CARE HOME ADULTS 18-65
Seastrole 12 Campbell Road Boscombe Bournemouth Dorset BH1 4EP Lead Inspector
Sally Wernick Unannounced Inspection 10:00 25 October 2005
th Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 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 Seastrole DS0000003954.V256858.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 Adults 18-65. 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. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Seastrole Address 12 Campbell Road Boscombe Bournemouth Dorset BH1 4EP 01202 392241 01202 300338 lorrainedisney@aol.com 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 Lorraine Pamela Parry Ms Maria Ladeira Care Home 13 Category(ies) of Past or present alcohol dependence (13), Past or registration, with number present drug dependence (13) of places Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: Seastrole and Larkins are two separate properties forming part of the Quinton House project. The houses are adjacent properties located in Boscombe Bournemouth. Seastrole has five single rooms and four double two of which are en-suites. Outside there is a good sized garden with garden furniture and two relaxation/counselling rooms. The homes are located within easy reach of the beach and shopping facilites. There are also good transport links. Seastrole is a secondary treatment provider for 13 adults recovering from drug and alcohol addiction. The 12 step programme is in place and can be modified to meet the needs of the individual. Length of stay varies between 12 weeks and 6 months depending on the assessed need. If accepted on to the programme service users must agree to abide by the rules and restrictions imposed to remain with treatment parameters and gain maximum benefit. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 10am on 25th October 2005. It was conducted as part of the normal routine of inspecting twice during a twelve month period. The registered manager Ms Ladeira and three service users all assisted the inspector in the work. Three standards were assessed on this occasion Methodology used included a tour of the premises, review of records and discussions with service users and staff. The inspector also reviewed the contact sheet for Seastrole held at the Commission for Social Care office. Not all of the National minimum Standards were assessed on this visit. Where a National Minimum Standard was not assessed the score is shown as x. What the service does well:
Seastrole has a comprehensive statement of purpose and service user guide. It details clearly the parameters for treatment and the expectations of service users. Care plans were well maintained and there is evidence that service users participate in their formulation and review. Service users spoken to described staff in very positive terms. As “knowledgeable” “caring” “challenging” and “amazing”. Failure to engage fully with the treatment programme is sensitively addressed and managed through contract and agreement. Progress is acknowledged and service users are encouraged and supported throughout. Relapse prevention forms an inherent part of the programme and there is a holistic approach to treatment which includes relaxation, stress and anger management. The home actively promotes the involvement of service users in the day-to-day running of the home. There is evidence from those spoken to that their rights are well respected and there is a good balance between staff and service users responsibilities. Links with family and friends are encouraged and family conferences can be arranged as part of the treatment programme. There are good links with the local college and gym, and service users can undertake voluntary work locally if they wish. Policies and procedures at the home are comprehensive and are regularly reviewed to ensure that service user’s best interests are safeguarded. The is a dedicated maintenance employee and the home promotes good practice in relation to safeguarding the health, safety and welfare of service users.
Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion EVIDENCE: Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion EVIDENCE: Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,16 Staff promote personal and social development for service users within the home and wider community. Service uses have a varied social life and are involved in some leisure activities during the course of the week. More social outings have been requested. Staff respect service users rights and recognise that they have a responsibility to enable service users to exercise as much control over their daily lives as possible within the restricted parameters of their treatment programmes. EVIDENCE: Three service user files were case tracked during the course of the inspection. For each there were comprehensive care plans in place. Seastrole is a secondary treatment provider and many service users had prior to admission begun a programme of work to recover from their addictions to drugs and alcohol. As the purpose of the service user stay is recovery, activities centre on in-house counselling, therapy and support. There are close links with local volunteer bureaus and a manual which details appropriate
Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 11 vacancies if residents which to pursue that further. Residents spoken to were at different stages of their programme and not all felt ready to go into employment. This was recorded in care plans. Prior to admission many residents were engaged in activities which were addiction related. Hobbies and interests are therefore risk assessed to ensure that these do not interfere with the treatment process. Attendance at a nearby gym is promoted and all residents are encouraged to attend courses at the local college. It is recognised that this is not suitable for all service users and those who do not wish to attend are supported in their choices. This is also recorded in care plans. Residents are all at different stages of recovery and this is taken into account when promoting activities. Spiritual and cultural well-being of service users is also addressed in care plans and for those who wish to attend places of Worship this is facilitated. One resident has had the opportunity to attend parenting classes, which was described as “mentally exhausting” but rewarding”. All residents spoken to felt they were included as much as possible in the local community all expressed a desire to settle here following completion of their treatment. Outings are arranged on a monthly basis although one resident expressed dissatisfaction with that. It was felt that there should be more social activities to achieve greater “normality”. As costs are met from charitable funds this was not always easy to achieve as the high cost of taking all residents was described by the registered manager as prohibitive. One service user commented that he was always busy and following arrival at Seastrole enjoyed regularly barbecues, outings to the beach and a social life which he had not experienced previously. Within the parameters of the treatment programme service users access a range of activities which are peer and socially appropriate. Of the three service users spoke to one had recently secured paid employment and added “everything I’ve wanted to do I’ve been supported with”. At Seastrole there are also opportunities for stress and anger management as well as family therapy. Service users lead a full and varied lifestyle during their stay at Seastrole and good community links were evidenced. One service user spoken to expressed a desire for more social activities. All of the service users spoken to all described staff and their experience of Seastrole in very positive terms. Their rights are respected and daily routines allow for individual choice and freedom of movement within accepted treatment parameters. Each service user has an individual key for their rooms and share bedrooms with agreement. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 12 Service users are required to clean their own rooms as well as participate in cleaning routines on a rota basis. Meals are prepared and cooked by service users on a rota basis. Staff at Seastrole actively encourage service users to participate in decision making within the home through house meetings, community groups and planning groups. An excellent service users guide provides clear guidelines on drug and alcohol misuse and identifies areas for smoking. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion EVIDENCE: Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion. EVIDENCE: Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 15 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Seastrole provides a safe, comfortable clean environment for service user. This means that service users can relax and focus on their recovery programme. EVIDENCE: The previous inspection identified a need for re-decoration and a replacement chest of drawers in one bedroom. A tour of the premises indicated that this had been completed and all of the rooms were in good order. Furniture whilst dated is adequate and of a fair standard. Service users spoken to were happy with the quality of their rooms and with the accommodation generally. The home was clean and free from odours was well ventilated with suitable heat and light. Its location offers good access to local amenities within Boscombe and is close to both shops and the beach. There are good transport facilites and the premises are in keeping with the local community. There is a dedicated maintenance employee. Health and Safety and fire records were not examined on this occasion. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 16 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion. EVIDENCE: Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed on this occasion. EVIDENCE: Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Seastrole Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000003954.V256858.R01.S.doc Version 5.0 Page 19 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. 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 Refer to Standard OP14 Good Practice Recommendations Consideration should be given to expanding social opportunities by offering more group outings. Seastrole DS0000003954.V256858.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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