Inspection on 25/02/09 for Seabreezes

This inspection was carried out on 25th February 2009.

CSCI found this care home to be providing an Good service.

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.

Other inspections for this house

Seabreezes 12/03/08

Seabreezes 07/06/06

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Seabreezes 61 Meehan Road Greatstone New Romney Kent TN28 8NZ The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this full assessment a ‘key’ inspection. Lead inspector: Christine Lawrence Date: 2 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. They reflect the This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 22 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 Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: Seabreezes 61 Meehan Road Greatstone New Romney Kent TN28 8NZ Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Learning disability Number of places (if applicable): Under 65 6 Over 65 01797639150 seabreezes@craegmoor.co.uk Parkcare Homes Ltd Mr Ian Shoebridge care home 6 Additional conditions: The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection: Brief description of the care home: Seabreezes is a home very close to the beach. 6 people live in the home. Everybody living in the home has their own bedroom. The home has a car to take people out. There is a large garden at the back of the house. There is some space for parking cars. It costs about £1100 to £1700 a week to live here but it would depend what the persons needs are. Seabreezes is owned by Parkcare Homes Ltd which is part of Graegmoor Group Limited who have other homes in the area and further away. 1 2 0 3 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service How we did our inspection: This is what the inspector did when they were at the care home We said hello and talked to the people who were in the home. We talked to the staff and the registered manager. We walked around the home and had a look to see what it is like. We looked at some care plans and health records. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. We had lunch with the people living and working in Seabreezes. What the care home does well: People say they like the home. Care Homes for Adults (18-65 years) Page 5 of 22 They say they like the staff. There is a good number of staff to support the people living in the home. People have good support to keep in touch with their families. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 22 Details of our findings Contents Choice of home (standards 1 – 5).......................................................................... 8 Individual needs and choices (standards 6 – 10) ..................................................... 9 Lifestyle (standards 11 – 17) .............................................................................. 11 Personal and healthcare support (standards 18 – 21) ............................................. 13 Concerns, complaints and protection (standards 22 – 23) ....................................... 14 Environment (standards 24 – 30) ........................................................................ 15 Staffing (standards 31 – 36)............................................................................... 16 Conduct and management of the home (standards 37 – 43) ................................... 18 Outstanding statutory requirements..................................................................... 20 Requirements and recommendations from this inspection ....................................... 21 Care Homes for Adults (18-65 years) Page 7 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents individual aspirations and needs will be assessed. Evidence: We looked at the pre-admission assessment for the most recently admitted person. This showed that the individual, as well as family members were involved. The manager also visited the prospective resident in the place they were living at the time. There was also information from the social services department involved in supporting the individual. The assessment was written from the point of view of the resident and included information about the residents future goals and choices. Reference is also made to any specific needs relating to religion (and whether practising or not), relationships and culture/background, as well as to any disability. The information within the AQAA, completed by the manager, indicates that there is a clear procedure for assessing the needs of a prospective resident. At the previous inspection there was a requirement that pre-admission assessments be improved and this has been done. Care Homes for Adults (18-65 years) Page 8 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. Evidence: We looked at two individual records for this inspection. The information from the assessments is used to compile a care plan. Residents are involved as much as possible in writing these documents and one we saw had the signature of the resident. Within the AQAA the manager noted that the people living at Seabreezes are all different in their ways of understanding and communicating so the assessments include information about these things. One example seen was a note that said be patient with me I need time to take it in and time to answer. The plans are person centred, focussing on the individual and written from the point of view of the individual. We noted that a relative was involved with one particular plan, signing to show his agreement and involvement. The home has a key worker system in place and there are monthly semi-formal meetings between the resident, their key worker and the manager of the home to keep an eye on how things are progressing. Each person has identified some goals they wish to achieve. The overall care plan is reviewed once a year but changes are made and updates recorded at any time when things change. Care Homes for Adults (18-65 years) Page 9 of 22 Staff make notes either as part of daily recordings or completion of shift handover sheets and these, as well as key worker meetings enable the home to audit the care provided. The manager told us that there are still some ideas for making the person centred plans a bit less complicated and wordy. The care plans contain information for staff about how an individual wishes to be supported and the kind of daily routine they want. The manager identified in the AQAA that because peoples understanding and communication varies so does their ability to make choices and decisions. We saw one person clearly expressing his wishes verbally and another using an individual planning tool for expressing what was preferred. The manager confirmed he is aware of the Mental Capacity Act and the Deprivation of Liberty Safeguards and some training has already taken place for some staff. More is planned. The individual record contained risk assessments which focussed on how to enable someone to do something as safely as possible, rather than saying they cannot do something at all. At the previous inspection there was a requirement to improve the care plans and make them more current in reflecting changing needs, as well as including aspirations and goals and this inspection shows that improvements have been made. Care Homes for Adults (18-65 years) Page 10 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from having a healthy diet. Evidence: We saw residents choosing to go out to play bingo at a local community hall and other residents going to a garden centre. Each person has a weekly plan of activities in their individual folders and there is also a board with information on display. People go to local shops and use facilities in the community including the gym, pubs and the cinema. Residents told us about some of the things they like doing such as long walks on the seafront and the AQAA contained information about what people like to do. Some people attend more formal activities such as art and craft sessions and singing and movement classes. Residents showed us their rooms with televisions and DVD players etc for those that choose to have them. Two people have their own planning tool to show what they wish to do on a particular day. Staff said that the key worker meetings are used to help people identify things they would like to do and one current example noted was to learn more about computers. Care Homes for Adults (18-65 years) Page 11 of 22 The home has a vehicle to support residents travel needs but some people also use public transport. We noted examples of residents relatives being involved and the manager informed us that there are no restrictions on visiting and they make visitors welcome. We saw staff knocking on residents doors and one resident confirmed that this is what staff do. Residents preferred name is noted on their care plan. Their religion is also recorded, as well as if they wish to practise or not. The manager informed us that no one does at this time. We joined residents for lunch. They were asked individually what they would like from a combination of different things and they chose where they wished to sit; some chose the kitchen/diner area and others the dining area in the lounge/diner. Staff join residents for meals and we observed it to be a social time. The manager informed us that one person likes to help prepare meals sometimes and two people make drinks independently. One person is supported to make choices about meals through pictures. Any individual needs relating to eating and drinking is noted in the care plan. There was a requirement from the previous inspection highlighting the need to improve the structure and planning of activities, making sure that individuals have choices. This has been improved. Care Homes for Adults (18-65 years) Page 12 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the homes policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. Evidence: The care plans which we looked at contained information about how to support people. This included any support needed for personal hygiene. Information about health care is also noted such as skin care, weight monitoring and medication preferences (such as having liquids or soluble things). There is guidance for staff about specific things such as managing epilepsy. Residents have health action plans in place and there was evidence that they see health care professionals either routinely or as required. Medication procedures and storage is satisfactory and staff have received training. The manager informed us that staff are also regularly assessed for their competency. Some people have individual medication storage in their rooms. Care Homes for Adults (18-65 years) Page 13 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents views are listened to or ascertained, and acted on. Evidence: The organization has a complaints policy and procedure and the manager went through this to explain the system. This is available in a simple format as well, to make it more accessible for the people living at Seabreezes. One resident told us that he would talk to Ian if he had a complaint or was fed up with anything. The manager explained that the key worker system helped people to identify if there were any concerns. The company regularly audits residents finances and there are a range of policies and procedures relating to the protection of people and their possessions, including the disclosure of bad practice and abuse. The records show that staff receive training relating to protecting vulnerable people. Care Homes for Adults (18-65 years) Page 14 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a home which is homely and comfortable as well as clean and hygienic. Evidence: At the last inspection it was noted that some work was needed to the outside and this has now been painted. It was also noted that the home was not very homely. This has also been improved with pictures, ornaments, plants, fish tank and photograph displays of residents. There had been a problem about things like this because of the behaviour of a resident who no longer lives at Seabreezes. The communal areas are very comfortable and homelike. We also saw some residents rooms, in their company and these were very individual, reflecting their personalities and their needs and wishes. The house is in keeping with the local community. A maintenance person is employed and does painting and decorating as well as minor works within the home. One resident said I really think my room is great. He was very proud of all his possessions, wanting to show everything. The laundry facilities were satisfactory. Some residents are supported to do their own laundry. The home was clean and fresh on the day of this inspection. Staff have received training in respect of infection control and food safety and there are policies and procedures in place relating to health and safety. Care Homes for Adults (18-65 years) Page 15 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sound recruitment procedures and training already provided and training planned, will have a beneficial impact on residents. Evidence: There is a key worker system in place at Seabreezes and we saw notes from meetings that key workers have with individuals. Staff said this system gives them an opportunity to get to know people well and build relationships - you get to know your key person but it is still important to know everyones personality, specially how they communicate because everyone is so different. There are staff meetings as well as team leader meetings which are used to ensure that people are aware of changing needs, and to enable staff to contribute to discussions about individuals. The manager informed us that five people have achieved their national vocational qualification (NVQ) in care at level 2 and two people are currently undertaking this. Two people have also gained NVQs at level three and the deputy has the registered managers award (RMA). We looked at the records for two people and they showed that criminal record bureau checks are carried out, as are PovaFirst checks. There was also evidence of appropriate permission to work in the UK (Accession State Worker Registration Scheme) for one person. All staff receive a copy of the GSCC code of practice and we noted copies of terms and conditions of employment on the two files seen. The records showed that staff undertake training as part of an ongoing programme. This includes induction training in keeping with the Skills for Care Common Induction Standards. The training Care Homes for Adults (18-65 years) Page 16 of 22 ranges from aspects of health and safety as well as managing and preventing aggressive or difficult behaviour and subjects relevant to individuals needs eg managing epilepsy. Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. Evidence: The manager, Ian Shoebridge, has managed Seabreezes since May 2007. He has an NVQ in care level 4 and the registered managers award (RMA). He is only responsible for Seabreezes. He gave examples of some of the training courses he has completed to keep up to date with his knowledge. He discussed with us the outcomes from the previous inspection and how he and the staff team have worked hard to improve things for residents. The team leader on duty also said they have tried to improve on the performance from last years inspection. She and the manager said that staff morale was good. We noted from the AQAA and from what the manager and team leader said, as well as records in the home, that yearly surveys are given to residents and their relatives. Staff also completed feedback questionnaires. Audits are undertaken within the home for various things such as infection control, food safety, health and safety and finances. The providers quality development team also does audits twice a year based on the national minimum standards and we saw a copy of the last one undertaken. The AQAA was completed well reflecting an awareness of improvements made and things still to Care Homes for Adults (18-65 years) Page 18 of 22 be improved or built upon. Visits to the home under Regulation 26 take place and reports were available for us to see. These were mostly by an area manager but also included a peer manager who was accompanied by a resident from another home. As previously noted the records of training show that there is a programme provided which includes subjects relating to health and safety eg manual handling, food safety etc. We did a spot check on some service and maintenance contracts and they were appropriate and up to date and confirmed the information within the AQAA. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes No X Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. ©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. Care Homes for Adults (18-65 years) Page 22 of 22 - 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. 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