Inspection on 29/04/05 for Seagull Rest Home

This inspection was carried out on 29th April 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 22/11/05

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 Diane Peel Unannounced Friday,29 April 2005, 10.00am, V221547 th 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. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Seagull Rest Home Address 131 Stocks Lane, Bracklesham Bay, Chichester, West Sussex, PO20 8NY 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) 01243 670883 Mrs Maniben Odedra Mrs Diane Crudass Vear CRH 23 Category(ies) of DE (E) - 23, MD (E) - 23 registration, with number of places Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12/10/04 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 H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4.5 hours on the 29th April 2005 after an anonymous complaint was made to the Commission for Social Care Inspection (CSCI) on the 28th April 2005. There have been no other complaints made to the CSCI about the home. A full tour of the home took place, resident’s care records and staff records were inspected. There was four care staff on duty and the deputy manager, a cleaner and a cook. Residents were observed to be treated with respect and dignity. During the inspection four members of staff were spoken with to find out if staff felt that they were meeting the needs of the residents and what it was like to work at Seagull Rest Home. The owner was asked to attend the home during the inspection to discuss the complaint which was, that residents may suffer because bills are not being paid for services provided to the home and that staff pay checks are being referred to drawer. During the inspection there was no visual evidence to lead the inspector to feel that residents were experiencing a deprived service but the owner has been asked to provide end of year accounts to the CSCI. What the service does well: The majority of staff have worked at Seagull Rest Home for some time and provide a good standard of care. Care staff take pride in their work and are able to assist residents to maintain their dignity. Staff treat residents as individuals and speak to residents in a respectful manner, taking time to explain things when they are confused. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 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 standard(s) 3 4 and 5 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. If admitted to the home on emergency, residents have their needs assessed within 24 hours of moving into the home. Prospective residents, their relatives and friends have an opportunity to visit the home to look at the facilities available and assess its suitability before moving in for a trial period. EVIDENCE: Four care records seen showed that there is a detailed needs assessment, which had been used to develop a care plan. One care record showed that a resident had been admitted to the home in an emergency situation and a needs assessment was carried out the next day. A resident discussed the process of choosing Seagull Care Home for himself and his wife. He told the Inspector that he had chosen the home because it didn’t have any stairs to fall down. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 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 and 10 Care planning systems do not give enough information to assist with all aspects of health, personal and social care needs. There is no audit system in place to follow up the outcome of accidents and therefore it cannot be assured that health care needs are being met. There are good systems in place to monitor the care of those residents who are poorly in bed. The home has good procedures for dealing with medication. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 10 EVIDENCE: Care records inspected showed that assessments are carried out and a plan of care developed. Personal care needs are assessed but there are no clear plans of care for personal care and therefore it would be difficult for someone not familiar with each individual service users abilities to step in and provide a level of care which does not take away independence. Accident records for four residents, who had had accidents at the home resulting in them going to the accidents and emergency department at the local hospital, were inspected. The records did not record what the outcome to visit to hospital was and there was no clear record of what preventative action had been taken to avoid a similar accident happening again. A tour of the home was carried out. Records of two residents who were unwell in bed were examined. Care staff were recording regular checks on the residents. Medication records, viewed by the inspector, were clear and fully completed. The medication was being stored in a safe lockable trolley. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 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 and 14 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. EVIDENCE: The inspector arrived at the home at 9.20 am and was welcomed by four residents who where having breakfast in the dining area. Other residents were sat in the lounge; one resident was reading the daily newspaper. A member of staff told the inspector that a few residents like to get up early but others like a lie in, and this is respected. During the tour round the home the inspector observed that one resident had chosen to stay in bed, getting up later. Residents were observed to be able to move freely about the home returning to their bedrooms if they wished. The four care plans inspected, recorded residents individual preferences and likes and dislikes. Previous interests were also recorded. Two of the four care plans seen also included a life history to assist staff in reminiscence discussion. All this information is then used to develop an individualised care service. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 12 Staff interviewed told the inspector that there was no structured programme of activities at the home and no regular external entertainers and that this would be difficult to organise in advance. Opportunities to take part in activities have to be on the spur of the moment when residents are willing. These activities include drawing, games, and ball games. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 13 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 and 18 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. Staff have had training in Adult Protection Awareness so that they can recognise abuse and know how to respond to any allegations of abuse at the home. EVIDENCE: There is a clear complaints procedure in place assuring residents, relatives and visitors that all complaints will be taken seriously and acted upon. During the visit to Seagull Rest Home, the owner spoke with the inspector about a complaint, which had been made directly to the CSCI. The owner expressed concern, that the complainant had not felt able to make the complaint directly to the management at the home. At the time of writing this report the CSCI are still investigating the complaint as detailed in the summary of this report. Recent communication to the CSCI reporting on a formal visit made to the home by the owner recorded that there had been no other complaints made to the home since the last visit. A procedure for responding to allegations of abuse is in place and staff records show that staff have attended Adult Abuse Awareness training in November 2004. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 14 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) 19,20, 22 23,24and26 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. Residents living at the home have comfortable bedrooms, which meet their needs. They are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. The management and staff have made much improvement to the cleanliness and hygiene in the home. Residents now have a clean home to live in. A working call alarm system is provided for use by residents, visitors and staff to gain assistance. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 15 EVIDENCE: The inspector toured the home, visiting every resident’s private accommodation and all other areas of the accommodation. The home was observed to be clean and fresh, well maintained and a more pleasant home for residents to live in. Staff told the inspector that there had been a lot of effort put in getting the home to a better standard of cleanliness since the last inspection. A resident took the inspector to her room and the inspector was able to see how the residents own interests had been used to personalise the room. The resident looked comfortable in her surroundings and said, ‘I like this place’. Whilst in the room the inspector and the resident tested the new call bell system, which had been installed since the last visit. Within a few minutes a member of staff attended to the call for assistance. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 16 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) 29 and 30 Recruitment procedures do not safeguard and protect residents at the home. Staff are provided with the training to do their jobs. EVIDENCE: There is a core staff team at the home, who offer consistency to the residents living at Seagull Rest Home. The staff files of two members of staff were fully inspected during the visit and other records were viewed to make sure that CRB and POVA clearance is sought for all staff. Records showed that three staff did not have the results of checks on file. The inspector was provided with evidence of when the documents for two staff were sent to the Criminal Records Bureau but this was after they had started work at the home. There was no record of a application for the third member of staff available. This practice does not provide protection to residents living at the home. Staff interviewed told the inspector that the training which they had been able to attend in the past year provided them with skills to assist them do the their jobs. Staff records viewed showed that training in the past year included: Coping with confusion and dementia, first aid/save a life, health and safety, challenging behaviour, adult abuse, food hygiene awareness, continence management and common ailments in the elderly. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 17 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) 37and38 Seagull Rest Home provides a greatly improved environment, which promotes the health, safety and welfare of residents and staff. Staff are able to undertake safe working practices, to ensure the safety and welfare of residents. The homes record keeping does not fully safeguard the resident’s best interests. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 18 EVIDENCE: One resident showed the inspector a hole in the bedroom wall where the previous call bell system had been removed leaving the remaining wires visible. Discussion with the deputy manager confirmed that the system was not live, however a cover was put in place during the inspection. Requirements and recommendations made by the Environmental Heath Officer on a visit to the home have either already been actioned or are being actioned. All COSHH materials were observed to be kept in locked cupboards, including products used for washing and bathing. This action has been taken to reduce the risk of residents drinking products left in bathrooms, which they may visit alone. Staff told the inspector that cleaning products being used are no longer all from the same supplier. The COSHH data sheets should be reviewed to ensure that immediate emergency advice is available for the current products being used. Staff records showed that staff are given the opportunity to increase their knowledge and awareness of working safely by attending regular training. Staff records do not all include evidence of Criminal Record Bureau and POVA clearance, to protect the safety of residents. Records of accidents do not record what the outcome to an accident is and there is no clear record of what preventative action had been taken to avoid a similar accident happening again. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 2 15 x COMPLAINTS AND PROTECTION 3 3 x 3 3 3 x 3 STAFFING Standard No Score 27 x 28 x 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x 1 2 Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 20 NO 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 7 Regulation 15 Requirement Timescale for action 20th July 2005 2. 29,37 19 Residents care plans must be expanded to provide clear guidence to staff on actions to be taken to meet all personal care needs A criminal record bureau and 29th May protection of vulnerable adult 2005 clearence must be requested for all new staff before they start work at the home. 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. Refer to Standard 8,37,38 14 38 Good Practice Recommendations Accidents records should be expanded to record outcome to accidents. A record of social activities should be kept COSHH data sheets should be reviewed to reflect the products currently being used at the home. Seagull Rest Home H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection Ridgeworth House Second Floor 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 H60-H11 S14708 Seagull Rest Home V221547 170505 Stage 4.doc Version 1.20 Page 22 - 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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