Inspection on 16/05/05 for Seymour House Nursing Home

This inspection was carried out on 16th May 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 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 Nursing Home 05/02/09

Seymour House Nursing Home 24/11/05

Seymour House Nursing Home 15/03/05

Seymour House Nursing Home 29/11/04

Seymour House Nursing Home 09/07/04

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

CARE HOME ADULTS 18-65 Seymour House The Front Seaton Carew Hartlepool Ts25 1DJ Lead Inspector Stephen Willcock Unannounced 16th May 2005 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 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 Stationary 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 B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Seymour House Nursing Home Address The Front Seaton Carew TS25 1DJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01429 86873 Seymour House Nursing Home Ltd. Angela Overton Care Home 20 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia (20) of places Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The Manager, Mrs Angela Overton, should attain a relevant Management qualification by 2005. 26/02/2004 2 Ten named individuals who are above the age category are allowed to reside in the home. 26/02/2004condition header adate Date of last inspection 29th November 2004 Brief Description of the Service: Seymour House is a 20 bedded care home that provides nursing care for adults with mental health problems. The home is purpose built on 3 floors with the majority of bedrooms being on the 1st floor and the communal areas being on the ground floor. The 3rd floor is a flat that does not form part of the care home. The home is situated on the seafront at Seaton Carew with easy access to local amenities and directly on a bus route. Many of the service users have lived at the home for a number of years and have long term mental health problems. Seymour House creates a homely, clean and welcoming environment with a domestic family feel. The home is managed by 2 sisters who are experienced psychiatric and general nurses. They have owned and managed the home since the first registration. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 16th May 2005 and lasted around 4 hours. Time was spent talking to staff, service users and the manager as well as looking at documents, records and a look around the building. The home was pleasantly situated at the seafront and the service users at the home appeared happy and well cared for. Forthcoming improvements are to be made to the home as the manager has arranged for the fitting of double-glazed units throughout the home. The staff team are well established, some being employed since the home opened and this has enabled a good rapport to be built up with service users. What the service does well: What has improved since the last inspection? The deputy manager has decided to continue studying to achieve NVQ level 4 in management. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 standard(s) 1, 4 and 5 The home provides information about the home and opportunities for prospective service users to visit. Documentation needs to be developed in relation to the Statement of Purpose and service user contracts. EVIDENCE: A Statement of Purpose was made available to service users containing information about the home and the level of care provided. On examination, the document needed some amendment to contain all of the items listed in Schedule 1 of the Care Homes Regulations 2001. In discussion, service users confirmed they had an opportunity to visit the home on a trial basis before making the decision to stay at the home permanently. A contract or statement of terms of conditions between the home and the service user was not available. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 standard(s) 6 and 9 Care planning and risk assessment is carried out for each service user and frequently reviewed and updated. EVIDENCE: Individual service user care plans were seen and found to be informative and generally good, with evidence of review and consultation. Risk assessments were in place covering many aspects of service users health, welfare, personal needs and daily activities and detailing appropriate interventions. There was evidence of regular review and updating of the element of risk contained within the assessments. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 standard(s) 12 and 17 Arrangements are made to provide suitable activities in and outside of the home. Meals and mealtimes meet service users expectations. EVIDENCE: Service users at the home said that there were always plenty of things to do in the home and the surrounding area. Several service users said they looked forward to “shandy nights” and enjoyed playing bingo. One service user was enjoying a game of dominoes with a staff member. In discussion, service users said the food was “always nice” and there were always alternatives to the prepared menu including vegetarian and special diets. One service user commented, “there is plenty of tea available”. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 standard(s) 20 Procedures are in place at the home should a service user request to selfmedicate. EVIDENCE: Examination of medication records found them to be well kept and accurate. There were no service users self-medicating but the manager was able to demonstrate the action needed should a service user request to do so. Staff at the home were experienced and competent in the administration of medication. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 standard(s) 22 and 23 Arrangements are in place at the home to act on complaints and to protect service users from abuse. EVIDENCE: In discussion, service users commented that they took part in regular monthly meetings and felt that any views or opinions raised would be listened to by the manager. A complaints policy and procedure was operated at the home and service users said that if they had a complaint it would be treated seriously and handled effectively. Staff at the home had undertaken training in No Secrets, the Adult Protection strategy. The manager was able to outline the principles involved in making a referral should an incident of adult abuse occur. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 standard(s) 24 and 30 The home is comfortable and provides a satisfactory environment for service users that is clean and homely. EVIDENCE: The home provides spacious accommodation that is generally well maintained and pleasantly decorated. The seafront location is very popular with the service users as is the local amenities that are within easy reach. The home is of recent construction and provides a homely domestic atmosphere within a safe and secure environment. The manager said that new double-glazing units were to be installed shortly. The home was found to be clean, tidy and free from odour. Service users commented that the home “was always very clean”. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 and 35 Staff have the appropriate knowledge and training to meet the needs of service users. Recruitment arrangements are satisfactory. EVIDENCE: Staff at the home are continuing in their studies to achieve NVQ2 in care. The home operates a bank of staff that are qualified as Registered Mental Nurses and these are employed so that 2 staff on duty have this qualification. Recruitment to the home is carried out appropriately and examination of staff files found evidence of references and Criminal Record Bureau checks. Staff training files contained evidence of mandatory courses of first aid, basic food hygiene and health and safety being undertaken and a video presentation course was utilised to inform care staff of mental health issues. The manager said that more specialised training in specific areas of mental health was to be provided. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 and 43 Practices in use at the home promotes the health, safety and welfare of service users. EVIDENCE: The manager was able to demonstrate that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home were maintained. Records relating to fire safety and emergency light checks were in place and up to date and any accidents that occurred within the home were recorded. Evidence of the homes continued financial viability had previously been provided. Seymour House B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seymour House Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 3 B54_S56612Seymour House V227477 160505_stage 4.doc Version 1.30 Page 17 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. 1. Standard 5 Regulation 5 Requirement The registered person must provide a contract or statement of terms and conditions to each service user. Timescale for action 31st July 2005 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. 3. Refer to Standard 1 35 37 Good Practice Recommendations The manager should make amendment to the statement of purpose to include those items listed in Schedule 1 of the Care Homes Regulations 2001. The manager should ensure that 50 of care staff achieve NVQ 2 in care by end of 2005. The manager should achieve NVQ4 in management by end of 2005. 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