Inspection on 13/02/06 for Seaview House

This inspection was carried out on 13th February 2006.

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 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 House 06/10/08

Seaview House 04/10/06

Seaview House 24/11/05

Seaview House 01/02/05

Seaview House 04/03/04

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 House Crosscanonby Maryport Cumbria CA15 6SJ Lead Inspector Cath Wilson Unannounced Inspection 13th February 2006 11:00 Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 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 House DS0000022578.V281015.R01.S.doc Version 5.1 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 House DS0000022578.V281015.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Seaview House Address Crosscanonby Maryport Cumbria CA15 6SJ 01900 819041 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) www.c-i-c.co.uk. Community Integrated Care Mrs Ida Casson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Community Integrated Care provides the services and care at Seaview House and have other similar properties in Cumbria and throughout the Country. Four service users with a learning disability can make their home here. This is a detached property standing it its own grounds with car parking facilities adjacent to the property. There is a lounge, dining room and kitchen, bathroom and toilet, separate toilet, utility room and one single bedroom on the ground floor. On the first floor there is a bathroom and toilet, which includes a walk-in shower, an office and three single occupancy private bedrooms. The ground floor bathroom is fitted with an adjustable height bath and hoist. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection to this home within this inspection year. It took place over the late morning period when the manager and residents were met. Records were assessed and a tour of the premises made. What the service does well: What has improved since the last inspection? What they could do better: Continue to closely monitor the staff needed on each shift to comprehensively meet people’s individual lifestyles and support them in these. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 6 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 House DS0000022578.V281015.R01.S.doc Version 5.1 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 House DS0000022578.V281015.R01.S.doc Version 5.1 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): 2 There is good information available to introduce new service users into the home and ensure compatibility with other service users that live in this home. EVIDENCE: Assessment of individual need had been undertaken and there are procedures in place for people who may be admitted to the home. The home continues to develop the capabilities of service users so they can enjoy a better quality of life and gain confidence from their achievements. Information relating to the home’s provision of care and service is currently being updated. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 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 Developing individual plans that promote choice and encourage personal development is a strength of the staff team. EVIDENCE: Care plans are being developed through a ‘person centred’ approach and staff use their skills and abilities to engage people in the home in planning their care. The care plans include the use of pictures and symbols and additional professional assistance is sought when needed. Each person’s care planning documents are regularly updated and revised. This approach to planning people’s care encourages individual personal development and widens their life experiences and opportunities. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 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): These standards were assessed at the previous inspection. EVIDENCE: Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 11 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): 18, 19 and 20 There are good systems in place to monitor an individual’s health and wellbeing. Effective links are established with local health care professionals and staff are competent to carry out delegated health care tasks. EVIDENCE: People in the home are registered with a GP of their choice and have access to other members of the Primary Health Care team. There are comprehensive records and systems to monitor service user’s health care needs. The registered manager to ensure the most appropriate response is undertaken is exploring a specialist health care matter. This shows a very proactive approach to promoting people’s personal health care. Medication reviews are taking place and the home’s practice ensures safe handling and dispensing of medicines is undertaken. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 12 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. EVIDENCE: The home has a complaints procedure that has the appropriate 28-day response time. Information on how to make a complaint can also be found in the home’s Statement of Purpose and Service User Guide. These documents are presently being updated to include the name of the Commission for Social Care Inspection. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 13 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): 30 The home continues to be maintained to good standards of cleanliness and hygiene making for a pleasant living environment for people in the home. EVIDENCE: Health and Safety matters are well attended to by the registered manager and staff. The home provides a comfortable and homely place to live that is well maintained and fresh. Assessments for the environment are undertaken and actions taken to maintain standards. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 14 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): 31, 32, 33 and 36 People in the home are supported by a core group of staff that have access to good training and development programmes. EVIDENCE: Staff are very committed to providing very positive life experiences for people in the home. These are being further developed for service users through the progress being made with the current care planning system. Staff are provided with regular supervision so that their ongoing work continues to focus on meeting people’s many needs. There is a programme for in-house training as well as staff involvement with NVQ Qualifications. The registered manager continues to monitor staff availability to ensure that there is enough staff on duty to meet people’s needs and provide appropriate support. The requirement made about staff availability made at the previous inspection is still within the timescale for completion. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 15 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): 38 and 42 The home is well managed by an experienced and qualified manager, who is supported by a committed staff team and together they run the home in the best interests of service users. EVIDENCE: The registered manager promotes an open, positive and relaxed atmosphere in the home. Staff had received training to ensure the health and safety of service users and themselves. Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X 4 X X X 3 X Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seaview House DS0000022578.V281015.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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