Inspection on 27/02/06 for Seaton House

This inspection was carried out on 27th February 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 House 17/04/07

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 Roger Harrison Unannounced Inspection 27th February 2006 9:30 Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 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.V283709.R01.S.doc Version 5.1 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.V283709.R01.S.doc Version 5.1 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.V283709.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 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 the eight service users opportunities for privacy, independence and easy access to the local community. Accommodation is provided in single rooms on the first floor. 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 Registered Manager manages both homes. The close unison of the homes is mainly in relation to leisure activities and transport especially as some service users share similar interests such as swimming and football. Currently Seaton House is home to nine male service users with a learning disability. During the week the service users attend a variety of offsite activities ranging from vocational interests to work placements. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over a four-hour period, with the inspector using a method of inspection called “case tracking”. This involved selecting three residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived at the home. This was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. 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 House DS0000002416.V283709.R01.S.doc Version 5.1 Page 6 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.V283709.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 27/06/05. EVIDENCE: Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Care plans contain comprehensive information, which identify the care needs and personal preferences of each resident. Risk assessments are of a good quality, providing practical management strategies that support residents to live in the way they wish to. EVIDENCE: Each resident has a detailed Care plan/Person Centred Plan, which reflects their individual needs. Individual aims are included within Care plans,and have been updated to fully cross reference with risk assessments, which residents had also individually signed. Three residents were able to describe how personal aspirations linked into their individual Care plan, and that they felt that they had been fully consulted and were being supported to realise their own personal ambitions. Plans included: health and social needs rehabilitation aims, and action plans. Two residents confirmed that they had been involved in the review of their care plan and said that these had also included parents and other professionals. Detailed risk assessments looked at identified potential risks to residents, and management strategies that the team use to act where changes are needed to enable residents to take risks and individual Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 9 responsibility with support. One resident explained how staff are supporting him in a positive way to identify and manage risks when going out into the community and said, “I am supported to make all my own decisions”. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Residents are supported by the care team to take part in appropriate activities within the home and community. Residents are encouraged to maintain family relationships and to develop relationships with others with support as they wish. The home provides a varied and balanced nutritious diet for residents. EVIDENCE: Care plans contained information about residents preferred leisure activities which included swimming, bowling, cinema outings, discos, pub visits, sports, games and outings to local restaurants. During the Inspection four residents were observed undertaking individual personal or household activities either within their rooms or in communal areas, and making preparations for going out. Residents told the Inspector how they help plan arrangements for weekend breaks and holidays and during this inspection four residents told the Inspector that they enjoyed a range of activities both inside and outside the home. Three Residents showed the Inspector individual daily work and leisure plans that are kept individually which are linked directly to their care plans. Residents also told the Inspector how they were actively encouraged to maintain contact with family and friends. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 11 Meals at the home are planned in advance using a rota for menus, which are put together using feedback from residents. Nutritional assessments undertaken by the team are also reviewed to ensure dietary needs are met in the way residents wish them to be. During the Inspection two residents said. “We make our own lunch and we have all the things we like in the kitchen cupboards”. The Inspector observed three residents making their own lunch individually and they told the inspector about how they are given choice regarding meals,that they have their favourite foods as part of a balanced diet, and that they were included in planning all meals. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. The Manager and care team use policies and procedures to provide appropriate levels of support for residents to maintain and take medication safely in a way that has been identified through the assessment and individual care plan process. EVIDENCE: At the time of this Inspection all residents needed some level of support with their medicines. The Manager confirmed that staff follow organisational policies and procedures to ensure that the medication needs of each resident are detailed in care plans, these were seen to be actively used by staff to support residents with medication needs. All medication at the home is kept in a locked cabinet a locked staff room. Each resident has a separate sealed box for individual medication, which is used by trained care staff to maintain and administer medication, as it is required. Records for medication are kept separately and when looked at provided details of the name date and time that each person’s medication had been issued. Signatures were up to date on all records and two residents told the Inspector that they felt safe and fully supported in managing their medication. The Manager confirmed that the organisation provided training for all staff in medication and that only trained staff members were able to take on this role. During the inspection one staff team member told the inspector about the positive training support she had been given to ensure medication needs can be met safely. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The home has clear procedures for handling allegations of adult abuse. Staff have received abuse training and are clear on the action to take in the event of this occurring. Residents feel their views are heard. EVIDENCE: The home Manager confirmed that Seaton house follows organisational procedures to ensure residents are protected from abuse, and that the procedure had been explained to residents. A copy of the County Council procedure was included in each residents file so that they had easy access to it. Residents told the Inspector they knew how raise any concerns that they had and that they felt able to approach the Manager or any member of staff at any time to raise concerns and to access their individual plans. Residents told the Inspector that they trusted the Manager and staff and were observed openly talking about concerns and receiving support from the Manager in a sensitive way to address these. Two residents told the Inspector that individual and group meetings were regularly used to talk about problems, ask questions and share ideas about changes they would like to make within the home and activities. Staff spoken with had a good knowledge of the actions that they must take in order to protect residents and The manager demonstrated a good understanding of procedures to follow regarding reporting any suspected abuse to the Commission and social services. Staff comments and training records demonstrated that staff had received appropriate training in order to help them to recognise and take appropriate action should the need arise. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The standard of the environment within the home is generally very good, providing residents living there with a clean, comfortable and homely environment. The communal bathroom and one separate shower room on the second floor of the home would benefit from a decorative update. This is being planned by the Manager. EVIDENCE: A tour of the home included two residents’ rooms. The residents concerned said that they were very happy with their rooms and had been encouraged to personalise them. Two Residents showed the Inspector that they have their own room keys and one resident said “My room is my home, I love it here, I chose the colour on the wall and I feel this room tells you a lot about me” The communal lounges were clean and well decorated with furnishings that provided a homely atmosphere. The dining room has one large table where residents and staff sit together to eat meals prepared by the residents under staff supervision. The washing machine is situated in a utility room. Residents said that they used it to do their own washing and during this inspection were observed undertaking domestic tasks with support from staff. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 15 The home has two communal shower rooms and a large bathroom on the second floor of the home. The bathroom and one of the shower rooms were observed by the Inspector to be dated and that residents would benefit from some renovation and redecoration of these rooms. This was discussed with The Manager who told the Inspector that there are already plans in place to undertake this work soon through planned support from the organisation. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Residents are supported by experienced well-trained staff, who are recruited safely using policies and procedures developed by the homes organisation. EVIDENCE: The Manager confirmed that all new staff are recruited using references and checks, which are undertaken before any new team member starts working at the home. The company has a comprehensive training programme, which starts with induction and foundation training; this is then used as a basis for starting NVQ training. The Manager has access to two NVQ assessors and has taken action to continue the development of NVQ awards within the staff group. During this Inspection the Inspector spoke to four residents about how the staff provide support and two residents said together that, “ The staff are really good, we can always talk about our needs and they support us to keep safe”. The Inspector also talked in detail to one new staff member who confirmed that she had received support with induction and had access to a variety of training opportunities since joining the care team. Staff records showed that regular supervision and appraisal sessions are undertaken by the Manager, which are used to explore and attempt to meet all development needs. Each file contains a staff development plan, which highlights individual training needed which also links to meeting the needs of the current group of residents. Records and Manager/staff comments confirmed that training takes place as planned, this included; adult protection, manual handling, fire safety, health and safety, basic food hygiene and challenging behaviour. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42. The home is run well by a Manager who consults with residents as part of the care plan and review process to make sure that they are happy with the service provided. The quality assurance system in place checks that company policies and procedures are being followed to ensure that a consistent service is provided to residents living at the home. EVIDENCE: Since the last Inspection the Manager showed the Inspector that the care team have undertaken work to further promote health and safety through consultation with residents to develop the detailed care plans already in place with each resident to make it is easier to access, understand and take action together to ensure aims are identified in a clearer way and outcomes are reviewed with residents so that they understand and agree with any changes that might need to be made. This action links with the quality assurance system, which involves monitoring by the Manager, and auditing by the organisations Service Manager, this is used in addition to resident/staff meetings to undertake resident, parent and staff questionnaires to get their views on the home this information is used to make changes if necessary. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 18 Through discussions with the Manager and residents it was confirmed that meetings take place regularly and residents told the Inspector that they benefit from being fully involved in the running of the home throughout this inspection. Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 19 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 X 2 X 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 X 12 4 13 4 14 X 15 X 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X X X 3 X Seaton House DS0000002416.V283709.R01.S.doc Version 5.1 Page 20 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.V283709.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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