Inspection on 22/11/05 for Seagull Rest Home

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11/10/06

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 Announced Inspection 22nd November 2005 10:15 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.V256029.R01.S.doc Version 5.0 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.V256029.R01.S.doc Version 5.0 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.V256029.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 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 accomodation 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.V256029.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out over 4.5 hours on the 22nd November 2005 and was carried out by a regulatory inspector and a pharmacist inspector. This was the second visit to the home this year and it was carried out to complete Seagull Rest Home’s annual inspection programme for the year 2005 required by the Care Standards Act 2000. A full tour of the home took place, resident’s care records and staff records were inspected. Staff were spoken with informally during the visit and residents were encouraged to talk about living at the home with the inspectors. The pharmacist inspector viewed medication storage and records of medication receipt and administration, spoke to staff about medication procedures and observed administration practice. Ten 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, praising the patience and kindness of the staff. What the service does well: What has improved since the last inspection? In the past year there have been many improvements to the decoration and furnishings at the home. Since the last visit the carpet in the entrance and lounge areas have been replaced and the carpet in the dining areas has been replaced with a suitable alternative floor covering. The communal areas now look more welcoming and homely. The washing machine now has a sluicing facility. Tiling has begun on the laundry room walls to ensure that the wall finishes are easy to clean. Repainting of the doors and other surfaces in the long corridors to bedrooms continues, to make these areas brighter. Staff records have improved with checks being carried out for Criminal Record Bureau Clearance and Protection of Vulnerable Adult Clearance being sought. Care plans have been expanded to ensure that all aspects of health, personal and social care needs are being addressed. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 6 Accident records for residents living at the home have been further expanded to ensure that show what happened to the resident after the accident and what action was taken to limit the chance of a similar accident-taking place again. Risk assessments and data sheets for cleaning products being used at the home have now been updated to cover products being used in the home. Records of activities are being kept to show what leisure and social activities are offered to residents. 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.V256029.R01.S.doc Version 5.0 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 Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 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): 1,2,3,4,6 Prospective residents and their families are provided with the information they need to make an informed choice about the home. Residents and their relatives/advocates have a contact so that they know the terms and conditions of living at the home are. Residents are assessed prior to moving into the home to make sure that the home can provide a care plan which residents or their families know will meet their needs. EVIDENCE: Seagull Rest Home has a Statement of Purpose and Service User Guide, which sets out the aims and objectives of the home and describes the facilities available. This document is provided to prospective residents and their relatives/advocates to help them make a choice about where the prospective resident wants to live. A contract/statement of terms and conditions of residency has been provided for each resident and signed on their behalf by advocates. Care plans sampled showed that residents have their needs assessed before moving into the home, residents are then offered a trail period to make sure Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 9 that the home can meet their needs. Seagull Rest Home does not provide intermediate care. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Care planning systems now give clear information to assist with all aspects of health, personal and social care needs. Resident’s healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. There are good systems in place to monitor the care of those residents who are poorly in bed. The home demonstrated satisfactory medication handling and some areas for improvement were discussed. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: Care plans examined at this visit had been expanded to provide information, which would enable staff to assist residents with all aspects of their health, personal and social care needs. They had been developed from an assessment of need. Records showed that residents have access to the normal health care provision. Visits to individual residents by health care professionals are recorded and outcomes detailed. Three residents were unwell and in bed. Fluid and nutritional monitoring charts were being completed by care staff to monitor the health of these residents. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 11 Accident records have now been expanded to show what happened to the resident after the accident and what action was taken to limit the chance of a similar accident-taking place again. A medication policy was available to staff. No residents were able to selfadminister. Staff authorised to administer training were provided a two hour training session on medication in psychiatry, by a training company. A new booklet to record induction training, including medication, was about to be introduced. The lockable medicine trolley was not used to transport medicines around the home. Medication records were clear. A medicine prescribed, with a variable dose, to be taken when required was being administered on a regular basis. The home had requested GP medication reviews for all residents, which were due to take place in the next few days. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The home provides a flexible care service, which allows for individual preferences and routines. The social activity programme is flexible to offer variation to daily living. Meals are well managed and offer variety and choice EVIDENCE: When the inspectors arrived at the home residents had had breakfast and were in the lounge or other areas of the home. Residents were able to move around the home freely and staff were able to offer assistance to residents if they appeared confused or distressed. Staff spoke to residents in a meaningful caring manner and at lunch time they were available to assist residents with eating their meal. Those residents in bed were assisted to eat first before the meal was served to other residents in the dining areas allowing the majority of staff to assist other residents in the dining areas. So that staff can demonstrate that they are offering a variety of social activities a record is now kept. These activities include bowling, kerplunk, ball games and one-one reminiscence, using photographs. One resident is visited by an outside agency on a weekly basis. The inspector joined residents for the main meal of the day which was gammon accompanied by garlic roast potatoes, broccoli, swede, creamed potatoes and peas followed by homemade lemon meringue pie. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 13 Sample menus provide prior to the visit show that a varied diet is provided and residents with special dietary needs are catered for. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 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. EVIDENCE: There is a clear complaints procedure in place assuring residents, relatives and visitors that all complaints will be taken seriously and acted upon. A complaint directly to the Commission for Social Care Inspection (CSCI) prior to the last visit to the home was investigated by CSCI was found to be unsubstantiated. There have been two complaints made directly to the manager since the last visit to the home. Records showed that they had been investigated appropriately and outcome to the complaints recorded and acted upon. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 15 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 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. EVIDENCE: During this visit to the home the inspector visited all areas. The home was observed to be clean and fresh, well maintained and a pleasant home for residents to live in. There have been many improvements to the décor and furnishings of the home in the last year. There are plans for further improvements, which include blinds for the lounge windows, replacement of windows and external maintenance to the property. All residents have bedrooms, which provide them with comfortable private accommodation. Armchairs in at least two bedrooms need replacing and this was brought o the attention of the manager. There are sufficient toilets bathing facilities although not all baths are used. The new call bell system is efficient although the manager confirmed that not all residents use it. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 16 The home now has a washing machine, which has a sluicing facility, and work has started on tiling the laundry room walls. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 17 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 The staffing numbers are set at 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: There is a core staff team at the home, who offer consistency to the residents living at Seagull Rest Home. Staffing levels are set to meet the changing needs of residents. Rotas provided show that there are ancillary staff provided to support the care team. Four out of 14 care staff hold an NVQ qualification that does not yet meet the target of 50 by 2005. Training records show that staff have the opportunity to attend training, which in the past year has, include: Adult Abuse awareness, Continence awareness Food Hygiene First Aid Coping with Confusion and Dementia Fire Training Future training planned is Moving and Handling and further fire training. The home now has an induction programme to use with new staff, which also includes an introduction into the handling of medication. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 18 Staff records viewed had improved and now ensure that steps are taken to protect residents by through recruitment practices, with references being taken up and CRB and POVA checks being undertaken. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 19 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): 31,33,34,35,37,38 The home is well managed providing leadership and guidance for staff. The views of resident’s families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. The provider cannot demonstrate the regular monitoring of the homes performance to ensure that resident’s needs are being met. Records required are constructed and maintained so that up to date information is available about residents to safeguard their best interests. EVIDENCE: The manager has over two years experience as a care home manager and is a registered nurse. This standard is not fully met as the manager has not undertaken a management qualification by the target date of 2005. Customer consultation questionnaires show that residents families and were possible residents, have been consulted about their views of the home. The provider has not provided the CSCI with monthly written reports of Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 20 unannounced visits to the home as required by Regulation 26 of the Care Homes Regulations 2001. The CSCI asked the provider to provide evidence of financial in May 2005. This evidence was provided and found to be satisfactory at the time. 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 additional purchases made by residents. Records viewed at this visit were in good order. Two bedroom doors were being wedged open during the visit so that staff could monitor residents who were ill in bed. This practice should be risk assessed and consultation with the fire officer should take place. Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 21 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 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 x 3 3 3 3 3 2 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 2 3 1 3 3 x 3 2 Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 22 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 OP33 Regulation 26 Requirement Monthly reports must be forwarded to the CSCI and the registered manager. Timescale for action 01/12/05 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 3 4 Refer to Standard OP24 OP28 OP31 OP38 Good Practice Recommendations The chairs in two bedrooms identified to the manager should be replaced. 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 Documented risk assessments should be carried out with regard to the practice of wedging bedroom doors open when residents are ill in bed. The fire officer should be consulted. When medicines are transported around the home it should be done in a secure manner. Care should be taken that medicines can be quickly and securely locked away, in the event of an emergency. The care plan should have detailed instructions to staff as DS0000014708.V256029.R01.S.doc Version 5.0 Page 23 5 OP9 6 OP9 Seagull Rest Home 6 to what is meant by when required for medicines so prescribed, after consultation with the prescriber Seagull Rest Home DS0000014708.V256029.R01.S.doc Version 5.0 Page 24 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.V256029.R01.S.doc Version 5.0 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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