Inspection on 25/07/05 for Seaview

This inspection was carried out on 25th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 12/08/08

Seaview 08/11/07

Seaview 20/11/06

Seaview 25/01/06

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 09/07/2008.

CARE HOME ADULTS 18-65 Seaview Blundell Avenue Freshfields Merseyside L37 1PH Lead Inspector Lorraine Farrar Unannounced 25th July 2005 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 F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Seaview Address Blundell Avenue Freshfields Formby L37 1PH 01704 872 155 01704 872 155 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) The Frances Taylor Foundation Mrs Jean Pugh Care Home 12 Category(ies) of LD Learning Disability (12) registration, with number of places Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 12 LD That the home complies with the staffing agreement , dated 4th August 2004 The service should employ a suitably qualified and experienced manager who is registered with the CSCI. Also provides day care for up to 65 people LD Date of last inspection 24/3/05 Brief Description of the Service: Seaview provides a accommodation and support with nursing for 12 adults who have a learning disability. Many of the people living there also have physical disabilites and the home provides aids and adaptations to accommodate these. There are staff available 24 hours a day, during the day there is also a registered nurse on the unit, at night they share the registered nurse with the other two homes located nearby. Seaview is owned and operated by the Francis Taylor Foundation, a national organisation who provide support to a variety of people. The home is located in the middle of Formby Pinewoods and shares the site with, two other registered homes, a day centre for 65 people and a convent. All the services are for adults who have a learning disability. Services share transport, kitchen facilites and administrative support. Most of the bedrooms are single rooms, where two people share there are screens for privacy. Where needed all residents have own toilet, this is either in or near to bedroom and is adapted to meet their needs. There are several shared rooms, bathrooms and a small kitchen on the unit. The home has a small private courtyard and shares large grounds with the rest of the site. The home has operated for many years, it used to be a unit within St Jospehs Adult Services, this was changed in 2005 to make the unit smaller and provide a more individual service. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection included reading records and files, talking with staff and residents, looking around part of the home and observing. What the service does well: What has improved since the last inspection? Since the last inspection the home has improved the service they offer to residents in accessing the local community. This includes regular use of Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 6 transport and using local services such as the Optician and Doctor instead of these people visiting the home. The need to provide in-house activities is acknowledged and staff were enthusiastic about arranging different activities to suit peoples choices. Staff have identified areas for which they are responsible, this generally works well with staff appreciating the confidence in their work and a clear line of accountability. The organisation have improved the way they manage residents’ benefit money to make sure any money owed to them is paid as soon as they recive it. 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 F53 F03 S17271 Seaview V239152 250705 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 F53 F03 S17271 Seaview V239152 250705 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) x These standards were not looked at during this inspection. EVIDENCE: Seaview F53 F03 S17271 Seaview V239152 250705 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 Staff have a good understanding of residents, their needs and how they communicate. This information is not always recorded in the persons care plan, which could cause them some difficulty if unfamiliar staff were supporting them. The home is aware of this and have set themselves targets for updating all plans in a more user friendly manner. Some of the risk assessments written for residents had not been reviewed for some time there is therefore a risk to the person that any changes may not have been noted and action taken. EVIDENCE: There are care plans for all residents, some of these do not have all of the information that staff need and have information that is now out of date. Staff know about this and have decided upon a new way to lay out the files and the manager said that they aimed to have all plans up-dated by the end of August. One of the new plans was read and was well written and individual to the person. The home are organising review meetings for all residents, their families and other people involved in their care also provide information for their plan. All care plans read contained up-to-date assessments and information about the person’s health and some information about their lifestyles and choices. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 10 The home gives residents information about local advocacy groups and provides support to them if they wish to attend. Due to the complex needs of the people living in the home their money is managed by the organisation and the unit, who have worked hard to meet previous inspection requirements about managing residents money. Many of the people living on Seaview are not able to verbally communicate, however staff have a good understanding of residents and were able to explain how they let staff know what they like etc. The home are working with a resident to support them to manage their behaviour, good practice was noted in that they have involved other professionals and spent time watching what is going on and providing support that is not too intrusive. The manager has a good awareness of the impact this has on other residents and the fact that they cannot openly display their feelings and has taken some steps to protect them. This situation will need to be monitored to make sure that it continues to be positive for the person concerned and does not have any negative impact on the other people living there. All care plans have risk assessments in them, some of these were up to date whilst others had not been updated since 2003. The manager is aware of this and needs to make sure all risk assessments are updated and reviewed at least every six months. Seaview F53 F03 S17271 Seaview V239152 250705 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) 11,13,14,17 Residents are able to take part in a variety of activities in the on-site day centre and are supported by staff to access leisure and community facilities. In addition activities are arranged at home and staff have a good understanding of peoples different choices and preferences. EVIDENCE: All of the people living on Seaview go to the day centre several times a week, this provides a service for all of the people living on the site and also for people living in the local community. Family and friends of the organisation have worked hard to raise money to replace the hydro-therapy pool and the manager said that this is due to re-open shortly and will be available to any of the residents who want to use it via the day centre. When at home residents are encouraged to take part in every day activities and have support to go out to the local shops etc. There is an on-site chapel, which holds regular church services that residents can attend. Records in the home showed that staff are able to support residents to get out and about more than they have in the past. Good practice was seen in that Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 12 the home now support residents to use local facilities such as the Doctor, Hairdresser and Optician rather than these people visiting the home. The home shares a minibus which they have every three days, the manager said that the organisation plan to buy another bus which will give them more access to transport. The home have started to plan activities in advance and recent activities for one resident included, trips in the bus, shopping, a day out and a holiday. Staff explained that they also arrange in house activities such as videos and pamper nights and had recently had a Chinese meal which residents enjoyed. Several holidays have been arranged this year to suit people’s different tastes and everyone plans to go on a Turkey and Tinsel break before Christmas. There is a large kitchen on site, which provides main meals for Seaview, this was visited during the inspection and was clean and well organised with plenty of fresh fruit, juice and vegetables available. This kitchen also caters for special diets and special occasions. There is also a domestic kitchen on Seaview which contained items to make smaller meals and snacks, the home provides nice crockery and cutlery to meet peoples needs. They have recently decorated the large dining room, providing new chairs and tables that are easy to use by people in wheelchairs and adding pictures etc to make the room as inviting as possible. Staff support residents’ individually with their meals and were able to explain the different types of support people needs as well as what they like to eat. Each resident has their own record of meals and these show that a variety of different meals are provided. Seaview F53 F03 S17271 Seaview V239152 250705 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) 19,20 The home works well with other healthcare professionals and makes sure that residents receive support to monitor their health and attend appointments. Medication is well stored and records well maintained. The home do not keep a record of medication received, therefore, there is no clear audit trail to maintain checks. There is an outstanding recommendation from the previous inspection regarding medication, the home are aware of this and taking action to meet it. EVIDENCE: There are good records in the home about people’s health and the support they need to make sure they stay healthy. Assessments are completed for people looking at the risk of their skin developing pressure sores and the help they need with their mobility or when others are moving them, these have been updated regularly. The home also help people to monitor their weight and to make appointments to see their GP, dentist etc. Staff always go with residents’ if they have health care or hospital appointments and a member of staff explained that they always stay if a resident is in hospital to make sure they receive help from someone they know, who can communicate with them. Records show that the home work well with other health professionals and seek health care checks as soon as they are needed. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 14 The home has a medication room, which was clean and well organised. Medication was stored correctly and there is a good system for making sure medication sheets are all signed and a record made of any occurrences. Some of the residents are prescribed “as required medication”(PRN) the home need to make sure that all staff give this for the right reasons and at the right time, this is particularly important as residents cannot always tell staff if they need extra medication. The home must write guidelines stating how, when and why this medication is given, these should also state the particular signs or symptoms the person might show. This was identified at the last inspection, and the manager explained at this inspection that the home have discussed this with the GP who has said she will write these, a member of staff has been identified to work on this. The home has a good system in place for returning unused medication to the chemist, but no system for recording the medication they receive. A system for recording the medication and amounts received must be introduced so that there is a clear audit trail. Seaview F53 F03 S17271 Seaview V239152 250705 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 have a good complaints system in place and working knowledge of adult protection procedures. The home works well in responding to adult protection issues. Residents’ monies are managed well by the organisation but the present system within the unit does not allow for residents’ to access their money unless planned and does not always provide a clear audit trail. EVIDENCE: The organisation have a complaints system in place which explains how to make a complaint and what will happen once this is received. The manager has also provided an excellent user friendly complaints procedure which uses pictures and easy to understand language to explain what to do for people who find reading difficult. The home has copies of the local authorities adult protection procedures and the manager has a good awareness of how to access these. There has been a recent adult protection investigation within the home. It was identified by the investigation and the team that they had not always dealt with physical violence from a resident in a way, which protected other residents. The home have responded positively to this by putting monitoring systems into place and working with health and social services to support both the resident and other people living there. Most of the residents’ monies are managed by the Francis Taylor Foundation and the on-site administrator, their systems for managing these are in keeping with legal guidelines and residents are given the personal allowance part of their benefits as soon as it is due. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 16 Each resident has some money held in the safe on the unit, records for this were checked and were in order. However the unit have introduced a system whereby one member of staff is responsible for this money. In practice this means that residents cannot get any of their money out unless it is prearranged or the member of staff is on duty and money returned cannot be booked back into the safe. The home should revise this system to make sure residents can access some of their money at all times and that any money returned is immediate booked back into the safe. Due to this system residents’ monies could not be counted at this inspection. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,29 The home provides sufficient shared and private space for residents, staff and visitors. Bedrooms and toilets are personal and well adapted to meet the person’s needs and choices. Communal rooms are not as well furnished as private rooms however staff have made every effort to make thee as homely as possible. The home is well suited and adapted to meet the needs of people who have a physical disability. EVIDENCE: The home has 2 double bedrooms and 8 single bedrooms, where residents share a room screens provided for privacy. Shared space includes a dining room, two small lounges and a private courtyard. Within the home there is enough space for residents, staff and visitors, outside, they share large grounds, which provide a peaceful place to sit, go for a walk or have some privacy. The dining room and lounge areas have been decorated and pictures, new blinds etc added to make these areas appear more homely. All of the bedrooms in the home are well decorated with attention to detail and the persons taste and likes and dislikes taken into account as much as possible. Each resident has a designated toilet, which is decorated and furnished with Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 18 aids and adaptations to suit their needs. In addition the home provides three bathrooms with adapted baths. The home is in the middle of Formby pinewoods and although in lovely surroundings it is quite isolated from the nearby community, staff are aware of this and support residents to go out either using transport or where practical by walking to nearby facilities. The home is well suited to meeting the needs of people who have a physical disability, all accommodation is on ground floor level and doorways are wide enough to accommodate wheelchairs. There are adapted bathing and toilet facilities and overhead tracking and hoists are fitted to help people mobilise. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards were not assessed during this inspection EVIDENCE: Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 20 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) 42 The home has an awareness of health and safety issues and have taken action to identify and address everyday issues via safety checks. However they have not made sure that staff take part in regular fire drills and that checks relating to small appliances and gas are maintained and up to date. The lack of fire drills for staff could place both themselves and residents at risk in the event of the fire alarm sounding. Residents, staff and visitors could also be at risk if regular checks are not maintained on equipment and services to ensure they operate effectively. EVIDENCE: The home have carried out a security assessment of the building, this identified that there is a risk to the home as access to the building is not as restricted as it should be, the manager said that she intended to discuss this with the organisation later in the week. The home must make sure they act on the findings of this assessment to minimise risks to residents. The home identified that there was a risk to one resident as they could wander out of the home without any staff support, good practice was noted in that the outside doors have now been fitted with an alarm, which warns staff when they Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 21 are opened, this lessens the risk to residents who have no health and safety awareness. Fire records for the home showed that staff do receive fire training and that a recent fire service was carried out. However there was no clear record of staff taking part in a fire drill, given the physical needs of the residents it is important that staff know exactly what to do if the fire alarm sounds, therefore the home must make sure that all staff take part in a fire drill at regular intervals. The home have a good, clear accessible fire procedure which is readily available to residents and visitors. A member of staff has responsibility for weekly health and safety checks, records of these show that they work well in identifying problems and making sure they are put right. The last record of small appliances being tested in the home was March 2004, these must be tested at least every 12 months to make sure they are safe. The electric certificate was in date and the adapted baths had been serviced recently. The gas certificate was out of date and must be renewed at intervals of no more than every 12 months to make sure the system is working correctly. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 22 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 3 x 4 x Standard No 11 12 13 14 15 16 17 3 x 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seaview Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 23 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. 2. 3. 4. 5. 6. Standard 9 20 42 42 42 42 Regulation 13(4)c 13(2) 13(4)a 13(4)a,c 13(4)a,c 23(4)e Requirement The home must make sure all residents have up to date risk assessments . The home must put a system into place to record all medication recieved The home must act on the findings of the security asessment they carried out The home must provide a satisfactory gas certificate The home must arrange for testing of small appliances to be carried out. The home must make sure all staff take part in regular fire drills. Timescale for action 01/11/05 01/11/05 01/01/06 14/10/05 14/10/05 01/11/05 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. Seaview Refer to Standard 20 24 Good Practice Recommendations The home should provide written guidelines for “as required medication” The home should review their system for managing resdeints monies to make sure it is available at all times F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 24 should they require it. Seaview F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 2nd Floor Burlington House Crosby Road North Waterloo L22 0LG 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 F53 F03 S17271 Seaview V239152 250705 Stage 4.doc Version 1.40 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!