Inspection on 11/10/06 for Seagull Rest Home

This inspection was carried out on 11th October 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.

Other inspections for this house

Seagull Rest Home 25/11/09

Seagull Rest Home 03/12/08

Seagull Rest Home 22/11/05

Seagull Rest Home 29/04/05

Seagull Rest Home 12/10/04

Seagull Rest Home 26/05/04

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

CARE HOMES FOR OLDER PEOPLE Seagull Rest Home 131 Stocks Lane Bracklesham Bay Chichester West Sussex PO20 8NY Lead Inspector Mrs D Peel Unannounced Inspection 11th October 2006 9:15 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 Seagull Rest Home DS0000014708.V302797.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. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seagull Rest Home Address 131 Stocks Lane Bracklesham Bay Chichester West Sussex PO20 8NY 01243 670883 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) Mrs Maniben Odedra Mrs Diane Crudass Vear Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23) Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 people under the age of 65 years DE Date of last inspection 22nd November 2005 Brief Description of the Service: Seagull Rest Home is a care home able to provide care and support for up to 23 residents who may have dementia or another related mental disorder. It is situated next to a main road close to the village of Bracklesham Bay near Chichester. Local shops and other community facilities are within walking distance. The accommodation is a single story building with a car park area to the front of the building and paved areas to the rear. Communal areas include a lounge and a dining area. There are twenty one single bedrooms and one double bedroom. Two bedrooms have en suite facilities. Seagull Rest Home DS0000014708.V302797.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 by Mrs Diane Peel on the 11th October 2006. During this visit the intended outcomes for 32 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided in a pre inspection questionnaire completed at the request of the inspector some weeks prior to the visit and other information received from the provider since the last visit to the home on the 22nd November 2005. The inspector arrived at 9.15am and was greeted by the staff on duty and residents who were in the lounge area. During the visit a tour of the home took place with all communal areas and private accommodation visited. A case tracking exercise for four residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met by the home and other outside professionals. Where possible residents were spoken with to gain some information about what it is like to live at the home either in the privacy of their rooms, in the lounge and at lunch time when the inspector joined residents for a meal. Staff were observed assisting and interacting with residents in the lounge and bedrooms. The atmosphere at the home was relaxed and staff were observed to speak to residents meaningfully taking time to explain things when they were confused. Staff demonstrated respect and recognition of individual residents needs. The inspector spoke with a hairdresser who was visiting the home on the day of the visit. During this visit the records of three staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home and what training had been provided. Five relative/visitors comment cards were returned to the inspector prior to the visit to the home and satisfaction questionnaires distributed by the manager to relatives were viewed during the visit. All feedback from visitors and relatives was positive. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 6 The current scale of fees being charged at the home is from £389 to £500 per week. What the service does well: What has improved since the last inspection? Further improvements have been made to the environment. The outside of the building has been repainted and replacement windows have been ordered for the whole home. Vertical blinds have been purchased and fitted to the large windows at the front of the home to provide some privacy and protection from the sun in the summer. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 7 A full time maintenance person has been employed to attend to the garden and internal repairs. The laundry room has been retiled. The provider has met her obligation to formally visit the home and provide a report on how successful the home is meeting its aims and objectives and its Statement of Purpose. 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. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 8 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 Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,5,6 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. Prospective residents and their families are provided with the information they need to make an informed choice about the home and are encouraged to visit the home before deciding if they want to live at the home. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. All residents and their representatives have contracts so that they know what is included in the fee and what the terms and conditions of living at the home are. EVIDENCE: Seagull Rest Home has a Statement of Purpose and Service User Guide, which describes the aims and objectives of the home and the facilities available. The manager told the inspector that this document is offered to prospective Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 10 residents and their relatives/advocates to help them make a choice about where the prospective resident wants to live. The manager explained that usually family members visit the home on behalf of their relative who intend moving into a care home. Relative/representatives are shown around, introduced to staff and residents and invited to look at vacant rooms. Some residents have had periods of respite care at the home and this enables the families and residents to decide if they want to live at the home permanently. One resident living at the home had previously worked at the home and already knew some of the staff. All relatives returning the satisfaction questionnaires to the inspector reported that they felt that they had received enough information about the home before their relative had moved in. A contract/statement of terms and conditions of residency has been provided for each resident and signed on their behalf by advocates. Care records viewed during the visit showed that the needs of the residents accommodated at the home had been assessed prior to them moving into the home. One resident who had had an emergency admission, had been assessed by the staff within 24 hours of moving into the home so that staff could ensure that they would be able to meet this persons needs. The staff training programme ensures that the specialist needs of this group of residents can be met. Seagull Rest Home does not provide intermediate care but does offer periods of respite care. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 11 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 is Good. This judgement has been made using available evidence including a visit to the service. Care planning systems give clear information so that staff can assist residents with all aspects of health, personal and social care needs. Records are in place to monitor the health care needs of residents and record intervention from medical professionals. The home has demonstrated satisfactory medication handling. Residents are treated with dignity and their right to privacy is respected Outcomes for residents are good. EVIDENCE: All residents have a care plan which has been developed from their needs assessment. The plans are written in plain language, are easy to understand and consider all areas of individuals needs. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 12 Records seen during this visit show that each resident’s plan is reviewed regularly and where possible residents families are involved. The plans are updated whenever necessary to show changing needs of residents, which are identified by other professionals such as a residents Doctor. The physical care and emotional needs of residents is recorded daily. Care staff keep separate records of personal and oral hygiene carried out with residents, encouraging them to maintain their individual levels of independence identified in the care plan. Records viewed in a case tracking activity for four residents at the home showed that nutritional screening takes place and residents weight, blood pressure and pulse are monitored monthly. However some residents have refused to co-operate on occasions and this is also recorded. Information provided by the manager since the last visit to the home has demonstrated that the home seeks professional advice when there are difficulties in meeting the particular needs of individual residents. The home has medication policies and procedures. An in house training programme is in place, which the manager carries out with staff. Only senior staff administer medication. Medication records seen were up to date at this visit with no gaps in the recording identified. The manager confirmed that Doctors have carried medication reviews with residents since the last visit to the home in November 2005. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 13 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 is Good. This judgement has been made using available evidence including a visit to the service. The routines of the home are planned around the resident’s needs and wishes so that there is flexibility in the service. Activities are offered and staff try to motivate residents into taking part. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Home cooked food is provided to a good standard with choices of alternatives available. EVIDENCE: One of the more able residents was able to speak to the inspector about what it is like to live at the home. They commented that everything is taken care of for them and they didn’t have to worry about getting meals. This resident felt that the home was homely and that the staff were very caring. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 14 The home operates a key worker system so that there are opportunities for staff to build up relationships with residents and their families. Seagull Rest Home encourages visitors and actively supports residents to maintain relationships with their families. Feedback from relative’s report that they are made to feel welcome at the home and one relative commented about attending the Christmas party. The staff at the home keeps records to show that they are offering a variety of social activities. These activities include bowling, kerplunk, ball games and one-one reminiscence, using photographs. One resident attends a Day Centre once a week. Feedback from residents families in the homes own customer satisfaction questionnaires returned to the manager recently reported that food and choice of food at the home is of a good standard. Questionnaires returned to the inspector by relatives reported that food is usually of a good standard. The inspector joined residents for the main meal of the day which was roast lamb, mash potatoes, roast potatoes, carrots, cabbage. Dessert was apple and blackberry crumble. This meal was of an excellent standard with little waste being returned to the kitchen. A resident spoken during the meal explained that they has a poor appetite and liked a small meal. They said that the staff always encouraged them to eat but that they didn’t feel pressurised and could take as long as they wanted to eat their meal. Staff were available to assist those residents who had difficulty using cutlery and records show that staff monitor the appetite of individual residents. Menus provided to the inspector prior to the visit showed that food provided is varied and there are opportunities for choice when someone doesn’t like a particular meal. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 15 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 is Good. This judgement has been made using available evidence including a visit to the service. The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. EVIDENCE: The complaints procedure is included in the Service User Guide and on display in the entrance hall. It is clear and gives an assurance that complaints will be dealt with within 28 days. There have been no complaints made to the manager or provider since the last visit to the home by the inspector. No complaints have been made to CSCI since the last visit to the home. All relatives returning surveys to the inspector reported that they knew how to make a complaint and knew who to speak to if they were not happy with the care being provided. Residents who were able to speak to the inspector said that they told the manager or the staff if they were not happy about something. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 16 Staff have attended adult protection training and the home has its own guidelines for staff to use at the home, which are used alongside the West Sussex Multi Agency guideline for reporting abuse. Two incidents have occurred at the home since the last visit in November 2005. Both incidents have been reported appropriately and CSCI have not been involved. These were Care Management (social services) issues involving resident’s protection from other residents. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 17 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): 19,20,21,22,23,24,25,26 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. There is an ongoing maintenance plan to improve the decoration of the home, which is providing the residents living at the home with a more homely, safe, comfortable surroundings. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. EVIDENCE: Since the last visit to the home a comprehensive fire risk assessment has been carried out for the Fire Officer and new Fire Regulations. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 18 The outside of the home has been repainted and new windows have been ordered for the entire home. The gardens to the rear of the property are well kept and additional seating was provided this summer. Maintenance work is planned for the replacement of a flat roof over an unoccupied bedroom. The en suite bathroom attached to this room has a leak. The manager is aware that this room should not be used until this work has been completed Vertical blinds have been purchased and fitted to the large windows at the front of the home to provide some privacy and protection from the sun in the summer. Decoration of bedrooms continue and the manager told the inspector that there are plans to replace all the bedroom furniture and some floor coverings. The home now employs a full time handyman who has begun to redecorate the dark paintwork on doors in the long corridors leading to bedrooms so as to make these corridors lighter. The laundry room has now been retiled so that the walls can easily be cleaned. On the day of this unannounced visit to the home the home was clean and comfortable. Four out of the five relatives returning surveys to the inspector on behalf of residents reported that the home was always fresh and clean , one reported that the home was usually fresh and clean. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 19 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): 27,28,29,30 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The staffing numbers are set at a level, which allows residents assessed needs to be met. Recruitment procedures safeguard and protect residents at the home. There is an ongoing training plan to make sure that staff have the combined skills to meet the needs group of residents. EVIDENCE: At the time of this visit there were 20 residents living at the home being cared by three care assistants, the deputy manager and the manager. A cook and kitchen assistant/ general assistant were on duty. Information provided prior to this visit by the manager states that there are fifteen care staff employed to work at the home. Four care staff have an NVQ at level 2 or above which does not yet meet the target of 50 by the end of 2005. The records of two staff recently employed at the home were viewed at this visit. These records showed that the manager of the home has continued to Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 20 ensure that steps are taken to protect residents by recruitment practices, with references being taken up and CRB and POVA checks being undertaken. A staff-training programme continues within the home to give the staff the opportunity to maintain and develop their skills. This now includes a distance learning course of 22 modules of learning skills for care which are assessed and have a certificate of competence, once all the modules have been competed to an acceptable standard. Records show that recently training included Health and Safety, Fire Safety. A Moving and Handling course is booked for October 2006. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 21 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): 31,33,35,37,38 Quality in this outcome is Good. This judgement has been made using available evidence including a visit to the service. The home is well managed providing leadership and guidance for staff. The views of resident’s families and friends are being sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home Systems for handing residents monies ensure that residents are assured that their financial interests are being safeguarded. Seagull Rest Home provides a safe environment for residents to live in. EVIDENCE: Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 22 The manager has the required experience to manage the home but does not have a formal management qualification. She can demonstrate that she has continued to improve her own knowledge, skills and competence by undertaking training relevant to her role. She has many years experience of working with people with dementia and other associated conditions and had developed good links with other agencies, which can support the service. Customer consultation questionnaires viewed at this visit show that residents families and where possible residents, have been consulted about their views of the home. A different area of the service is the main topic of consultation each time surveys are sent out. Since the last visit to the home the provider has formally reported on her regular visits to the home, to demonstrate the monitoring of the homes performance and to ensure that resident’s needs are being met. The majority of residents living at the home have advocates who deal with their financial affairs. The manger does not act as an appointee for any residents. Records are kept for any ingoing or outgoing of monies being kept for a small number of residents. All records viewed at this visit were in good order. There were no health and safety issues identified at this visit. Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 23 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 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 24 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. 1. 2. Refer to Standard OP28 OP31 Good Practice Recommendations Care staff should be encouraged to take undertake a NVQ in Care. The manager should be able to demonstrate that they have a management qualification Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Seagull Rest Home DS0000014708.V302797.R01.S.doc Version 5.2 Page 26 - 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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