Inspection on 24/11/05 for Seaview House

This inspection was carried out on 24th November 2005.

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

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

Other inspections for this house

Seaview House 06/10/08

Seaview House 04/10/06

Seaview House 13/02/06

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 24 and 29 November 2005 9.30am Seaview House DS0000022578.V265948.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 House DS0000022578.V265948.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 House DS0000022578.V265948.R01.S.doc Version 5.0 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) Community Integrated Care Mrs Ida Casson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 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 detached property stands in 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, all with wash hand basins. The ground floor bathroom is fitted with an adjustable height bath and hoist. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the early and early afternoon periods during two days. Not all of the standards were assessed at this inspection and these will be completed during the next visit to the home. A tour of the premises took place and some of the records and service user’s files were assessed. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that there is always enough staff available to support service users in their individual life styles. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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.V265948.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 House DS0000022578.V265948.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): These standards will be assessed at the next inspection. EVIDENCE: Seaview House DS0000022578.V265948.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): 7,9 and 10 There is a core staff group of skilled staff that support service users to exercise choice and make informed decisions about their lives. EVIDENCE: The staff group constantly review the amount of choice and control that people have in their everyday lives. Records show that there are some restrictions to people having comprehensive access to community facilities. This is due to the home not always having access to enough staff to fully meet the staffing rota. A requirement about this has been made. It is however, clear that staff on duty place the needs of service users first and do endeavour to support people on an individual basis. Person Centred Care plans is being developed and people’s needs are very detailed. Risk assessments had been undertaken and these would enable people to be supported to live their lives in a measured and safe manner. Personal records and information about service users is handled appropriately and in a confidential manner. Seaview House DS0000022578.V265948.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): 12, 15 and 16 People are given opportunities to experience a range of activities to enhance their lifestyles. EVIDENCE: People’s personal schedules about their individual activities are recorded and known by staff. These will be consistently and comprehensively met if there is always enough staff available to meet people’s individual needs. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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 The health care needs of service users are well met with evidence of multidisciplinary working taking place on a regular basis. EVIDENCE: Medication is securely stored and administered and staff are following the home’s policy and procedure for this. The local Pharmacist also checks these systems. The records confirmed that people have a full range of access to general health care services and more specialised services when required. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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): These standards will be assessed at the next inspection. EVIDENCE: Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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): 24, 25, 26, 27, 28 and 30 The standard of décor within this home is very good and there is evidence the home is maintained to a good standard of decoration. The home is a comfortable and homely place for people to live and work. EVIDENCE: The home is maintained in a clean and pleasant manner. Contact is appropriately maintained with other professional personnel regarding the environment. This makes sure people have appropriate support and assistance with the provision of specialised aids and adaptations. There is a programme in place to maintain the furnishings and fittings in both the private and communal rooms. People’s bedrooms are arranged in the way they want them and the manager and staff support people in doing this. Each room is individual and privacy locks are in place. The recent work is completed on the outside of the home and staff are endeavouring to ensure contractors return to remove the scaffolding and maintain people’s safety. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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): 32, 33 and 35 People do benefit from an experienced and trained core group of staff that are fully informed of people’s needs and wishes. However, there are not always enough staff available to consistently meet the comprehensive needs of people in the home. EVIDENCE: People’s needs are fully identified and staff are diligent in meeting these. This can, at times place great pressure on existing staff when there is a shortage of staff available to complete rotas. The manager and staff are fully aware of this and great efforts have been made to constantly employ staff but shortfalls still remain. As previously mentioned in this report a requirement regarding this has been made. There is a programme for in-house training as well as people’s involvement with and achievements through NVQ Qualifications. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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): 37, 40 and 42 Although the registered manager was not present during this unannounced inspection it was apparent that service users generally benefit from a well run home that safeguards their rights and best interests. EVIDENCE: Staff had very informative and detailed information regarding people’s personal matters and the home’s policies, practices and procedures. The home, although organised and orderly is arranged in a homely and relaxing manner with people individually respected. The records assessed during the inspection ensure that people are respected and their dignity upheld. Health and safety matters are appropriately recorded and dealt with and records also indicated that fire drills and instructions had taken place regularly. Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 2 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 2 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 2 X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seaview House Score 2 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X 3 X DS0000022578.V265948.R01.S.doc Version 5.0 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. 1 Standard 33.1 Regulation 18 (1) (a) Requirement There must always be sufficient numbers of staff on duty to meet the comprehensive and individual needs of service users. Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 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. Extracts may not be used or reproduced without the express permission of CSCI Seaview House DS0000022578.V265948.R01.S.doc Version 5.0 Page 19 - 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. 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