Inspection on 12/07/05 for Seaton Lodge Residential Home

This inspection was carried out on 12th July 2005.

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

Other inspections for this house

Seaton Lodge Residential Home 07/11/06

Seaton Lodge Residential Home 07/02/06

Seaton Lodge Residential Home 16/11/05

Seaton Lodge Residential Home 17/03/05

Seaton Lodge Residential Home 07/07/04

Seaton Lodge Residential Home 11/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Seaton Lodge Residential Home 7/9 Seaton Avenue Mutley Plymouth PL4 6QJ Lead Inspector Sheila Giblin Announced 12 July 2005 th 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 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 Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Seaton Lodge Residential Home Address 7/9 Seaton Avenue, Mutley, Plymouth, PL4 6QJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 667077 01752 667077 Mr Geoffrey Briddick Mrs Louise Catherine Evans Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Age 60yrs One named Service User under 60 years of Age Date of last inspection 17th March 2005 Brief Description of the Service: Seaton Lodge is located in the Mutley area of Plymouth. It is a medium sized care home situated in a residential area on the edge of Mutley Plain shopping precinct. The home has the category of OP (older persons) aged 60yrs . Seaton Lodge does not provide dementia care or services for people with severe physical disability. The home endeavours to create an environment to meet the individual needs of each service user. The home has a family atmosphere being able to accommodate a maximum of seventeen service users at any time and due to the efforts of the owner, registered manager and staff to ensure a non-institutional atmosphere. The registered manager is Mrs Louise Evans who is in charge of the day to day care of residents. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A pre-inspection questionnaire had been completed and returned prior to the inspection. This was an announced inspection conducted with the proprietor Mr Briddick and the registered Manager Mrs Louise Evans over 8 hours. The inspection included listening to the views of the residents living in the home. discussions with the managers and staff, a tour of the home, and examination of a sample of records and documents. What the service does well: What has improved since the last inspection? Mrs Evans has introduced patio pots with plants and flowers to the rear enclosed rear yard where residents sit in good weather. The use of a commode positioned in a corridor on the ground floor has been discontinued. Toilets and bathrooms have been fitted with suitable locks to allow privacy of residents and access to staff in an emergency. Fire doors have been repaired and intumescent strips replaced. The quality assurance questionnaire has been prepared ready to be introduced to residents to gather their views on the services being provided in the home. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 6 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 Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 1,2,3,5,6 Prospective residents will be given the information they require to enable them to make a choice about whether to live in this home. EVIDENCE: The scale of charges range between £265 and £310 dependent on care needs. A new resident said she had been admitted for respite care through the social services department. She had been given information about the services provided at Seaton Lodge. She said she had been warmly welcomed into the home and was hoping to return for another period of respite care. Considerable written information is available to service users prior to their admission to the home. A statement of purpose and a service users guide to the home have been produced. The service users guide has been distributed to all existing service users and is provided to prospective service users or their representatives. Prospective service users and their relatives are encouraged to visit the home before moving in. A private contract for all privately funding service users, and a statement of terms and conditions agreement between the home and all local authority funded service users, are in place. The home does not provide intermediate care. Respite care services are provided when there is a vacant room. There were thirteen permanent residents and one on respite care in the home at the time of this inspection. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 8, 9, 10 Residents can be confident that they will be treated with dignity and their privacy respected when receiving personal care. EVIDENCE: Residents said that staff always respected their privacy when providing personal care. A sample of residents’ plans of care were viewed and seen to hold appropriate information to guide staff in providing care services. Case files showed references to the provision of health care services and risk assessments. One short term resident is self medicating. A lockable container was to be provided for the secure storage of medication in her bedroom. The medication storage and administration system was viewed. There was some over stocking of analgesics brought about by the supplying pharmacist. The medication administration records had not been completed on every occasion when medication was given. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14,15 Residents can be confident that they will be encouraged to make choices about their lifestyle at Seaton Lodge. EVIDENCE: Residents were seen in their rooms, in the lounges, in the dining room and in the garden. Everyone spoken to said they felt free and able to do what they wanted and sit where they pleased. They said there were few house rules and there were no restrictions that hampered their choices and wishes. The social and leisure activities in the home include games and bingo, reading and music. Residents spoke fondly of the outings that are organised fortnightly by Mr Briddick, the homeowner, when he takes residents out for a pub lunch and trips to local beauty spots and places of interest. Residents have been to France for short breaks in the recent past. A three weeks menu plan is in use and a record of the food provided is kept. Residents who have been in the home for long and short periods were asked about the quality of the food provided. They felt that the food served was very good. Special diets and individual preferences were catered for. A lady with diabetes said she always received the food she needed. Residents praised the cook for the quality of the home cooked meals provided. The main meal served at lunchtime during the inspection was well cooked and presented. Alternatives to the main meal were offered. The light evening meal provided a choice from an available list on offer. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 16 Residents know how and to whom they can make a complaint. EVIDENCE: Adult protection policies are in place. The home has a complaints procedure which was clearly displayed. Residents said they knew who to make a complaint to if necessary. There have been no complaints about the home during the past year. The home allows smoking in the smokers’ lounge and outside in the garden. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 19, 20, 21, 23, 24, 25, 26 The environment at Seaton Lodge is not well maintained. EVIDENCE: Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 13 The location and the layout of the home are suitable for the service user group being close to shops and amenities in Mutley Plain. Some parts of the home are reasonably decorated and maintained. A record of maintenance is being kept. Maintenance issues give a very poor impression of the general state of the building. Therefore the owner is required to maintain the internal and external structure and decoration adequately throughout the home. Sixteen single bedrooms and one double room of various shapes and sizes are laid out on three floors with a passenger lift providing access to the upper floors. There are some steps linking mezzanine floors. All single bedrooms meet or exceed the minimum standard of 10sq m, and the double room 16sq m. Bedding in some rooms was worn and shabby. Old pillows, stained cushions and other surplus bedding was seen in the staff sleeping in room. A disused lavatory pan and hand basin had been discarded outside the window of a ground floor bedroom. All service users bedroom doors must have appropriate individual locks fitted as discussed and agreed. At the time of the inspection some individual locks had been fitted to bedroom doors. An inventory of personal furniture and valuables should be maintained for all service users. Window openings in bedrooms have not been restricted on windows over two metres above ground floor level. This matter has been referred to the Environmental Health Department. Radiators and pipe work must be guarded or have guaranteed low surface temperatures. At present no radiator covers have been fitted in the home. Risk assessments have been written. Thermostatic mixer valves have been put in place on all baths in the home. There are sufficient living rooms for residents. There is a smoking lounge used mainly by the male residents, another lounge used mainly by the female residents plus the dining room. There are sufficient bathrooms and toilets for residents on all floors. The ground floor toilet did not allow easy access and manoevrability for a wheelchair user being assisted as was seen during the inspection. The standard of hygiene was poor in a bathroom where a bath had been used but not cleaned. Outside in the rear courtyard plant pots and patio furniture provide a seating area where residents can sit and relax in good weather. But the exterior of the building at the rear is in a poor state of decoration and maintenance which spoils the overall effect. Guttering has not been cleared of weeds, old and disused equipment has not been disposed of, paint work has not been maintained. The overall impression is shabby and uncared for. The entrance porch floor covering is worn and shabby. Mr Briddick has purchased laminated flooring for this area that has yet to be fitted. The paint on the handrail alongside the steps up to the front door is worn and is rusty. This first impression for visitors to Seaton Lodge is not complimentary. . Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, Lowered staffing levels are placing staff under pressure to cover shifts to meet residents’ needs. EVIDENCE: The home has reviewed the level of staffing in the home since the previous inspection and has employed a domestic assistant for 25hrs each week. However, due to three staff on maternity leave, the remaining staff are working extra hours to cover shifts. The registered manager is also carrying out care duties and does not have time to complete some management tasks. An advert had been placed for a part time care assistant x 21hours. There are 12 care staff employed in the home: seven have NVQ2 certificates and one has NVQ3. resulting in approximately 66 of staff holding an NVQ qualification. Staff seen on duty were friendly and helpful. Residents spoken to said the staff were very kind and did all they could to make sure they were well cared for. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,36,38 The residents benefit from a relaxed and approachable management style. EVIDENCE: Miss Evans and Mr Briddick are in day-to-day charge of the home. Mrs Evans is the Registered Manager and has been at Seaton Lodge for eight years. She is a Level 2 Registered Nurse and holds the NVQ4 in Management certificate. Both she and Mr Briddick promote a friendly amiable atmosphere in the home and residents spoke well of them both. A quality assurance system has been introduced and will be developed over the coming year. A system of formal supervision has been introduced but Mrs Evans has been pressed for time to conduct planned sessions. However she does meet with staff daily and ad hoc supervision is provided regularly to individuals and groups. Mrs Evans will be recording these on the supervision records as discussed and agreed. In general health and safety was adequately maintained. Health and safety procedures are in place covering most issues including, moving and handling, and the Health and Safety at Work Act 1974. The home has policies on Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 16 accident/incidents, First Aid and food hygiene. The fire safety records were maintained according to the guidance set out by the fire authority. Fire exits that lead through residents’ rooms must always be clear with unrestricted access/egress in the event of a fire. The issue of window opening restrictors was discussed with Mrs Evans during the tour of inspection and an immediate requirement was given to seek quotes for restrictors to be fitted. The inspector spoke to Mr Briddick by telephone following the inspection and expressed concern about the unrestricted window openings. The inspector pointed out to Mr Briddick the risk to residents on the upper floors where window openings were not restricted. Mr Briddick was of the firm opinion that residents were not at risk. This matter has been referred to the Environmental Health Department for their attention. Residents’ confidential records are maintained securely in the office and those in daily use by staff are kept in a locked cupboard in the dining room. Portable electric appliances of a domestic nature have been tested. A survey of the wiring in the home has been undertaken and an estimate to upgrade the mains fuse box has been sought and awaited. All self-closing fire doors have now been maintained as required in the previous inspection report. The home’s accounts and financial records are held in a computer programme which was unavailable during this inspection. Four residents personal allowance records were seen and found to be in order. All monies are receipted and signatures sought. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 3 2 x 3 2 2 2 STAFFING Standard No Score 27 2 28 4 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x 3 2 x 2 Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 18 yes 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. 1. 2. Standard 9 19 Regulation 13(2) 23(2)(b)( d) Requirement All medication administered by staff must be signed off on the medication administration record The homes internal and external decoration must be improved and maintained. All disused equipment, discarded household items and rubbish must be cleared from within and outside the home Bedroom doors must be fitted with appropriate locks. Ongoing requirement since 2002. Timescale continued from previous inspection. Suitable bedding in good condition must be provided. An inventory of residents personal furniture and possessions must be kept Radiators and pipework must be guarded or have guaranteed low surface temperatures.Risk assessments must be undertaken for those not guarded. Ongoing requirement since 2002. Timescale continued from previous inspection Baths must be cleaned after use to prevent cross infection Staffing levels must be reviewed to ensure residents needs are Timescale for action 1st August 2005 1st September 2005 3. 24 23 17th October 2005 4. 25 23 17th October 2005 5. 6. 26 27 16(2)(j) 18(1)(a) 12th July 2005 1st August 2005 Page 19 Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 7. 36 8. 38 9. 10. 38 38 being fully met and that staff are not overstretched to cover vacant shifts. 18(2) All staff supervision must be recorded on staff individual supervision records at least six times a year. 13(4) A mains wiring certificate for the building must be provided following the electrical work commissioned for the mains fuse box. 13(4)(a)(c All cleaning materials must be ) stored safely and securely under COSHH Regulations 13(4)(a)(c The Registered Manager must ) ensure the health and safety of residents by the provision and maintenance of window restrictors, based on assessment of vulnerability of and risk to service users and be advised by the Environmental Health Department to act accordingly 1st October 2005 1st October 2005 12th July 2005 19th July 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 21 Good Practice Recommendations Use of the ground floor toilet which has limited space for a resident in a wheelchair and a carer should be reviewed and a suitable alternative found. Seaton Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Lodge Residential Home D52-D04 S3469 Seaton Lodge V224174 120705 Stage 4.doc Version 1.40 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. 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