Inspection on 24/07/07 for Seaview

This inspection was carried out on 24th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Seaview 16/08/06

Seaview 09/01/06

Seaview 01/08/05

Seaview 08/02/05

Seaview 21/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Julie Sumner Key Unannounced Inspection 31st July 2007 09:00 Seaview DS0000023589.V345920.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 DS0000023589.V345920.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 DS0000023589.V345920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaview Address 23 Old Dover Road Capel-le-ferne Folkestone Kent CT18 7HW 01303 246404 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) The Robinia Care Group Ltd Mrs Yvette Hanlon Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2006 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. The home is staffed 24 hours a day and is supported by two staff during the night. The home focuses on improving independence through education, work and training opportunities. The range of fees per week is £1,555.00 to £1,773.00. Information on the home’s services and the CSCI reports for prospective service users will be detailed in the statement of purpose and service user guide. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and the visit to the home took just over 5 hours. The inspector visited the home to talk to the people who live in Seaview, the manager and staff and view records and practices. Information was gathered for this inspection in a variety of ways both prior to and during this visit to the home. There has been some correspondence and surveys have been sent out and completed by relatives and visiting professionals since the last inspection. Feedback received was considered during the planning for this inspection visit. People living in Seaview were able to participate in the inspection by having conversations about their lifestyle and completing the surveys prior to the visit. The manager has worked to develop the home and meet the requirements made at the last inspection. There are no outstanding requirements. Areas for improvement that were discussed are going to be included in the homes annual development plan and will be monitored by the company quality assurance system. What the service does well: What has improved since the last inspection? One person’s individual plan to assist their personal development has been started and is really innovative and they are very pleased with it. There are some good pictorial menu cards to stick on a board and individual communication aids. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 6 The communication systems in the home have been changed so that anything private or personal is not directly recorded in logbooks or anything communal. The arrangements for supporting individuals in the kitchen and preparing meals have been reviewed. People spoken to about the “cooking care plan” and other meal time preparation were happy with what they did. One person was particularly pleased with the opportunity to make a meal just for himself especially as the others generally did not like the food he had chosen. They all said they could make meals and snacks when they want to but often want to go out instead of cooking. The medication practice highlighted in the last inspection has been through a consultation process with medical representatives and its approval is now documented in the individuals care plan. The homes procedures are in line with the laws and guidelines governing medication administration and storage. Each person has their own medication cupboard in a convenient place for them. People who live in the home are being given the opportunity to influence the development of the company and attend meetings to represent their views to influence change. What they could do better: The person centred planning in the home has commenced. The people who own and have designed their plans are proud of their achievements so far. The development of individual plans needs to continue so that everyone has a plan in the style that they want. The quality assurance system in the home is ok and the company audit this and produce a report. However this is company based and not individual to the home. The manager has a lot of ideas and plans to improve the service in the home. A brief report needs to be written of what the home has achieved so far. A development plan needs to be written to highlight what areas the home is going to improve including when and how. Each area needs to be prioritised with timescales so that it is clear what is happening. This should incorporate the development of the person centred plans, planned areas of staff training and routine monitoring of competency and improvements to the building and grounds. Seaview DS0000023589.V345920.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 DS0000023589.V345920.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 DS0000023589.V345920.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A person’s individual needs are fully assessed before making a decision and moving into the home. EVIDENCE: At present there is one vacancy. A new person has been assessed. Documentation was viewed. Some trial visits have taken place to assist with decision making. Seaview DS0000023589.V345920.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff have found innovative ways to assist individuals to design their own unique style of care/support plan. Risks are identified and managed to make sure opportunities for new experiences are not limited and developing individual skills are supported. EVIDENCE: The care planning in the home was viewed and discussed. The manager is developing the person centred planning in a phased approach. One of the people living in the home described her plan and how it is being designed and showed the part that has been completed. She said that it has been good because the steps agreed and support from staff that she needs are already helping her to achieve what she wants to do. The remaining care plans are to be redesigned to suit each person and the manager said they would be included in the home’s development plan with timescales. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 11 Some of the people living in the home talked about their lifestyle and what changes they are making themselves. One of the people living in the home said that she is attending a meeting so that she can speak out and make her views heard. She had a questionnaire and some information about the meeting that was seen and discussed during the visit. When she returned she was very enthusiastic about what was talked about in the meeting and what plans she had participated in. There are risk assessments completed to support individuals in a variety of situations that are kept in the current support plan folders. The manager said the risk assessment format would also be revised when the plans become more person centred. Seaview DS0000023589.V345920.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in Seaview continue to lead an active life pursuing planned and spontaneous activities. There is a strong commitment to enabling people who live in the home to develop their skills, including social, emotional, communication and independent living skills. EVIDENCE: The people living in the home spoke, about what they were doing during the day and their general hobbies, in between activities out of the house. Each person has their own timetable that they have chosen with their key worker. This is flexible. One person said that he had attended a college course that he thought would be good but had found it boring so had stopped going and was pursuing a sport instead which he said was far better. People spoke about their money and what they were spending it on and that they were also saving for their next holiday. The manager said that holidays are arranged individually and in small groups and they are chosen from brochures. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 13 Friends and relatives are welcome to stay over and individuals enjoy accessing places where they can widen their social network. Family contact is well supported and people living in Seaview said that staff would help family get to the home or them to the family. One person was staying with their family at the time of the visit. Generally everybody has free access around the home. There are some restrictions in parts of the home that have been made following risk assessment to protect individuals’ health. The kitchen is locked at times. The front door is secure. These are under review and all the guidelines will be modified following the person centred planning the manager is implementing. People have their own door key to their bedroom. Risk assessments are in place regarding front door keys and security. And individuals can have a key if they want one and are able to manage it. The manager said that following the last inspection visit participation in the meal preparation has been reviewed. She also said that as the person centred plans evolve support and meal preparation will form a part of it. Staff said that they generally involve people more and the choice to buy and prepare food generally is there but often individuals would rather go out. One person described what meal he had chosen and was very excited about cooking this and eating it and also talked about foods he likes. Another person said they like cooking and have one day when they are supported to cook their own meal and other times when they do a part of the preparation and that they did as much as they want to. Pictorial menus have been designed to assist individuals in both choosing what they want and to let them know what is on offer. Seaview DS0000023589.V345920.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare support is responsive to the varied and individual needs and preferences of the people who live in the home. EVIDENCE: Individuals have key workers and together agree the way in which each person would like to be supported with their personal care and other aspects of their lives. Care plans help support this. Those spoken to were happy with the support they receive and were also confident that if they want to make changes the staff will listen to them and respond. They said staff are kind and encourage them with self care skills. Each person has a health action plan and documented outcomes of visits to various professionals are kept in the individual plan. People spoken to felt their health was well supported. The speech and language therapist has been involved in the compilation of communication aids, which were seen in the home. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 15 The manager explained that some changes had been made to the medication administration procedure in the home following the previous inspection. Some of the records were viewed and prescriptions give clear instructions for staff. Where consultation has been required to support individuals this has been documented. Each person has their own medication cupboard in their bedroom with their own records kept with it. Part of the administration was observed. Staff have received training and the manager audits the medication procedures and checks for staff competency. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an open culture that allows the people who live in it to express their views and concerns in a safe and understanding environment. EVIDENCE: Complaints information was visible and the staff said it is available for all people living in the home to access easily. In conversation people said that they felt fine about making complaints and thought staff would help sort out problems. They would approach the manager to voice concerns. The people living in the home said they feel safe and get on well with the staff team. Staff have received adult protection training and those spoken to were clear about when and how they should follow the home procedure. All staff have been trained in management of threatening and challenging behaviour but the company have recently changed the procedures and new training is being provided. At present the manager has attended. She said that it was good training with more emphasis on how to support people positively and more focus on preventing the situation escalating into threatening behaviour. One of the people living in the home made an accusation against a member of staff. An adult protection investigation was undertaken lead by social services and has recently been closed with the member of staff cleared. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that meets the specific needs of the people who live there. The home is comfortable and has a programme to improve the decoration, fixtures and fittings. Occasionally there is slippage of timescales and maintenance tends to be reactive rather than proactive. EVIDENCE: A tour of the home was undertaken including some of the bedrooms with the person who’s room it was. Bedrooms reflected the interests and personality of the occupants and they were happy to talk about their hobbies at the same time. There is a maintenance team employed by the company. There is a maintenance and renewal process but there are various areas in the home that need attention. These have been highlighted in the homes audits and risk assessments. The external building also looks in need of repair and decoration. The maintenance person visited the home and discussed the carpets. The stairs are very worn with fraying at the edges. The new carpet has already been measured up. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 18 The upstairs landing flooring has been subject to some incontinence and smelled. This will also be replaced and has been measured up. Although due to the recent change of behaviour leading to the effects of incontinence, this is going to be washable flooring. Other parts of the home have washable flooring. There were no other areas where there was a smell of incontinence. Staff said they have attended infection control training and are aware of universal precautions. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are enthusiastic and training is planned and responsive to individuals needs. People who live in the home have confidence in the staff that care and support them. EVIDENCE: The people living in the home said they felt well supported. Staff spoke positively about their experiences of the company’s recruitment and induction. New staff confirmed that they had had a POVA check before starting work and the CRB was requested at the same time. A sample of staff files was viewed and training certificates also seen. Training is planned and coordinated by the manager and the company. Staff spoke about training they had received recently. All relevant training for health and safety is ongoing. The home are supported by other professionals including the speech and language therapist to provide training to meet individual needs. There is a new programme of training in de-escalation and management of threatening behaviour for the staff team. There is a plan for Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 20 all the staff team to attend starting with the manager. At the time of the site visit the manager had attended it. The staff are continuing with the current risk assessments to support individuals until they have received the training. There is an NVQ programme and nearly all the staff team have achieved NVQ 2 or above with remaining staff booked to attend. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has good people skills and understands the importance of person centred care and effective outcomes for people who live in the home. Safeguarding is given a high priority and the home provides a range of policies and guidance to underpin good practice. EVIDENCE: The manager has NVQ 4 and RMA awards in care and management and more than two years experience. The staff were complimentary about the management in the home. Staff said there is good communication in the home. The manager said that the communication systems have been improved in the areas of confidentiality and data protection. The company have produced questionnaires for people who use the service, relatives and visitors. The design of the questionnaires can be modified to suit Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 22 individuals. Surveys are carried out annually. The company audit information gathered and produce a report. The manager has not sent out the questionnaires this year and says she plans to do this within the next month. The manager spoke about her ideas to develop the service provided in the home. Some good aids and plans that have been started were seen and discussed with the people living in the home. It was agreed that the manager would write down what has currently been started and achieved and state where the home is now in responding to results of previous surveys and audits about the home. Following this a development plan needs to be written to include all areas of intended improvement, how this is to be achieved and timescales. The manager felt this would be a productive way to achieve the goals she has previously set. This should include support for people who live in the home, staff and improving the environment. Staff said they had attended mandatory training and records and certificates viewed confirmed this. The manager said she carries out environmental risk assessments monthly to make sure the home is safe. The maintenance person visited the home and carries out some of the safety checks. There are certificates for maintenance services in the home. Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 23 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 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 2 x x x 3 Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 24 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seaview DS0000023589.V345920.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 DS0000023589.V345920.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!