Inspection on 10/12/08 for Seahaven

This inspection was carried out on 10th December 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seahaven 13/12/07

Seahaven 06/10/06

Seahaven 28/04/05

Seahaven 14/10/04

Seahaven 10/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Seahaven 146 Beach Road South Shields Tyne And Wear NE33 2NN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lee Bennett     Date: 0 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Seahaven 146 Beach Road South Shields Tyne And Wear NE33 2NN 01914567574 01914545743 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kay Richardson Type of registration: Number of places registered: Mr Harold John Stafford care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care home only - Code PC To service uses of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 30 Dementia - Code DE, maximum number of places: 10 Learning Disability - Code LD, maximum number of places: 3 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places: 2 Date of last inspection 10 3 2 0 Over 65 0 0 0 30 Care Homes for Older People Page 4 of 27 Brief description of the care home Seahaven is registered to provide personal care for 30 people, of whom up to ten may have a dementia type illness. The home also provides three places for people with a learning disability and two places for people who have mental health problems. Nursing care is not provided; support from the Community Nursing Service is arranged where required. The home is a converted house, which has been extended. It is situated on Beach Road adjacent to beach and park. The accommodation consists of a dining room, two lounges and a large conservatory. A passenger lift services all floors. The bedrooms are spread over three floors and residents are able to gain access to all parts of the home. Many of the bedrooms provide people with views of the beach and sea. There is a small garden to the rear of the home with a paved seating area. The town centre of South Shields where there are local facilities such as shops, pubs, GP surgeries and places of worship are close by. Street parking is available. The charge for a place at Seahaven is £349. There are extra charges for hairdressing and private chiropody services. The Homes brochure confirmed that a copy of the most recent inspection report is available on request to residents, visitors and staff. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The visit; Before the visit: We looked at: - Information we have received since the last visit in December 2006. - How the service dealt with any complaints & concerns since the last visit. - Any changes to how the home is run. - The providers view of how well they care for people. - The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on the 10th December 2008. An further announced visit was made on 8th January 2009. Care Homes for Older People Page 6 of 27 During the visit we: - Talked with people who use the service, their relatives, staff and the manager. - Observed life in the home. - Looked at information about the people who use the service & how well their needs are met. - Looked at other records, which must be kept. - Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. - Looked around parts of the building to make sure it was clean, safe & comfortable. - Checked what improvements had been made since the last visit. After the visit: We told the manager what we had found. Previous Requirements: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: Overall the home operates at a good standard however, some areas need attention. These include: - The need for staff to attend regular training, including that for people who have mental health needs. - Improving the choice and frequency of activities provided, to ensure people are offered diversion and interesting things to do. Care Homes for Older People Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before moving here. Obtaining information about a persons needs is important in ensuring that everyone concerned is confident that this is a suitable place to live, and that everything is in place to make people comfortable. Evidence: Before a person moves to a care home they are entitled to have an assessment of their needs carried out, either by social services or a health care worker, such as a nurse assessor. Even when a person pays for their own care, they are still entitled to such an assessment. Most people moving here have their care arranged by Social Services, but some have come here by private arrangement. The manager of a care home must also obtain information about those people who would like to come here. This will include a copy of the assessment, and a summary care plan, which explains how each persons needs are to be addressed. This is to Care Homes for Older People Page 11 of 27 Evidence: make sure their needs are looked at and then can be properly met. The manager has obtained a care needs assessment and a care plan for all of the people whose files we looked at. Privately placed people are assessed by the homes manager. Based on the information gathered a plan of care is then developed by either the manager or senior staff. Risk assessments, for areas such as falls and pressure care, are also written up if needed. These assessments look at each persons needs in a way that would highlight any cultural or religious preferences, or how the service could ensure any barriers facing a person with a disability could be overcome. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living here receive the right level of care and support to meet their health and personal care in a well-planned way. Evidence: To help guide the practice of staff, after a person has been admitted here a plan of care is written up. This is so that important areas of need, such as those around personal care, diet and social interests, can be clearly identified, and the support that staff are to provide is clearly explained. Everyone living here has a care plan file in place, and for the people whose files we looked at, the care plans themselves are relevant to the needs observed and that have been assessed by the social worker. Staff keep regular notes about each persons welfare and any care that they have provided. These records are clear, factual and relate to each persons health and personal care needs. For one person who has needs relating to their mental health and behaviour there were no relevant care plans in place. Where people do have medical needs, evidence is kept of appointments attended and other visits by healthcare professionals is kept. This can help ensure peoples health needs are regularly Care Homes for Older People Page 13 of 27 Evidence: monitored and met, and proper advice and intervention sought. Furthermore, where personal care is needed this is written down in a care plan. During the inspection, there were no instances where personal care was carried out in the public areas of the home, which shows that staff are conscious of peoples privacy and dignity. The support offered by staff was carried out in a friendly, and pleasant manner. The people we spoke to told us that they are cared for in a good manner. The comments we heard from service users and relatives included: - Im always pleased with the care and attention received. - It is a caring and homely place. - My mother is well well looked after, the staff are very good with her. A common area where staff help people with their health care is in the way medicines are administered. The majority of people here have all of their medicines looked after for them. One person is supported to manage all her own medicines. Staff will check this is still ok regularly. To keep them safe, medicines are stored in a secure way and the room where they are kept is at a safe storage temperature. Staff check the temperature of the medicine room and the medicine fridge to make sure that these are correct for the medication being stored. This will make sure the medicines concerned remain safe and effective. When staff administer medication they tell the person concerned what medication they are receiving, and also follow good hygiene practices. There are clear records kept of the medicines administered by staff. The stocks held for all medicines we checked corresponded to the stock records. Medicine records are accurate, and the reasons for medicines being missed is clearly recorded. To help ensure staff are aware of the importance of good record keeping, along with other aspects of medication management, they have attended accredited training on this topic. All medicines are administered from the manufacturers original containers, and all stocks are regularly counted to make sure errors dont occur. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living here are only offered limited opportunities to participate in activities, but are well supported to maintain friendships and family contacts. People are enabled to express choice and control in their lives and receive varied, wholesome and wellpresented meals. Evidence: At the time of the inspection there was no activities worker employed here. The manager indicated that there are currently limited resources to provide these, and care staff will offer in-house activities when there is some spare time. There are periodic outings, such as to the Christmas panto. There was recently a Christmas party arranged, with an entertainer booked too. During the inspection there were no group activities observed. Nevertheless, where people have particular religious beliefs, there are supported and a local vicar and a lay preacher will visit from time to time. Staff will also spend time chatting to the people living here, and one person said: - The staff are caring and most of all take the time to chat with my mother, who still likes to keep up with current affairs ... Care Homes for Older People Page 15 of 27 Evidence: Visits from relatives form an important part of many peoples day. Visitors can come and go freely. People also commented positively to us about the food on offer, and we heard many compliments about this. The comment; - I always enjoy my meals, theyre very very good. Theres a good choice as well was similar to many we heard. A cooked breakfast can be provided and a choice of main meal and pudding is always offered. Staff were noted to be helpful at meal times, and took the time to sit down with those who need help with eating, supporting people in a dignified way. Routines are flexible here, and if someone wants to have a lie-in they can have their breakfast later in the day, to suit them. The dining tables here are nicely presented, and condiments are provided so that people can help themselves. A lunchtime meal was shared with several of the people living here. Staff were courteous, encouraging people to be independent. A choice of dilute juice or water, with tea or coffee was offered. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable arrangements in place here to protect people form abuse, and this enables people to make their views heard, and to raise any concerns or complaints they have. Evidence: A complaints procedure is available within the home with a copy placed on display. This informs the people here that they can contact the Commission if they wish regarding complaints. A record book for complaints and suggestions is maintained, and a review of these indicated that there have been none since the last inspection. Where these have been received in the past there is evidence that the complaint has been clearly documented, investigated, and the outcome logged. No complaints have been referred to the Commission since the last inspection. We were told by the people living here, and their relatives, that they know how to complain and that they are confident that this would be looked into. One person said: - the manager is often round, asking if everythings okay, if Ive got complaints, or anything.. Staff have received training on Adult Protection from the local Social Services Department. This training was to help explain the role of adult protection, and to offer guidance to staff. The care provider has adult protection procedures, which are Care Homes for Older People Page 17 of 27 Evidence: available in the home, should staff need guidance in this area. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accommodation here suits peoples physical and personal care needs, is clean throughout, well maintained and personalised to suite individual tastes. Evidence: Seahaven is an adapted care home. It is kept clean throughout and re-decoration and refurbishment has taken place to Keep the home clean and fresh looking. Many people have brought in personal items to make their rooms more homely. Some have excellent views of the surrounding area, including the local coastline and Tynemoth Estuary. Shared lounges are domentic in appearance, and there is a designated smoking room. People told us: - Ive got good views as well. - Theres never any odors, Kay wouldnt allow it. She wont allow air freshners, if you have to mask it youve got a problem. There are no en-suite bedrooms here, but bathrooms and toilets have been located throughout the home to be near all of the living areas and bedrooms. There were no physical hazards observed during the inspection. Care Homes for Older People Page 19 of 27 Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff working here are safely recruited, qualified and competent. Training has declined recently. Safe recruitment can help make sure the people living here are protected, and having a qualified and trained workforce can help ensure people receive the care they need. Evidence: Before staff start working here they have to undergo a series of checks. This is to ensure they have the right skills, experience and approach for the job. There are also checks carried out to help make sure they are physically fit for the work they have to do, and do not have a criminal history that would make them unsuitable to work here. Since the last inspection was carried out here, of the current staff team three members of staff has been employed. Suitable pre-employment checks, including the receipt of a Criminal Record Bureau Disclosure and two, or more, references have been obtained before they started duty. Once employed, staff receive an induction and regular training, although this has tailed off over the last year. Training has, in the past, included topics relevant to peoples needs in the home. Over the past year this has been limited to fire safety. Nobody has attended mental health awareness training, which is of relevance for some people living here. Care Homes for Older People Page 21 of 27 Evidence: The staff here initially attend induction training if they are new to care work. Following this they will also be offered periodic training opportunities. Furthermore, those not already qualified will be supported to attain a vocational qualification in care. The vast majority of the staff here have achieved such an award, at NVQ level 2 or higher. Those who don t have this are working to attain an NVQ in care. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people here benefit from living in a well managed home. This can help make sure their views are sought and acknowledged, and that their health and safety is promoted. Evidence: The manager has many years experience at a senior level within social care. She is a has attained a number of care and management qualifications including the NVQ level 4 qualification in Management (the Registered Managers Award), and an NVQ level 4 in care. She is a degree graduate, and is currently undertaking a Certificate in Education. This is to enable her to more effectively provide in-house training for staff. Furthermore she undertakes periodic training, which recently has included topics such health and safety, the mental capacity act and equality and diversity. This is to ensure that her knowledge is kept up-to-date. The people living here and the staff all commented positively about her. Care Homes for Older People Page 23 of 27 Evidence: The manager is supported by a deputy manager, and a team of senior carers. There are clear lines of accountability within the home. To complement this several quality checks are carried out in areas such as equipment and the building. There is a record kept of service users views. Satisfaction questionnaires have been introduced to gain the views of the people living here and their relatives. The records kept at the home, were up to date, detailed, and held in a safe and secure manner. Financial records are subject to the scrutiny of the area manager. Staff in the home do not usually hold or manage service users finances, but where these are left with staff for safe keeping they are securely stored, with clear records in place. The home was free of hazards to the safety of service users and staff, and where a person uses bed rails these have been risk assessed. This person also receives regular checks and support throughout the day and night. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 30 18 All staff must receive regular, paid training opportunities, relevant to their role, the needs of the people living here, and the providers health and safety obligations. This is to ensure all staff remain up to date with current good practice and remain effective in meeting each persons needs (including mental health needs). 26/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 7 12 Care plans should cover the significant needs for each person, including their mental health needs. A more detailed plan of activities should be developed and implemented that reflects the choices, needs and aspirations of the people living here. Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!