Inspection on 12/10/06 for Seymour House

This inspection was carried out on 12th October 2006.

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

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

Other inspections for this house

Seymour House 14/07/08

Seymour House 15/02/06

Seymour House 11/08/05

Seymour House 12/11/04

Seymour House 08/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Seymour House 9 Queensbridge Drive Herne Bay Kent CT6 8HE Lead Inspector Christine Lawrence Unannounced Inspection 12 October 2006 10:30 Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 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 Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seymour House Address 9 Queensbridge Drive Herne Bay Kent CT6 8HE 01227 361395 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) The Regard Partnership Limited Rachel Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24 January 2006 Brief Description of the Service: The home is situated on the very outskirts of Herne Bay town centre with all its resources and facilities. The house has been extended and adapted to accommodate six people needing residential care. Despite these alterations, the home remains in keeping with the other properties nearby and its purpose is not highlighted. The home provides single rooms only, three of which are on the ground floor. There is car parking at the front of the house and there are no restrictions to parking on the road. There is a garden to the rear. The Information about the home, including the latest report from the Commission for Social Care Inspection (CSCI) and the homes quality monitoring records will be made available on request. Information included in the pre-inspection questionnaire provided by the manager prior to the visit to the home, confirmed the fees as between £800.00 and £1300.00 per week. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 10.30 and finished at 15.30. The inspector looked at various records in the home and also used information sent to the commission by the manager before the visit. Information from the previous inspection was also referred to. The inspector spoke with several of the residents and was invited to see two bedrooms. A tour of the rest of the building was undertaken. Comment cards were sent to the care managers of all of the residents and 1 replied. The inspector made observations of staff interacting with residents. Survey forms were sent to each of the residents but unfortunately they were an early version and did not contain all the necessary information and were therefore not suitable for residents to complete. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. EVIDENCE: Two individual records were looked at for this inspection. It is clear that new residents will only be admitted after a detailed assessment process, which includes getting information from the placing authority’s representative. The assessment information is used to compile a care plan. The format being used in the home is based on person centred planning and focuses on an individual’s wishes as well as their needs. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: The individual records of two residents were looked at during this visit. The information in them was clearly written and up to date. The information is detailed and comprehensive and where relevant there are risk assessments and guidance for staff about how to support the resident. Residents spoken to seem to be aware that they have a care plan. A key worker system is in place and they provide regular reports. Observing staff interacting with residents and supporting them showed that residents are encouraged to be as independent as possible within their own personal limitations. This includes managing finances. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from being offered a healthy diet and a sociable setting for mealtimes EVIDENCE: Residents living at Seymour House take part in various activities, both educational and recreational. They use local facilities such as colleges, day centres, library, pubs and clubs, day centres and work experience. Facilities within the home include responsibilities for housekeeping (both individual and communal), gardening and animal care. Residents also enjoy television, videos and playing music. Examples were noted of the home supporting residents in their relationships with family and friends. As noted in the Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 10 previous standard residents are very much encouraged to be as independent as possible and to make choices about their routines. This was reflected in the written information and confirmed by what residents said. The manager confirmed that staff knock before entering a resident’s room and mail is passed to residents, with any necessary staff support for reading it. The menu provided for this inspection had variety and contained meals that were nutritional. Special diets can be catered for. Mealtimes are sociable although they are also flexible to meet the needs and wished of residents. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. EVIDENCE: Residents seen during this inspection were individual in their appearance and the inspector was informed that individuals make choices about their clothes and hairstyles. Residents’ needs with regard to the level of support they require for personal care varies according to their abilities for instance one person might need lots of help and another might only need encouragement. Information about routines, preferences and likes and dislikes is provided within the individual plan. There are male and female staff within the home. The records seen indicate that residents health care needs are identified and responded to with attention from dentists, opticians, general practitioner, community nurses, dietician etc. The medication storage is adequate but because it is within the very small staff sleeping in room there is no space to use the medication administration records easily and they have to be written Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 12 up in the conservatory. The manager explained that she is planning to improve the sleeping arrangements for staff and thus improve the facilities for maintaining records relating to medication. Most staff have received medication training and more is planned. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their views are listened to and acted on. EVIDENCE: The residents spoken to indicated that they felt staff listen to them and specific examples were noted. There have been no complaints in the last 12 months. Information about how to make a complaint is available and includes how to contact the Commission for Social Care Inspection. There are appropriate policies/procedures relating to adult protection, whistle blowing and understanding aggression are in place. Abuse awareness training has been undertaken by all but two staff and this is planned for the near future. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and safe for the residents. EVIDENCE: The premises are in keeping with the local community. There is a garden to the rear and some residents are involved in helping to maintain it, including growing some vegetables this year. The house is home like and adequately maintained. The laundry area (washing machine and tumble dryer) forms part of the conservatory. This appears to work well for the current group of residents. All areas of the home seen during this inspection were clean and there were no unwelcome odours. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and training of staff will have a beneficial impact on residents. EVIDENCE: There is a good training programme provided through the organisation and staff were observed to be competent and confident. The manager provides induction training within the home. Only one member of staff has a national vocational qualification. The records seen reflect a robust recruitment procedure which includes application forms, references, terms and conditions of employment and criminal record bureau checks. The policies and procedures which the organisation has in place cover relevant aspects of recruitment. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. EVIDENCE: The manager has achieved the registered manager’s award. She is experienced and competent. She demonstrated that she is aware of current good practice with regard to supporting people with learning disabilities. The quality monitoring procedures are clear and well documented. A spot check on the maintenance and service contracts show that the periodic inspection of the electrical installation may be out of date. The manager agreed to check this with the organisations head office and ensure all work has been undertaken. All other checks seen were up to date and appropriate. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 17 Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 2 Refer to Standard YA32 YA42 Good Practice Recommendations More staff should be enabled to seek national vocational qualifications A check should be carried out to ensure that all electrical work identified in the last periodic inspection has been carried out. Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 Seymour House DS0000056818.V307334.R01.S.doc Version 5.2 Page 21 - 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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