Inspection on 30/11/05 for Seddon Court Elderly Persons Home

This inspection was carried out on 30th November 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Seddon Court Elderly Persons Home 25/06/07

Seddon Court Elderly Persons Home 29/08/06

Seddon Court Elderly Persons Home 12/04/05

Seddon Court Elderly Persons Home 24/01/05

Seddon Court Elderly Persons Home 18/05/04

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

CARE HOMES FOR OLDER PEOPLE Seddon Court Elderly Persons Home Prescot Road St Helens Merseyside WA10 3UU Lead Inspector Mr John Mullen Unannounced Inspection 30th November 2005 09:00 X10015.doc Version 1.40 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 Seddon Court Elderly Persons Home DS0000034059.V270809.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 Older People. 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. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Seddon Court Elderly Persons Home Address Prescot Road St Helens Merseyside WA10 3UU 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) 01744 677515 01744 677517 jimphilbin@sthelens.gov.uk St Helens Metropolitan Borough Council Mr James Michael Philbin Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to a maximum of 30 DE(E). The Service may accommodate up to a maximum of 2 service users aged 60 years and over. 12th April 2005 Date of last inspection Brief Description of the Service: Seddon Court is a thirty-bedded home for the accommodation and care of older people with dementia. It is owned and managed by St Helens Council. The registered manager is Mr. James Philbin. The home has twenty-seven permanent beds and three respite ones. Seddon Court is divided into three units of ten, although residents can and do move between units freely. The home does not provide nursing care but calls upon the community nursing services when necessary. The premises are purpose-built and were opened in 1988. The area used by residents occupies the ground floor. Here, in addition to the residents units, is located a kitchen, laundry and hairdressing room as well as office accommodation. The first floor is used exclusively by staff and contains a meeting room as well as sleeping-in accommodation. All bedrooms are for single occupancy. The home has a very pleasant communal area as well as a garden facility extensively used by both residents and their families. Appropriate aids and adaptations assist disabled residents manage the premises and the home has a full call system in place. Seddon Court is located within close reach of local facilities and can be easily visited via public transport. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of Seddon Court Care Home. A tour of the premises took place; staff were spoken to and care records inspected. Interviews were held with the registered manager, an assistant manager, a member of the domestic staff, a member of the kitchen staff and five members of the care staff. Twelve residents were spoken to as well as four family members. What the service does well: What has improved since the last inspection? Since the last inspection the care home has arranged unit meetings and has improved the amount of supervision for staff. Appraisals have been undertaken. Training records are now well documented and the premises have been risk assessed to further enhance the safety of residents. Seddon Court has continued to have a full complement of staff both within management, care and domestic which means that more management functions have been Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 6 undertaken to better effect. The activities available to residents has been increased. 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. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Seddon Court does not have an intermediate care unit therefore standard 6 was not assessed. Each resident has a full assessment of their needs so that care practices are based on individual care. A full statement of terms and conditions means that the basis of accommodation in the care home is clear to all interested parties. EVIDENCE: A selection of case files was examined and all had needs assessments within them provided by the referring agency. They were of a good standard and had been fully completed. Some of the assessments dated from before the standards were introduced but still met the required level. Care staff interviewed had a good understanding of the needs of residents in their care and relatives spoken to were confident that the needs of their relatives were being met. As a result, care is being provided based on full individual needs assessments. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 9 Case files each had a statement of terms and conditions within them which confirmed the arrangements under which residents are admitted, so that they and their families are clear about these and residents are secure in their stay. Relatives interviewed had no concerns about the conditions under which people are accommodated within the care home and expressed confidence in Seddon Court. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 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 & 10 Care plans are in place but need to be provided for residents receiving short term care so that individual care planning is available to them. Medication policies are correct but the recording of medicines needs to be more exact to minimise the possibility of error. EVIDENCE: An examination of a selection of case files found care plans in most, but not all, files. The care plans had been fully completed and reviewed on a regular basis. Interviews with managers and care staff confirmed that there was a good understanding of the plans for each resident so that care is being provided on the basis of individual needs. Residents seen appeared content in the care home and well cared for. Seddon Court is still not providing care plans on residents receiving respite care, which must be done so that all residents have the same benefits from their care. The care home has full policies for the administration of medicines and has trained its care staff in this subject. Care staff interviewed were clear about the procedures to be used so that medicines are given in a safe manner. A tour of the premises showed that medicines, including controlled drugs, are being correctly stored but the recording of medicines, including a controlled Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 11 drug, was not completely correct. The medication sheets do not always record the reason for residents not receiving doses, some medicines are not recorded as being given and some sheets contained question marks, which is not best practice. The recording of medicines needs to be exact so that mistakes are minimised. Observations during the inspection showed that, generally, residents’ personal care was provided in a private manner. In addition, residents looked well cared for and interaction with staff was pleasant and caring. An interview with a member of the domestic staff working in the laundry showed that arrangements are in place to ensure that residents wear their own clothes and that there is an individualised approach to care generally. Families felt their relatives were treated in a correct manner. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15 Seddon Court has an open approach to visits to the care home which means that relatives can easily maintain contact with their family members. A healthy diet is being provided in pleasant surroundings so that residents can enjoy good food. EVIDENCE: Seddon Court has an open visiting policy and this was confirmed by interviews with relatives in the care home. These relatives also said they were well received in Seddon Court and were very complimentary about the care home. Observations during the inspection showed there was a friendly, lively atmosphere in the area in which relatives meet their family members. The latter confirmed they could see their relatives in private if they so wished and had reasonable access to all parts of Seddon Court, so that their visits were pleasant occasions. Since the last inspection the care home has reconsidered its menus and has changed them so that the food is healthier for residents. Interviews with kitchen staff showed that they could meet any special diets that are required and that choices are available to residents. The lunchtime meal was observed during the inspection and it was found to be a pleasant, calm social occasion Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 13 with staff supporting residents to eat when necessary but, otherwise, residents seemingly enjoying the occasion. Relatives spoken to said their family members enjoyed the food in the care home and this was a positive part of their stay at Seddon Court. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Seddon Court manages complaints in a positive manner so that residents and their representatives can be confident that these will be dealt with seriously. It has a full procedure to protect residents from abuse so that families can have confidence when placing relatives in the care home. EVIDENCE: St Helens Council has a thorough procedure for managing complaints. The complaints’ book showed two complaints had been received by Seddon Court since the last inspection and these had been dealt with thoroughly and correctly. An interview with the registered manager showed that he was aware of his responsibilities in this area and interviews with families showed they knew how to make a complaint although none had actually done so. St Helens Council has thorough procedures to protect residents from abuse and a large proportion of staff have had training in this subject. There have been no allegations of abuse in the recent past but the staff in the care home are aware of their responsibilities in this area if such a situation arose so that residents are being cared for safely. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 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, 24 & 26 The care home is a comfortable place but needs some refurbishing to improve standards. Bedrooms are reasonably well equipped with one exception. There is a good level of hygiene throughout the premises so that residents are cared for in pleasant surroundings. EVIDENCE: A tour of the premises showed Seddon Court to be a generally comfortable care home for the care of residents. The lounges are bright and well decorated but some other areas of the care home are showing signs of wear and tear and the need for some upgrading of the premises is evident. Residents and families seen appeared happy with the accommodation and, particularly, with the amount of space available for residents which is important given the nature of their disability. Bedrooms seen were adequate with most, but not all, of the furnishings recommended. One bedroom had only a commode for use as a chair, which is not acceptable, but this was the exception. Each bedroom has a lockable storage space and examination of the files confirmed that the question of keys for residents has been individually assessed. As a result, the Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 16 care home premises remain fit for their purpose although some upgrading of furnishings and decoration is now required to maintain these standards. Since the last inspection an extension to the laundry has been fitted resulting in an improvement to this facility and an extra sluicing facility. There were some minor smells in some bedrooms but this was the exception and was not the case in the communal areas. The care home was clean throughout. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 The care home has a full staff group and is employing staff in numbers to allow it to fulfil its purpose. Staff have been recruited in a correct manner for the protection of residents. Training has been provided and is now being recorded better, although it needs to be expanded to ensure that staff are kept up to date in all the relevant areas. EVIDENCE: The care home employs a registered manager, two full-time assistant managers and two assistant managers who job share in addition to care staff. At the time of the inspection there were six care staff, one cook and four domestic staff on duty which was sufficient for the numbers accommodated. The care home is fully staffed which is an improvement on previous practice and means that, in particular, more management tasks can be undertaken. Interviews with care staff found them experienced in their work and knowledgeable about the residents so that a good level of care was being provided. St Helens Council has a thorough recruitment procedure which conforms to good practice. There is an equal opportunities policy and the Council makes full checks on staff before appointment. Documents confirmed that there is a Code of Conduct and appropriate job descriptions for staff. As a result, staff are only appointed in accordance with good practice to safeguard the residents. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 18 Since the last inspection the registered manager has now recorded training of staff to much better effect so that training needs can be easily identified. An examination of training records showed that an amount of training has been arranged but some, particularly in the area of moving and handling, has been lacking. An interview with the registered manager showed that he has tried consistently to arrange such training but to no avail. Interviews with care staff showed that some training has been provided and more has been arranged but more is required so that staff have up to date knowledge in this area. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 36 & 38 Seddon Court has started to monitor the quality of the service provided as a means of improving practice. Service users’ money is being correctly managed so that best practice is maintained. Staff supervision has improved but further progress is required so that staff are well directed in their work. Seddon Court is providing care safely so that relatives can have confidence in the care home. EVIDENCE: An interview with the registered manager showed that the care home is continuing to develop its monitoring of standards. The care home has already undertaken one satisfaction survey and documents seen during the inspection confirmed that another one is to be undertaken in the near future so that the home can review its work. Interviews with families confirmed that their views are sought about issues within the care home. Seddon Court consistently provides an action plan in response to inspection reports and reacts positively Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 20 to inspections generally. Seddon Court has not yet developed a full quality assurance system but elements are in place so that standards are maintained. Due to the disability of residents they do not have the capacity to manage their own finances. Written records seen during the inspection showed that individual residents’ financial records are kept to an appropriate standard. The registered manager does not act as agent for residents and Seddon Court has appropriate facilities for the safe keeping of monies, including where necessary within residents’ bedrooms so that residents monies are being managed correctly. Seddon Court has not been supervising staff at the required intervals in the past due to a shortage of management hours. However, there has been an improvement recently and records seen during the inspection showed that managers have been asked to arrange future supervisions more regularly. Supervision records seen during the inspection showed that more supervision has been provided and also shown that appraisals are now being undertaken which are of a good standard and well recorded. Interviews with care workers revealed they felt themselves well supported by managers but formal supervision needs to be increased so that a greater level of support and direction is given to care staff. A tour of the premises found Seddon Court to be a safe care home for the care of its residents. Substances were correctly stored and correct certificates are being maintained. The fire book was correctly completed and accidents are being recorded correctly. A test of hot water temperatures found them to be at the right level and there has been a recent risk assessment of the premises and an update to the fire risk assessment. Interviews with relatives found them confident that their family members are being safely cared for. The arrangements therefore are of a good standard to ensure the safety of residents. Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 2 X 3 Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? YES 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 OP36 Regulation 18 Requirement The registered manager to ensure that staff are supervised at the required intervals. (Previous timescale of 1st June 2005 not met.) The registered manager to ensure that care staff receive refresher training in moving and handling. (Previous timescale of 1st March 2005 not met). The registered manager to ensure that care plans exist for each resident receiving respite care. (Previous timescale of 1st August 2005 not met). The registered manager to ensure that each resident is weighed regularly. (Previous timescale of 1st June 2005 not met). The registered manager to ensure that medication sheets are correctly completed. The registered person to provide a schedule of redecoration and refurbishment. The registered manager to ensure that at least one comfortable chair is in each DS0000034059.V270809.R01.S.doc Timescale for action 01/06/06 2. OP30 18 01/08/06 3. OP7 15 01/02/06 4. OP8 12 01/06/06 5. 6. 7. OP9 OP19 OP24 13 (2) 23 (2) 23 (2) 01/02/06 01/04/06 01/02/06 Seddon Court Elderly Persons Home Version 5.0 Page 23 bedroom. 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 Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Seddon Court Elderly Persons Home DS0000034059.V270809.R01.S.doc Version 5.0 Page 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. 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