Mrs Shobha Luxmee Gunputh Mrs Eileen Clare Chillingworth Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 2nd June 2005 Brief Description of the Service: Seabourne is a care home registered to provide accommodation for up to 33 older people who do not have nursing needs. The home is owned by Mr and Mrs Gunputh. Mrs Chillingworth is the registered manager. The home is located in the Southbourne area of Bournemouth. It is a short walk from the home to the beaches of Southbourne. Shops and other community amenities are within walking distance. Accommodation is provided on two floors, which may be accessed by either stairs or a passenger lift. There are 28 rooms 5 of which are double rooms. 14 rooms have en suite facilities. There is a large communal sitting and dining area on the ground floor. The garden is reached through patio doors from the lounge. There is a small car park at the front of the home. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over 3 hours in the afternoon. The registered manager was present throughout. The purpose of this inspection was to review the recommendations from the previous inspection. It was also part of the annual cycle of inspection. The care files for 3 residents were looked at. At the time of the inspection there were 20 residents accommodated in the home. This number is less than the home is registered to accommodate possibly due to the major building work taking place in the home. 17 residents were spoken to. No staff were spoken to at this inspection. A tour of the premises took place. It should be noted that over the past 5 weeks the main lounge and dining area in the home have been out of bounds to all the residents due to unforeseen building work needing to take place in the lounge, this included reinforcing concrete pillars to support the extension being built over the lounge. There is also a second stairwell, which has been built in the corner of the lounge. This work took place because of a structural engineer’s advice. Resident’s views of this have been incorporated into the report. Building work taking place will not be completed until July 2006. What the service does well: What has improved since the last inspection?
At the conclusion of the inspection in June 2005 there were 3 recommendations. The registered manager is now undertaking monthly reviews of the care plans for each resident. The other 2 recommendations have been repeated with one being made a requirement. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 6 What they could do better: 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 Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection EVIDENCE: Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 Individual plans of care set out the health, personal and social care needs of residents which means that care staff have a good understanding of the support that individual residents need. Residents’ health needs are met with the involvement of appropriate health care professionals. The home has a policy and procedure for dealing with medicines this ensures that residents are protected. EVIDENCE: Three residents’ care files were examined, each contained a care plan detailing the care to be provided. There was also evidence in 2 files that care plan reviews are taking place on a monthly basis. Not all care plans were signed by the resident; it is therefore difficult to confirm if they are involved, although several residents said that they were. Records in the files demonstrated that records are kept of all health care appointments, GP visits and specialist appointments. A record is maintained of residents’ nutritional needs. There was also evidence in the files that residents have access to sight and hearing tests. Records are kept of all medicines received, administered and leaving the home. Care staff receive accredited training before being able to administer medication.
Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14 The lifestyle of the home overall meets residents’ expectations and they are able to participate in activities that interest them. However consideration needs to be given to alternative activities when the communal areas are unavailable. Systems in the home ensure that residents have choice and control over their lives. EVIDENCE: The care files seen demonstrate that the home is recording the interests, hobbies and wishes of the residents. However during the building work in the lounge this has been disrupted as residents have not been able to go into the lounge for 5 weeks. The manager has organised one of the bedrooms into a small dining area, but some residents were unhappy about being isolated in their rooms. The majority of residents said that they did not mind not being able to go into the lounge and were happy in their rooms. One or two residents said that staff have been spending more time with them but others said that they hardly saw the staff. Residents said that they are able to bring their own possessions into the home. Information is available to residents about advocacy services. Some relatives said that they were happy for relatives to handle their finances on their behalf.
Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home’s complaints procedure makes it clear that every complaint is taken seriously and acted upon. This means that residents and their relatives should be confident about the process. EVIDENCE: The home has a complaints policy. There has been one complaint since the last inspection. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20,25 Outdoor facilities are not accessible at present. Systems are in place to ensure that residents are safe during building work. EVIDENCE: The communal areas of the home have been inaccessible for a number of weeks, which has meant that residents have not had the opportunity to socialise. The management of the home have worked with the authorities to ensure that the home is safe during the building work, however they should make sure that residents and relatives are kept up to date with developments. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The home provides sufficient staff to meet residents’ needs. Ensuring that there is the right number of staff with the skills needed to provide a stimulating and caring environment. Good induction and training provide care staff with knowledge and skills to care for residents safely however not all staff have been trained to National Vocational Qualification level 2. The home has a good training programme encouraging care staff to be responsible for developing their skills and enabling them to be competent at their jobs. EVIDENCE: On the day of the inspection there were 6 staff on duty in the morning and 4 staff in the afternoon. A staff rota was on display in the office. The manager has a variety of staff working towards different levels of the national vocational qualification. Several staff files were examined and contained evidence of training course attended. Induction training covers topics such as principles of care, safe working practice and the care workers role. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 The home is run by a competent and experienced manager, who understands her role and responsibilities. There are systems in place to monitor the aims and objectives of the home and the service it provides. However this information is not made public so that the people who use the service can see how well the home they live in is doing. The home has systems in place to ensure that residents’ financial interests are safeguarded. The system for staff supervision is in place but not implemented so there is no evidence that staff are receiving the support they need. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 15 EVIDENCE: The manager demonstrated that she understands the needs of the residents; she has a job description and delegates duties to a deputy manager who is undertaking training to level 4. There are clear lines of accountability within the home. The home has a system in place to find out the views of residents and other stakeholders. However this information is not made available to the public so residents would not know if the home was run in their best interests or not. Residents spoken to said that they did think the home was run with their needs in mind and were very complimentary about the staff and management. The manager said that she is not responsible for the management of any resident’s finances. The supervision system within the home is not operational at present; the manager has set up the system but said she has not had the time to implement it. She said that care staff are supervised informally on a day to day basis. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x x 3 x x x x 3 x STAFFING Standard No Score 27 3 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 1 x x Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement The registered manager must fully implement the home’s supervision policy and procedure for all care staff. Timescale for action 31/03/06 1 OP36 18(2) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 Refer to Standard OP12 OP28 OP33 Good Practice Recommendations The home should have a variety of recreational activities available to residents who have been unable to meet in the lounge and dining room. The registered manager should continue to work towards achieving 50 care staff with NVQ level 2 qualification. The results of the quality assurance process should be made public. Seabourne Residential Home DS0000003978.V269814.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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