Inspection on 21/06/06 for Seaton Hall

This inspection was carried out on 21st June 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

Seaton Hall 19/02/09

Seaton Hall 21/02/08

Seaton Hall 28/06/07

Seaton Hall 04/01/06

Seaton Hall 04/08/05

Seaton Hall 16/02/05

Seaton Hall 30/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Seaton Hall 10 The Green Seaton Carew Hartlepool TS25 1AS Lead Inspector Stephen Willcock Unannounced Inspection 21st June 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 Seaton Hall DS0000047718.V298636.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. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaton Hall Address 10 The Green Seaton Carew Hartlepool TS25 1AS 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) 01429 260095 01429 263318 Arnold George Barrington Wilks Mrs Carmel Dawson Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Seaton Hall is situated in a residential area on the green in Seaton Carew. It has an open aspect with views over the sea. The home is registered as a care home providing care for 33 older people. Accommodation is provided on two floors with access to the upper level provided by two passenger lifts. There is an adequate number of assisted toilet and bathing facilities and one bedroom has an en-suite bathroom. The home has spacious recreational and dining facilities and there is a large enclosed courtyard garden area to the rear of the home. The weekly cost for living at the home is £335 per week and does not include hairdressing, chiropody, toiletries, transport and newspapers. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 21/06/06 over a period of 5 hours. Time was spent talking to service users, care staff and the administrator. The manager was not present during the inspection. A number of comments were received prior to the inspection using the Commission for Social Care Inspection survey forms and these were generally positive and complimentary. What the service does well: 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. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 6 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 Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, Standard 6 not applicable. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Pre-admission assessments are carried out to ensure the assessed needs of the service user can be met. EVIDENCE: Service users’ care plans were looked at and found to contain social workers assessments and pre-admission assessments carried out by the home. The assessments covered aspects of health and care needs and formed the basis for care provided by the home. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Care plans contain good detail but need some additional information. Medication handling and recording has improved. Personal care is carried to the service user’s satisfaction. EVIDENCE: Individual service user care plans were looked at and seen to contain relevant information about the care that was needed and provided. The care plans were regularly evaluated and updated when a change in care need was identified. It was noted that where changes in assessed need had occurred there was not always a signature to identify who had made the changes in the care plan. Some of the care plans looked at did not have a photograph of the service user. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 9 Care plans contained details of regular contacts with health care and social care professionals including opticians, chiropody and dentists. Since the last inspection, the manager has obtained further advice about the management of medication and has made changes to ensure the recording and administration of medication is carried out satisfactorily. In discussion, service users said staff provided care in a respectful and dignified manner and one commented, “I couldn’t be looked after better”. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users engaged in activities appropriate to their needs. Contacts with the local community, family and friends, is maintained and control over aspects of their lives are encouraged. Meals served at the home meet the needs of service users. EVIDENCE: The home offers a number of opportunities for service users to take part in appropriate activities. As the home is close to the seafront, in warm weather, a walk along the promenade is quite enjoyable. Other activities include bingo, sing-a-longs and trips to the theatre and shopping venues. Visitors are welcomed to the home at any time and one commented, “Nothing is too much trouble for the staff”. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 11 Independence is promoted as much as possible at the home. One service user spoke of how she was involved in planning her care and took part in care planning meetings. Meals served at the home appeared wholesome and pleasantly presented. In discussion, one service user said the meals were “good”. Another service user confirmed, “a choice of alternatives were always available”. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home has a complaint policy and procedure in place and ensures the protection of service users from abuse. EVIDENCE: The home has received no complaints during the last 12 months and in discussion, service users’ confirmed that they would know how to raise concerns and complaints if they had any. Examination of staff files found that Criminal Records Bureau checks had been carried out and references taken up prior to employment at the home. It was encouraging that the home had also checked a visiting professional to the home had obtained a CRB. Staff members had also undertaken training in the Protection of Vulnerable Adults and in discussion, were able to demonstrate the procedure to be followed in the event of an incident occurring in the home. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is in need of further refurbishment and maintenance. Generally, the home is clean, pleasant and free from odour. EVIDENCE: The home has recently been rewired as part of a refurbishment programme but this needs to be completed. However, this would cause some disruption in the home and therefore completion of the work has been staggered to avoid any inconvenience to service users. Two bathrooms were not being used as maintenance work was taking place. It was also noted that a storage cupboard had been fitted with an electrical mains box. Advice was given that the cupboard should now be fitted with a lockable door. Generally the home was appropriately maintained but was in need of redecoration and completion of the refurbishment plan. One service user had recently had her room redecorated and said, “my room is beautiful and I’m very pleased with it”. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 14 On the day of the inspection the home was clean, tidy and free from odour. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staff members are employed in appropriate numbers and receive training to meet service users’ needs. The home ensures the protection of service users and follows recruitment and training policies. EVIDENCE: Staffing levels at the home were determined by an assessment of service user needs. Duty rotas were looked at and they showed five members of staff on duty from morning to afternoon. One member of staff said the home would benefit from additional staff members at times, as they could be quite busy. Staff files were also looked at were seen to contain relevant details of references and Criminal Records Bureau checks, following a thorough recruitment process. In interview, staff members demonstrated a good knowledge of care and individual service user’s need. Training had been provided including subjects of stroke awareness, fire safety and the protection of vulnerable adults. Staff members were also engaged in study for the qualification NVQ2 in care, and in discussion said they wanted to carry on to NVQ level 3 in care. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager by is an experienced and competent person and runs the home in the best interests of service users. Service users finances are protected by the home’s procedures Health and Safety issues are given high consideration Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 17 EVIDENCE: The manager of the home is very experienced and can draw upon a number of years of management at Seaton Hall. The manager is also a qualified Registered Nurse and has been able to build up a good rapport with service users and their relatives, care professionals and staff. Regular audit checks are carried out to ensure the home provides a quality service including monthly evaluations of care. The manager has conducted a quality assurance survey and made the results available to service users. The home encourages service users’ families to retain control of their finances but will provide a service to look after small amounts of money if that is needed. Maintenance certificates and records were up to date and risk assessments were in place, although in places these needed to be signed and dated. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 18 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 3 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 2 X X X 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 3 X 3 X X 3 Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 19 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 OP7 Regulation 17 Requirement The registered person must ensure that care plans contain a photograph of the service user to which it applies. Timescale for action 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP19 OP38 Good Practice Recommendations The manager should ensure that the bathrooms are made usable. The manager should ensure that all risk assessments are signed and dated. Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seaton Hall DS0000047718.V298636.R01.S.doc Version 5.2 Page 21 - 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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