Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 24/11/05 for Seymour House Nursing Home

Also see our care home review for Seymour House Nursing Home for more information

This inspection was carried out on 24th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a pleasant domestic and homely service that service users feel safe and welcomed in. A service user said that the home was well run and that service users played a part in decision making through residents meetings. Activities are varied and suggested by the service users and are arranged on an individual or if requested, a group basis. A good and friendly attitude is shown in the home and one service users showed this by saying, "I get on well with the staff and have a laugh, I like living here".

What has improved since the last inspection?

The manager has carried out amendments to the statement of purpose to reflect the current regulatory body and has prepared and issued contracts or statements of terms and conditions. The manager has continued to provide staff with training opportunities especially in the area of palliative care.

What the care home could do better:

The manager is yet to begin study leading to NVQ4 in management, as noted in the National Minimum Standards, achievement of the qualification would be beneficial to the role of the manager and to the home. Staff training to achieve NVQ 2 is ongoing but not yet at the standard of 50% of care staff with the qualification.

CARE HOME ADULTS 18-65 Seymour House Nursing Home The Front Seaton Carew Hartlepool TS25 1DJ Lead Inspector Stephen Willcock Unannounced Inspection 24th November 2005 10:00 Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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 Nursing Home DS0000056612.V267764.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 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 Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Seymour House Nursing Home Address The Front Seaton Carew Hartlepool TS25 1DJ 01429 863873 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) Seymour House Nursing Home Ltd Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20) of places Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Manager, Mrs Angela Overton, should attain a relevant Management qualification by 2005. Ten named individuals who are above the age category are allowed to reside in the home. 16th May 2005 Date of last inspection 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 two sisters who are experienced psychiatric and general nurses. They have owned and managed the home since the first registration. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 24 November 2005 and lasted about 4 hours. Time was spent talking to the manager, staff and service users. We looked around the building and at files and documents. Records and service user case files were well maintained, and contained information that was clear and easily read. The manager had completed amendments to the documents highlighted at the last inspection and staff training was continuing with the introduction of specialised training in Palliative Care. Maintenance of the building was also being carried out and some doubleglazing panels had been replaced. Service users were keen to tell about life at the home and all expressed satisfaction with the care they received and said they “got on well with all the staff”. What the service does well: What has improved since the last inspection? The manager has carried out amendments to the statement of purpose to reflect the current regulatory body and has prepared and issued contracts or statements of terms and conditions. The manager has continued to provide staff with training opportunities especially in the area of palliative care. Seymour House Nursing Home DS0000056612.V267764.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. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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 Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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): 2 and 3 Assessment of individual need is carried out and service users are enabled to access Mental Health services. EVIDENCE: Assessment documents for individual service users were seen to be in place. The documents contained original assessments from social workers and through the Care Programme Approach (CPA). The homes carried out their own assessments on admission including elements of risk. The home has a long history of providing care to people with mental health problems and maintains links with Mental Health services in the local area. In discussion, service users said they continued to attend day centres and appointments with Mental Health professionals. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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): 7, 8 and 10 Service users are supported to make decisions and are invited to be involved in all aspects of life at the home. Confidential information is securely held. EVIDENCE: In discussion, a service user confirmed they were able to make decisions about their lifestyle and everyday activities sometimes without the assistance of staff but staff would give advice if needed. Evidence was available to show that staff involved service users in making decisions about the running of the home during residents meetings and individual discussions. Confidential information about service users was securely held and service users said they felt that any information held would be properly handled. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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): 13, 15, and 16 Service users are encouraged to maintain family and community links and to be responsible for their daily lives. EVIDENCE: Service users said they were often at the local shopping centre and recently went to a local pub for a meal, which they thoroughly enjoyed. One service user said he regularly went to football matches and was looking forward to a Christmas party arranged by the home staff. Although the age range at the home is wide, service users said they all got on together and had made friendships. Family links were encouraged and service users could meet their relatives in private. Staff were seen to carry out their roles with respect and maintaining the dignity of the service user. Day centre placements had been arranged and service users were encouraged to take responsibility for their attendance. Service users were also encouraged to maintain their skills by carrying out domestic tasks within the home such as washing up. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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 and 19 Service users preferred way of receiving care is respected and health, mental health and emotional needs are met. EVIDENCE: Service users said they received personal care in the way that they liked and would approach staff if they needed assistance. Details of the personal support that each service user needs are recorded in the care plans and staff have full knowledge of service users preferred way of giving their care. The deputy manager gave details of carrying out checks on service users anxiety levels and daily assessments for pain for one service user. Regular meetings with the local psychiatric services were arranged and a review team and crisis intervention team maintained an input into the care provided. Yearly reviews of the service users health were in place. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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): EVIDENCE: These standards were inspected and met at the last inspection. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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): 25 and 28 The home provides good accommodation that is maintained and suitable for service users needs. EVIDENCE: Service users’ bedrooms were furnished to their choice, and in discussion, service users said they liked their rooms and that they were always warm. The deputy manager said that some redecoration was to be done and that some double-glazing panels had been replaced since the last inspection. Communal areas at the home were well used and a smoking area had been provided. One service user said he was looking forward to the summer so that he could sit out in the patio area where outdoor seating had been provided. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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): 33 and 36 Staff at the home are provided with training opportunities that will enhance their role. EVIDENCE: Staff training was continuing and courses in Health and Safety, Fire Training and Moving and Handling had been undertaken. Staff had also completed NVQ2 in care and one was shortly to complete the course. Staff were also engaged in studying the Principles of Palliative Care and the manager and deputy manager acted as their mentor. Staff supervisions were carried out and took place at least 6 times per year and appraisals were conducted annually. A staff member commented that the manager was available at any time and was approachable. Staff at the home included a large number of Registered Nurses who received clinical supervision from the manager. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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 and 39 The home is competently managed in an open and accessible manner. EVIDENCE: The manager of the home is a Registered Nurse and has carried the role of manager for a number of years. Recently the manager has undertaken a course of study in Palliative Care and had used this knowledge to provide further training in the subject to staff. The manager had yet to start NVQ 4 in management. Service users said they could approach the manager at any time and felt that if they had any problems, they would be listened to. There were also opportunities to discuss the management of the home at regular residents meetings. Regular residents meetings were held and issues raised were recorded. The manager used the information from these meetings to assess the service that was provided at the home. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 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 X 3 3 X X Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Seymour House Nursing Home Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 2 3 3 X X X X DS0000056612.V267764.R01.S.doc Version 5.0 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. 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 YA35 YA37 Good Practice Recommendations 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. Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Seymour House Nursing Home DS0000056612.V267764.R01.S.doc Version 5.0 Page 19 - 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!