Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/03/07 for Seabourne Residential Home

Also see our care home review for Seabourne Residential Home for more information

This inspection was carried out on 14th March 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home undertakes pre admission assessment, which means they are able to say that the home can meet someone`s needs before they make the commitment to move into the home. The home has good relationships with health care professionals and they record the action they have taken to support residents when they have health care problems. The home works with the local pharmacist to find solutions to storage problems and takes the responsibility of dispensing medication seriously training staff responsible for the task. This means that residents are protected. All residents said that care staff treated them with respect and maintained their dignity when receiving care. Family and friends are made welcome and residents are able to see whom they want when they want. Residents are able to make choices and have control. The residents all said the food is good. The home takes complaints seriously and acts upon them. The home has recently completed building work and older parts of the home have been updated. The home is clean and does not have any unpleasant smells. At the time of the inspection there was the manager felt the right number of care staff, cleaners and cooks on duty to meet the needs of the residents. All staff receive the training the need to do the job properly. The manager has years of experience and takes her responsibilities seriously ensuring that residents have what they need. The home does not manage any resident`s money. All staff are now receiving supervision, which means the management are aware of areas of strength and weakness in their care practice.

What has improved since the last inspection?

At the end of the last inspection in November 2005 there was 1 requirement and 3 recommendations. The requirement has been met. The manager has started supervising all staff, which means she has a clear understanding of their care practice, and training needs.

What the care home could do better:

At the end of this inspection. There are 3 requirements and 3 recommendations. The home has to make sure that the care plans for each resident contain all the information the care staff need to meet each residents needs properly. The manager has to make sure that all risk assessments are completed fully so that the appropriate action can be taken to ensure that each resident is protected. Recruitment of all staff must be done properly to ensure that residents are safe from harm. This means that all recruitment checks must be done fully so that the manager is assured that the person they are employing is who they say they are.

CARE HOMES FOR OLDER PEOPLE Seabourne Residential Home 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ Lead Inspector Tracey Cockburn Unannounced Inspection 14th March 2007 9:30 X10015.doc Version 1.40 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 Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 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.V332013.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seabourne Residential Home Address 1 Clifton Road Southbourne Bournemouth Dorset BH6 3NZ 01202 428132 01202 420050 orange07974@yahoo.co.uk 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 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: Seabourne is a care home registered to provide accommodation for up to 48 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 3 floors, which may be accessed by either stairs or 2 passenger lifts. There are 48 rooms. Most rooms have en suite facilities. There is a large communal sitting and dining area on the ground floor. There is another large sitting room and dining area on the 2nd floor. The garden is reached through patio doors from the lounge. There is a small car park at the front of the home. There is further parking at the side of the building. The weekly fees range from: £400 - £475 Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place mid week unannounced. The inspection began at 9:30am and finished at 4:00pm. The registered manager was present throughout the inspection. There were 32 residents living in the home at the time of the inspection. 15 were spoken to about their experience of living in the home.4 staff were spoken to briefly. During the course of the inspection there were at least 15 visitors to the home. A tour of the premises took place, care files, and staff files and other documents were looked at. There were no comment cards received by the commission before the inspection. There have been no complaints or concerns raised or adult protection investigations since the last inspection. What the service does well: The home undertakes pre admission assessment, which means they are able to say that the home can meet someone’s needs before they make the commitment to move into the home. The home has good relationships with health care professionals and they record the action they have taken to support residents when they have health care problems. The home works with the local pharmacist to find solutions to storage problems and takes the responsibility of dispensing medication seriously training staff responsible for the task. This means that residents are protected. All residents said that care staff treated them with respect and maintained their dignity when receiving care. Family and friends are made welcome and residents are able to see whom they want when they want. Residents are able to make choices and have control. The residents all said the food is good. The home takes complaints seriously and acts upon them. The home has recently completed building work and older parts of the home have been updated. The home is clean and does not have any unpleasant smells. At the time of the inspection there was the manager felt the right number of care staff, cleaners and cooks on duty to meet the needs of the residents. All staff receive the training the need to do the job properly. The manager has years of experience and takes her responsibilities seriously ensuring that residents have what they need. The home does not manage any resident’s money. All staff are now receiving supervision, which means the management are aware of areas of strength and weakness in their care practice. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 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.V332013.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes assessments before someone moves into the home, which means that people know their needs, can be met by the home before they move into the home. EVIDENCE: The files of 3 new residents were looked at and all 3 contained pre admission assessments, which detailed the information needed to make an informed decision about whether or not the home could meet the needs of the prospective resident. Each person had a care plan based on his or her needs. However the care plan did not contain all the information detailed in the assessment. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each resident has an individual plan of their care needs however further work is need to ensure that care staff have all the information they need to fully meet the needs of each individual. The home has a system for ensuring that resident’s health needs are met. The home has policies and procedures for dealing with medicines and ensuring that residents are protected. The attitude and training of staff ensures that residents are treated with respect and their privacy upheld. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 10 EVIDENCE: The care plans for 4 residents were looked at. They did not all contain the information gathered at the point of the initial assessment. Having said that all residents spoken to say they felt well cared for and that care staff understood their needs and how to provide care in the way they preferred. One resident said that they had 3 pillows to sleep on because care staff knew they had to sit up when sleeping because of a medical condition. However this was not in the care plan. One residents care plan did not have information in it about recent changes suggested by the district nurse. The daily record and District nurses log was up to date and the information was contained there about the need for a pressure-relieving cushion. However this information was not in the care plan. Residents or their representatives did not routinely sign care plans. There was evidence of residents signing reviews of their care plans. Care plans lacked detail to ensure all aspects of each resident’s health, personal and social care needs were being met. However in speaking to residents the majority felt that they were being taken care of very well. All personal files contained good information about visits by health care professionals and the action needed. There was evidence in the 4 files seen that risk assessments are completed however this did not contain information that was always fully completed. For example a risk assessment to establish if a resident was at risk of skin breakdown was not fully completed. There was no further information about what action to take to minimise the risk or even if there was a risk. This was common in all the files looked at. More detailed risk assessments are needed for residents. This will better inform staff about the tasks they need to complete day to day. There was evidence of resident’s weight being recorded but this was not being done regularly and there were several where no weight was recorded. More needs to be done to maintain a record of nutrition. There is good evidence of residents having access to specialist medical, dental, chiropody services. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their expectations of living in the home are met. However further work is needed to ensure their recreational needs are met. The home ensures that residents are able to maintain contact with family and friends as they choose and their contact with the community is maintained. Residents are supported to make choices. The home provides a good balanced diet with the food those residents like in pleasant surroundings. EVIDENCE: Residents said that they are able to decide how they prefer to be cared for. They said that the care staff support them at the times they prefer and they can have breakfast at times they individually prefer. Individual interests are not routinely written down which means that it is not always clear what resident’s interests are. However when speaking with residents they said that Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 12 both care staff and management know them well and understand their interests. There are notice boards in the home, which have information relating to the home on them. Residents said that they are able to have visitors when they want. At the time of the inspection there was a large number of visitors coming and going. One resident has her friends round to play board games with her such as scrabble. Individual rooms are furnished with resident’s own private possessions. Residents said that they are served good food. Breakfast is at individual times according to resident’s wishes. The cook visits each residents every day to find out what they want for their evening meal and to check they are happy with the meals. Hot and cold drinks are available at any time. The cook has a good understanding of the dietary needs of each resident. There is no menu each day, which 1 or 2 residents said would be helpful. One said that staff would tell her if she asks. The store cupboard and freezers were well stocked. One resident said that she would like more fresh fruit. She also said that the cook would make her what ever she wanted. The cook has completed a Food hygiene course. The kitchen was clean. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents believe they are listened to and their concerns acted upon. The home has policies and procedures in place to ensure residents are protected, however recruitment practice needs to be improved to ensure they are fully protected. EVIDENCE: The home has a complaints procedure. There have been no complaints to the home or the commission since the last inspection. There were some concerns when the building work was underway. There have been no allegations or incidents of abuse. There is training for staff in safeguarding adults and the home has a policy on adult protection. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a safe well-maintained environment for residents to live in. The home is a clean, pleasant and hygienic place to live. EVIDENCE: A large building project was completed in December 2006. This has added an additional 15 rooms to the home. Work has also been done to update other rooms by the addition of en-suite facilities. There is a new lift new staircase and additional bathrooms and shower rooms. The home has a maintenance worker. The home also has a programme of routine maintenance. The grounds are tidy and free from hazards. At the time of the inspection a fence was being put up to ensure that the garden was safe. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 15 The home has had recent visits by the local fire service. The home has a policy and procedure for infection control. The home has several sluice rooms 1 on each floor. One resident said she was very happy with the laundry service. She said that her bed linen is changed each time she has a bath, which she said was at least 3 times a week. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The number of staff and skills of staff means that resident’s needs are being met. Staff receive the training they need to ensure that residents are in safe hands. However to fully protect residents recruitment procedures will have to improve. Staff receive the training they need to do the job well. EVIDENCE: The staff rota for the week in which the inspection took place was looked at. Five care staff are on duty in the morning and 4 in the afternoon. There is also the manager and deputy manager on duty each day. There are 2 waking night staff on duty each night. There are also 2 cleaners on duty each day and a cook. The cook works 8am to 6pm each day and there is a different cook at the weekend. Some residents said that they felt staff were under pressure. The manager said that she felt this had improved in recent weeks but she was aware that the staff have worked very hard to maintain standards when the building work was taking place. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 17 At the time of the inspection not all the rooms were occupied, however the cleaning staff were working very hard to maintain standards within the hours they work. The home was clean and there were no unpleasant smell anywhere in the building. Two files of new staff were viewed. One file had 1 reference and 1 letter “to whom it may concern”. POVA 1st checks are completed on staff before they start and before their CRB disclosure is returned. One file contained translated documents from a police check done in another country. However there was no valid written reference. The deputy manager has almost completed NVQ level 4. There is currently 2 staff with NVQ level 3 and 2 doing NVQ level 2. The manager says she is encouraging staff to undertake this training. It is not clear if staff receive the minimum of 3 paid days training each year. Each member of staff has their individual training needs identified in supervision. Induction takes place within 6 weeks of starting in post. The manager said that she is in the process of arranging training to ensure all staff have refresher training in the mandatory training courses: fire, health and safety, infection control. The manager said that 4 care staff have completed training in dementia care. Four have completed training in activities for older people. Six care staff have undertaken the Boots medication course. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a manager who understands her job well and is able to meet her responsibilities in full. The home has a quality assurance process, which means they listen to residents and try to run the service in their best interests. Resident’s financial interests are safeguarded. Overall the health safety and welfare of residents and staff are promoted and protected. Some improvements are needed to fully protect residents. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 19 EVIDENCE: The registered manager is very experienced and has managed care homes for a number of years. She regularly updates her knowledge and skills. She is familiar with the conditions of old age. There are clear lines of accountability within the home and both residents and staff know who to see if they have a problem. The home has a quality assurance process. The management of the home need to make sure that they actively feedback the outcome of these surveys. The manager is not responsible for the finances of any residents. The home has equipment for the safe moving and handling of residents. Two of the new bathrooms have overhead tracking hoists. The records show that staff regularly receive fire safety training. The manager explained that all staff would be updated in safe working practice training. Hazardous substances are safely stored. All electrical systems are maintained. The water is regulated. Windows on the upper floors are restricted. The premises are secure. The manager reports incidents appropriately. Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 20 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 2 Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 21 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. 1. Standard OP7 Regulation 15 (1) Requirement The registered person shall after consultation with the service user or a representative prepare a written plan as to how the service user’s needs in respect of health and welfare are to be met. Care Plans must contain more detailed information in relation to all the residents care needs. The registered person shall ensure that any activities in which service users participate are so far as reasonably practicable free from avoidable risk and unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Risk assessments must detail all risk relating to each individual. Risk assessments must be fully completed. 3 OP29 19 (4) (b) The registered person shall not allow a person to whom paragraph (2) applies to work at the care home in a position to DS0000003978.V332013.R01.S.doc Timescale for action 30/06/07 2. OP7 13 (4)(b) (c) 31/07/07 31/05/07 Seabourne Residential Home Version 5.2 Page 22 which paragraph (3) applies unless the employer has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of schedule 2. The registered provider must obtain 2 written references before confirming a job offer. CRB and POVA 1st checks must be obtained before care staff start work in the care home. 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 OP12 Good Practice Recommendations The home should have a variety of recreational activities available to residents. This should be based on their individual assessments. The registered manager should continue to work towards achieving 50 care staff with NVQ level 2 qualification. All staff should receive a minimum of 3 days paid training per year including in house training. The results of the quality assurance process should be made public. 2. 3 4. OP28 OP30 OP33 Seabourne Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Residential Home DS0000003978.V332013.R01.S.doc Version 5.2 Page 24 - 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!