Random inspection report
Care homes for older people
Name: Address: Seacroft Care Home 5 Walesbeech Road Saltdean East Sussex BN2 8EF two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Judy Gossedge Date: 1 9 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Seacroft Care Home 5 Walesbeech Road Saltdean East Sussex BN2 8EF 01273306339 01273304571 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Beryl Terry care home 3 Number of places (if applicable): Under 65 Over 65 3 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 3 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: Old age, not falling within any other category - OP Date of last inspection Brief description of the care home Seacroft is a large detached family home situated near the A259 coast road in Saltdean near Brighton. The home is currently 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. This home is
Care Homes for Older People Page 2 of 8 Brief description of the care home not considered a typical care home as the owner lives in the house with her family. Fees at the time of the inspection are between £386.00-£400.00 per week. Care Homes for Older People Page 3 of 8 What we found:
Seacroft has been a dormant service, which is why the home is still registered with the CQC, but has not been providing care to residents. The last unannounced key inspection was carried out on 9 January 2007. This announced random inspection took place on 19 November 2009 over two hours and was an opportunity for the owner who is also the Registered Manager to update the CQC on the service being provided following the re-opening of the home. Not all the National Minimum Standards were looked at during this inspection, but a discussion was had about systems and practices currently in place and a sample of documents were viewed. Information was not sought from residents on this occasion. The owner and with her husband and daughter provide all the care in the home and do not employ any other staff to work in the home. During the previous inspection it was discussed with the owner that this particular service is not a typical care home, as the owner lives in the home with her family, which has made it difficult to undertake an assessment of all the Standards due to the fact that it is a family dwelling. That this service is best suited to an Adult Placement Scheme for older people with learning disabilities, whereby the scheme is registered and would then become responsible for the care that is provided and regulate it accordingly. The owner stated that this option has been considered, but they wish the home to remain registered as a care home and are currently working to ensure that all the required National Minimum Standards are being met. What the care home does well: What they could do better:
No Requirements have been made on this occasion. Where shortfalls in the required Standards have been identified the owner stated and was able to provide some evidence that work is currently being undertaken to address this. The owner has been requested to provide an improvement plan by 31 December 2009 to detail how the required Standards will be met including specific shortfalls which have been identified. This will be the focus of the next key inspection of the home. Areas identified in need of further development include: The Statement of Purpose should to be reviewed to ensure that all the required information as listed in Schedule 1 is detailed in the document. Currently there is not a Service User Guide and this should be be developed to ensure that prospective residents and their representatives have all the required information to reference. The recording of the assessment process should be developed to ensure all the required information is requested and recorded to enable a decision to be made as to whether a persons care needs can be met in the home. A letter should be developed to send to a
Care Homes for Older People Page 4 of 8 prospective resident or their representative to confirm if the care needs can or cannot be met in the home. The residents care plans should be be developed to detail all the residents personal, health and social care needs and the actions that need to be taken. Risk assessments should be developed with particular attention to the risk of falls to protect residents and provide guidance on the care to be provided. Medication storage and recording for control drugs should be put in place to meet current requirements. Further advise should be sought as to the current requirements for the recording of administration of medication. Where medication is self administered the risk assessments should be developed and a lockable facility provided for residents to store their medication to protect residents. The Manager stated that all the family will be undertaking safeguarding vulnerable adults training and a copy of the East and West Sussex County Council, Brighton and Hove safeguarding adults procedures should be sought and be available to reference in the home to protect residents. Currently not all the family has attended all the mandatory training. The owner has stated that she and her husband are undertaking NVQ Level 2 in care and all the family are in the process of undertaking all the required mandatory training. The owners daughter is also accessing training with the intention of applying for the position of Registered Manager of the home. A training matrix to demonstrate when training has been completed and to highlight when refresher training is required would highlight when refresher training is due to be completed. Although no staff are employed to work in the home not all the family have had a Criminal Records Bureau check/POVA First check and references sought where required to protect residents. The owner stated these will be applied for. A quality assurance system should be developed to enable residents ongoing opportunities to comment on the care provided and to demonstrate that there is continuous monitoring of the care provided and development of the service. Further advise should be sought from the Health and Safety Executive as to the regular checks and risk assessments which need to be in place to maintain a safe environment. Not all the radiators in the home are guarded. The owner agreed to put risk assessments in place that day. So an Immediate Requirement was not made on this occasion. Further advise should be sought from the East Sussex Fire,Sea and Rescue Service in relation to a fire risk assessment for the home, the maintenance of a safe environment, training and the practice of wedging open of doors in the home. A system should be put in place to notify the CQC to meet the reporting requirements of Regulation 37. 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, 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 Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
