Inspection on 07/02/06 for Seaton Lodge Residential Home

This inspection was carried out on 7th 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 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 16/11/05

Seaton Lodge Residential Home 12/07/05

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

Trevaylor Manor

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 Devon PL4 6QJ Lead Inspector Jane Gurnell Unannounced Inspection 7th February 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Seaton Lodge Residential Home DS0000003469.V276342.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 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 DS0000003469.V276342.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Seaton Lodge Residential Home Address 7/9 Seaton Avenue Mutley Plymouth Devon PL4 6QJ 01752 667077 01752 667077 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) 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 DS0000003469.V276342.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 60yrs One named Service User under 60 years of Age Date of last inspection 16/11/05 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 provides accommodation and personal care for up to 18 older people from the age of 60yrs. Seaton Lodge does not provide dementia care or services for people with severe physical disability. Accommodation is provided over 3 floors with a shaft lift providing access to the 1st and 2nd floor, although there are some steps linking mezzanine floors. There are 2 lounge rooms on the ground floor, one of which is made available for residents who wish to smoke. The home endeavours to create an environment to meet the individual needs of each service user. The home has a family atmosphere due to the efforts of the owner, registered manager and staff to ensure a noninstitutional atmosphere. The Registered Manager is Mrs Louise Evans who is in charge of the day-to-day care of residents. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 7th February 2006. The inspection was undertaken to assess the key National Minimum Standards not assessed at the previous 2 inspections in 2005. The inspector made a tour of the building, spoke with 12 residents and reviewed the residents care plans. Mr Briddick, the owner, Mrs Louise Evans, the Registered Manager, and their staff team assisted the inspector throughout the visit. What the service does well: What has improved since the last inspection? What they could do better: Photographs of residents and all staff employed at the care home must be obtained to aid identification. Record of fridge, freezer and cooked food temperatures must be maintained to provide evidence that food was stored and cooked correctly should there be an outbreak of food poisoning. The Registered Provider must obtain a satisfactory electrical safety certificate once the alterations to the building have been completed. Radiators must be covered or have a guaranteed low temperature surface to reduce the risk of burns to residents. The flooring in the ground floor and 3rd floor bathrooms must be made safe. The floor of the laundry room must be sealed and any Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 6 unnecessary items removed from this room to ease cleaning. A quality assurance system must be introduced to enable residents, relatives and staff to formally comment upon the quality of the services provided at Seaton Lodge. Staff should receive formal supervision sessions at least 6 times a year to enable them to discuss care practice issues and their training and development needs. The fitting of window openings restrictors should be considered for windows above ground level. 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 DS0000003469.V276342.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not assessed on this occasion. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10 Residents’ health, personal and social care needs are being met and residents are treated respectfully. EVIDENCE: Residents described living at Seaton Lodge as “lovely” and “a real home from home” and said that they were very well cared for. The inspector observed the owner, Registered Manager and staff interacting with the residents in a very friendly and respectful manner: both staff and residents appeared happy and jovial. Those care plans sampled provided a clear description of the residents’ care needs and the action required by staff to meet those needs. The plans included risk assessments relating to uncovered radiators and uncontrolled hot water temperatures as well as mobility needs. A summary of care needs was drawn up from an assessment of activities of daily living which provided an indication of the level of support required by each resident. The Registered Manager had reviewed care plans in monthly and any amendments were clearly identified. Evidence was available that the Registered Manager sought advise from other Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 10 health care professionals such as the District Nurse and the Continence Advisor to ensure the care needs of the residents are fully met. Medication was stored safely: there were no controlled drugs held in the home at the time of the inspection, however safe storage was available should there be any prescribed in the future. The medication records were examined and it was evident that the Registered Manager reviewed these records regularly highlighting any discrepancies. Care staff responsible for medication administration had received training from the local pharmacist on 2nd February 2006. Photographs of residents had not been obtained: it is a requirement that photographs be used to ensure there is no confusion with the identify of the residents. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 11 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, 15 Residents can be confident that they will be encouraged to make choices about their lifestyle at Seaton Lodge. Meals are nutritious and varied. EVIDENCE: Residents said that the routines of the home were flexible and they were free to come and go as they pleased. 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 owner, when he takes residents out for a pub lunch and trips to local beauty spots and places of interest. Residents said that the food was plentiful and very good, and that drinks and snacks were available at all times. Alternatives to the menu are available upon request and the inspector advised that any alternatives are recorded, firstly to enable care staff to monitor residents nutritional intake and, secondly, should there be an outbreak of food poisoning, identify which resident has had what to eat. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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 Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously. Residents are listened to and issues resolved promptly. EVIDENCE: Residents said that the owner, Registered Manager and the care staff are very approachable and they were confident that any issues of concern would be dealt with promptly. There have been no complaints since the last inspection. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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, 20, 21, 24, 25, 26 Significant improvements to the home have commenced and must continue to ensure the residents live in a safe and pleasant environment. EVIDENCE: The decorating of the exterior of the home is complete with the interior continuing. Where decorating and refurbishment has been undertaken, this had been done to a very high standard. Bedroom 6 identified at the previous inspection as being a priority for decoration and re-carpeting has been completed and now provides very pleasant accommodation. The home was found to be very clean, tidy and free from offensive odours: the domestic staff must be commended for maintaining the cleanliness of the home during this time of redecorating. The temperature of the hot water in baths and some wash hand basins identified as posing a risk of scalds to the residents has been controlled. Radiators are uncovered and risk assessments have been undertaken to identify if any of the current residents are at risk from burns. Mr Briddick, the owner said that he would be giving attention to covering radiators throughout the refurbishment programme. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 14 Many of the bedroom doors had been fitted with locks of a type that provided privacy for residents in their rooms but not full security as they did not require a key to be unlocked. The floor covering in the bathroom on the 3rd floor was split and lifting causing a trip hazard: the maintenance manager said that this had occurred following a leak and would be repaired as a matter of urgency. The floor covering in a further bathroom on the ground floor was beginning to lift and although not split, it required re-gluing to prevent this. The floor of the laundry room must be re-sealed and any unnecessary items removed from this room to ease cleaning and reduce the risk of cross infection. New bedroom furniture was being provided for those bedrooms where residents did not have their own furniture. Lockable storage had been provided in many of the rooms. The outside patio area had been tidied since the last inspection, however it now held some old furniture due to be disposed of over the next few days. New toilet facilities were being created on the ground floor close to the dining and lounge rooms to enable easier access for those with mobility difficulties. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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, 30 Residents are cared for by trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment practices protect vulnerable residents. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance indicating that there are sufficient staff on duty to meet the needs of those currently living in the home. At the time of the inspection there were 2 care staff on duty as well as the owner, the Registered Manager, a domestic, a cook and maintenance staff. The care staff said that 2 care staff were sufficient to meet the needs of the current residents, but confirmed that should the residents’ care needs change, Mr Briddick does increase the staffing levels accordingly. Eight care staff are qualified to at least NVQ level 2 with a further member of staff nearing completion of NVQ level 3. The file of a newly appointed member of staff contained the required documentation other than a recent photograph. In-house and TOPPS approved induction programmes are provided for new staff to introduce them to care principles prior to them registering for NVQ training. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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, 32, 33, 35, 36, 37, 38 The residents benefit from a relaxed and approachable management style. Quality assurance processes could be improved to ensure both staff and residents have the opportunity to formally comment upon the quality of the services provided at Seaton Lodge. EVIDENCE: Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 17 Mrs 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, confirming that they are available to deal with any issue that may arise. Money is held for safekeeping for 5 residents: individual records are maintained. One balance was randomly checked by the inspector and found to be correct. Staff confirmed that they receive informal supervision and have daily contact with the Mrs Evans and Mr Briddick. The fire logbook was available and indicated that regular testing of the equipment is undertaken. Staff received fire safety training in August 05 and a fire drill practice in December 05. Staff had undertaken manual handling training on 14th Nov 05 and manual handling assessments were included in the residents’ care plans ensuring their and the staff’s safety in an emergency. First aid training had been planned for April 2006 to ensure all care staff’s qualifications remain current and they have the knowledge to deal with accidents and health emergencies. An electrician had undertaken an electrical wiring safety survey in Nov 04 identifying remedial work necessary before a safety certificate could be issued. The owner gave assurances that the remedial electrical work will be undertaken with the refurbishment as a new stair lift was due to be fitted requiring a new consumer unit. The kitchen was found to be clean and tidy indicating that regular cleaning takes place: the owner said that a new floor would be laid as the existing floor was several years old and becoming difficult to maintain. The fridge and freezer were of a type that had built-in temperature displays to ensure food is kept at the appropriate temperatures: a record of these temperatures must still, however be recorded to ensure there is a permanent record that the fridge and freezers are working effectively should any outbreaks of food poisoning occur. The cook gave assurances that she takes the temperature of the cooked foods to ensure they are sufficiently cooked: these temperatures must also be recorded for the same purpose. Windows above ground level had not been restricted. A discussion was held regarding reviewing this due to recent advise from the Health and Safety Executive. Risk assessments indicated that none of the residents currently living in the home were at risk but the owner said that he would review this in light of the safety of any future residents admitted to Seaton Lodge. Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 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 X X X X 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 X X 3 2 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 2 3 2 Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 Standard OP7 OP15 OP21 OP25 Regulation 17 & Schedule 3 17 & Schedule 4 13 & 23 13 Requirement The Registered provider must obtain a photograph of each resident. A record must be maintained of the food provided for service users. The flooring in the ground and 3rd floor bathrooms must be made safe. All radiators in rooms accessible to service users must be covered or have a guaranteed low temperature surface. The floor of the laundry room must be sealed and any unnecessary items removed from this room to ease cleaning. The Registered Provider must obtain a photograph of all staff employed at the care home. The Registered Provider must introduce a quality assurance and quality monitoring system. The Registered Provider must obtain an electrical safety certificate. Fridge, freezer and cooked food temperatures must be recorded. DS0000003469.V276342.R01.S.doc Timescale for action 01/03/06 01/03/06 01/03/06 31/08/06 5 OP26 23 01/03/06 6 7 8 9 OP29 OP33 OP38 OP38 19 & Schedule 2 24 13 13 01/03/06 01/06/06 31/03/06 01/03/06 Seaton Lodge Residential Home Version 5.1 Page 20 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 OP36 Good Practice Recommendations Care staff should receive formal supervision at least 6 times a year to discuss care practices and their training and development needs. The Registered Providers should reconsider the use of window opening restrictors. 2. OP38 Seaton Lodge Residential Home DS0000003469.V276342.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ashburton Office 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 DS0000003469.V276342.R01.S.doc Version 5.1 Page 22 - 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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