Inspection on 09/01/07 for Seacroft Care Home

This inspection was carried out on 9th January 2007.

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 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

Seacroft Care Home 19/11/09

Seacroft Care Home 11/01/06

Seacroft Care Home 04/10/05

Seacroft Care Home 24/02/05

Seacroft Care Home 24/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Seacroft 5 Walesbeech Road Saltdean East Sussex BN2 8EF Lead Inspector Merle Blakeley Key Unannounced Inspection 9th January 2007 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.V297575.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 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.V297575.R01.S.doc Version 5.2 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.V297575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is three (3). The service users accommodated will be aged sixty-five (65) years or over on admission. 11th January 2006 Date of last inspection Brief Description of the Service: 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 not considered a typical care home as the owner lives in the house with her family. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of two hours on 9th January 2007. The inspection process included a returned pre-inspection questionnaire, a visit to the service and discussions with the resident and the owner/manager. The owner/manager is the sole carer and does not employ any staff. During this visit it was discussed with the owner/manager that this particular service is not a typical care home, as the owner lives in the home with her family. It is not possible to make an assessment of all the National Minimum Standards due to the fact that it is a family dwelling. This service is best suited to an Adult Placement Scheme for older people with learning disabilities and the owner will now look into joining one of these local schemes, whereby ‘the scheme’ is registered rather than the carer. The scheme would then become responsible for the care that is provided and regulate it accordingly. This would be considered a much more suitable option for the long-term future of the service. It is also quite evasive for the family to have their own home inspected. What the service does well: What has improved since the last inspection? What they could do better: This service is basically running well and as previously stated the service now needs to look at becoming part of an adult placement scheme, which would better serve the home and its occupants. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 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.V297575.R01.S.doc Version 5.2 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.V297575.R01.S.doc Version 5.2 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was evidence that an assessment had been carried out on the current resident. EVIDENCE: This service has only one resident who has been placed by a local authority in May 2004. She is an older person who has some learning disabilities. There is another older person living in the home and she is a friend of the family. This is a private agreement between the owner and herself. This person does not require any personal care and she is totally independent and therefore this arrangement has been considered as ‘lodgings only’. An assessment was carried out on the one resident before she moved into the home. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 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, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are very basic, however the resident is receiving a very good level of one-to one personal care. EVIDENCE: The home has developed basic care plans and these were viewed. Risk assessments are also carried out now and they were seen to be relevant to the resident’s current needs. Residents are registered with their own GP’s and they have access to other health professionals. A doctor had just recently visited the resident, as she has been unwell with a viral infection. The inspector was able to briefly chat with her and she stated that she was feeling better. The owner/manager stated that during this illness she had been providing the resident with a lot of one-to-one care. It was suggested that a new assessment be carried out as her current health needs are changing. It was also agreed that the owner/manager seek advice from the local continence nurse. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 10 It was evident from observations that residents are treated with respect and dignity by the owner/manager. The owner/manager is aware of how to appropriately administer and record medications when required. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 11 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, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s enjoy their lifestyle within the home. Visitors are welcome. The home provides a wellbalanced diet. EVIDENCE: During the last four inspections to the home the resident has always stated that she is very happy living here and feels like ‘part of the family’. She does not like to go out much now but prefers to spend her time in the sunroom knitting, sewing and listening to music. She is also very happy to have her budgerigar in her bedroom with her. The owner/manager helps her to clean and change the birdcage regularly. The resident has visitors who come occasionally to the home. One of these visitors is the resident’s advocate. The owner/manager cooks all the meals and residents are provided with a well-balanced and nutritious diet. Comments about the meals provided have always been very good and there are plenty of choices available. Residents can virtually choose whatever they like to eat and make suggestions about the types of food they would prefer. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 12 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has produced a complaints policy and an adult protection policy and procedure. EVIDENCE: A complaints policy and procedure has been produced, which is included in the service users guide. Residents have a copy in their bedroom. There have been no complaints made to the home or to the CSCI. There is a policy and procedure regarding the protection of adults. The owner/manager has attended a course on the protection of vulnerable adults. There have been no adult protection issues within the home. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 13 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): 19 & 26 Quality in this outcome area is good. The home is well maintained and kept clean and tidy. Some refurbishment work is being carried out at present. EVIDENCE: This house is a family home and the owner/manager lives here with her family. The home is well maintained and currently some refurbishment work is being carried out to provide en suite facilities for the bedroom on the ground floor, create a new utility room and to provide an additional bathroom for a family member. The owner/manager is trying to ensure that these building works cause minimum disruption within the home. The home is kept clean and tidy. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 14 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): These outcomes cannot be assessed, as the home does not employ any staff. EVIDENCE: Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 15 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): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The owner/manager runs the home in a caring and friendly manner, however the home needs to consider moving to an adult placement scheme. Resident’s monies are safeguarded. The health and safety of residents is protected. EVIDENCE: The owner/manager has been caring for older people in her home for many years now and stated that she is not considering studying for the required Registered Managers Award (RMA) qualification. It was discussed with the owner/manager that this type of home is not suited to being registered with the CSCI. Some of the National Minimum Standards cannot be assessed due to the fact that care is being carried out in the owner/managers own home. There are also no staff members as the owner is the sole carer. This service would be better suited to an Adult Placement Scheme and the owner/manager has agreed that she will look into this and contact the relevant local schemes for Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 16 older people with learning disabilities. She also feels that an Adult Placement Scheme would be a better option for the long-term future of the service. The owner/manager is responsible for safeguarding the monies of the resident and her finances were viewed and found to be in order. Running totals and receipts are maintained. The owner/manager tries to ensure at all times that the health & safety of residents is safeguarded. The addition of a new utility room will mean that soiled clothing will not be brought into the family kitchen to wash. The home has suitable fire procedures and the fire alarm is checked weekly. There are five fire doors within the home and an evacuation plan has been produced. An accident book is maintained and this was viewed on the day. Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 17 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 3 Seacroft DS0000021380.V297575.R01.S.doc Version 5.2 Page 18 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.V297575.R01.S.doc Version 5.2 Page 19 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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