CARE HOME ADULTS 18-65
Seymour House 9 Queensbridge Drive Herne Bay Kent CT6 8HE Lead Inspector
Terry Bush Announced Inspection 24th January*** 2006 10:30 Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 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.V268010.R01.S.doc Version 5.1 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.V268010.R01.S.doc Version 5.1 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 Mrs Rachel Clare Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The persons accommodated will be aged between 18 years and 65 years. No person may be accommodated in the home with severe mobility problems. 11th August 2005 Date of last inspection Brief Description of the Service: The home is situated on the very outskirts of Herne Bay town centre and benefits from the close locality of the resources and facilities of an established community. It was a former family dwelling which has been extended and adapted to accommodate persons needing residential care. Despite these alterations, the home remains in keeping with the other properties nearby and its purpose is not highlighted. The home accommodates six persons and provides each of them with their own bedroom. Three of the bedrooms exist on the ground floor. This means that the home could provide for persons with mild mobility problems. There is limited car parking to the front of the house, however road parking presents as no problems. The rear garden is enclosed and is a reasonable size for service users to undertake leisure activities or hobbies. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Announced Inspection was due to be carried out on the 24th January 2006 by the Lead Inspector but due to illness Graham Cummings carried out the inspection on the 15th February 2006. The inspection consisted of a completed Pre Inspection Questionnaire, 4 Service User and 6 Relatives/Visitors comment cards, meeting with the Manager and Deputy, talking with a Service User, viewing documentation and looking around the home. The home has a maximum occupancy of 6 and presently there are 4 in situ. The home was clean, warm and welcoming. The staff have good access to training and in the last year have completed courses covering Abuse Awareness, Autism Awareness, Critical Physical Intervention, Person Centred Planning and Epilepsy, the Inspector saw a comprehensive training plan for 2006. The Inspector looked at Service User Plans, these were detailed and comprehensive and staff files looked at had all of the required documentation. Service Users are part of the community and use the local shops, pubs, library and some individuals work at a factory run by MCCH that drive round to local businesses to provide food and confectionary for lunch. Since the last inspection a Service User unexpectedly passed away following a heart attack, staff handled this well and appropriately and Service Users have been fully supported. There were no Requirements from the last inspection and the 3 Recommendations have all been addressed, this included having the building in the garden converted into a good sized office, this meant that the conservatory has now reverted to Service Users communal area. The age range of Service Users is 29 years with the youngest aged 24 and the eldest 53. It was clear to the Inspector that the home is being run in the best interest of the Service Users and the Inspector left the home with no concerns for the health, safety or welfare of the Service Users. What the service does well:
The home is Service User led and the staff team is long standing and consistent. The Person Centred Plans allow for individuals needs to be met at a level that is in line with their varying stages of skills and abilities. The home is pro active in working with and making relationships with Care Managers, District Nurses and Behavioural Support Team. The Service Users go out into the community using the local shops, cinema, pubs, cafes and library, these outings are with or without staff support depending on their level of ability. The Service Users also attend a local Skills Net group and 1 Service User has joined a local advocacy group. The staff have access to a good training program, often the training is held within the home but staff also join in training at a home in Sittingbourne that has the same provider. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 6 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. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 7 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.V268010.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4,5 Prospective Service Users have the information required to make an informed choice and have their individual needs assessed prior to moving into the placement. Prospective Service User are able to visit the home prior to any placement. Each Service user has an individual written Statement of Terms and Conditions. EVIDENCE: The home has a Statement of Purpose and Service user Guide that contain the relevant information set out in Schedule 1 of the Care Homes Regulations 2001 and this reflects the way the home is run, this is sent to any prospective Service User, Family and Care Manager. The Manager takes part in the assessment process and Prospective Users visit and have overnight stays to try and ensure that the home can meet the needs of the individual and that the lifestyle of the existing Service Users would not be compromised. The Inspector looked at 2 Service user files and found they contained written Statement of Terms and Conditions. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Service Users changing needs are reflected in an individual plan. Service Users are consulted on risks and participate in all aspects of their life in the home. Service Users are aware that information is kept securely and confidentially. EVIDENCE: The Inspector looked at the Service User Plans and found them to be informative and comprehensive. The initial plan is in place after 6 weeks and reviewed after 3 months, the plan is then evaluated at 6 monthly intervals. The plans are also looked at on a monthly basis when the individual and keyworker meet. Service Users are fully involved wherever possible in the making of the Service User plan and the risk assessments, 1 Service User has a copy of their plan which they keep in their bedroom. Since the last inspection a Service User has moved onto supported living accommodation and another Service user in the home has a program that is working towards them also moving into supported living. One of the comment cards received from a family member of one of the Service user said ‘…seems finally to have settled and to be a lot happier’ another said ‘……is very happy there and I am happy with all aspects of their care and lifestyle’. Since the last inspection the home has had an office built in the garden which is secure and allows privacy and confidentiality when taking telephone calls or having meetings and supervision.
Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Service users have the opportunities for personal development and take part in peer and leisure appropriate activities in the community. Service Users and families have appropriate relationships. Service Users rights are protected and recognised in their daily lives. Service users have a healthy and nutritious diet. EVIDENCE: Service Users have the opportunities to improve and learn new skills that could allow them to take a more independent lifestyle through leisure and work activities that include attending colleges, working in the community, cooking, shopping for food and being members and using the local snooker club and video store. At weekends Service Users are able to cook their own meals if they wish, menus were being chosen by Service Users on a weekly basis, however this caused some difficulties between 2 individuals so now all of the Service Users have given a list of their favourite foods and now each days meals are chosen from this list. All of the Service Users have contact with their families, some have single overnight stays and others have weekend and holidays at home. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,20, Service Users receive support in the way they prefer. No Service User self medicates. EVIDENCE: Service Users are fully involved in their personal plans and most of them require only prompts with their personal care. All of the Service Users are registered with a local Doctor, Dentist and Optician. A chiropodist visits the home every 8 – 10 weeks. The home uses Boots chemist for their medication which comes in blister packs, none of the Service Users self medicate although the home does have policies and procedures in place should this ever arise. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Service users views are listened to and acted upon. Service Users are protected from abuse, neglect and self harm. EVIDENCE: Neither the home or the commission have received any complaints. Since the last inspection a Service User has passed away due to a heart attack, the home dealt with the situation in a sensitive manner and acted in an appropriate professional way. All staff have attended Adult Protection and Abuse Awareness training and the policies and procedures have been updated to reflect the latest Kent County Council protocols on Adult Protection. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Service Users live in a homely, comfortable and safe environment with communal areas that complement the individuals bedroom space. Service Users bedrooms promote their independence. Service Users have sufficient toilets and bathrooms. The home is clean and hygienic. EVIDENCE: The home is welcoming, homely and comfortable. The Inspector was shown a bedroom by a Service User, this was well furnished with personal belongings. The home has ample bathrooms and toilets to meet the needs of the Service Users. Now that the office has been moved out of the conservatory area this has improved the communal space for the Service Users and gives individuals a greater choice. The home was clean and tidy, well furnished and decorated. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Service Users benefit from the clarity of staff roles and are supported by an effective, competent and qualified staff team. Service Users are protected and have their needs met by the homes recruitment policy and a well supported and supervised staff team. EVIDENCE: The Inspector looked at staff files and found them to contain all of the relevant documentation set out in Schedule 2 of the Care Home Regulations 2001. Staff are aware of their roles and responsibilities and all had been given a job description. The home has good access to training and all of the staff are attending or have a minimum of the NVQ level 2 in care, the staff team has been long standing and consistent. The Manager is presently supervising the staff team bi monthly but is hoping to increase this to a monthly. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42,43 Service Users benefit from a home that is well run and has a competent and accountable Manager. The home is run in line with it’s Statement of Purpose. Service Users views are taken into account and their health, safety and welfare are promoted and protected. EVIDENCE: The home is well run and has a competent Manager with the Statement of Purpose reflecting the way the home is run. The views of the Service Users are being listened to at monthly house and Key Worker meetings. The company owning the home have a Health and Safety officer who has visited the home and the Manager carries out regular checks and written reports are kept ensuring that the Service Users health, safety and welfare are promoted and protected. Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 16 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 3 2 3 3 X 4 3 5 3 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 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 x 3 3 3 X X 3 3 Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Seymour House DS0000056818.V268010.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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