Inspection on 16/11/06 for Seaswift House

This inspection was carried out on 16th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Seaswift House 26/05/09

Seaswift House 05/12/07

Seaswift House 24/01/06

Seaswift House 02/08/05

Seaswift House 04/03/05

Seaswift House 13/08/04

Seaswift House 31/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Seaswift House Sea Hill Seaton Devon EX12 2QT Lead Inspector Teresa Anderson Key Unannounced Inspection 16th November 2006 10:00 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 Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaswift House Address Sea Hill Seaton Devon EX12 2QT 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) 01297 24493 01297 21149 Mrs Kathryn Sara Jackson Ms Carole Rundle-Drew Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Seaswift is a care home that has been adapted from a row of 3 houses. The home provides accommodation and personal care for up to 14 residents who have needs associated with old age. Accommodation is provided over three floors and is linked by stair lifts. All bedrooms are single occupancy and 10 of the 14 have en-suite facilities. There is a communal lounge/conservatory and two dining rooms, all situated on the ground floor. The home is close to the centre of Seaton and the seafront. The front aspect overlooks a bowling green and gardens. The rear of the home has a small patio style garden. Seaswift does not have dedicated parking. The fees charged at this home range from £395.00 to £425.00 per week. This fee does not cover items such as toiletries, newspapers etc. Further information about this home, including reports, is available from the home. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place as part of the normal programme of inspection. It started at 10.00am and finished at 3.30pm. Prior to the site visit the owner and manager provided information in a ‘preinspection questionnaire’. Questionnaires, asking for comments about the home, were sent to 14 residents and 10 were returned and to 6 staff and 4 were returned. Questionnaires were also sent to health and social care staff who visit this home and 4 were returned. Their comments are included in this report where appropriate. During the visit to the home the inspector saw and/or spoke with all residents. The care and accommodation offered to 3 residents was case tracked (this helps us to understand the experiences of people using the service). The inspector observed the care and attention given to residents by staff. She spoke with the manager and with 3 members of staff. The inspector visited all communal and service areas in the home and saw approximately 10 bedrooms. Records in relation to care assessment, care planning, medication, staff recruitment, residents monies and fire safety were inspected. What the service does well: This home provides good information for prospective residents and encourages them to come and see the home and to speak with staff and residents. One resident says ‘we’re lucky to be able to come to a home like this’ and another said ‘if you’ve got to be in a home – this is the best one’. All residents have a plan of care that details the care they require. Whilst this is not written in great detail, it is appropriate to the needs of residents and to the overall communication system within the home. There is clear evidence of the involvement of the wider multi-disciplinary team including GP’s, chiropodists, dentists, GP’s, district nurses and audiologist. In surveys health and social care staff say they are satisfied with the care provided. Medication systems are generally satisfactory. Residents say they are treated with respect and that all their care is given in private. Although this home does not have a set programme of activities residents say this suits them. They prefer to meet over lunch or for coffee, and some residents have struck up important friendships. The home is very close to the centre of Seaton and residents say they like to go in to look around. Some are Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 6 able to go alone and others are supported by staff. Some residents go to the theatre and/or to the cinema. Residents are treated as individuals and routines are kept to a minimum. One resident says ‘if you have to be in a home this is the best type where you do what you like’. Visitors are free to come and go and one said ‘I always feel I can drop in’ and others say they are always offered a tea or coffee. The food at Seaswift is described by residents as ‘excellent’ and ‘the best’. On the day of inspection lunch was either a curry or baked potato with a filling and salad. Residents said how much they enjoyed it. The home always makes fresh fruit, chocolate and cooled water available. Sherry is served before lunch. The home does not tend to receive complaints and the commission have not received any. Residents say any minor niggles are dealt with quickly and easily and that the manager is most helpful. They say they feel safe and secure and that staff are ‘kind’ and ‘lovely’. Staff receive training in ‘safeguarding adults’ and demonstrate a good understanding of what abuse is and what to do if they see or suspect this. Residents say the home is always clean and fresh and well cared for. It is very homely. Staff are described as ‘lovely’, ‘kind’ and ‘patient and caring’. There are two staff on during the day and two sleeping staff at night. 50 of the staff are trained to NVQ Level 2 or above and they receive additional training as needed. Recruitment procedures were checked and these ensure residents are safeguarded. The manager of Seaswift is very highly thought of by staff and residents. She is described as ‘most helpful’ and ‘approachable’. She is trained to NVQ Level 4 in care and is soon to complete her Registered Managers Award. Appropriate maintenance checks and mandatory training is in place. What has improved since the last inspection? Since the last inspection the care planning documentation for an identified resident has improved. The manager has ensured that the controlled drugs register has numbered pages and an index. The free standing radiator in the conservatory has been removed and replaced with a covered radiator attached to the gas central heating. The record keeping in relation to fire training has improved so that the manager can now identify who has not received training. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. This home does not provide intermediate care. Quality in this outcome area is adequate. Assessments of residents prior to admission are not consistently carried out and therefore do not ensure that staff have enough information to know and meet new residents needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager reports that all residents are met with before they are admitted to the home and residents confirm this. Some had looked around the home and others had asked relatives to do this for them. One person told the inspector they had looked at six care homes and ‘this was the one’. In surveys all residents said they had received a contract and had enough information about the home before they moved in so that they could decide this was the right place for them. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 10 However, care plans show that the quality of assessment of prospective residents needs is inconsistent. Documentation has not been developed to record this in a consistent manner and the most recently admitted resident did not have a full needs assessment undertaken/recorded. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. The arrangements in place for planning resident’s care generally ensure that residents consistently get the care they need in a way that suits them. The healthcare needs of residents are well met with evidence of multidisciplinary involvement. The systems for the management and administration of medications are generally good and ensure that residents’ medication needs are met safely. Personal support is offered in such a way as to protect and promote residents’ rights to privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 12 Each resident has a plan of care which details their care needs. Three were looked at in detail. Although care plans are not all written in great detail, the level of that detail is appropriate to the needs of each current resident and to the communication system within the home. Residents are generally able and vocal, and are able to communicate their needs and preferences. Care plans contain appropriate information regarding moving and handling, risk assessments, tissue viability and nutritional needs. Whilst care plans do not contain more personal information staff demonstrate an excellent knowledge of residents, their likes, dislikes, personal routines and idiosyncrasies. There is evidence in care plans of the involvement of health and social care professionals and in surveys they say they are satisfied with the care provided. One resident talked about how staff were helping her with getting a hearing assessment, another talked of how they were encouraged to manage their diabetes themselves but with guidance and another said their health had improved since moving into the home. In surveys residents say that they always receive the care and support they need. Residents told the inspector that staff are always helpful, kind and caring. Staff were observed providing care sensitively, discreetly and in a way that residents say suits them. The manager described the current system of managing medications. There is a set policy and procedure in place. Records of medications ordered, received, administered and returned to the pharmacy are kept. Medication administration records checked are up to date. However, hand transcribed entries are not signed by two people as is good practice. Since the last inspection the manager has ensured that the controlled drugs register has numbered pages and an index. Staff who give medicines have received training and some have received advanced training. The home does not have a dedicated fridge for medication but the manager reports this has been ordered. Staff demonstrate a good understanding of how they can help residents to maintain dignity and how they can ensure residents have privacy. For example all care is given in private and residents wear their own clothes at all times. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Links with the local community are good; visitors are welcomed and residents have their social care needs met. Support is offered in a way that promotes choice and flexibility. The meals offered provide choice, variety and meet nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Seaswift House does not provide an activities programme. Outings are arranged to for example the local theatre and residents are assisted to attend. In surveys the majority of residents said that there are always activities arranged that they can take part in. When spoken with residents wanted other people to talk to more than organised activities and as one person said ‘there is always someone to have a chat with’. Many residents have formed Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 14 friendships and meet up for coffee or over lunch. One resident said they had become more sociable since coming to live here and enjoyed the company. Visitors were seen being welcomed by staff and offered refreshments. Residents said that their visitors could come and go as they please. In a survey one relative said ‘I always feel I can drop in’. Staff were observed being flexible and offering choice. Residents say they spend their time how and where they like and one said ‘if you have to be in a home then this is the best type where you do what you like’. In surveys the majority of residents say they always like the meals describing them as ‘excellent’, ‘great care is always taken’ and ‘the food is the best’. Lunchtime is seen as a special social occasion when the tables are laid and dressed. Fresh fruit and chocolates are always available together with cooled water. Tea and coffee are offered or requested at frequent intervals. One resident said ‘if there is something you don’t like the staff always provide a lovely alternative’. Current residents do not need assistance with eating although some do need encouragement to take a balance diet and this is given. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The home has a satisfactory complaints system that residents feel confident in using if they need to. Residents feel safe and well cared for and staff’s knowledge of adult protection ensures that residents live in an environment where they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints have been received by the home or the commission. In surveys residents say they know how to make a complaint and who to talk to if they are not happy. During the inspection many residents talked of the approachability and helpful nature of the staff and of the ‘most helpful manager’. Residents spoken with say they feel safe, well cared for and that staff are kind. Staff receive training in ‘safeguarding adults’ and demonstrate a good understanding of what to do if they see or suspect abusive practice. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 25 and 26. Quality in this outcome area is good. The environment of this home provides residents with a homely and clean place to live. Some furnishings in the home are not conducive to the needs of older people and may pose some risk to resident’s safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a lounge/conservatory for residents sit in and two small dining rooms. In surveys residents say that the home is always fresh and clean and this was found to be so on the day of inspection. Whilst one member of staff was seen not to be fully following infection control procedures, in general staff have a good understanding of this and follow the guidance. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 17 The home is furnished and decorated in a style that is very homely. However, at the last inspection it was recommended that some chairs be raised in height to promote residents independence and comfort. The manager reports that this was done but since then the owner has purchased new furniture which cannot be raised. The residents seen using this room managed to get in and out of this furniture quite easily but this is something that may change. In addition there is a glass coffee table in the middle of this lounge. The accident book shows that one person fell whilst rising from the settee and it would appear they narrowly missed hitting their head on this glass surface. Since the last inspection a gas central heating radiator has been installed in the conservatory and this is covered. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Staff receive appropriate training and have the skills to ensure that they are able to make residents lives as comfortable as possible. They are employed in sufficient numbers. The recruitment procedures designed to protect residents are followed, ensuring residents’ safety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents describe staff as ‘lovely’, ‘kind’, ‘helpful’ and ‘patient and caring’. There are two members of staff on throughout the day and sleeping staff at night. Staff receive appropriate training and 50 have received training to NVQ Level 2 or above. In surveys staff say they receive the support they need and are never asked to care for people outside their area of expertise. They know who to contact in an Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 19 emergency and what to do if someone is unwell. They say the home has a lovely atmosphere and is a good place to work. Staff files of the two most recently recruited carers were checked. These contained all the appropriate recruitment information required to ensure residents are kept safe. This includes two written references, police checks and photographs. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. The management systems in place help to ensure residents live in a wellmanaged, safe environment where they are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager, Carole Rundle-Drew, has many years experience in the care industry and has achieved NVQ level 4 in Care. She is currently undertaking her Registered Managers Award and plans to finish this in the short term. Residents and staff expressed confidence in and like the manager. Her time is split between managing for 2 days a week and providing care on the other 3 days. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 21 Quality assurance systems have not yet been fully implemented. The manager intends to link this to a learning module of the Registered Managers Award training. As residents are very happy living at Seaswift and could not think of anything that would improve the home, this is acceptable. The home does not hold or manage the monies of any residents. Since the last inspection the recording of fire training has improved and it easy now for the manager to see who has not had this training. One member of staff demonstrated an excellent understanding of the fire procedures and of what to do in case of fire. Mandatory training in manual handling, first aid and food hygiene continues. The ‘pre inspection questionnaire’ supplied by the manager demonstrates that appropriate maintenance checks are carried out. The openings on windows on upper floors are restricted for residents safety and thermostatic valves are fitted to bath taps to prevent scalding. Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 22 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 x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 2 x x 2 x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x 3 x x 3 Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP3 Regulation 14 (1) Requirement Timescale for action 31/12/06 2. OP19 13 (4) You should not provide accommodation to a resident unless the needs of that person have been assessed by a suitably qualified or trained person; you should have a copy of this assessment; you should confirm in writing to the resident that the care home is suitable to meet their requirements. You should ensure that all parts 31/12/06 of the home to which residents have access are, so far as possible, free from hazards to their safety (this refers to the placement of the glass coffee table in the centre of the conservatory). Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 24 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 OP9 Good Practice Recommendations You should ensure that hand transcribed entries on medication charts are checked and signed by two people. You should keep a list of signatures and initials of all carers who administer medication. You should ensure that the home provides specialist equipment including raising seating where or for whom this is required. Effective quality assurance and quality monitoring systems, based on resident’s views, should be in place to measure success in meeting the aims, objectives and statement of purpose of the home. 2. 3. OP22 OP33 Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 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 © 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 Seaswift House DS0000022024.V321179.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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