Inspection on 09/01/06 for Seaview

This inspection was carried out on 9th January 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Seaview 24/07/07

Seaview 16/08/06

Seaview 01/08/05

Seaview 08/02/05

Seaview 21/09/04

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

CARE HOME ADULTS 18-65 Seaview 23 Old Dover Road Capel-le-ferne Folkestone Kent CT18 7HW Lead Inspector Mrs Penny McMullan Unannounced Inspection 9th January 2006 10:00 Seaview DS0000023589.V264685.R01.S.doc Version 5.0 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.V264685.R01.S.doc Version 5.0 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.V264685.R01.S.doc Version 5.0 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) Robinia Care South East Ltd Mrs Yvette Hanlon Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 People with learning disabilities. 18 years to 65 years. Date of last inspection 1st August 2005 Brief Description of the Service: Seaview is part of the larger Company of Robinia Care, who specialise in care of people with Learning Disability. Seaview is a group home for eight people providing care and support to people with learning disabilities and/or mental health problems with mild to moderate behaviour that challenges. Seaview is a large detached house with a garden at the rear of the property. All rooms are of single accommodation and there are two en suite bedrooms on the ground floor and the remaining of the bedrooms are situated on the first and second floor of the home. There is easy access to the main bus route and the home has transport for the use of the residents. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 4 hours. Ms Yvette Hanlon, Registered Manager was in attendance. This is the second unannounced inspection this year and the home was welcoming and relaxed. Five residents were spoken to and three members of staff. A number of records were inspected and a tour of the ground floor was carried out. Residents talked about their Christmas in the home and some went home to stay with their parents. Some of the residents were out accompanying one service user to college whilst others were deciding what to do for the day. Overall residents say they are happy with the care being provided in the home and enjoy living there. Feedback from staff is positive and they demonstrated their commitment to providing good quality care. What the service does well: Residents spoken to say the staff help and support them with all aspects of daily living. There is a key worker system in place and residents are able to choose who works with them. Residents are very aware of their care plans and some are able to participate in reviews and be involved in long-term plans for their future. A new plan of activity was being discussed with one resident who was planning to go to the local sports centre to play tennis. Residents say the plan of activities is really good and they enjoy taking part in the college courses and planning their personal programme. Residents said that the maintenance team looks after the home well and the cooking in the home is good. Staff spoken to say that the Company is proactive in providing training and support to ensure they do their job well to meet the needs of the residents. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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 DS0000023589.V264685.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Seaview DS0000023589.V264685.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: None of the above standards were assessed on this inspection. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 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 the following standard(s): 6 The care planning system is clear and consistent to provide staff with the information they need to meet the resident’s needs, however the recording of accidents/incidents potentially puts service user health at risk. EVIDENCE: The care plans are detailed and thorough and cover all aspects of health and social care. Residents are aware of the information in the plans and are able to discuss any limitations on life style and risk assessments. Although accidents/incidents had been recorded in the Accident Book this information was not recorded in the daily contact sheets to be monitored or actioned. A requirement has been made in this report. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 11,12,17 Employment and training opportunities are sought by the home to ensure residents have the opportunity to find a job. Residents are supported to attend college courses to continue their education. Links with the community are good and support and enrich Service Users social and educational opportunities. The home provides a well balanced diet and the overall provision of meals is of a good standard. Service users confirmed choice and variety of meals and special diets are catered for. EVIDENCE: Three residents have part time jobs are one resident has received training in Health and Safety, Food Hygiene and First Aid. Residents were reviewing their activity programme in view of the New Year and talking about their preferences. The Activities co-ordinator plans and implements activities and residents attend college courses, programmes are displayed on the notice board. One resident was looking forward to playing tennis at the local sports Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 11 centre and booking at holiday in the summer. Another resident said how much she enjoyed working in the office and was able to type some of the documentation for the home. Residents are able to go to the local shops, go bowling, for walks, the local pub and fishing. Two residents are able to go to the local pub without staff support and this is clearly documented in their individual plans. Residents say they could choose their activities and decide if they want to join in or choose something else to do. The home has their own transport and some residents are able to catch the local bus into Dover or Folkestone. Residents were observed choosing what they wanted for lunch. Lunch time is always flexible around the times of individuals activities or outings or when they wish to eat if they are in the home. All of the residents spoken to say the food is fine and the cooking is good. Menus are discussed at the weekly meeting and residents are encouraged to voice their preferences at that time. The home has a three weekly menu, which is flexible around the choices of the residents. One resident said that she enjoyed her cooking plan and was able to do this sometimes if she wished to have an alternative to the menu. The plan involves the resident picking the meal, shopping for the ingredients and cooking the meal with the support of the staff. Residents say that they are able to access snacks if required. The home currently has two residents who require special diets, which are monitored to meet their individual needs. All details are recorded in their individual care plans. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19,20 The health needs of residents are well met with evidence of multi agency working however the lack of monitoring of accidents/incidents potentially puts residents at risk. The systems for medication administration are good however hand written details on medication administration sheets must be countersigned to minimise the risk of errors being made. EVIDENCE: Health care needs are monitored through the residents care plan. The monitoring of accidents/incidents was recorded in the accident book but no information was recorded on the daily contact sheets in the care plan. A requirement has been made in this report. All residents are able to visit their GP and some are able to see them without the support of the staff. Residents also say they are supported to go to their dentist and other health related appointments. The home uses the Monitored Dosage System (MDS) to administer medication and recording was in good order. However the home must countersign written entries on the MAR sheets to minimise the risk of error. A requirement has Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 13 been issued to address this issue. All senior staff has received medication training and the storage of medication was also in good order. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 22 The home has a satisfactory complaints system with evidence that Service Users feel that their views are listened to and acted on. EVIDENCE: Residents are aware of how to complain and are encouraged to write any of their concerns in the complaints record book. All concerns no matter how minor are discussed and actioned with the Registered Manager. There have been no formal complaints since the last inspection. The home has a clear Complaints Procedure, which is included in the Service User Guide. The format is in large print with signs and symbols and is on display on the notice board in the home. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 24,26 The standard of the environment within the home is good providing residents with a comfortable and homely place to live. The home provides residents with a bedroom to suit their individual lifestyle and choices. EVIDENCE: Residents say the maintenance team keep the home in good order and have addressed issues since the last inspection. There are still some areas, which require repainting, and the Registered Manager is hoping to redecorate the hall way and lounges in this years plan. Repairs have been made to the problem of damp in one residents bedroom and this is being closely monitored by the Registered Manager said that head office. The premises are light and cheerful and free from offensive odours. There are no outstanding issues from the last fire officer or Environmental Health Officer visit. Radiators have individual thermostat controls fitted in resident’s bedrooms. All of the residents spoken say there are happy with their room. All residents have a key to their room and have personalised furniture and possessions of their choice. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 16 Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 The arrangements for the induction and foundation training are in place with the staff demonstrating a clear understanding of their roles. EVIDENCE: The home has a core experienced staff group however there are five full time vacancies for support staff and one part time vacancy. The current staff group are covering shifts and other Robinia homes are providing additional cover with trained staff. There are six members of staff who hold NVQ 2 or above and two currently completing the award. There is a new member of staff schedule to start shortly and further recruitment will take place to fill the vacancies. All new staff has an induction and also completes the Certificate in working with People who have Learning Disabilities (CWPLD) induction and foundation course. The home has in house qualified assessors to support the staff through the course. All staff spoken to say that the Company provide excellent training. Mandatory courses have been completed or are in the process of updating. Staff say that specific training requested is considered to meet the resident’s needs. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,42 The systems for resident, relative, staff and other stakeholders consultation are good, however the lack of evidence of specific information with regard to the individual home does not take the their views and choices into consideration for the development of the home. Overall the home is providing a safe environment for residents, however the lack of recording accidents/incidents in care plan contact sheets and weekly fire testing potentially puts residents health care needs at risk. EVIDENCE: Service users, relatives, staff and other stakeholders have completed a detailed quality assurance questionnaire. The Company has collated and summarised this information on a national basis and the information is broken down into regions. There is no specific data with regard to Seaview and it is recommended that specific information be provided to evidence that residents/relatives views underpin all self-monitoring, review and development of the individual home. This is a recommendation in this report. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 19 Mandatory training is being provided to all staff. There is one occasion where the fire bells were not tested on a weekly basis and a requirement has been made in this report to ensure that this is carried out. The Accident Book was completed in a satisfacotry manner however accidents and incidents are not being recorded in the daily contact sheets of the care plan. A requirement has been made in this report. All of the necessary safety checks have been carried out. There are robust records with regard to Helath and Safety and Coshh requirements, all data sheets were in place and envvironmental risk assessments have been carried out. Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 20 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 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x LIFESTYLES Standard No Score 11 3 12 3 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seaview Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 2 x DS0000023589.V264685.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard Regulation Requirement The home must ensure that accident/incidents are recorded and actioned in the daily contact sheet of the care plan To countersign all written entries in mar sheets to minimise the risk of error To carry out weekly fire testing Timescale for action 28/02/06 YA6YA19YA42 13,15 2 3 YA20 YA42 13 13 28/02/06 20/01/06 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 39 Good Practice Recommendations To provide specific quality assurance information regarding Seaview Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Seaview DS0000023589.V264685.R01.S.doc Version 5.0 Page 23 - 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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