Inspection on 06/10/08 for Seaview House

This inspection was carried out on 6th October 2008.

CSCI found this care home to be providing an Good service.

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 04/10/06

Seaview House 13/02/06

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Seaview House Seaview House Crosscanonby Maryport Cumbria CA15 6SJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Margaret Drury     Date: 0 6 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Seaview House Seaview House Crosscanonby Maryport Cumbria CA15 6SJ 01900819041 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Ida Casson Type of registration: Number of places registered: Community Integrated Care care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 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. 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This site visit that forms part of the unannounced inspection took place over one day in October. Various information was gathered in order to assess the key standards identified in the National Minimum Standards for adults (18-65). During the time we were in the home we toured the building, reviewed a sample of care plans, medication records and looked at staff files. We spoke with one of the residents and observed staff interaction with those in the home at the time of the visit. Prior to our visit we had gathered written information from the manager who had completed an Annual Quality Assurance assessment (AQAA), which gave further information about this service and helped to verify some areas of the inspection process. It is a legal requirement that all providers of care services complete this Care Homes for Adults (18-65 years) Page 5 of 25 document , in which the manager outlined the progress made in the past 12 months and what she hopes to achieve in the future. We received returned surveys from some of the staff team, the findings of which are contained in the body of this report. The fees for this service are 1270.00 per week as at the time of the visit. There are extra charges for private chiropody and hairdressing. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service receive a comprehensive assessment of health and social requirements prior to admission. This means that their needs and expectations are met in the most appropriate way. Evidence: The home has produced a statement of purpose and service user guide that give sufficient information about the facilities on offer to allow an informed choice about moving in. There is also a policy in place outlining the process for moving into the home or moving on should this ever be necessary. No service user ever moves into the home without a full assessment of needs being completed by the manager who also takes into account any social work assessment that is in place. As those living in the home have lived there for a number of years there were no copies of the first assessment on file. We did, however, look at all of the care files, which evidenced a continous assessment of needs. This ensures that the level of care and support provided is sufficient to meet any changing needs. All prospective residents and their families, if appropriate, are invited and encouraged Care Homes for Adults (18-65 years) Page 9 of 25 Evidence: to visit the home prior to moving in as this allows them to meet the people already living there as well as members of the staff team. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home are involved in decisions about their lives, and play an active role in planning the care and support they receive. This helps to ensure all living in the home remain as independant as possible. Evidence: Each resident has a plan of care that is generated from the initial assessment of needs. As all those living in Seaview House have lived there for many years with assessments completed at the time of admission, the originals were no longer on file. All the care plans were personal to each indivual. Person centred care planning has been in place for some time and each of the plans we looked at proved to be a very effective tool in delivering care in a supportive and enabling way. The care plans evidenced the importance of supporting each individual to lead a healthy and fulfilling life with as much contact with their families and the wider community as possible. Care plans are reviewed at least monthly with the involvement of the service user and family members if appropriate. All are signed by the individual Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: to say they agree with any changes made. Health care needs are met through a health action plan with records kept of healthcare appointments and doctors visits. The manager confirmed that the home has a good working relationship with all the healthcare professional involved with the residents. Daily records are kept showing how residents spend their days. Up to date risk assessments are in place covering activities inside and outside the home. These are updated each month with the care plan review. The manager and staff are all involved in the risk assessment process to ensure every eventuality is covered and whilst there is an element of risk involved in the activities of daily living every effort is made to keep the residents safe. We spoke to staff during the visit and they commented that the residents were very independant and lived their lives just as they wanted to. All records and information about residents and staff is handled in the appropriate way and kept secure and confidential. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are able to make choices about their lifestyle and are supported to develp their life skills. Evidence: The manager and staff are committed to enable those living in the home to develop and maintain their life skills and live as full and independant life as possible. Where assistance with personal care is required this is given in a positive and appropriate manner. Each resident has a key worker who is available to support them in making decisions and choices for themselves. Every effort is made to ensure those living in the home go out each day. Leisure activities include, woodwork classes that help with social interaction, sessions with a pony and trap, Reiki therapy for relaxation and shopping trips. One of the residents is currently looking at the timetable for a local day centre to see if there are any suitable Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: classes they can attend. Taster sessions for health and beauty and cookery are available to try. Trips to The Sands Centre in Carlisle to concerts and shows are very popular and bookings are made for a 12 month period to secure availability.This also enables the manager to arrange staff rotas accordingly. Family contact is important to residents and staff and many families are involved in the care planning and leisure activities. Parties are arranged and all are invited. Plans are already in hand for the Christmas festivities. As the residents have lived in Seaview House for many years the staff know them well and we observed good interaction. Although not all residents have good communication skills it was obvious that staff knew exactly what they wanted and are well able to meet their individual needs. Privacy and dignity are upheld at all times with residents having their own personal space in their rooms if they want to be by themselves. Room keys are available if those living in the home want them. Staff support residents to keep their own rooms tidy although one person likes to keep his own room tidy himself and all are encouraged to help in the home if they wish. Meals and mealtimes are based around the residents likes, dislikes and wishes. Two help with the weekly shopping and all personal items such as clothes and toiletries are purchased by the residents themselves. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive personal and social care in a way that is appropriate to the individual. Healthcare needs are met through a health action plan. Evidence: Routines within the home are flexible and those living there choose what time they get up and go to bed. All routines are in accordance with the care plan and with the agreement of the resident. Residents are always given the choice about what they want to wear at any given time and as they purchase their own clothes they have plenty of choice. Support from the manager and staff is given in a way that is appropriate and dignified. Professional healthcare is accessed whenever necessary and the manager confirmed that they always receive the help and support they ask for. A member of staff is always available to accompany residents to any outpatient or other medical appointment. Each resident has regular healthcare checks and annual flu vaccinations, all of which are recorded in their health action plan. Medication is supplied in a monitored dosage system from Boots chemist and stored securely in the office. The records were checked during our visit and found to be Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: correctly completed and up to date. Regular audits are completed and all unused medication is returned to the chemist and signed for. Staff have completed accredited training through the local college and there are 6 monthly updates for all staff. The home has a policy in respect of end of life care and staff have completed training in aging and learning disability which they found very interesting. Staff we spoke to during out visit confirmed that needs can change dramatically as the residents age and it is important that they are continually able to meet those needs. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their families know that any complaints will be listened to and acted upon. Those living in this home are safeguarded at all times. Evidence: The home has a complaints policy in place, a copy of which is available for the residents and their families. There is a complaints log in place but there have been none to record and we (CSCI) have not received any. As this is a small home the staff know the residents very well which means any concerns expressed are dealt with immediately. There is an adult protection policy in place that includes whistle blowing and the staff we spoke to during our visit were knowledgeable about the subject and the procedure to follow shoud the need arise. Adult protection training, organised by the training department, has been completed by all staff and the challenging behaviour team also provide in-house training for the staff. Any newly appointed staff are fully checked prior to starting work to ensure only suitable people are employed to care for those living in Seaview House. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is warm, comfortable and suitable to meet their needs. Evidence: The home is a large detached property situated on a quiet road in Crosscannonby near Maryport. There are beautiful views from every part of the house and gardens to the side that the residents can access and enjoy. There are 4 single bedrooms, a large lounge, dining kitchen and sufficient toilet and bathing facilities to meet the needs of those living in the home. There is also a utility room that contains the laundry equipment. We were able to inspect the residents rooms and found them to be light, airy and well decorated. They were personal to each of the residents with items brought from home including television sets and music centres. One of the people living in the home was pleased to show us his bedroom and the others gave permission for us to look at their rooms. There was sufficient communal space in the large lounge and dining kitchen for the residents to use for activities or watching television. The environmental standards of the home were good with the manager ensuring redecoration is completed when required. There are specialist bathing facilities and a hoist to assist with bathing. In the last 12 months new windows have been fitted throughout, together with a new patio door. A Care Homes for Adults (18-65 years) Page 18 of 25 Evidence: new specialist bed has been purchased to assist with the changing needs of one of the residents. The manager is hoping to have a new specialist bath installed within the next 12 months. The home was clean and staff were aware of the need to avoid cross infection. There are health and safety policies in place and the fire and hazard risk assessments were up to date. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported and cared for by a competent, qualified and effective staff team. This ensures they live their lives in the way they want to. Evidence: There is a very low staff turnover at this service although, at the time of our visit there were a small number of vacant staff hours as one of the support workers had recently retired. The hours are currently being covered by existing staff or other staff from a nearby CIC home. Seaview House uses the corporate recruitment and selection policy and no member of staff starts work without the required legal checks being completed. Application forms and references were held on the staff files and each carer receives a copy of the General Social Care Council handbook. Staff training is considered important and over 90 of the staff have qulaified in NVQ levels 2 and above. Training is arranged by the organisations training department and staff have recently completed courses in, health and safety, food hygiene, infection control, moving and handling and fire safety. The manager has prepared a training matrix that ensures any updates are undertaken at the correct time. Staff supervision takes place every 2 months with records on file for reference. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the ethos, leadership and management of a home that is open, transparent and respectful. Evidence: The manager has been responsible for the running of the home since it opened some 12 years ago. She knew all the residents before they were admitted to the home as did some of the care staff. She works closely with Community Integrated Care (CIC) to ensure the home is operated in the correct manner and for the best interests of those living there. All residents have a written contract and there is a statement of purpose and resident guide that fully explain the facilities on offer and the rights of the individual living in Seaview House. There was an open and inclusive atmosphere in the home that evidences that it is very much a home from home for those living there. Quality audits are in place covering health and safety, care plans and medication. Survey questionnaires are completed by families with the manager preparing a report to look at suggestions about the running of the home that may have been made. Family links are strong with family members Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: visiting the home regularly and taking part in some of the organised activities. Questionnaires for the residents are presented in a format that is understandable to all of them. One of the residents was able to tell us that he loved living in the home and liked all the staff. All the records required under the National Minimum Standards were in place and those pertaining to the people living in the home were kept securely in the office. Policies and procedures are in place to ensure the health and safety of those living and working in Seaview House. All the staff are fully trained in moving and handling techniques with regular updates in place. Staff are trained in fire safety procedures and there is an up to date fire risk assessment in place. All equipment is serviced under annual contracts. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!