Inspection on 26/11/05 for Sedgemoor Care Home

This inspection was carried out on 26th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sedgemoor Care Home 02/11/09

Sedgemoor Care Home 26/08/09

Sedgemoor Care Home 17/04/08

Sedgemoor Care Home 04/10/07

Sedgemoor Care Home 21/02/07

Sedgemoor Care Home 28/01/06

Sedgemoor Care Home 02/03/05

Sedgemoor Care Home 19/10/04

Sedgemoor Care Home 25/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Sedgemoor Care Home 41 Sedgemoor Road Norris Green Liverpool L11 3BR Lead Inspector Mr Wesley Cornwell Unannounced Inspection 26th November 2005 10:00 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 Sedgemoor Care Home DS0000035911.V268888.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. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sedgemoor Care Home Address 41 Sedgemoor Road Norris Green Liverpool L11 3BR 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) 0151 256 1810 Liverpool City Council Ms P Donnellan Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of thirty (30) adults may be accommodated. Thirty(30) shall be in the category of OP. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection One (1) named female service user under 65 years of age within an overall total of 30 (OP) 2nd March 2005 Date of last inspection Brief Description of the Service: Sedgemoor is registered to provide personal care for 30 people of both sexes over the age of 65 years. It offers respite care, short-term care as well as permanent residential care. The home also provides day care for people from the local community. Sedgemoor is a purpose built single storey building, which opened in 1993. The home is owned and managed by Liverpool City Council. The home is located in the Norris Green area of Liverpool. Although the home is some distance from local shops and amenities, they are easily accessible via a bus service that stops directly outside the home. The home comprises of three separate units and an administration block which all open out from a central atrium. Each unit has ten single en-suite bedrooms, a self-contained kitchen/dining area and two lounges. There is a garden area on all sides of the home. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10.00am and took place over six hours. The Inspector spoke to seven staff members, six residents, two visitors and the deputy manager. Comment cards were completed by seventeen residents providing their views about the home. Staff and care records were also examined. A full tour of the premises was undertaken with the deputy manager and senior carer on duty. What the service does well: What has improved since the last inspection? There have been improvements made to the environment since the last inspection with a number of bedrooms being redecorated and new carpets fitted. Residents spoken to were very happy with the improvements being made. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 6 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. Sedgemoor Care Home DS0000035911.V268888.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 Sedgemoor Care Home DS0000035911.V268888.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): 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The records of three residents admitted to the home had full assessment information. Staff members confirmed they had access to this information and could describe in detail the care needs of residents. Catering staff had been informed about residents who had special dietary needs. One resident who had special dietary needs confirmed these were being met. Residents confirmed they had been involved in their assessment and were happy that their needs were being met by the home. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 9 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, 8 and 9 Promotion of health is taken seriously. Residents’ welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded on most care plans and daily entries made setting out the care given. The records of three residents were looked at and these clearly described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of residents and these are monitored and kept under review. Entries made on care plans showed good communication between the home and healthcare professionals. One resident had been provided with a special mattress that was suitable for the relief of pressure and prevention of pressure sores. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 10 Discussion with staff confirmed they were aware of the needs of the resident and the level of care that needed to be provided. The relative of one resident said, “The level of care provided by the home is excellent. I would highly recommend it to anyone”. Medication practices observed were safe and good records had been maintained. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 11 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): 12, 13 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. EVIDENCE: Residents spoken to confirmed they enjoyed the food provided by the home. One resident spoken to said,“ I really enjoy the food and get plenty to eat. A choice is always available”. One resident who required a special diet confirmed this was being accommodated. Visitors spoken to were happy with the food being provided by the home. Meal times were served in a relaxed and unhurried manner. Staff members were observed being very attentive to residents needs. The menus were inspected and found to provide a varied and balanced diet. The catering staff were able to confirm they had information about residents with special diets and personal preferences. Staff members also confirmed they were fully aware of residents who had special dietary needs and these were being met. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 12 The home has three small kitchen areas located in each unit where residents and their visitors can prepare drinks and light snacks. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The Inspector was able to observe throughout the inspection relatives and friends visiting the home. One resident who was celebrating their birthday was visited by a large number of her family and a room had been made available by the staff for her to enjoy the celebration. Residents spoken to were very happy with the arrangements in place for social activities. One staff member had a keen interest in arranging activities for residents. These were varied and arranged individually and in groups. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 13 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 and 18 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission to the home. Residents’ spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The home has a procedure in place for dealing with allegations of abuse. The deputy manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members on duty informed the Inspector abusive practices and how to recognise these had been covered during their National Care Training. One staff member said they were presently attending training provided by Social Services on recognising abusive practices. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 14 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, 20, 21, 22, 23, 24, 25 and 26 The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely and safe environment. EVIDENCE: Since the last inspection the owners of the home have continued to make improvements to the environment. A number of residents’ bedrooms have been redecorated and had new carpets fitted. The main lounge and several corridors have also had new carpets fitted. The deputy manager informed the Inspector the refurbishment of the home is on going and there are plans to redecorate and refurbish more resident’s bedrooms. Residents spoken to were very happy with the improvements being made to the home. Lounge and dining areas have been decorated and furnished for the comfort of residents. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 15 The grounds were tidy, attractive and accessible to residents. One resident said she enjoyed sitting out in the garden weather permitting. All residents spoken to said they were happy with their rooms and were provided with the choice of spending time on their own or in the lounge areas. All bedrooms are en-suite and have been furnished to ensure the comfort of residents. The inspector observed many personal possessions in rooms. Toilet and bathing facilities are located on each unit and are easily accessible for residents. Radiators throughout the home have guaranteed low temperature surfaces to protect residents from the risk of burning. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines It was observed during the visit the home was clean and hygienic. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 16 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, 28, 29 and 30 Staff are well trained to ensure they have the competencies to meet residents needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. The homes recruitment procedures are robust and these provide safeguards for the protection of residents. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. One resident said, “The staff are very kind. I cannot praise them high enough. This is the best home around and I am very satisfied with my care”. One visitor said, “ I am very satisfied with the care provided by the home. The staff are hard working and always pleasant”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Observation of care practices throughout the day confirmed residents are treated with respect and dignity. Records show seventeen staff members have gained National Care Qualifications. The Inspector was informed several other staff members were in the process of completing this training. Discussion with staff and examination of records confirmed training had been provided for staff Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 17 members to ensure they had a clear understanding of the specific care needs of residents accommodated at the home. At the time of this inspection one staff member was completing training on recognising abusive practices with the local Social Services Department. Discussion with the deputy manager confirmed staff working at the home had only been employed after undergoing the local City Council’s thorough recruitment procedures. However, examination of staff records showed that not all relevant documentation was being retained at the home. This is an area that needs to be addressed by the City Council. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 18 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): 33,36 and 38 The home is well managed and run in the best interests of residents. EVIDENCE: The home has good systems in place to gather staff, residents and relative’s views as part of the monitoring of quality. Staff spoken to had a clear understanding of their role and what is expected of them during their shift. One member of staff produces a monthly newsletter to inform residents about social events being organised by the home. The newsletter also has pictures and stories about outings and previous activities undertaken by residents. Residents spoken to said they looked forward to the newsletter as it was informative and fun to read. Inspection of records for residents was comprehensive, well written and up to date. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 19 Staff members spoken to said they found the managers at the home approachable and helpful and valued their support. Records show staff are not receiving formal supervision on a regular basis. his is something the management must address. Inspection of maintenance records confirmed facilities and equipment was being maintained as required. Records were available to the Inspector to verify that training on health and safety issues had taken place. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 2 3 3 Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 21 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 OP29 Regulation 19 Requirement The home must ensure all information and documentation required by regulation in respect of any person managing or working at a care home has been obtained prior to appointment and is retained at the home for inspection. Timescale for action 26/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP36 Good Practice Recommendations To ensure staff receive supervision at least six times a year. Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Sedgemoor Care Home DS0000035911.V268888.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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