Inspection on 07/06/06 for Seabreezes

This inspection was carried out on 7th June 2006.

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

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

Other inspections for this house

Seabreezes 25/02/09

Seabreezes 12/03/08

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 09/07/2008.

CARE HOME ADULTS 18-65 Seabreeze 61 Meehan Road Greatstone New Romney Kent TN28 8NZ Lead Inspector Mrs Sue Gaskell Unannounced Inspection 7th June 2006 10:00 Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 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 Seabreeze DS0000067549.V295990.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seabreeze Address 61 Meehan Road Greatstone New Romney Kent TN28 8NZ 01905 459 800 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) Parkcare Homes Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/a Brief Description of the Service: Seabreezes provides residential care to up to 6 adults with a learning disability. The home is owned by Parkcare Homes Limited, which is a wholly owned trading subsidiary of Craigmore Group Limited, a major provider of services throughout the UK. The fees currently range from £1,058 - £1,713 per week. The Home is situated on the Kent coast within a short walk of the beach and local shops and some 20/30 minutes drive of the towns of Hythe, Rye and Ashford. Seabreezes is a detached two storey building which comprises individual bedrooms for each resident, all of which have en-suite facilities, a lounge/diner, kitchen/diner, laundry room and office. There is an enclosed level rear garden for the residents use, and there is a parking area to the front of the property. Staffing comprises the manager, who has applied for registration, and support staff. There is no staff sleeping in room but the home employs 2 awake night staff. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 7th June 2006 between 10.00 and 1.30pm. There were 4 people living at the home, and there are two vacancies. The inspector spoke to the 4 residents, the manager, 1 member of staff and 1 care manager. The residents have limited communication and therefore the inspector spent as much time with them as possible in order to see whether they appeared relaxed and comfortable. The inspection process consisted of information collected before and during the visit to the home, and care management feedback after the site visit finished. Other information seen included incident report forms, assessment and care plans, medication records, duty rota and staff employment and induction paperwork. What the service does well: 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. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 & 5 Quality in this outcome area is good. The statement of purpose, service user guide and individual statement of terms and conditions, clearly says what service will be offered. Prospective residents can be confident that their needs will be assessed and can be met. EVIDENCE: Prospective residents and those living in the home are provided with a comprehensive service user guide which has been produced in a pictorial format so that it can be understood by as many people as possible. Whilst all of the existing residents have been admitted from a home which is now closed, and there have been no new residents admitted, there is evidence to show that there is a sound preadmission assessment procedure with input from the prospective residents, Care Managers, families and other health care professionals. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. The service user plans are easy to use and descriptive. Residents’ choices are respected and their decision-making is well supported. Residents are supported in taking risks in the daily and social activities that form part of an independent lifestyle. EVIDENCE: All of the care plans include details on short and long term goals and how the home will assist residents in achieving their goals, and these are reviewed regularly. Residents have key workers who monitor their individual needs and activities and help them understand the contents of their care plans. Risk assessments are prepared and include specific guidelines. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, 15,16 & 17 Quality in this outcome area is generally adequate. Daily life generally meets the residents’ lifestyle preferences and expectations. Residents’ ability to engage in appropriate leisure activities could be compromised by lack of staff. Residents have regular contact with their families and friends and receive a nourishing and balanced diet. EVIDENCE: Residents have access to a range of activities during the day but the daily report book referred to occasions when lack of staff has meant that residents have not been able to carry out their planned activity. Although most activities are carried out with the assistance of staff residents are encouraged to be independent whenever appropriate. Staff confirmed that residents would not have to do something if they did not wish to. The menus and contents of the store cupboard were seen to be varied and appropriate for a balanced diet. Special attention is given to the needs of residents’ with specific needs. The Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 10 food seen on the day of the inspection appeared appetising and nutritious and residents are encouraged to make suggestions about the menus. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. Residents choices over their care are respected. Residents’ care plans are reviewed and their health care needs are met. Residents are protected by the home’s policies and procedures for dealing with their medication. EVIDENCE: Although it was difficult to obtain information from residents because of the communication needs, they were seen to be relaxed and comfortable interacting with staff. Residents care plans and daily records referred to clear guidelines on providing support and monitoring health care and social care needs. The home has sound medication procedures and staff confirmed that only trained staff would administer medication and that they have read the procedures stored in the medication file. Medication was stored securely and appropriately. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. Residents can be confident complaints will be listened to and dealt with appropriately and they will be protected from abuse. EVIDENCE: The manager said that every effort is made to ensure that residents can communicate their feelings if they are not happy with something and this was also confirmed by feedback from one resident’s relative. The home has adult abuse procedures in place and staff have received training on adult protection awareness. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 - 30 Quality in this outcome area is excellent. Residents live in a homely,comfortable and safe environment. The home is hygienic and clean. EVIDENCE: The bedrooms and living areas are furnished and decorated to a very good standard, and contained the type of furniture and equipment necessary to provide a homely environment. Residents indicated that they are pleased with their new bedrooms and have chosen colours, furniture etc. All residents have en-suite facilities. All areas were clean and hygienic. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is adequate. Service users would benefit from a team with a wider range of skills. Staffing numbers are just adequate to meet the current number of service users’ needs and wishes. Recruitment practices are generally sound. Training provision is adequate. EVIDENCE: The staff rota indicates that although the current staffing level of 4 staff on shift is just adequate, this number includes the manager. Further, the inspector read in care plans that one resident requires 2 people to support her when she is out in the community and therefore when that resident is being supported, it either results in that resident being unable to carry out her activities or other residents having to wait for attention. Whilst the inspector was informed that one previous member of staff is returning and also agency staff are to be used, one member of staff is leaving and staffing levels are unlikely to be sufficient to meet the residents’ needs when the home has its full number of residents. The current staff team transferred with the residents from a home which is now closed and all staff checks were carried out at this Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 15 time. Similarly all staff have received induction training, core training and ongoing training, and 2 members of staff were receiving training in managing aggression at the time of the inspection. At the time of the baseline site visit staffing was judged to be poor but since that time the manager confirmed that the staff referred to above have started work. This has eased the staffing situation in terms of the current number of residents and therefore this standard will now be judged as adequate. However, staffing must be reviewed prior to admitting more residents. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 & 42 Quality in this outcome area is good. The Manager has applied for registration and is undertaking further training to enable her to run the home appropriately. The company encourages input from residents and regularly reviews its procedures, thus benefiting the residents lifestyle and safety. Health and safety in the home is promoted. EVIDENCE: The residents’ views and feelings are constantly monitored, either through talking to them or through other forms of communication. The manager said that quality assurance is given a high priority and any feedback from residents and/or their families or advocates is acted upon. The general management of the home and completion of records are of an adequate standard but some care plans and other records have not been reviewed as the manager is not able to devote as much time to paper work as she should due to current staff Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 17 shortages. There was evidence to show that health and safety issues, such as the importance of checks on the environment and risk assessments are regularly carried out and reviewed. Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 4 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 3 Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 19 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 OP14 2 OP33 18 Standard Regulation 18 Requirement Ensure there are sufficient staff to enable residents to carry out planned activities. Ensure there are sufficient staff to provide an effective staff team. Timescale for action 22/06/06 22/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seabreeze DS0000067549.V295990.R01.S.doc Version 5.2 Page 21 - 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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