Inspection on 01/08/05 for Seaview

This inspection was carried out on 1st August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Seaview 24/07/07

Seaview 16/08/06

Seaview 09/01/06

Seaview 08/02/05

Seaview 21/09/04

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

CARE HOME ADULTS 18-65 Seaview 23 Old Dover Road, Capel-le-Ferne, Folkestone Kent CT18 7HW Lead Inspector Penny McMullan Unannounced 01/08/05 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Seaview Address 23 Old Dover Road, Capel-le-Ferne, Folkestone, Kent, CT18 7HW 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) 01303 246404 Robinia Care South East Limited Mrs Yvette Hanlon Registered Care Home 8 Category(ies) of Learning Disability registration, with number of places Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8/2/05 Brief Description of the Service: Seaview is part of the larger Company of Robinia Care, who specialise in care of people with Learning Disability. Seaview is a group home for eight people providing care and support to people with learning disabilities and/or mental health problems with mild to moderate behaviour that challenges. Seaview is a large detached house with a garden at the rear of the property. All rooms are of single accommodation and there are two en suite bedrooms on the ground floor and the remaining of the bedrooms are situated on the first and second floor of the home. There is easy access to the main bus route and the home has transport for the use of the residents. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 7 hours. Ms Yvette Hanlon, Registered Manager and Mr Ray Ashton, Deputy Manager were in attendance. The atmosphere in the home was relaxed with residents getting ready to go to work, shopping or appointments. Some parts of the building were looked at with residents and a number of records were inspected. All of the residents (8) were spoken to together with seven members of staff. What the service does well: What has improved since the last inspection? The home has laid new flooring and redecorated the hallway. Residents are able to access the Internet with support from the staff. The home has an Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 6 Activities Co-ordinator providing a structured timetable of activities and three residents now have part time employment. 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. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The home has robust policies and procedures in place for the admission of prospective residents into the home. EVIDENCE: There has not been an admission to the home since 2003 and although this standard could not be assessed on a recent admission there is a system in place to carry out the assessment of needs. The General Regional Manager takes the initial referrals of prospective residents and a joint assessment is then carried out with the Registered Manager. Prospective residents and relatives visit the home meet the staff and residents and stay as long as they wish, have a meal or stay overnight. A detailed care plan is completed, monitored and reviewed in order that the home can meet the residents’ needs. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 6,7,9 The care planning system is clear and consistent to provide staff with the information they need to meet the residents’ needs, however the recording of accidents/incidents potentially puts service user health at risk. The home promotes service users rights and choices. Residents are supported to take responsible risks within the homes risk assessment management strategy. EVIDENCE: Residents spoken to are aware of their care plans, help to participate in their reviews and sign their plans. The care plans are detailed and thorough and cover all aspects of health and social care. Although accidents/incidents had been recorded in the Accident Book this information was not recorded in the daily contact sheets to be monitored or actioned. Residents spoken to are able to voice their choices and with support make their own decisions. Residents confirmed that they make their own choices and one resident is able to manage his finances while others are supported to do so. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 10 All of the residents are able to help in all aspects of the daily living in the home. One resident has completed her Health and Safety training and is going to attend the next meeting and represent the residents in the home. All activities and outings are risked assessed and residents are aware that risk assessments are in place. They are able to discuss and understand why there may be restrictions on their independent life style. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12,13, 14, 15,16,17 Employment and training opportunities are sought by the home to ensure residents have the opportunity to find a job. Residents are supported to attend college courses to continue their education. Links with the community are good and support and enrich Service Users social and educational opportunities. The home provides stimulating activities to meet the needs of the residents. Visitors are able to visit the home at any time and see their relative in private. The home provides transport and staff to take residents to visit their relative’s home for overnight or weekly stays. The home promotes choice, independence and freedom of movement to residents whilst providing a risk management strategy recorded and agreed in the care plan. The home provides a well balanced diet and the overall provision of meals is of a good standard. Service users confirmed choice and variety of meals and special diets are catered for. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 12 EVIDENCE: Three residents have part time jobs are one resident has received training in Health and Safety, Food Hygiene and First Aid. Another service user has completed her Food Hygiene Certificate and is working in a cafe. The Activities co-ordinator plans and implements activities and residents attend college courses. Residents talked about college and work and discussed other courses to start in September. Residents said they go to the local shops, go bowling, for walks, the local pub and fishing. They said they could choose their activities and decide if they wanted to join in or choose something else to do. The home has their own transport and some residents are able to catch the local bus into Dover or Folkestone. The home supports residents and provides transport and staff to take them to their relative’s home for overnight or weekly stays. The staff supports residents’ personal relationships. Residents all have a key to their room and are able to choose when they wish to be alone. Residents were in their room, communal lounge, smoking lounge or garden and assisting with household chores as agreed in their care plan. Residents chose what they wanted for lunch. Lunch time was flexible around the times of individuals returning to the home. Two residents said that sometimes they liked the food and overall other residents felt the food was good. They said the Sunday dinners were lovely. The home has a four weekly menu and residents discuss the menus at their meetings. One resident said that she prefers vegetarian food but does eat meat sometimes. She said that she was able to pick which food she preferred. Residents were seen making drinks and accessing the kitchen on their own or with support. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 18,19,20 Personal care is offered in a way to support and protect resident’s dignity and promote independence. The health needs of residents are well met with evidence of multi agency working however the lack of monitoring of accidents/incidents potentially puts residents at risk. The systems for medication administration are good however hand written details on medication administration sheets must be countersigned to minimise the risk of errors being made. EVIDENCE: Residents are supported with their personal care and confirmed that staff respect their privacy and dignity. Residents said they are able to get up and go to bed when they wish and also choose staff to assist them. A key worker system is in operation. Specialist health care support is accessed when required. Health care needs are monitored through the residents care plan. The monitoring of accidents/incidents was recorded in the accident book but no information was recorded on the daily contact sheets in the care plan. Residents said they were supported to go the their own GP or attend out patient appointments. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 14 The home uses the Monitored Dosage System (MDS) to administer medication and Medication Administration Record (MAR) sheets were in good order. However the home must countersign written entries on the MAR sheets to minimise the risk of error. A requirement has been issued to address this issue. All senior staff have received medication training. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 22,23 The home has a satisfactory complaints system with some evidence that Service Users feel that their views are listened to and acted on. Staff have a sound knowledge and understanding of Adult protection issues which protects Service Users from abuse. EVIDENCE: Residents said that they would not hesitate to complain to the staff or Manager and their concerns are recorded and action is taken to resolve the issues. There have been no formal complaints to the home since the last inspection. The home has a clear Complaints Procedure, which is included in the Service User Guide. The format is in large print with signs and symbols. A four day training course is provided for all staff which includes conflict management, the use of breakaway techniques and safely managing challenging behaviour. Protection of Vulnerable Adult training is also being provided. The home has a policy for Dealing with Suspected Abuse and a policy for Raising Concerns at Work. Residents have their own bank account and personal property lists are included in the care plan. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 16 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 standard(s) 24,26,30 The standard of the environment within the home is good providing residents with a comfortable and homely place to live. The home is well maintained, and the Company has their own maintenance team, however, there are times when the work is not completed for some considerable time. Laundry facilities are satisfactory and policies and procedures are in place to control the risk of infection. EVIDENCE: Flooring has been replaced in the hallway and decoration has also taken place. One resident said that his room has been redecorated and he was involved in picking the colour scheme. There are areas in the home that require attention, the downstairs corridor and one resident room is in need of repair and this work has been passed to the maintenance team. A new radiator has been ordered for the corridor. There is also a problem in one residents room, there is damp on the ceiling and despite work being carried out in the past the problem is still occurring. The Registered Manager said that head office is now trying to resolve this issue. There are no outstanding issues from the last fire officer or Environmental Health Officer visit. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 17 Radiators do not have individual thermostat control fitted in residents’ rooms. The home has ordered the equipment but the maintenance team have not fitted them. This was a recommendation from the last inspection and although the home has made some progress towards compliance, this will remain a recommendation in this report until the work has been completed. One resident said that she is hoping to have new furniture for her bedroom when the home can afford this in the budget. Residents have their own key to their bedroom and they are able to personalise their room to their choice. The home has a separate laundry room and some residents are able to assist or carry out their own washing. The resident’s representative, who is trained in health and safety informed the Registered Manager that the lock on the COSHH cupboard was in need of repair and this was logged for processing to the maintenance team. There are policies and procedures in place for infection control and there the home was free from offensive odours. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The arrangements for the induction and foundation training are in place with the staff demonstrating a clear understanding of their roles. EVIDENCE: The home has a core experienced staff group and four new members of staff have been recruited and are currently completing induction and are ready to commence the Certificate in working with People who have Learning Disabilities (CWPLD) induction and foundation course. All staff spoken to say that the Company provide excellent training. Mandatory courses have been completed or are in the process of updating and new staff is being sent on the courses. A report writing course is also being provided for all staff. Staff said that specific training requested is considered to meet the resident’s needs. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,43 The systems for resident, relative, staff and other stakeholders consultation are good, however the lack of evidence of specific information with regard to the individual home does not take the their views and choices into consideration for the development of the home. Overall the home is providing a safe environment for residents, however the lack of recording accidents/incidents in care plan contact sheets potentially puts residents health care needs at risk. EVIDENCE: Service users, relatives, staff and other stakeholders have completed a detailed quality assurance questionnaire. The Company has collated and summarised this information on a national basis and the information is broken down into regions. There is no specific data with regard to Seaview and it is recommended that specific information be provided to evidence that Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 20 residents/relatives views underpin all self-monitoring, review and development of the individual home. This is a recommendation in this report. Mandatory training is being provided to all staff. Fire Safety Records were inspected and in good order. The Accident Book was completed in a satisfactory manner, however incidents are not being tracked through to the care plans and monitored appropriately. Certificates of servicing confirm that all appliances have been checked. There are robust records with regard to Health and Safety and COSHH requirements, all data sheets were in place and environmental risk assessments have been carried out. Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seaview Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 22 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. 1. Standard 6,19,42 Regulation 13,15 Requirement The home must ensure that accident/incidents are recorded and actioned in the daily contact sheet of the care plan Recording and signing of written entries in the MAR sheets Timescale for action 31/8/05 2. 20 13 31/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 26 39 Good Practice Recommendations To ensure that thermostats are fitted to all radiators to enable service users to individually control them - This was a recommendation from the last inspection To provide specific quality assurance information regarding Seaview Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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 Seaview H56-H05 S23589 Seaview V236715 010805 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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