Inspection on 26/08/08 for Seathorne Court

This inspection was carried out on 26th August 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Seathorne Court 09/01/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Seathorne Court Winthorpe Avenue Skegness Lincolnshire PE25 1RW Lead Inspector Ken Hague Unannounced Inspection 26th August 2008 09:30 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 Seathorne Court DS0000070081.V370544.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. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seathorne Court Address Winthorpe Avenue Skegness Lincolnshire PE25 1RW 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) 01754 765225 Gungah Care Limited Sadesh Gungah Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC To people of the following gender: Either Whose primary needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of people who can be accommodated is: 18 Date of last inspection 9th January 2008 Brief Description of the Service: Seathorne Court has had new owners since August 2007. It is a care home providing personal care for up to eighteen older people of both sexes. The home is situated in a side street, at the north end of Skegness, close to the beach. It is within 500 metres of pubs and amusements and within half a mile of the town centre where there are many facilities for shopping, entertainment and refreshment. The accommodation is made up of single rooms on two storeys, with a bathroom shared between each two bedrooms. Three of the baths have assistance facilities. A passenger lift gives access for residents with restricted mobility to the first floor. Communally, there is a large lounge, casually sectioned into three smaller areas to create a more relaxed, intimate atmosphere. There is one dining room. Both the lounge and the dining room are south facing so are bright and ‘catch’ the sun. There is a small kitchenette on the ground floor where visitors and residents can make drinks during the day. The home has a secure garden at the rear of the property and off-road car parking at the front of the home. A large proportion of the garden is gravel but there is a small area of lawn and shrubs for residents to sit in. The home’s philosophy of care is to provide the residents with a place that they feel is their own home and makes them feel comfortable and safe. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 5 The provider keeps a printed copy of the latest inspection report at the home, which is available for people using or enquiring about the service. The fees range from £348 for low to £391 for high dependency residents. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The inspection took place over 6.5 hours. The registered manage was on holiday on the day of the site visit, The care worker in charge was given feedback at the end of the inspection. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents and related care practices. A sample of care records was inspected. One member of staff was formally interviewed a second member of staff was spoken to informally. The residents requested that the Inspector spoke to them as a group in the lounge. In addition to this two individual residents was interviewed privately this included two who were being case tracked. An (AQAA) Annual quality assurance assessment was completed by the care home and sent to the Commission for Social Care Inspection prior to this report being completed. This is a selfassessment document completed by the providers of the care home. It sets out evidence from the provider to demonstrate that they are meeting the Care Home Regulations. A number of “have your say” were returned to the Commission for Social Care Inspection containing the comments of residents regarding the services provided by the home. These views are reflected within this report . A detailed comment form completed by a relative of the care home was given to the Inspector by the care home. This was completed as part of their quality assurance system. What the service does well: The home provides a comfortable, safe and homely environment for people to live in. There are assessment and care planning processes in place. Residents have detailed care plans, which enables staff to know how residents needs are to be met by the resources of the home. Regular residents meetings and care reviews are held where residents comment on the services provided at the home. The home offers, a wide range of social and leisure activities. A balanced and varied diet is provided. Residents are encouraged to make their own choices; and they, their relatives and other visitors to the home are encouraged to give their views and opinions of the service, which means that they can influence the way the service is run. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 7 Resident stated that they felt their needs were being addressed by the care home. They said staff, are kind. The home is always clean. We are very satisfied with the service being provided to us. What has improved since the last inspection? What they could do better: Formal supervision for staff needs to be introduced. This was a requirement at the last inspection. The quality of care plans needs to be improved and more detail recorded. This must include detailed risk assessments, which advise staff how any identified risks should be managed. The health and safety procedure the care home needs to be consistently followed. The recruitment policy of the care home must be consistently followed to ensure the safe recruitment of new staff. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 8 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. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 9 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 Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 10 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): Standards 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are procedures in place which are used for the assessment of new residents. This ensures that all of their personal care, health care and social needs are met. A dedicated intermediate care service is not provided by the home. EVIDENCE: The files of three new residents were examined as part of the case tracking process. They all contained an assessment for each individual resident caried out prior to their addminsion to the home. The assessments set out the care needs, social needs and health needs of each individual resident. Residents confirmed that they have been involved in the writing of their initial assessment. Members of staff interviewed confirmed that assessments are always carried out prior to residents being admitted. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 11 The three residents being case tracked all confirmed that they received an assessment prior to being admitted to the home. Assessments were easy to read and understand. Standard forms were used for each assessment. The quality of the assessments was consistent for both short-term and long-term residents. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 12 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): Standards 7,8,9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans do not contained enough detail to ensure resident’s needs are always met. The privacy and dignity of residents is maintained. The medication procedure, of the care home is being followed, ensuring medication is administered and stored safely. EVIDENCE: The care plans of three residents were studied. Two care plans were written by the home and identified the needs of the residents. However risk assessments did not include the management of any risk identified. The third residents care records included a care plan, which was based on documentation supplied to the home by the National Health Service. There was no evidence of all care plans being reviewed and updated. Staff were able to describe in formal interviews needs of all three residents. The residents themselves confirmed that they felt that their needs were being met by the care home. However the quality of care records and the method of filing them needs to be improved. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 13 Community Health Care Services are supporting the home to ensure the health care needs of residents are met. There was evidence found within care records of the home assisting people to visit consultants and GPs. On the day of the site visit one resident was helped to visit her doctor. The home has a medication procedure, which staff were able to describe in the formal interviews. Staff confirmed that training has been provided to ensure they were competent before they gave out medication. The person in charge on the day of the site visit stated that the last pharmacy report confirmed that there are no problems with the practice at the home or storage of medication. Samples of medication records were viewed. They were found to be completed correctly. In all of the discussions held with residents only positive comments were made about members of staff and management. Residents confirmed that they feel their needs are met in sensitive ways and their privacy and dignity is always respected. A resident stated “I have complete trust in the staff here, they are polite they respect my privacy”. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 14 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): Standards 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough suitable activities provided for residents that are in accordance with their needs and wishes. They receive a healthy and balanced diet that is based on their personal choices. EVIDENCE: Observation and discussions with residents provided evidence that staff are aware of the need to respect residents’ privacy. Bedroom doors are fitted with locks and residents stated that staff ask permission to enter bedrooms before they come into their rooms. A resident stated, “I trust staff to help me, they do make take time to listen to me.” A second resident stated “staff respect my privacy and are kind” The registered manager supplied a copy of the menu, which demonstrated choices are offered to residents. Comments from residents regarding the menu were all positive. A resident stated “ the food is excellent’. A second resident said “the food here is well presented the quality is good and We are always given enough food”. Another residents stated “I like the food here, we do have choices and it is always nice.” No negative comments were received from any residents regarding the food and the menu. Staff described the choices of each residents being case tracked in respect of their dietary needs. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 15 There is evidence in records and through feedback from residents that activities such as bingo, and various outings are available. Residents said that there is always plenty to do and staff are very kind to their visitors. There was a garden fair organised for the home the following weekend after the site visit. Residents and staff had worked together to organise it and to publicise it in the local area. Posters were seen in local shops and cafes surrounding the home inviting the public to visit and join in the social activity. Resident stated that activities in particular have improved since the change of ownership. Residents were observed going out into the community to visit local shops or to walk down to the seafront. Residents and staff stated entertainers come into the home on a regular basis. There are links to local churches and a Minister visits the home to provide services for residents. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 16 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): Standards 16 &18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by up dated, and clear policies and procedures, and staff who are trained and knowledgeable. EVIDENCE: No complaints or safeguarding adult referrals have been made or received about the service since it was first registered. The complaints policy and the local authority safeguarding adult guidelines are available to staff, and residents have a copy of the complaints policy. A copy of the complaints procedure is on the notice board in the main corridor of the home. Pre inspection (AQAA) information shows that there are policies available for whistle blowing and accidents. Residents said that they feel safe living at the home and the staff look after them very well. They said that if they had a complaint they would speak to the registered manager or any of the staff because they ‘trust them to sort it out’. Records show that staff, have received training in safeguarding adult procedures. Staff demonstrated a knowledge and understanding of these Standards during formal discussions. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 17 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): Standards 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, homely, clean environment and enjoy a personalised environment, which enables them to maintain their independence. EVIDENCE: The new owners have carried out many improvements to the environment. It is accepted at the time the home was purchased a great deal of the work was required to ensure these standards were met. Evidence was found during the site visit of major improvements to the home environment. This included the provision of new equipment, the decorating of some areas within the home and the fitting of new carpets. The garden area of the home has been improved to allow residents to sit out in the summer time. The home was clean tidy and smelt fresh in every area of the building. Residents stated their satisfaction with the improvements made by the new owners to the environment. Evidence of improvements to the Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 18 home can also be found in the AQAA sent to the commission for social care inspection. The staff member stated there is an improvement plan and ongoing maintenance programme at the home, which is being followed to continue improvements. A number of residents bedroom were viewed. They are all contained goodquality furniture were decorated to a good standard and have been personalised by the individual residents. All the residents involved in a large discussion held in the lounge at the end of inspection confirm their satisfaction with their own individual bedroom. Two bathrooms have been modernised to make them more comfortable and practical for the residents and staff to use. A relative feedback form completed in September 2008 states “ overall the home is very good and looking much cleaner now. The wet rooms are brilliant”. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 19 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): Standards 27,28,29 7 30 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by appropriately trained staff. The homes recruitment procedure has not been followed consistently, which places residents at risk. EVIDENCE: During the site visit a relaxed atmosphere was evident, and staff demonstrated efficient management of residents needs. Staff said that there are enough people on duty to meet needs, and if shortages occur through sickness, there are staff to call upon to fill any gaps. The staff stated that if resident’s needs increased additional staffing was provided. Rotas show satisfactory numbers of staff are available on each shift. Records show that staff have received essential training in areas such as moving and handling, fire safety, and health and safety. There was however no long-term written training plan in place which identified specialised training provision. There was evidence that induction training is being provided to new staff and the owners are encouraging staff to take NVQ training. This is an area that the new owners have still to develop. Staff demonstrated in formal interviews a detailed knowledge of the residents being case tracked. Positive comments regarding the commitment and care Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 20 practice of staff were contained in relative feedback forms. Additional evidence was found in a “have your say” document and detailed discussion with the residents on the day of the site visit. A relative described staff as “patient kind and understanding”. A sample of the recruitment records for new staff was seen. Evidence was found that the recruitment procedure the home was not being followed. A member of staff had started employment in the home before a criminal record bureau check (CRB) had been obtained. A protection of vulnerable adults check (POVA) had been obtained but no evidence could be produced that this member of staff was supervised until the CRB was received by the home. There is still work to be carried out to improve these standards. All staff confirmed that staff supervision is not been provided consistently to all staff. The registered manager is addressing this issue to ensure that this standard is met in the future Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 21 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): Standards 31,33,35 & 38 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. Staff are provided with leadership and guidance from the registered manager ensuring that residents needs are met. The home’s health and safety policy is not being followed, which places residents at risk. Residents financial interests are being safeguarded by the home. Supervision of staff is not been provided in accordance with national guidelines. EVIDENCE: Staff stated that the new registered manager and proprietor have improved the home considerably. They stated that teamwork has improved, and staff morale his high. In their opinion the registered manager is approachable and supportive to both residents and staff. Staff stated that they are encouraged to increase their skills and take training opportunities. It was confirmed that formal supervision is not been consistently provided. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 22 Residents stated in discussions that they were impressed with the efforts being made by the management of the home to improve the quality of their life and the environment of the home. All statements made by residents and staff were positive regarding the new management. There are procedures in place to ensure that the residents finances are protected. Staff were able to discuss these policies. The home does not handle the bank accounts of any residents. The home manager must ensure that the recruitment procedure of the home is followed, which has not been the case in the past. There were several health and safety issues identified during a site visit. Redundant fire extinguishers were left in the garden fully charged which was a risk to resident safety. Cupboards, which should be locked containing chemicals, were not locked on the day of a site visit. Action was taken by the staff member in charge to address both of these issues before the Inspector left the home. Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 23 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 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 2 Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes 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 OP7 Regulation 15 Requirement Residents must be consulted on the creation of their own care plans, to ensure their needs and wishes are recorded and met. From last inspection report Staff must be appropriately supervised in their working practices to safeguard the residents. From last inspection report The recruitment procedure of the home must be followed to ensure that the documents listed in the care home regulations are obtained before employment is offered. This is to ensure that only appropriate staff are recruited who present no risk to residents. Timescale for action 12/01/09 2 OP36 18(2) 28/11/08 3 OP29 19 (1) 28/11/08 Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Seathorne Court DS0000070081.V370544.R01.S.doc Version 5.2 Page 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. 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