Inspection on 08/11/07 for Seaview

This inspection was carried out on 8th November 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seaview 12/08/08

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 09/07/2008.

CARE HOME ADULTS 18-65 Seaview Blundell Avenue Freshfield Formby Merseyside L37 1PH Lead Inspector Ms Lorraine Farrar Key Unannounced Inspection 8th November 2007 1:40 Seaview DS0000017271.V346196.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.V346196.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.V346196.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 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 Frances Taylor Foundation Mrs Jean Pugh Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 12 LD. Date of last inspection 20th November 2006 Brief Description of the Service: Seaview provides accommodation and support with nursing for 12 adults who have a learning disability. Many of the people living there also have physical disabilities 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, whilst at night they share the registered nurse with two other care two homes located nearby. Seaview is owned and operated by the Frances Taylor Foundation, a national organisation who provide support to people with a variety of care needs. It 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 facilities and some administrative support. Most of the bedrooms are single rooms, where two people share, there are screens provided for privacy. Where needed all residents 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. It currently costs £945 each week to live at Seaview. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for the inspection was gathered in a number of different ways. This included an unannounced site visit for 5.40 hours on the 8th November 2007, where time was spent reading records and looking at the building. A system called ‘case tracking’ was used as part of the visit. This involves looking at the support a person gets from the service including their care plans, medication, money and bedroom, time is also spent meeting with the person and with staff about how they meet the persons needs. Case tracking was used to look at life in the home for three of the people living there. We also met with some of the people living, working and visiting Seaview. Comment cards were sent out before the inspection to relatives of some of the people living there. Six relatives replied and their comments were taken into account in writing this report. The deputy manager contributed to the inspection process by completing a self-assessment form before the site visit. The information gathered from the site visit along with any information about the home that we have received since the last key inspection has been used to write this report. An easy to understand summary of this report is available. If you would like to see a copy please ask the staff at Seaview. What the service does well: Staff working at Seaview have a good understanding of the people living there, the ways they communicate and how to meet their health and personal care needs. This is backed up with clear care planning and records that help to ensure people receive the support they need and choose around these areas of their life. The people living at Seaview receive good support from staff to engage in activities of their choice at home and also to meet their spiritual needs. 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. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 6 Relatives and friends are welcomed to visit and become involved in peoples lives. They are also made aware of how to raise any concerns that they may have. Some information has been provided for the people living at Seaview in an easy to understand format. This means that they or anyone considering moving in can understand as much as possible about the service provided. What has improved since the last inspection? What they could do better: A system for regularly obtaining the view of the people who live at Seaview or their representatives should be put into place. Alongside this the home should have systems for regularly reviewing the quality of the service they offer. This will help to ensure the service provided is good and help plan future improvements based as much as possible on the needs and choices of the people who live there. Care planning and reviewing around peoples social choices should be reviewed and expanded. This will provide a way to ensure people receive planned support around the things that they enjoy in life as well as the practical support they require with their personal and health care. The heating system on Seaview is not always reliable, therefore the temperature of rooms used by the people living there should be regularly monitored to ensure it is comfortable and suitable for them. The quality of meals within the home is variable and they may not always be suited to the needs of the people living there. Action to address this needs to Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 7 be taken so that people are provided with a consistently good service around the quality of their meals. 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.V346196.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.V346196.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 Quality in this outcome area is good. This judgement has been made 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: Nobody new has moved into Seaview since the last big inspection took place. However the deputy manager was able to explain that before offering anyone a place to live she would provide them with information about the service, carry out a full assessment of their needs and offer them opportunities to visit Seaview. People would also be offered the opportunity to stay overnight and have a trial period living there. A policy is in place for staff to follow when new people are considering moving in, this guides staff on the steps to take to ensure sufficient information has been obtained about and given to new people to help them make a decision. Relatives said that they are always given enough information to help them make decisions with one explaining, “excellent in every way. I am very happy with my (relative) being there”. This all helps to make sure that before moving in people can be confident that Seaview can meet their needs and choices. Seaview DS0000017271.V346196.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Peoples individual health and personal care needs and choices are identified and met within the service. However a lack of planning and reviewing around their social needs and choices may impact on the service they receive. EVIDENCE: Relatives of the people living at Seaview said in their comment cards that they believe the service always or usually meets the different needs of the people living there with one commenting that it, “meets all needs appropriately”. Individual care plans are in place for the people living at Seaview, three of which were read during the site visit. Plans were up to date and had been regularly reviewed, this helps to ensure that any changes to the persons support needs or their choices can be quickly identified and acted upon. Records show that the plan is drawn up with the person, their relatives and friends and through staff observations. As many of the people living at Seaview don’t use verbal forms of communication, this helps to make sure that Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 11 as wide a view of their needs and choices as possible is identified and recorded. Clear information is recorded about how to support people with their health and personal care and with the aids and adaptations they need. This provides staff with clear information about how to support the persons safely and in a way that meets their individual needs. Although information is recorded about the things people like to do in their social life and there are community presence plans in place these are not as detailed as other plans. Therefore the review process of these is limited and does not provide a clear way to check the support people receive in this area on a day to day basis. All care plans looked at contained copies of risk assessments for the person. These covered areas such as the use of equipment and supporting the person with their health. Clear information was recorded about risks to the person along with guidance for staff to follow to prevent or reduce the risk occurring. All had been recently updated and reviewed. Most of the people living at Seaview use non-verbal forms of communication. However staff were able to explain how people show their choices and decisions and during the site visit support was seen to be offered to people in accordance with their likes and dislikes. For example records for one person showed that she likes to wear nice clothes and jewellery and she confirmed that staff always support her with this. Seaview DS0000017271.V346196.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Peoples lifestyle choices are identified and they are generally supported to meet these. Consistent quality of meals and more planned leisure opportunities would further enhance this aspect of their lives. EVIDENCE: Relatives of the people living at Seaview said in their comment cards that the home always or usually helps their relative keep in touch with them and informs them of important issues. Their comments included, “they give the service users a good quality of life. They are taken out into the community regularly and given as much independence as possible. Family are welcomed at any time and can stay as long as they want”. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 13 There are several facilities on the site that the people who live at Seaview can access. This includes a day service that many of the people living at Seaview attend four days a week. Whilst there they can spend time with people who live at the other care homes on the site and people who live in the wider community. They can also participate in a number of activities and outings. A hydrotherapy pool is also available. This is an excellent facility that is well equipped to meet peoples physical support needs. The people who live at Seaview are able to use the pool with staff from the day service or occasionally with staff who work at Seaview. There is a large hall on site that holds Catholic services regularly. The people living at Seaview and their relatives are welcome to attend these services. People who are of the Church of England faith are supported to attend a local church in the wider community for services. Whilst at home people have a variety of activities in their rooms that they can engage in according to their choices. During the visit one person resting on her bed and was watching a TV programme of her choice. The TV had been correctly positioned so that she could easily see it from her bed. In discussions with her she confirmed that staff support her at home with the things she enjoys, including following her spiritual choices. Records showed that people get out and about in their local community, including using local facilities such as the hairdresser and church. However this is sometimes limited. For example one plan showed that the person enjoys football however there were no record that of how they were supported to follow this hobby or plans in place for the future. Staff explained that they did have a planned activity rota, however this had lapsed and they hope to recommence it shortly. This along with more social care planning would help to ensure people get all of the support they need in this area of their lives. People can go on an annual holiday if they wish, during the site visit a planned holiday to Blackpool was taking place shortly. Routines in the home have become more flexible. People who are not at the day centre can have a lie in and are then served brunch made in the small kitchen at Seaview. In an afternoon they are served speciality teas, coffee and cakes. Two relatives commented that the quality of meals was, in their opinion declining with one stating, “the quality of the meals appears to depend on who is in the kitchen, I think this is being continually highlighted”. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 14 The evening meal consisted of two choices and records showed that there is now a choice offered at each mealtime. A daily record of the quality of food is kept, comments recorded ranged from ‘okay’ ‘ to ‘sloppy’ to ‘not suitable’. A number of staff commented that the quality of meals is variable. During the evening meal staff were observed to support people on a 1-1 basis either to eat their meal with support or as independently as possible. The atmosphere was quiet and relaxed with people given the time to enjoy their meal. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Peoples health and personal care needs and choices are recognised and met by experienced staff within the home, EVIDENCE: Relatives of the people living at Seaview said in their comment cards that staff always or usually give people the support agreed and expected. One relative commented, “They treat everyone with respect and dignity and attend to their every need”. 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. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 16 Staff receive training in supporting people with their individual healthcare needs. In the past year this has included staff learning about positioning people correctly, abdominal massage and supporting people with a peg tube. Records showed that people are supported to make and attend regular and specialist health appointments and that aids and adaptations to support them with their mobility and physical disabilities are provided. During the site visit it was evident that the people living at Seaview had received support to meet their personal care needs and as much as possible that they are supported to choose their own appearance. Medication for the people living at Seaview is stored in a separate room, this was seen to be clean and well organised. Clear records are kept of any ‘as required’ medication or homely remedies that people taken. In addition where people take their medication within their food a clear explanation of this is recorded and agreed by their GP, staff and family. Staff were seen to advise people receiving medication in their teatime meal that it had been placed there. This ensures that staff are acting openly and in the persons best interests, it also helps to ensure people are as informed as possible about the support they are receiving. Medication was stored correctly and records of administration had been completed. This helps to lessen the risk of mistakes occurring. Seaview DS0000017271.V346196.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear systems are in place for dealing with any concerns or allegations that arise. EVIDENCE: Relatives of the people living at Seaview said that they know how to raise any concerns or complaints that they have about the service and these are always or usually dealt with appropriately. Information about the organisations complaints procedure is available in the home with a picture format also available to help the people living there understand as much as possible about it. Information about the local authority adult protection procedures is readily available and staff have received training in this area. This helps to ensure that any issues can be quickly identified and dealt with. Clear systems are in place for supporting people to manage their money. Records and receipts are kept of purchases made, a sample of which were checked and tallied. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Seaview provides people with a safe, adapted home that can meet their needs. However current heating arrangements may mean that peoples are not as comfortable as they could be. EVIDENCE: Seaview provides eight single bedrooms and two double bedrooms with screens available for privacy. In addition people share a large dining room and several small lounges or seating areas. Bedrooms are very well decorated and furnished in accordance with the persons needs and choices. Staff and relatives support people to personalise their rooms with photos, music and TV’s as they prefer and people where seen to enjoy spending time in their room engaged in their preferred activities. Everyone has a designated toilet, which has been fitted with adaptations such as toilet seats to meet their individual needs. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 19 There are three adapted bathrooms within Seaview, which are easy to use for people with mobility problems or physical disabilities. Due to the layout of the site all areas are accessible to people with physical disabilities, with wider corridors and doorways. A number of aids and adaptations are provided throughout the home. These include overhead tracking, mobile hoists, specialist beds and mattresses and dining tables that can accommodate people using a wheelchair. Outside Seaview has a small courtyard with seating, they also share extensive grounds with the other services on site. This includes several gardens and areas to walk. Many of the windows within the home have a pleasant view of the local sand dunes and wildlife. There is a designated laundry room, which is well equipped to meet the needs of the people living there and has a clear system in place for preventing any cross infection occurring. The dining room and lounge areas have been decorated with time taken to provide nice throws, pictures and lamps to make the areas comfortable and as inviting as possible. Corridors have lino flooring, which can appear cold and institutional. The deputy manager advised that they hope to replace this within the next year. During the afternoon of the site visit there was no heating on at Seaview and some areas felt cool. Staff and the maintenance man for the site advised that they were experiencing some difficulties with the heating and had arranged for a contractor to visit. As there were no room thermometers available it was not possible for staff to check that rooms are always at a suitable temperature for the people living there. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Seaview are supported by a competent staff team who are able to identify and meet their needs and choices EVIDENCE: Relatives of the people living at Seaview said in their comment cards that staff always or usually have the skills and experience to look after people. However a couple of relatives said that they were concerned about staffing levels and one commented that they would like to see staff allocated to lounge areas instead of “congregating” together. During the site visit a member of staff explained that they had introduced a system of group care, whereby staff are allocated to support named people each day. Staff felt this was working well for everyone as it enabled them to plan the support they provided. Records also showed that three new staff have been recruited recently, which will provide a full, permanent staff team to support the people living at Seaview. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 21 Records showed that before anyone begins work at Seaview a series of checks are carried out to help ensure they are suitable to support the people who live there. This includes a set interview process, obtaining references and carrying out checks with the Criminal Records Bureau (CRB) and protection of vulnerable adults list. Discussions with staff and records showed that they have undertaken a number of training courses to help them in their work and in supporting the people who live at Seaview. These range from basic courses such as moving and handling people and the protection of vulnerable adults, to more specialist training such as abdominal massage, supporting people who use a peg tube and postural care. A health care professional who had provided training for staff and regularly visits to support them said that the training had been well received and that staff had been “very responsive” growing in confidence as they supported the person in line with the training they had undertaken. Training planned for the forthcoming year covers areas of health and safety, basic care and more specialist healthcare needs. This will help to ensure staff are aware of current good practice and able to support people safely and well. Records for two new staff were looked at, although a carer had plans in place to attend an induction based on national care standards, no firm plans were in place for further training for her. There was also no training plan or induction records for a newly appointed Nurse. Good practice was noted in that new staff are assigned an experienced member of staff to support them when they begin work. They also work alongside another member of staff in supporting the people living there until they are assessed as competent to support people independently. However a lack of planned training for new staff may mean that they are not fully equipped with the skills and knowledge they need to support the people living at Seaview. During the site visit staff spoken with displayed a good knowledge of the people they support and their individual support methods and choices. Staff were seen to spend time talking with people as well as providing the more practical support that they required. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 22 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Seaview is safely managed for the people who live there. A lack of documented planning may lead to service improvements not being noted and carried out. EVIDENCE: Mrs Jean Pugh is the registered manager of Seaview. She is experienced in working with adults who have a learning disability and managing care services. There are some systems in place within Seaview for checking the quality of the service they provide. These include regular reviewing of care plans and auditing of meals. However the organisation have not carried out a full quality assurance review of the service since 2006 and this did not appear to be in use. The document Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 23 they use is based on national standards for care and if used and kept up to date provides a clear way to identify, plan and carry out service improvements. In addition to this the views of the people living there and their relatives should be obtained as to the things they think the service does well and the things they would like to see improved. No evidence that their views had been recently sought was available. Records and certificates showed that regular checks are 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. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 24 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 X 3 3 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 3 28 X 29 4 30 3 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 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 X 3 3 X 2 X X 3 X Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 25 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 YA39 Regulation 24(1) Requirement A system for regularly reviewing the quality of the service must be implemented and reviewed. This will help to ensure that future improvements are planned, carried out and reviewed. 2. YA17 12(1)(a) Action must be taken to ensure the people living at Seaview consistently receive meals that meet their needs and choices and that are of a good quality. The temperature of rooms with Seaview must be monitored to ensure they are warm enough at all times for the people living there. 29/02/08 Timescale for action 29/02/08 3. YA24 23(2)(p) 15/12/07 Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 26 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 YA39 Good Practice Recommendations The quality audit system should be reviewed to ensure it includes service users experiences of life in the home. This will help to ensure Seaview operates in the best interests of the people living there. 2. YA35 An individual training plan should be provided for all new staff. This will help to ensure they are equipped with the skills and knowledge they need to support people safely and well. 3. YA6 Care planning around supporting people with their social lives and interests should be expanded. This will help to ensure people receive the support they need. Seaview DS0000017271.V346196.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Merseyside Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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.V346196.R01.S.doc Version 5.2 Page 28 - 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. 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