Inspection on 12/08/08 for Seaview

This inspection was carried out on 12th August 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seaview 08/11/07

Seaview 20/11/06

Seaview 25/01/06

Seaview 25/07/05

Seaview 24/03/05

Seaview 07/09/04

Seaview 26/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Seaview Blundell Avenue Freshfield Formby Merseyside L37 1PH Lead Inspector Ms Lorraine Farrar Key Unannounced Inspection 12 August 2008 1.45 Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaview Address Blundell Avenue Freshfield Formby Merseyside L37 1PH 01704 872155 01704 872155 jeanpugh@gotadsl.co.uk www.ftf.org.uk Frances Taylor Foundation 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) Manager post vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The registered person may provide the following category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 12 Date of last inspection 8 November 2007 Brief Description of the Service: Seaview is owned and operated by the Francis Taylor Foundation, a national organisation that provides services for people with a variety of support needs. Located in the middle of Formby Pinewoods, Seaview shares a site with two other registered care homes, a day centre for 65 people and a convent. All the services are for adults who have a learning disability. The services share main kitchen facilities, extensive grounds and a hydrotherapy pool. Seaview provides accommodation and support with nursing care for 12 adults who have a learning disability. Many of the people living there also have physical disabilities and the service provides aids and adaptations to meet their needs. There are care staff available 24 hours a day, to support people in all areas of their daily lives. Most of the bedrooms are single rooms; where two people share, there are screens provided for privacy. The people living there all have their own toilet. This is either in or near to their bedroom and is adapted to meet their needs. There are two shared lounges, a large dining room and bathrooms and a small kitchen available for people to use. Outside there is a small private courtyard and the home shares large grounds with the rest of the site. The weekly fee for living at Seaview is based on people’s individual support needs, with a basic cost of £950 per week Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We gathered information for this inspection in a number of different ways. We visited the main site on 6 August 2008 and spent time looking at shared facilities on site. This included the day service, hydrotherapy pool and main kitchen. We carried out an unannounced visit to Seaview on 12th August 2008. This took place over 6.35 hours and included reading records and looking at the building. We spent time looking at the support the people living at Seaview receive. This included looking at the support they get with their daily lives, care plans, medication, money, activities and environment. We met with some of the people living at Seaview and some of the staff working there. We also spent time observing daily life and the support people receive in their everyday lives. Any information the Commission for Social Care Inspection (CSCI) has received since the last big inspection of Seaview in November 2007 is also taken into account in writing this report. Before our visit we sent surveys forms to some of the people living at Seaview and the staff working there. Relatives of six of the people living there completed these surveys on their behalf and nine members of staff also returned survey forms to us. The manager completed a questionnaire we sent her before our visit, to provide up to date information about the home. Information from these was used by us to plan this inspection and in writing this report. An easy to understand summary of this report is available. If you would like to see a copy please ask staff working at Seaview. What the service does well: The people who live at Seaview receive support from an experienced staff team who understand the different ways they communicate. Clear care planning and records back this up so all staff can communicate more effectively with the people who live in the home. Staff work with relatives to obtain information about the people living at Seaview to ensure that as much information as possible about the person is available. This helps to ensure that people’s support needs and their choices can be identified and met. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 6 Support is provided to the people living at Seaview people to engage in activities of their choice and also to meet their spiritual needs. They also receive support to meet their health and personal care needs in a way that meet their needs and respects their choices. Clear procedures are in place for dealing with any complaints or concerns that arise and relatives are confident that any concerns they have will be listened to and taken seriously. A relative told us, “you couldn’t ask for a better place”. The building is clean and tidy with people able to personalise their bedrooms according to their choices. All areas of the building and grounds are accessible for people with physical disabilities and a number of aids and adaptations are provided to support people with their mobility and personal and healthcare needs so they can be as independent as possible. What has improved since the last inspection? What they could do better: A system for checking medication amounts and stocks held at Seaview should be implemented. This will help to ensure that medication is managed as safely as possible and any issues can be quickly identified and dealt with. A system for checking the overall quality of the service provided at Seaview should be implemented and should include the experiences of the people living there and the views of their representatives. This will provide a way for Seaview to formally collect information about the service they are currently providing and help them plan future improvements where needed. Clear systems should be put into place for monitoring when safety checks are due to be carried out, and ensuring these occur in a timely manner. This will help to ensure all checks are carried out at the correct time and that the building is as safe as possible for people to live and work in. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 8 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 Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. Sufficient information is obtained about and provided to people considering moving into Seaview. This helps everyone to decide if it is the right place for the person to live. EVIDENCE: Seaview has a policy in place that states before anyone is offered a place to live, a full assessment of their needs will be carried out. This will include obtaining information from the person, family and any professionals involved in supporting them. The person and their relatives are encouraged to visit Seaview and the person is offered the opportunity to stay overnight before they make a decision about moving into the home. They and their family are also given information about both Seaview and the Francis Taylor Foundation. This information is made available in an easy read picture format, which helps people to understand as much as possible about the information they are given. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The individual needs and choices of the people living at Seaview are recognized and action taken to meet these so people are supported to live as independent a life as possible. EVIDENCE: A member of staff told us in their comment card that, “due to the complex needs of our service users their care plans are constantly reviewed and subject to changes to be kept up to date”. During our visit to the home we looked at care plans belonging to three of the people living there. These showed that plans are written with input from people’s relatives as well as the person themselves. As many of the people who live at Seaview do not use recognised forms of communication, the input from their relatives helps to form as full a picture of the person and their needs and choices as possible. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 11 Care plans were up to date and had been regularly reviewed. This helps to ensure that any changes to the person’s support need or their choices can be quickly noted and acted upon. A member of staff told us in their comment card, “There’s a lot of written information on care plans and progress notes”. This was further evidenced in the records we read, which contained good information, not only about the support people need but also about their choices. For example one plan recorded that the person, “likes to sleep on their right side” and “doesn’t like to wear boots”. We observed staff following this guidance during our visit. Individual risk assessments are in place for people for that cover activities they may be involved with along with risks to their health. These assessments identify any risks to the person and give guidance on how they can be minimised. A relative of one of the people living at Seaview told us, “(my relative) is consulted about decisions and makes her wishes known” whilst another explained, “(my relative) is unable to make decisions but I am consulted on her behalf regarding important decisions”. Staff we spoke with were able to explain how they offer choices to people and the everyday decisions people are supported to make. This was further evidenced in care records, which showed, for example, that people are supported to get up and go to bed at different times. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. People’s individual choices are recognised and they are supported to meet these so they can live the lifestyle that suits them best. EVIDENCE: There are a number of facilities on the overall site that the people living at Seaview use. These include a modern day service that provides seven different groups people can join depending on their needs and choices. Whilst at the day centre people are also supported to go out and about. The day centre is also attended by people who have a learning disability and live in the wider community, providing an opportunity to meet new people. There is a hydrotherapy pool and ‘beauty rooms’ on site that are used for aromatherapy and reflexology. These facilities are decorated and equipped to a very high standard and provide a relaxing environment for people. The organisation has qualified therapists and some staff from Seaview have Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 13 training in the use of the pool so people can access this facility outside as well as within the hours the day service operates. In addition a café partly run by volunteers opens on the site 3 days a week. This provides people with the opportunity to socialise in smaller groups and if possible help out with the café. There is also a chapel on site, which has Catholic services every Sunday, and Church of England services every two months. In addition services are held at the day centre at Christmas and Harvest Festival and are led by ministers from the United Reform, Methodist, Roman Catholic and Church of England faiths. Relatives and members of the public are also able to attend the Sunday service, which again provides people with the opportunity to meet others. Relatives told us that people receive support from the service to get out and about. One relative explained, “(my relative) attends day centre and has shopping trips and outings with staff. She enjoys company, chatter and being included” and another that, “(my relative) goes out, on holiday, planning to go to Blackpool. He goes shopping, gets all modern clothes”. Records showed that people get support to go out and about in their local community as well as taking part in in-house activities. During our visit six of the people living at Seaview were out on a barge trip supported by staff and plans were in place for the other people living there to go the following day. On their return it was evident from the atmosphere that everyone had very much enjoyed this outing. Routines at Seaview are flexible based upon people’s plans for the day. For example when people are not at the day centre they can have a lie in and a brunch cooked at the home. A central kitchen provides the main meals for all of the services on site. There is also a small kitchen at Seaview, which can be used to prepare breakfast, drinks and snacks. A choice of meals is provided each mealtime and the cook was able to explain the different diets that people require. The evening meal was served on a hot trolley and we observed that special diet requirements had been catered for. Plans are currently being made to adapt the kitchen and cook all meals within Seaview. This will provide the people living there with the opportunity to live a more domestic lifestyle and to become involved and aware of the purchasing and preparation of their meals. Many of the people living at Seaview need 1-1 support from staff to eat their meals. We observed some of the support provided to people at teatime. This support is provided over several ‘sittings’ which helps to ensure people get the support they need and do not have to wait a long time to get the help they need. We observed staff providing some good 1-1 support to people, taking time to offer choices, chat with people and support them a their own pace. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The health and personal care needs of the people living at Seaview are recognized and met. However tighter systems around medication would be of benefit to make sure that people receive their medicines safely as they were prescribed. EVIDENCE: A relative of one of the people living at Seaview told us, “(my relative) has been ill recently and the care she was given was fantastic by all the staff”. Another relative explained, “They are very very good, on Sunday they told me the doctor had been. They get the doctor straight away”. In discussions with staff they were able to explain the different support people need and their choices with regards to their personal care. For example, one member of staff explained that one of the people living at Seaview likes to go to bed early. Records showed that he is offered this support, whilst other people are supported to stay up later according to their choices. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 15 It was clear that the people living at Seaview had received support with their appearance in a way that meet their needs and choices. For example some of the women who live at the home had been supported to paint their nails and wear jewellery. Care plans and records contained clear, up to date information regarding the support people need with their health and personal care and how to provide this. These were detailed enough to provide guidance to staff on how to support people safely and well and included regular assessments of the different health needs people had. This information helps to ensure people get the support they need and that any changes to their health are quickly noted and acted upon. Records showed that staff are vigilant in observing people’s health. For example staff noted that one person appeared to be in pain, provided pain relief and contacted the GP. On another occasion they quickly noted someone appeared to be having a reaction to their medication and sought advice. As the people living at Seaview cannot always verbally express how they are feeling, staff observations are particularity important in ensuring any issues are quickly noted and acted upon. Records showed that people receive support to access a range of health professionals. This includes regular appointments such as the dentist as well as more specialist appointments such as the consultant and podiatrist. In working with other health professionals and seeking advice, the home staff are supporting the people living there to remain as healthy as possible. Medication for the people living at Seaview is stored in a separate room, which was clean and well organised. Clear records are kept of any ‘as required’ medication or homely remedies that people have taken. In addition where people take their medication with their food, a clear explanation of this is recorded and agreed by their GP, staff and family. This helps to ensure the process is clear and people are given their medication in a way that meets their health needs and also respects their rights. Although medication sheets record the amount of medication carried over from the previous month and received, there is no formal stock check system within the home. We checked records for three medications. For two of these the amount of medication left tallied with records. However for the third medication it did not. As there is no clear stock check system within Seaview it is difficult to establish where this error occurred. We also found that a cream was stored inappropriately in the fridge and ‘as required’ medication stored in the trolley was out of date in November 2007. If medication is not stored or given within manufacturers’ dates, it may not be as effective as it should be. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 16 Medication administration record sheets clearly recorded when people had received their medication and showed that short-term prescriptions such as antibiotics are given correctly. Where a medication had been written by hand only one member of staff had signed the recording. It is good practice for two staff to check and sign any handwritten entries on a medication sheet as this helps to lessen the risk of them being recorded and possibly given, inaccurately. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at Seaview and their representatives are confident that any concerns they have are will be taken seriously and acted upon. This helps people to feel safe whilst living at Seaview. EVIDENCE: Friends and relatives of the people living at Seaview told us that they know how to raise any concerns they have about the service and feel these would be listened to. One person explained, “There has been no need to make a complaint but I do know how if it were necessary or I had concerns”. During our visit we spoke to another relative who told us, “I know they are safe”. There are clear polices and procedures in place at Seaview for dealing with any concerns, complaints or adult protection issues that arise. Staff receive training in recognising and dealing with adult protection issues and in discussion with staff it was clear that they are aware of how to deal with any concerns that arise. Information about the organisation’s complaints policy is made freely available, in an easy to understand format to the people living at Seaview and their friends and relatives via the service user guide. Systems are in place for supporting people to manage their money. Records and receipts are kept of purchases made. We checked a sample of these Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 18 during our visit and found them to tally. This system helps to ensure that any discrepancies that may occur could be quickly noted and acted upon, to ensure people’s money is managed safely. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 29 & 30 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. Seaview provides people with a comfortable, safe, adapted home that can meet their needs and choices. EVIDENCE: Seaview is based in the middle of Formby Pinewoods, near to the National Trust Park. Its location means that it is not directly part of the wider community. However there is a local train station, shops and facilities approximately 20 minutes walk away. The location of Seaview means that it has scenic views and there are nearby walks within local areas of interest. It also has several gardens within the larger grounds that people can access, as well as an enclosed courtyard with seating, that is directly accessed via the home. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 20 Due to the layout of both Seaview and the overall site, all areas are accessible for people with physical disabilities, with wide corridors and doorways and all areas at ground level. A relative told us, “Seaview is exceptionally clean, it’s a credit to the staff” and during our visit we noted that the home was clean and tidy with no odours present. During our visit we observed that the people living there use all areas of their home. Some people choose to spend their time wandering around shared areas watching what was going on, whilst others were supported to use the lounges or their bedrooms and watch TV or listen to their music. There is a large dining room in Seaview and several small lounges or seating areas, providing people with a choice of places to spend their time. Some recent decoration has taken place with new lights, pictures and wallpaper helping to make the environment more homely and welcoming. However in one lounge area the settee was ripped and held together with tape, which detracted from the overall homely atmosphere of the area. The small kitchen at Seaview is not accessible for people with mobility difficulties. However the organisation has plans to replace this kitchen and the manager advised that some adaptations will be incorporated into the new design. There are eight single bedrooms and two shared bedrooms at Seaview. Where two people share a room screens are provided for privacy. Everyone living at Seaview has their own toilet, which has adaptations, to meet their individual needs. Thought has been put into decorating and furnishing the toilets and bedrooms in a way that suits both the person’s support needs and their choices. A member of staff explained that she sat with one lady and went through fabric samples with her to support her to be as involved as possible in choosing the décor of her room. A number of aids and adaptations are provided throughout Seaview. These include overhead tracking, mobile hoists and specialist beds and mattresses. The three bathrooms all have adapted baths. These aids and adaptations help people with their health and mobility and in getting support to receive personal care. We noted at our last big inspection of Seaview that the home felt cool and no records were maintained of room temperatures. During this visit the temperature of the home felt more comfortable and regular checks are made and recorded of room temperatures. This helps to ensure the environment is comfortable for the people living there. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 21 There is a separate laundry room with industrial washing and drying machines. Systems are in place for minimising the risk of cross infection with laundry and staff are provided with disposable aprons and gloves to further help prevent the risk of cross infection. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. The people living at Seaview are supported by a staff team who have the knowledge and experience to understand and meet their needs and choices. EVIDENCE: A relative of one of the people living at Seaview described the staff who work there as “very, very good” whilst another told us, “staff do try to act on what (my relative) wants”. The people who live at Seaview have complex support needs both in terms of their health and personal care and in needing people to support them who can understand the non-verbal ways they communicate. In discussions with staff working at Seaview it was evident that they have a good understanding of the support needs of the people living there. They also displayed a good knowledge of people’s individual personalities, the things they enjoy and the way they communicate. This was further evidenced throughout our visit when staff were seen to spend time chatting with people and providing 1-1 support where needed. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 23 Staff told us in their comment cards that before they started work at Seaview a series of checks were carried out. Records we looked at confirmed that checks are made before anyone is offered a job. These include obtaining written references, checking with the Criminal Records Bureau (CRB) and register of people unsuited to work with vulnerable adults. These checks help to ensure staff are suitable to work with people who may be vulnerable. Staff also told us that they are given training, which is relevant to their role and helps them to keep up to date. One member of staff explained, “I am currently on two courses – 1 for learning disability awareness which covers topics such as discrimination and person centred care, and another course for medication. Staff are always encouraged to attend training to improve skills and knowledge”. We looked at a sample of training records and these confirmed that staff undertake training both in basic areas of care such as moving and handling people and health and safety as well as undertaking more specialised training such as postural care and use of the hydrotherapy pool, which helps them to meet the needs of the people currently living at Seaview. Over 50 of the care staff hold a nationally recognised qualification in care (NVQ). The training provided helps to ensure that staff are aware of current good practice and can support people safely and well. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use this service experience good outcomes in this area. We have made this judgment using available evidence including a visit to this service. Seaview is managed for the benefit of the people living there. Thorough planning and quality checks of the service they provide would help to plan further improvements for the people living there. EVIDENCE: Mrs Hillary Tasker is the manager of Seaview. She holds a qualification in working with people who have a learning disability and has worked in a management capacity for some time. She explained that she is in the process of applying to the commission to become registered as the manager of Seaview. This process helps to ensure that managers have suitable qualifications and experience to manage a care service. She does not currently hold a qualification in management but explained that she intends to work towards this as well as planning to work towards a degree, which will further Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 25 improve her knowledge of good care practices. During the site visit the manager displayed a sound knowledge of the service Seaview provides and was enthusiastic about further plans for the future. There are some systems in place at Seaview for regularly checking the quality of the service they provide. This includes regularly auditing meals and staff files. In addition a senior manager from the organisation visits regularly and provides a report of their visits along with any areas that need action taking. It was identified at the last big inspection of Seaview in November 2007 that no overall quality audit had taken place and no surveys had been carried out to obtain the views of the people living there and their representatives. As many of the people who live at Seaview cannot verbally express their views, seeking the opinions of their representatives helps to involve them as much as possible in planning future improvements to the service they receive. For example an on going quality assurance system for medication may have lead to some if the issues around medication that we observed, being noted and acted upon quicker. The manager had very recently commenced an internal audit system for the home. This involves looking each month at the support one person receives with all areas of their life. Once fully implemented this will help to provide a picture of how the service is supporting people and plan any changes needed. There is an overall quality system available from the organisation, which provides a way to measure the service against national good standards for care. However this had not been completed since January 2007. Records and certificates showed that regular checks are generally carried out on the environment and equipment to ensure they are safe to use. This includes checks on the fire system, moving and handling equipment and the mains electrics. However the gas certificate for the home was due to be renewed in March 2008 and had not been. Following the inspection we were given evidence that a gas safety inspection was booked to take place within two weeks but leaving it overdue for several months could place the people living there at risk. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 26 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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 3 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 3 X 3 X X 2 X Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13(2) Requirement A regular stock check of medication held in the home must be carried out. This will help to ensure that any issues with medication can be quickly noted and acted upon. A system must be set up for monitoring safety checks on equipment throughout the building to make sure they are renewed when they are due and the home continues to be a safe place to for people to live. Timescale for action 30/09/08 2 YA42 13(4)(a) 30/09/08 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 YA20 Good Practice Recommendations Where medication sheets are handwritten these should be signed by two members of staff. This will help to prevent any errors occurring in the recording of the medication. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 28 2 YA39 An overall quality assurance system should be implemented that can be used to identify and plan future improvements to the service provided. It should include obtaining the views of the people living there and their representatives. This will help to ensure Seaview operates in the best interests of the people living there. Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North West Region Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seaview DS0000017271.V371196.R01.S.doc Version 5.2 Page 30 - 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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