Inspection on 01/09/05 for Seacroft Court

This inspection was carried out on 1st September 2005.

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.

Other inspections for this house

Seacroft Court 06/11/07

Seacroft Court 19/04/06

Seacroft Court 24/03/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Seacroft Court Seacroft Esplanade Skegness Lincs PE25 3BE Lead Inspector Ken Hague Unannounced 1 September 2005 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 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 Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Seacroft Court Address Seacroft Esplanade Skegness Lincs PE215 3BE 01754 610372 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Collegia Care Limited Mrs Angela Smith Care Home with Nursing 50 Category(ies) of OP - Old Age - 50 registration, with number PD - Physical Disability - 8 of places Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to accommodate 7 persons in category of Physical Disability aged 40 years and over. The home is registered to accommodate 1 named person in category of Physical Disability aged 33 years. This person is to be accomodated in Room 7. Date of last inspection 24 March 2005 Brief Description of the Service: Seacroft Court is a care home providing personal and nursing accommodation for 50 service users in the category Older People. The home is also registered to accommodate up to 8 people in the category PD - Physical disability.The home is owned by Collegia Care the directors being Mr and Mrs Cooper. Mrs Cooper is the Responsible Individual for the organisation.The home is situated in Skegness in a quiet cul-de-sac overlooking the sea. Local amenities are a 10-minute walk away. The service users have access to the homes transport, which is used to take them into the local community and Skegness town centre.The home is a detached property set in large landscaped grounds. The layout is over 2 floors, which are served by 2 lifts.The home has a registered manager Mrs Angela Smith who is supported by a care manager. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 8am & 01.30pm. The main method of inspection used is called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A partial tour of the premises was conducted, and care records were inspected. Four residents, three members of staff and the responsible individual were informally interviewed. 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. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 7 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 standard(s) 1,2,3&6 There are thorough procedures for the introduction and assessment of people to the service, ensuring that their care needs are met. Information is provided to new residents to ensure they can make an informed choice before moving into the care home. Residents taking short-term or intermediate care are helped to maximise their Independents and return home. EVIDENCE: The home’s service users guide and statement of purpose is displayed in the reception area of the care home. These documents set out the resources of the care home and the facilities offered to all new residents. Staff stated residents are given a copy of the service users guide at the time they are admitted to the care home. Residents confirmed this statement to be correct. A resident returning to the community after a short period of respite care confirmed that staff had helped him to maximise and retain his independence in preparation for his return home. All files sampled during this inspection contain a full initial assessment, which included a copy of the terms and conditions for residents stay at the care home. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 8 A service user interviewed confirmed that he had been given a statement of the terms and conditions for his day including a breakdown of the financial cost. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 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 standard(s) 7,8,9&10 Care plans identify all areas of need and provide detailed care instructions for staff; this enables staff to provide appropriate care. Residents’ health needs were being met. EVIDENCE: Resident’s file contained an individual care plan, which outlined the needs social and personal care for each individual resident. The care plans are presented in a format, which is easy to read. Staff stated that care plans are used as a working document. All care plans were being reviewed at the frequency set out in the National Minimum Standards. The care plans were signed and dated by both staff and individual residents. The care plans contain details of choices of activities and individual goals. There was evidence of community support services visiting the home. Records were being kept of visits by chiropodist, and dates recorded of dental appointments and eye checks. A resident described the manner in which he preferred to bath if in a way in which he requested staff to assist him particularly in and out of the Bath. His choices and wishes for bathing were recorded on his individual care plan. Residents spoken to during up this inspection stated that they felt very safe living in the care home. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 10 The home has a policy for self-medication. One of the residents being case tracked chose to self-Medicate a risk assessment was in her file demonstrating that she was able to do this safely. Care records provided evidence that staff were assisting and monitoring her taking her medication for diabetes. A resident stated, “Staff do respect the privacy of my bedroom and will always ask permission before entering. They treat me with dignity and provide care in a sensitive manner.” There were entries in care records reminding staff to ensure that the dignity and privacy of residence is always considered when carrying out personal care tasks. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 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 standard(s) 12,13&14 There is a wide range of activities available to residents to participating in, ensuring they are have an enjoyable and stimulating stay. EVIDENCE: The home employs an activity coordinator. The residents confirmed their satisfaction with the activity programme being offered by the home. The activity programme is displayed at various points throughout the home and all residents spoken to were aware of future activities. The home produces a newsletter, which has input from residents, which includes comments regarding activities, which they have participated in. A copy of the latest newsletter and activity plan was obtained during this visit. Residents confirmed that their friends and family are always made welcome when they visit the home. Staff stated that a church minister visits a home every three weeks to provide communion for residents. This was confirmed to be correct during discussions with residents. The choices and wishes, which included personal goals, were recorded on individual residents care plans. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 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 standard(s) 16,18 There are robust procedures for handling complaints and allegations of adult abuse, staff at clear on the actions to take in event of this occurring, ensuring the service users are safe. EVIDENCE: The complaints policy of a home, which meets the National Minimum Standards, is displayed in the reception area. Residents confirmed that they are aware of this procedure and feel able to raise concerns or complaints with the management. The inspection on the complaints book provided evidence that complaints are being logged and that management is following the company’s complaints procedure. There is a copy of the Lincolnshire county council vulnerable abuse policy in the care home. In addition the home has its own policy on the identification and prevention of abuse. Staff confirmed that training has been provided in the recognition and prevention of abuse. A staff member formally interviewed described the procedure to be followed if she had any suspicion of an abuse taking place. The action she described did conform to the company’s policy and procedure. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 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 standard(s) 25&26 Residents live in a safe and clean environment. Catering arrangements reflect service users preferences and choices. EVIDENCE: The Inspector made a tour of the kitchen area to ensure that the work identified at the last inspection had been completed by the Company. He found all the work required to meet the Care Home Regulations had been completed. New equipment has been provided and systems put in place to ensure that the kitchen is kept clean and hygienic at all times. The responsible individual stated that the environmental health department had inspected the new kitchens and confirmed that no recommendations were outstanding. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 &30 The home ensures that appropriate to staff are recruited and employed by the home. There are always appropriate numbers and skill mix of staff on duty. Staff are trained to ensure they are competent to carry out their employment tasks. EVIDENCE: The inspection of the homes recruitment policy confirmed that it does meet the National Minimum Standards. The inspection of the records for two new members are staffed confirmed that the company’s recruitment policy was being followed. The management and staff confirmed in discussions that all staff are encouraged to take part in NVQ training. Records provided evidence that staff are enabled to take part in NVQ training. The responsible individual for the home explained how the company’s training policy links into the annual staffing appraisals. Personal development needs are identified at the appraisals these are transferred over to individual files and matched up to resources identified for future training. Training records seen provided evidence that is process was being followed. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36&38 The home has an experience and supported registered manager. Staff have been provided with training, supervision and appraisals as required by the Care Home Regulations. The home provides a safe environment for residents to live in and staff to carry out their employment EVIDENCE: The registered manager Mrs Angela Smith has many years experience in caring for older people. Mrs Smith has enrolled on a registered manager award, which she expects to complete by the end of 2005. The home directors are Mr and Mrs Cooper. Mrs Cooper is the responsible individual for the company and visits the home on a weekly basis. Staff stated that they are very supported by the management of the care home. The staff confirmed that supervision and appraisals have been provided. The records provided evidence that this statement is correct. There were no health and safety issues identified at this inspection Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x 3 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 x COMPLAINTS AND PROTECTION x x x x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 3 x x x x 3 Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 17 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. Standard Regulation none 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. 1. Refer to Standard 7 Good Practice Recommendations It is recommended that the company reviews the recordkeeping practice of night staff to ensure night checks are recorded in detail. Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN 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 Seacroft Court C04 C53 S2551 Seacroft Court V247170 1-9-05 Stage 4.doc Version 1.40 Page 19 - 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!