Inspection on 08/02/07 for Seaford Head Retirement Home

This inspection was carried out on 8th February 2007.

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

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

CARE HOMES FOR OLDER PEOPLE Seaford Head Retirement Home 107 Steyne Road Seaford East Sussex BN25 1AS Lead Inspector Kathy Flynn Key Unannounced Inspection 11:30 8th February 2007 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 Seaford Head Retirement Home DS0000067627.V324797.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. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaford Head Retirement Home Address 107 Steyne Road Seaford East Sussex BN25 1AS 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) 01323 490851 Sammarsphyl@aol.com Mrs Phyllis Sammars Mrs Phyllis Sammars Care Home 16 Category(ies) of Dementia - over 65 years of age (16) registration, with number of places Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is sixteen (16) Service users must be older people aged sixty-five (65) years or over on admission Service users with a dementia type illness only to be accommodated Date of last inspection New service Brief Description of the Service: Seaford Head is a small home offering support and care for individuals with a dementia type illness. It is registered with the Commission to provide this for up to 16 residents, although the double rooms are often used as single. The home is situated on a busy road in Seaford, there is parking adjacent to the building, and the town centre and seafront are within walking distance. There is no lift in the home and residents are only admitted if they can access the first floor using the stairs, with the assistance of staff. There are two lounges on the ground floor, one is also used as a dining room and has a TV at one end. The other lounge is quieter and residents are able to listen to music of their choice if they wish. There is sufficient space for religious and social activities. There are gardens around the home and residents are able to sit outside with staff when the weather permits. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out over seven hours on the 8th February. This is a new service and all the standards were assessed during this inspection. A pre-inspection questionnaire and ten residents surveys were sent to the home prior to the inspection. The questionnaire and two surveys were completed and returned to the Commission. The inspection included a tour of the home, an examination of or discussion about all records kept in the home, including care plans, personnel files, medication records and training files. The manager and care staff were happy to discuss the services provided by the home. There were fourteen residents at the home during the inspection. All of the residents and the two visitors were spoken with. Those who expressed an opinion were positive about the support the home provides receive. The reader should be aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 uses the terms service user to describe those living in care home settings, for the purpose of this report those, living at care homes will be referred to as residents. What the service does well: Residents are encouraged to regard Seaford Head as their home. They are able to make choices about all aspects of their day to day life, in line with risk assessments that ensure their safety. Residents and relatives were positive about the support provided, ‘I like it here the girls are good’ and ‘the manager and staff are excellent’. It was noted that communication was friendly and open, and the atmosphere at the home was comfortable and relaxed, with staff providing support in such a way that residents independence is assured. Feedback from discussions during the inspection and the surveys was complementary about the management and the staff, no concerns were raised and some residents said they have nothing to complain about. The staff were thought to be very good in providing the support and care they need. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Seaford Head Retirement Home DS0000067627.V324797.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 Seaford Head Retirement Home DS0000067627.V324797.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose, Service Users Guide and Terms and Conditions of residency are good, providing prospective residents and their relatives with details of the services offered at the home, including costs. An appropriate pre-admission assessment is completed, prior to the offer of a room, to ensure the home can meet the needs of prospective residents. Prospective residents and their relatives are encouraged to visit the home to spend time with the staff and residents before they decide to accept a room. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 9 EVIDENCE: The Statement of Purpose and Service Users Guide have information about all aspects of the home, including the aims, objectives and philosophy of care that is the basis of the support and care provided at Seaford Head. This enables prospective residents and their relatives to decide if the home is appropriate for them and can meet their individual needs. Terms and conditions are completed with details of the services offered, including the fees and any additional costs, which are signed by the residents or their relatives if appropriate. The manager completes a pre-admission assessment for all prospective residents, with the involvement of the resident and their relatives or other representatives, to ensure that the home can meet their needs. Emergency admissions are rare and accepted only when the manager is satisfied that it is appropriate to offer a room at the home. The home offers support and care for individuals with a dementia type illness who are mobile and do not require the use of hoists or wheelchairs. Prospective residents are encouraged to visit the home to look around and meet residents and staff before they decide to accept a room. They can stay at the home on a trial basis for one month so that they are sure the home provides the support and care they need. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care planning system is clear and consistent and provides staff with the information they need to satisfactorily understand and meet the residents needs. The staff are protecting residents by following the homes procedures for the administration of medicines. The residents privacy and dignity is protected as staff provide support and care. This is evident from the positive relationships, which have been formed between the staff and residents. The changing health needs of residents are well met with evidence of good multi-disciplinary working taking place on a regular basis. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care planning system provides information about all aspects of the residents needs. 5 were examined, some for recent admissions and others who have been at the home for some time. They were up to date, had been reviewed on a regular basis, in additional to when any changes were identified, with the involvement of relatives and residents. The care plans included relevant assessments including moving and handling, pressure areas, falls assessments, nutritional assessments and risk assessments for each residents room to ensure their safety. Care staff record the care and support they provide for residents daily. A key worker system is in place, which ensures that each member of staff is responsible for supporting a group of residents although staff support all residents when they need assistance. The residents are registered with GP’s and allied health professionals are contacted when required, including the Community Psychiatric Nurses (CPN) and District Nurses (DN). The staff follow the homes policies and procedures for medication. Training is provided by a pharmacist, the Medicine Administration Records were examined and had been completed appropriately. Communication between staff, residents and visitors was open and friendly, staff were noted to treat residents with respect. The staff spoken with said that this is the resident’s home and they should be supporting them to live and do what they like. The changing needs of residents are reviewed and additional support may be provided if an individual’s health deteriorates. With assistance of the DN and GP the home is able to identify and obtain any additional aids that may be required to ensure that residents are looked after appropriately and can remain at the home. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a varied programme of in house activities. The routines of the home are flexible, this enables the residents to have control over their lives and encourages them to make choices about all aspects of their day to day living. The dietary needs of residents are well catered for with a balanced and varied selection of food available that meets the resident’s tastes and choices. EVIDENCE: A range of activities are offered to residents twice a day as groups or individuals. Some residents were playing scrabble or doing art work in the morning and in the afternoon they were looking at postcards and reminiscing. A number of new activities obtained from a publication by the Alzheimers Association are being introduced and have been well received. The manager advised that there is no strict programme of activities as they are organised daily depending on what the residents would like to do. When the weather Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 13 improves some prefer to go out for a walk and this is arranged as an activity with staff accompanying them. Residents are encouraged to spend their time as they wish within a safe environment. The staff said that residents are able to choose what they want to do as it is their home. Visitors spoken with were very positive about the care and support provided. They said that they are welcomed at any time and feel the staff provide the care and support the residents need. The lunchtime meal is made at Seaford Head’s sister home and delivered hot to the home. The manager confirmed that choices are available not only in the food provided but also in the timing of the meals. One resident has a late breakfast and has her main meal in the evening. Residents enjoyed their meal at the tables in the main lounge or the quite lounge, the meals looked appetising and were well received by residents. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 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 a satisfactory complaints system with some evidence that residents feel their views are listened to and acted upon. Staff have good knowledge of Adult Protection Issues which protects residents from abuse. EVIDENCE: There have been no complaints about any aspect of the services provided, to the home or to the Commission. The manager confirmed that there is a complaints policy in place. Residents who expressed an opinion said that they have nothing to complain about, ‘I like it here, the girls are good’. Residents are registered to use the postal voting system and can participate if they wish. The manager advised that the forms are usually completed with the assistance of relatives. The manager confirmed that she is able to facilitate access to an advocacy service if required by residents. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 15 Training in Adult Protection is provided for staff. Those spoken with were able to demonstrate a good understanding of the protection of vulnerable adults, and what action they should take if they have any concerns. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing residents with a homely and comfortable place to live. Risk assessments identify if aids and hoist are required to assist residents and ensure their safety. All parts of the home are accessible and infection control systems are in place to protect residents, visitors and staff. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 17 EVIDENCE: A tour of the home was carried out and the rooms were clean and comfortable. Residents individual rooms were decorated with personal possessions and furnished in line with risk assessments, which ensure that residents are safe. The manager confirmed that there is an ongoing maintenance programme, some rooms have been decorated, with new curtains and bed covers, when empty, and some of the windows are to be replaced. There are also plans to fence off part of the garden so that residents can enjoy sitting outside when the weather improves. There are two lounges on the ground floor, one is also used as a dining room and has a TV, while the other lounge is quieter with some background music provided depending on residents preferences. Central heating provides adjustable heating in all the rooms and the radiators are guarded to protect residents. All but one of the rooms has an en suite facility. The home does not have a lift, residents are mobile and can access the first floor with assistance from staff. Aids including zimmers and an assisted bath are provided to meet the needs of residents. The manager confirmed that appropriate infection control policies and procedures are in place and training is provided for staff to ensure that they are aware of these, staff were noted to be using aprons appropriately. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff morale is high resulting in an enthusiastic workforce that work positively with residents to improve their whole quality of life. There are sufficient trained and competent staff on duty at all times to meet the assessed needs of residents. Recruitment procedures are robust and protect residents. The arrangements for the induction of staff are good, enabling staff to provide appropriate levels of support and care for residents. EVIDENCE: The manager confirmed that there are sufficient staff on duty to meet the needs of residents, with additional staff employed to enable the care staff to offer activities in the morning. Staff who were spoken with were very positive about this saying they had time to do their work, and they had more time to talk to residents or visitors. Staff employed at the home are expected to completed the induction course, in line with Skills for Care, and continue with the National Vocational Qualification (NVQ) when this is completed. The manager advised that 5 members of staff Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 19 are working towards the NVQ and there is one member of staff who has completed the NVQ Level 3. When these courses are completed the home will meet the minimum ratio of 50 trained members of care staff. Recruitment procedures at the home are robust and protect residents. The manager confirmed that appropriate checks are completed, including POVA/CRB checks and two references, before the offer of work at the home. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach at the home is open and inclusive. Staff, residents and relatives are encouraged to be involved in any decisions about the support and care provided. The manager is supported well by staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles. The home regularly reviews aspects of its performance through a programme of self-review and consultations, which include seeking the views of residents, staff and relatives. Systems are in place to ensure the health, safety and welfare of residents. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager and owner of Seaford Head, and the sister home, has been registered with the Commission for nearly a year. She has considerable experience caring for people with dementia and has completed the Registered Managers Award. The management style is open and inclusive. Residents, staff and relatives are encouraged to be involved in decisions about the services provided. The manager confirmed that yearly questionnaires are used to monitor the services offered at the home, and the appropriateness of the support and care provided by the management and staff. The manager advised that residents are not responsible for their finances, they are supported by relatives or solicitors and the home is not responsible for residents money. Formal and informal supervision is provided for staff by the manager, which enables staff to be aware of their roles and responsibilities with regard to providing support for residents at Seaford Head. Training required by legislation including moving and handling, fire training, first aid and infection control is provided for staff. Staff spoken with said they attend all the required training and the manager keeps a record of the training they have attended. Appropriate door guards have been fitted to one residents door and the fire doors on the ground floor, as well as other improvements, following a request by the manager for advice from the Fire Service. The manager confirmed that a fire risk assessment and health and safety assessment of the home have also been completed. Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 4 Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 23 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 Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Seaford Head Retirement Home DS0000067627.V324797.R01.S.doc Version 5.2 Page 25 - 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. 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