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Inspection on 02/06/05 for Seabourne Residential Home

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

This inspection was carried out on 2nd June 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 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 information gathered before someone is admitted is detailed enough to ensure that everyone from prospective resident to relatives, care managers and the management of the home are clear that the individual`s needs will be met when they move into the home. One resident said that "care staff know what I need". Residents said that their privacy is respected they are able to see visitors in privacy of their own rooms if they wish and that care staff treat them with kindness and respect. One resident said that "staff do everything for you" and are always polite. Resident`s experiences also suggest that when they ring for assistance they receive help quickly. At the time of the inspection visitors were seen in the home. The home is well maintained with repairs completed quickly. The home is large but has homely touches such as pictures and ornaments that give the home a cosy feel. The home is clean. The home is managed by someone with high standards and a great deal of experience of working with older people.

What has improved since the last inspection?

There were only 4 recommendations made at the last inspection in November 2004. The home continues to work towards trying to achieve 50% of the care staff gaining the National Vocational Qualification at level 2. There are 19 care staff employed in the home 4 currently have the qualification and there are more staff interested. There are several senior staff who have completed the qualification to level 3 and are hoping to go on and achieve level 4. There has been no increase in staff with this qualification so the recommendation will be repeated. New forms have been introduced to assist in the process of gathering information when recruiting new staff. This improvement in recording the interview process means the manager has clear evidence, which enables her to demonstrate how she reached her decision in employing someone. There is also an induction record, which helps the manager determine how the new employee is working and gaining an understanding of their new work role. The manager said that there are staff meetings being held, which is a useful way to ensure that information is being communicated to the staff team and of involving them in running the home. There is now a system in place for the manager to begin supervising all care staff. The manager has paperwork in place to record the topics discussed including training needs and the actions taken. This system has not been fully implemented and the recommendation is repeated in this report.

What the care home could do better:

At the outcome of this inspection there are 3 recommendations. The home has detailed care plans for each resident, which are reviewed however this does not happen consistently every month. This means that care staff might not have the information they need to ensure that a residents current care needs are being met correctly. Care staff are encouraged to participate in the National Vocational Training programme. At the time of the inspection just under 50% of the staff team either had or were working towards this qualification. The manager has put in place a system to supervise the staff in the home at the time of the inspection this had not been implemented.

CARE HOMES FOR OLDER PEOPLE Seabourne Residential Home 1 Clifton Road Southbourne Bournemouth BH6 3NZ Lead Inspector Tracey Cockburn Unannounced 02 June 2005 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 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 D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Seabourne Residential Home Address 1 Clifton Road, Southbourne, Bournemouth, Dorset, BH6 3NZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01202 428132 01202 420050 Mr Sookdeo Gunputh Mrs Shobha Luxmee Gunputh Mrs Eileen Clare Chillingworth Care Home 33 Category(ies) of OP - 33 registration, with number of places Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 02 November 2004 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 ensuite facilities. There is a large communal sitting and dining area on the ground floor. The garden is reached through patio doors from the sitting area. There is a small car park at the front of the home. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4 hours in the late morning and afternoon. The purpose of this inspection was to review the requirements and recommendations from the previous inspection in November 2004. Care files for 4 residents were viewed. 12 residents were spoken to including the 4 people whose files were seen. 4 members of staff were spoken to as well as the registered manager. A tour of the premises was also undertaken. There have been no additional visits made to the home since the last inspection. There were 27 residents in the home at the time of the inspection. What the service does well: What has improved since the last inspection? There were only 4 recommendations made at the last inspection in November 2004. The home continues to work towards trying to achieve 50 of the care staff gaining the National Vocational Qualification at level 2. There are 19 care staff employed in the home 4 currently have the qualification and there are more staff interested. There are several senior staff who have completed the qualification to level 3 and are hoping to go on and achieve level 4. There has been no increase in staff with this qualification so the recommendation will be repeated. New forms have been introduced to assist in the process of gathering information when recruiting new staff. This improvement in recording the interview process means the manager has clear evidence, which enables her to demonstrate how she reached her decision in employing someone. There is also an induction record, which helps the manager Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 6 determine how the new employee is working and gaining an understanding of their new work role. The manager said that there are staff meetings being held, which is a useful way to ensure that information is being communicated to the staff team and of involving them in running the home. There is now a system in place for the manager to begin supervising all care staff. The manager has paperwork in place to record the topics discussed including training needs and the actions taken. This system has not been fully implemented and the recommendation is repeated in this report. 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 D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 standard(s) 3 - standard 6 is not assessed as the home is not registered to provide intermediate care. No one moves into the home without their care needs being assessed and receiving assurance that these needs can be met by the home. EVIDENCE: The files for 2 new residents were seen, pre admission assessments were in place. They covered topics such as personal care needs, foot care, nutrition, interests, mobility. The assessment is completed by the manager and there is evidence of confirmation being given that the home can meet their care needs. Residents spoken to could not always confirm if they were involved in an assessment several thought that they were but were not sure. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 standard(s) 7,10 Individual plans of care clearly state the person’s health, personal and social care needs ensuring that care staff are able to provide the care people need and want. However these plans are not reviewed consistently to ensure care staff have up to date information on any changes in care needs. Residents are treated with respect and their privacy maintained. EVIDENCE: Care plan reviews are not consistently taking place on a monthly basis. One file evidenced reviews taking place on 17/01/05 and the last one on 12/05/05. Care record sheets detail the care given. Risk assessments were in place on each file looked at. Residents were not able to say if they were involved in the reviews of care plans. Mrs. Chillingworth said that residents are involved in reviews as are relatives. Staff were observed during the inspection and they where seen being respectful to residents asking them discreetly if they needed assistance to use the toilet. Care staff were wearing appropriate protective clothing when undertaking personal care tasks. Residents said that they are treated with respect. One resident did not feel she was always treated with respect. All residents spoken to say they were able to see visitors in private if they wished. There is a small room near the office, which could be used from private meetings. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 standard(s) 13 Residents are encouraged to maintain contact with the people they want so they can continue to be part of the community and keep in touch with the people who are important to them. EVIDENCE: During the inspection relatives and friends were seen visiting residents. There was evidence in resident’s rooms of cards from family and friends. People visiting residents signed the visitor’s book. A number of residents spoken to state that they were able to see the people who visited them in the privacy of their room if they wished or they could sit in the garden or lounge. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 standard(s) 18 The home’s policies and procedures combined with training for staff should protect residents from abuse. EVIDENCE: One resident said she did not like being told what to do and sometimes had to repeat herself about how she likes to be supported. She also acknowledged that she can forget when she has done something. Some residents said that they get on with some staff better than others. There have been no issues of adult protection and the home has policies and procedures in place which staff are aware of. The adult protection policy was held in the office which is used daily by staff. Staff receive adult protection training as part of their NVQ training. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 standard(s) 19,26 The home’s environment is safe, well maintained, clean, pleasant and hygienic which gives a good impression to prospective residents and visitors. EVIDENCE: The home is well maintained with evidence of improvements currently taking place in the home, rooms are being updated with en-suite facilities and residents have been fully informed of the changes, one resident is moving into a refurbished room with en-suite and, “said she couldn’t wait”. The gardens are well maintained and accessible from the patio doors in the lounge. The car parking at the front of the home was clear from clutter. The laundry room is suitable for the size of the home and there are hand-washing facilities for staff. The home was clean and there were no unpleasant odours. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29 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. Developments in recruitment practice means that residents are more supported and protected than previously. EVIDENCE: The manager said that there are several member of senior staff who work as deputy managers who wish to complete their NVQ level 4. In discussion with staff they confirmed their interest and said they were very hopeful that they could start later this year. At the time of this inspection there are 4 care staff that have gained NVQ level 2 this is maintaining the same level as the previous inspection. Since the last inspection the manager has started using the interview record form, which ensures that she has evidence of how she made her decision to employ someone. This was not previously in place. There is also an induction record, which clearly records when topics have been explained to a new employee or when they have undertaken training such as first aid and food hygiene and moving and handling. There was evidence on the notice board of training dates and topics available for staff. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,36,38 The manager expects high standards from all staff to ensure that residents receive the quality of service they deserve and pay for. The system for staff supervision is in place but not fully implemented so there is no evidence that staff are receiving the support they need. Polices and practices of the home promote the health, welfare and safety of the residents and staff. This means that the staff have the information and guidance they need to provide a good service to residents. EVIDENCE: The registered manager has put the system of staff supervision in place, there are supervision contracts and forms to complete at each supervision sessions including and agenda. There is also guidance in place so that each person is clear about the expectations of supervision. However this is not yet fully implemented. The manager says that staff receive informal supervision on a Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 15 daily basis when she is out and about in the home. She is also confident of her senior member of staff who are very experienced being able to support staff. She meet with senior staff and any issues and concerns about staff care practice are discussed. Fire records are up to date, safety procedures are posted. Care staff are receiving training in moving and handling, fire safety, food hygiene, infection control and first aid. The premises are secure. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x 3 x x x 2 x 3 Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 17 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 Regulation Requirement Timescale for action 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 7 28 36 Good Practice Recommendations Care plans should be reviewed monthly. The registered manager should continue to work towards achieveing 50 care staff with NVQ level 2 qualification. The registered manager should be supervising all care staff 6 times a year. Seabourne Residential Home D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 © 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 D55 S3978 Seabourne V229023 020605 Stage 4.doc Version 1.30 Page 19 - 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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