This inspection was carried out on 11th January 2006.
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.
CARE HOMES FOR OLDER PEOPLE
Seacroft 5 Walesbeech Road Saltdean East Sussex BN2 8EF Lead Inspector
Merle Blakeley Announced Inspection 11th January 2006 10:00 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 Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 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. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Seacroft Address 5 Walesbeech Road Saltdean East Sussex BN2 8EF 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) 01273 306339 Mrs Beryl Terry Mrs Beryl Terry Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The maximum number of people to be accommodated is three (3) Date of last inspection 4th October 2005 Brief Description of the Service: Seacroft is a large detached house situated near the A259 coast road in Saltdean near Brighton. The home is registered to care for up to three older people with a low level of need. Bedrooms within the home are located on the ground floor and the first floor. The home has a pleasant sunroom on the first floor and a spacious rear garden. Local shops, transport and amenities are within a reasonable walking distance. The home would not be suitable for wheelchair users. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This Announced Inspection was carried out over a period of two hours on 11th January 2006. The inspection process involved a returned pre-inspection questionnaire, two service user comment cards, a tour of the premises and informal talks with the owner/manager and both residents. This is a small family run home and the owner/ manager is the sole carer and therefore no other staff are employed. What the service does well: What has improved since the last inspection? What they could do better:
No requirements or recommendations were made during this inspection. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 6 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. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 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 Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 5 The home has produced a guide to the home. Residents are assessed before they move into the home. Visits are offered to prospective residents. EVIDENCE: The owner/manager has produced a basic service users guide, which provides details about the home and how it is managed. A prospective resident would normally be referred to the home via social services and an assessment would have been previously carried out. The owner/manager would then carry out her own assessment by visiting the resident to ascertain as to whether the home could meet his/her needs. Trial visits are offered and a prospective resident could visit for coffee, lunch or an overnight stay. Relatives or friends are also welcome to be present during these visits. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 & 11 Residents care plans are being maintained. Resident’s health care needs are being met. Residents are treated with respect and dignity. Both residents have their wishes recorded as regards to illness and death. EVIDENCE: Residents care plans were again viewed during the inspection. The plans were seen to be relevant and up-to-date. Risk assessments are now being updated on a quarterly basis. Both residents are registered with their own GP’s and they have access to a chiropodist and optician when required. The owner/manager stated that she would organise any other health care needs that residents required. Both residents are now weighed regularly and both are currently in good health. It was evident that residents are treated with respect and dignity by the owner/manager. The owner/manager has now discussed with residents their wishes regarding illness and death and these wishes have been recorded in their care plans.
Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 & 15 Residents enjoy their lifestyle in the home. Residents are helped to exercise autonomy. The owner/manager provides a well-balanced and varied diet. EVIDENCE: One of the residents is very independent and she organises her own daily activities. The other resident spends most of her time at home, as her mobility has decreased and she enjoys spending time in the sunroom. The owner/manager stated that she takes her out in the car and she enjoys knitting, sewing and listening to music and sitting in the garden during the warmer months. She would also be supported and encouraged to attend social activities outside of the home. As this is a family home both residents are very much part of the owner/managers circle of family and friends. As one of the residents is very independent she is able to control all of her financial affairs. The other resident is supported to make her own decisions where she can. This resident also has the assistance of advocates. Both residents said that they were more than happy with the wonderful meals that were provided by the owner/manager. The said they have choices and they are able to suggest any meals that they would like. Meals are recorded and it was evident that both residents are receiving a well-balanced and nutritious diet.
Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a complaints policy. EVIDENCE: The owner/manager has produced a complaints policy and procedure, which is included in the service users guide. Each resident has a copy, which they keep in their bedrooms. There have been no complaints. The owner/manager has now attended a course in Adult Protection. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21, 22, 24 & 26 The home has a shared bathroom and toilet. Currently no additional adaptations are required in the home. Resident’s bedrooms are comfortable and personalised. The home is clean and tidy. EVIDENCE: There is one bathroom and toilet located on the first floor and this is shared by both residents. Both residents have hand washbasins in their bedrooms. Both residents currently do not require any additional aids or adaptations to manage in the home. If they are required in the future the owner/manager stated that she would purchase them. Both resident’s bedrooms were viewed and they appeared to be very comfortable and homely and personalised with their own belongings. The home is kept very clean and tidy and maintained to a good standard.
Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The home does not employ staff. The owner/manager is the sole carer. Recent training has included Adult Protection and First Aid. EVIDENCE: The owner/manager is the sole carer and therefore does not employ any staff. The owner/manager stated that if she should become ill there are several family members who could take over the care of the residents. These family members are well known to the residents. The owner/manager has recently attended two training courses to update her skills and knowledge, First Aid in October 2005 and Adult Protection in November 2005. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 38 Suitable records are maintained. There were no health & safety concerns found on the day. EVIDENCE: A number of records were viewed during the inspection and they appeared to be up-to-date. Fire bells are checked regularly. A tour of the premises was carried out and no health and safety concerns were found. Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 15 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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 3 3 X 3 X 3 STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X N/A 3 3 Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement 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. Refer to Standard Good Practice Recommendations Seacroft DS0000021380.V268881.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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