Inspection on 17/04/07 for Seaton House

This inspection was carried out on 17th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House 27/02/06

Seaton House 27/06/05

Seaton House 01/11/04

Seaton House 05/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Seaton House 153 Eastgate Louth Lincs LN11 9AJ Lead Inspector Sue Hayward Key Unannounced Inspection 17th April 2007 01:00 Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 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 House DS0000002416.V334842.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 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. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaton House Address 153 Eastgate Louth Lincs LN11 9AJ 01507 611071 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) Linkage Community Trust James Harry Kilner Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/02/2006 Brief Description of the Service: Seaton House is situated on the eastern side of the market town of Louth. It is a detached property, which has been extensively altered and refurbished. The property is well maintained both internally and externally and offers residents opportunities for privacy, independence and easy access to the local community. Accommodation is provided in single rooms. There is car parking space available to the front of the home. The garden of Seaton House provides a link with the sister home of Riverside. The two homes are part of a long stay project operated by the voluntary organisation Linkage Community Trust. One person has been judged and registered as a fit person to manage both services. The close unison of the homes is mainly in relation to leisure activities and transport especially as some residents share similar interests such as swimming and football. Currently Seaton House is home to nine male residents with a learning disability. During the week residents attend a variety of off-site activities ranging from vocational interests to work placements. Information about the day-to-day operation of the home is explained and given to each resident and is available in the home for others to refer to. Copies of previous inspection reports are also available to view in the home. The current range of fees as confirmed by the manager on the day of the visit is £483 - £507 per week. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and took place over 5 ¼ hours. It formed part of a “key” inspection. This is the checking of those standards considered to be “key” in terms of the health, safety and welfare of residents. The manager had completed a questionnaire giving important information about the service and this was used to contribute to the inspection process. Questionnaires had been returned from six residents. Information from these sources as well as that, which the Commission for Social Care Inspection (CSCI) holds about the service was used to plan the visit and produce this report. “Case tracking” was the main method of inspection used. This included looking at the care and support of three residents with differing needs, through discussion with them, the two staff on duty and checking a sample of the records held about them. There was also general discussion with some of the other residents who were present. Three bedrooms, the kitchen, sitting room, laundry and a bathroom were also seen on this occasion. Staff were also observed for short periods of time whilst working with residents. The manager was present throughout and general comments about the outcome of the visit were discussed with him. What the service does well: This is a well managed home with care being provided by a consistent staff team. There is a good training programme provided which caters for residents needs and provides staff with the knowledge and skills necessary to meet them. A relaxed and friendly rapport was noticed between staff and residents and there are good systems in place enabling residents to make their views known. Residents made mainly positive comments about the home indicating that they felt well, cared for, found their rooms comfortable, made their own decisions and liked living at Seaton House. Residents are supported to take part in a range of recreational, educational and vocational opportunities enabling them to lead independent and fulfilled lives. They are actively involved in the planning of their care and are supported to achieve their goals. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 6 This is a domestic type home, which is clean and comfortable and provides residents with safe accommodation. 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. The summary of this inspection report can be made available in other formats on request. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 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 Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1 and 2. People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. There are good systems in place to introduce and assess residents to ensure their care needs are identified and can be met prior to admission. EVIDENCE: The organisation has policies relating to the admission and discharge of residents. Comments confirmed that residents and their relatives or representatives are able to visit the service, meet other people who live at the home and have overnight stays before making a decision whether they wish to become resident at the house. The manager said that written information about the home such as the statement of purpose and residents guide is currently only available in written form although this is an area he intends to develop in other forms such as digital video disc (DVD). Some information such as the complaints procedure is available in other forms such as symbol as well as the written word. Staff confirmed that written information is always explained to residents. Both residents records checked contained copies of information given to them about the home. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 9 All six of the questionnaires completed by residents prior to the visit confirmed that they had had sufficient information about the home prior to moving in and comments made were “I had a look round its near town” and “My care manager asked me if I wanted to move here”. There have been no admissions to the home since the last inspection. The records of both residents whose care was being followed contained information which showed that residents needs had been properly assessed and planned for and residents said they had been involved too. Information had also been obtained from other relevant professionals such as local authorities. Staff had a good knowledge of residents needs and all residents spoken to made comments which indicated that they liked living at Seaton House. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. People who use the service experience excellent quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. Care plans contain detailed information. This ensures residents receive appropriate care to meet their needs and personal preferences. The individual risk assessments enable residents to be supported in a way that promotes their independence and lead fulfilling lives in the way they wish. Residents’ privacy, dignity and independence is well promoted. EVIDENCE: All files checked contained information in the form of a care plan identifying the needs of residents and how to meet them. Residents were fully aware of the care plans and the information they contained. Residents’ comments indicated they could write in their records themselves if they wish and have the opportunity to develop a person centred plan. A resident had his displayed on his bedroom wall. It included his hopes and wishes for the future. Records and residents comments confirmed that care needs and plans are regularly reviewed on a monthly basis with staff and more formally at Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 11 meetings where other significant people are invited to attend such as funding authorities and relatives as well as residents themselves. Staff had a good knowledge of residents needs and care plans were sufficiently detailed for staff to refer to if needed. Staff treated residents in a courteous and respectful way. Discussion with all residents indicated that they felt staff respected their privacy and a good rapport between staff and residents was noticed. Of the questionnaires completed by residents four said they “always” made decisions about what they do each day and two said they “usually” do, all said they “can do what want during the day in the evening and at weekends”. Residents were seen to be involved in different activities during the visit such as preparing the evening meal, watching television and getting ready for a swimming trip. Information was also seen on residents’ personal files explaining where they could go to for independent support if needed such as using the citizens’ advocacy link. A communication board is used for a particular resident consisting of pictures which enables staff to communicate more effectively and some information is available to residents in symbol form. Included as part of residents’ records are risk assessments. These have been developed in order to ensure residents are able to lead fulfilling and independent lives whilst minimising any risks and hazards that this may pose to them. For example risk assessments were seen in relation to meal preparation. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13,15,16, and 17 People who use the service experience excellent quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. Residents are supported to participate in a range of social, leisure; educational and work related activities, which ensure that they lead, fulfilled lives, both within the home and community. A well balanced diet is provided which caters for residents’ individual likes and dietary needs. EVIDENCE: Discussion with residents confirmed that they participate in a range of leisure, social, educational and work opportunities. For example, one resident said that he worked in a local hotel and photographs were seen which showed him enjoying a party with his work colleagues. Residents said they are able to have and visit friends and family as they wish. Residents talked about the different resource centres and facilities they use where they have opportunities to develop their independence and skills. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 13 All the questionnaires completed by residents confirmed residents can do what want during the day in the evening and at weekends. At the time of the visit a resident was helping to prepare the evening meal, another said he was going to post a letter and others were getting ready to go swimming. This indicated that where possible residents have a choice about what they do and participate in. There is some flexibility with staffing arrangements to enable residents to participate in their chosen activities and leisure interests although this was an area that staff felt could be developed further. Residents have the opportunity to have holidays visiting Norfolk and Scotland within the past year. Comments indicated they were also looking forward to their forthcoming holiday at Whitby. Residents comments during the visit indicated that they felt that they had their privacy respected, they could lock their rooms if they wished and were able to make their own decisions. Comments from residents about the food provided were positive. They are able to prepare meals if they wish. Individual preferences and special dietary needs are catered for. Records checked demonstrated that residents’ dietary needs are monitored to ensure residents health and well-being. Meals at the home are planned in consultation with residents and individual preferences are catered for as needed. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. Residents individuality, privacy and dignity is well respected and personal care is delivered in a way, which enables residents to develop their independence and promotes their health and welfare. Medication is managed in a way that promotes residents’ independence and safety. EVIDENCE: The home currently provides care to nine male residents. There was discussion with staff and the manager about how the balance of male and female staff is managed in the home to ensure that residents have a choice of who supports them (see also comments made at standards 31 – 36). Current residents are independent with their personal hygiene needs however if a matter arose which needed a male member of staff when one was not on duty this would be addressed via the “on-call” system in place. Equality and diversity is part of the organisations staff-training programme as well as more specific training to meet specific individual needs. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 15 There is a system (“Key worker”) in place were staff have specific responsibilities with specific residents. Discussion with a resident confirmed that he had had a choice about which staff member took on this role. Records and discussion with residents indicated that the healthcare needs of residents are well monitored and managed. For example a resident said that he visited his general practitioner as needed and staff accompanied him to do this. The reports completed by a management representative of the organisation includes information which demonstrates when residents have for example visited hospitals to attend appointment, had their medication reviewed, visited the dentist or the chiropodist. The organisation employs its own psychologist and psychiatrist who provide support and guidance as needed. There are satisfactory arrangements in place to store medicines safely. There are also procedures in place for residents to independently administer medication after assessment. There is training provided for staff about medicine administration, which one staff member spoken to had completed. Another said this needed to be updated however this had been raised with her line manager and the organisations training programme ensures that there are various opportunities for staff to participate in this. There was information available which demonstrated that the manager had been trying to arrange a visit from the pharmacist they use to offer advice and guidance about the current systems in place, although is still waiting confirmation of a date when this is to take place. A staff member demonstrated a good knowledge of the safe storage, administration and disposal of medication and records kept were well maintained and up to date. The pre-inspection questionnaire completed by the manager indicated that there had been no change to the medication policies and procedures since the last inspection. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. Residents are well protected by the systems, policies and procedures in place, which enable them to raise concerns or issues. They benefit from an environment, which welcomes their views about the service. EVIDENCE: The complaints procedure is available in different forms such as written and symbol and the manager said it would be obtained in other formats if needed. Residents all said they knew who to speak to if they were unhappy and how to make a complaint. Questionnaires included comments which indicated that staff listen and act on what they say. Residents also said that they can participate in house meetings and make their views known at these if they wish. Minutes are kept of these meetings and demopnstrate that residents feel able to make their views known. A satisfactory record is kept of any concerns or complaints received and this showed that there had been one complaint made since the last inspection of 27th February 2006 which had been dealt with in an appropriate way and satisfactorily resolved. Staff had a good knowledge of what action to take should a complaint or issue be raised suggesting possible abuse. Safe guarding adults/adult protection procedures are incorporated into the staff training programme and the procedure is available on the notice board in the office. Comments such as “I can talk to all the care staff at Riverside or Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 17 Seaton” and “ I like living at Seaton House and the staff who work there” demonstrate that they feel safe. Residents were also noted to be comfortable to approach the staff and manager throughout the visit to talk about any worries they had. Staff were noted to be sensitive and reassuring when responding. Information provided by the manager indicated that the organisation has various procedures in place to safeguard residents such as physical intervention and restraint, bullying, missing person and to safeguard resident’s money and valuables held on behalf of residents. As part of the case tracking process for a resident the records of the latter procedure were checked, as were storage arrangements and accounting systems. All were satisfactory. No adult protection issues have been raised since the last inspection visit. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. The home is well maintained and provides comfortable, clean, wellpersonalised and safe accommodation for residents where their independence can be promoted. EVIDENCE: All three residents rooms checked on this occasion were comfortably furnished, clean and well-maintained. One has recently had an en-suite facility added to it and is due to be redecorated. Comments from residents confirmed that they are able to arrange their rooms as they wish and those checked had been well personalised. Residents comments during the visit indicated that they have choice about the décor and fabric and furnishings of the home for example one resident has had his fitted wardrobe removed as he prefers to have a free standing one. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 19 There is an on-going programme of maintenance with records being kept to report any issues that need attention. Access to the hot water tank is currently via a resident’s room. The manager said that the tank is due to be changed. The resident who occupies the room was aware of the alterations needed and there had been discussion with him about how this would be managed so as to cause the least disruption. The manager said it had not been discussed with him whether he would prefer the tank not to be accessed via his room but agreed to do so and look at alternative means of access to it if the resident found this to be intrusive. Since the last inspection visit an upstairs bathroom has also been redecorated and tiled. Residents said they help with household tasks such as cooking, cleaning and laundry if they wish. This helps to increase their independence. The property is a large domestic style home. Communal rooms are well furnished and decorated. No obvious safety issues were noticed during this visit. Five residents out of the six who completed questionnaires said the home was “usually” or “always” fresh and clean. The home is visited periodically by a fire safety officer the last visit being on 7th February 2006. The report was available and showed that fire safety precautions were considered to be satisfactory at that time. Fire safety equipment was in place and had been checked. An environmental health th officer visited on 4 January 2007 and no issues were identified. Risk assessments had been documented in relation to both the environment and fire safety to minimize any hazards the environment may pose. Staff comments and records checked indicated that staff have training about infection control. A staff member confirmed that gloves were available for use to promote good hygiene practices. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. People who use the service experience good quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. Residents are protected by a satisfactory recruitment procedure and by a welltrained, knowledgeable and supportive staff team. EVIDENCE: There is a consistent staff team. Information provided before the visit and during discussion with the manager indicated that only one staff member had left in the past twelve months and one had been appointed. The organisation also employs its own bank staff that work between Seaton House and the sister house, Riverside. This helps to provide continuity of care to residents. Discussion with a bank member of staff on the day of the visit confirmed that she knew residents needs well and observations and discussions with residents indicated that they “liked” the staff. There are currently only men living at the house. There are both male and female staff that work at the home and discussion with the manager and staff confirmed that although male staff are not always on shift, there is always a male staff member on-call if needed. The recruitment records of the newly appointed staff member were checked and were satisfactory. Records provided confirmation that prior to Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 21 appointment the prospective employee’s identity was checked, references were obtained and a criminal records bureau and protection of vulnerable adults register check was made before making a decision about their employment. This helps as far as possible to protect residents. Previous inspection reports have also indicated that there is a safe recruitment process in operation and that the organisation has satisfactory policies and procedures to support this such as equal opportunities. Residents’ comments indicated that they felt well cared for by the staff team and staff in the home treated them well. Staff and residents were noted to have a good rapport and residents said they would feel comfortable to talk to staff if they had a problem. Residents’ comments also confirmed that they have the opportunity to meet any prospective employees. Discussion with staff confirmed that they felt well supported and valued in their work through regular meetings with their line manager and training opportunities. Meetings include discussion about any developmental and training updates a staff member may need. The organisation has an annual training plan which includes training at various times throughout the year to ensure that all staff have the opportunity of attending. Training includes matters such as induction into the work, manual handling and fire safety awareness which are updated periodically and more specialist training to meet the needs of residents such as specific communication skills, diabetes and equality and diversity awareness. A staff member was aware that some of her training needed to be updated relating to fire safety awareness and medication administration. She said this had been discussed with her manager and they had been discussing dates when she could attend. The home manager agreed to confirm in writing dates when arranged. Residents’ comments indicated that they felt well cared for and that staff promoted their independence. The information provided by the manager prior to the site visit demonstrated that four care staff had had first aid training and 50 of staff have achieved a nationally recognised vocational qualification (NVQ) in care at level II or above. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. People who use the service experience excellent quality outcomes in this area. We have made a judgement using a range of evidence, including a visit to this service. The home is well-managed and residents’ health, safety and welfare is promoted by the policies, procedures and record keeping systems in place. The systems in place to monitor the quality and the development of the service ensure the involvement and participation of residents. EVIDENCE: There has been no change to the management arrangements in place. The current manager has a lot of experience working with adults with learning disabilities and has relevant training. He has achieved a national vocational award in care at level 4. In addition both the manager and deputy confirmed that the organisation arranges specific training to develop management skills. All comments from residents indicated they knew the management arrangements and would feel comfortable to raise any problems they had. A Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 23 resident said “I speak to the deputy or care manager if I am unhappy”. Residents were noted to approach the manager and staff at the time of the visit to talk over matters. Staff felt valued and supported through staff meetings, supervision and appraisal systems in place. There are various ways in which the quality of care is monitored and the views of residents obtained to develop the service. For example regular house meetings are held in the home, which residents confirmed they could participate in if they wished. Notes of them are kept. There are monthly visits to the home by a nominated representative of the organisation who provides written reports about the quality of the service. There is also a formal quality auditing system “European Foundation for Quality Management” (EQFM) which uses surveys with staff and residents to obtain their views about the service and there is a “Pointers” committee. The manager is involved with the latter. It is a committee, which is run by and for residents and people who use the organisations wider services. Such groups enable residents to influence the development of the service. A newsletter is produced from this, which is circulated to all services. Comments from questionnaires completed by residents confirmed that they were happy at the home. The organisation has a range of policies and procedures to promote the safety of residents. Residents’ comments indicated they felt safe at the home. Some procedures were on display such as the “vulnerable adult” procedure relating to what to do should an adult abuse concern be raised. Risk assessments were in place relating to ensuring individual residents safety and a safe environment. Staff confirmed as did training records that they have training relating to health and safety issues. There are also records in place to demonstrate that health and safety matters are regularly checked and monitored for example records were available to demonstrate that the fire alarms were being tested weekly, fire evacuations monthly, dates when portable electrical items and central heating systems had been checked and also the fixed electrical wiring. Records kept of residents meetings demonstrated that residents have opportunities to raise any issues including maintenance if they wish and are well informed about any changes. Records are kept to demonstrate when matters have been reported and received attention. Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 X Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations Seaton House DS0000002416.V334842.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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