Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Seeleys House Seeleys House Campbell Drive Knotty Green Beaconsfield Buckinghamshire HP9 1TF The quality rating for this care home is: The rating was made on: one star adequate service 17/04/2008 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Chris Schwarz Date: 0 6 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Seeleys House Seeleys House Campbell Drive Knotty Green Beaconsfield Buckinghamshire HP9 1TF 01494670902 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Buckinghamshire County Council The registered provider is responsible for running the service Name of registered manager (if applicable) Mrs Wendy S Rutland Type of registration: Number of places registered: care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 12 Over 65 0 Conditions of registration: The registered person may provide the following category of service only:Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD The maximum number of service users who can be accommodated is: 12 Date of last inspection Brief description of the care home Care Homes for Adults (18-65 years) Page 2 of 8 Seeleys House is situated in Beaconsfield and provides respite care for up to twelve people with learning disabilities. It is located in a residential area outside of the town and is linked to a day service which operates Monday to Friday. A range of shops, cafes, bars and banking facilities are about a mile away in the town centre and there are bus links to neighbouring towns and London and train links to London and the rest of the rail network. The building provides accommodation on ground floor level with twelve single bedrooms with hand basins. There are two adapted bathrooms to meet the needs of people with disabilities and spacious communal areas. The service has its own transport to help people access the community. Fees for the service vary depending on people’s financial circumstances and are subject to assessment by the local authority. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This random unannounced inspection of the service was carried out by Chris Schwarz. It included looking at some of the services required records, speaking with the manager and other staff, touring the building, reviewing a pre-inspection selfassessment completed by the manager and taking into account any information received about the service since its last key inspection on 17th April 2008. The inspection focussed on areas of practice that had been highlighted for attention at the last key inspection. Significant improvement in standards of care was evident as a result of this visit. Feedback was given to the manager at the end of the visit. Care plans A requirement was made at the last inspection for care plans to contain more detail of peoples epilepsy, such as a description of what their seizures look like and risk factors that staff need to be aware of such as the likelihood of falling or running away. The care plan files of four service users with complex epilepsy were read. Each contained a medical information and consent form which included details of pre-seizure signs if any, the type of seizure, severity, after effects and guidance on use of rectal diazepam. Each form had been signed and dated by the persons doctor or consultant. Risk assessments on epilepsy were also in place to accompany the care plans and these had been kept up to date. Consent forms provided by the National Society for Epilepsy on the use of rectal diazepam and buccal midazolam were also starting to be put in place. Medication Requirements were made at the last inspection for the controlled drugs compartment in the medicines trolley to be made secure and for separate storage arrangements to be put in place for controlled drugs and medicines to be disposed of. Examination of the medicines trolley showed that both these requirements had been addressed. Medication administration records were in good order with signatures alongside prescribed dose times. The controlled drugs register was being used appropriately. It was also possible to see that a revised medication policy had been written and was at draft stage. Staffing The service has had several vacant posts - two team leaders and seven support workers. The manager advised that recruitment for support workers had been successful recently and peoples checks and clearances were underway. A requirement had been made at the last inspection for recruitment checks to be returned before any new staff start working at the service, including evidence of satisfactory agency staff checks. As no new permanent staff have started at the service since the last inspection, it was not possible to assess compliance with that aspect of the requirement but the manager was able to show which checks had been received back so far. A form had been introduced and put in the front of each file to catalogue which of the full range of required documents had been returned. The names of six agency Care Homes for Adults (18-65 years) Page 4 of 8 staff were obtained from the current and recent rotas - personal profiles for each person had been provided by the agency to confirm satisfactory recruitment and the file containing these and other profiles was available to staff in the duty office. Complaints and adult protection Complaints and adult protection had been appropriately handled. The Commission has been notified of safeguarding issues since the last inspection, to comply with a requirement set at that time. A complaints file held at the service showed that five complaints and six compliments had been logged for the past twelve month period. Records of complaints showed what action had been taken. Monitoring There has been regular monitoring of the service. Reports of visits by senior managers were available to read. These showed that quality of care had been evaluated on each occasion and included speaking with staff and people using the service, looking at records and touring the premises. A quality assurance audit also took place in August 2008 which evaluated practice in detail, complying with a requirement set at the last inspection. There was evidence from completed surveys that people using the service are being asked for feedback about their stay. Environment The building was clean and tidy at the time of this visit. Work to improve the environment and meet recommendations made by an occupational therapist had been approved and was due to take place this financial year. The manager advised that redecoration of the service would also take place. Items to add more interest to rooms had been purchased such as sensory equipment. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 34 19 New staff are not to commence working at the service until all recruitment checks have been returned and are satisfactory, which includes providing evidence of satisfactory agency staff checks. This is to make sure that people using the service are not placed at risk of harm. 31/05/2008 Care Homes for Adults (18-65 years) Page 6 of 8 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 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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 © (2009) 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 8 of 8 - 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!
