Inspection on 15/11/05 for The Seagulls

This inspection was carried out on 15th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Seagulls 24/07/07

The Seagulls 13/12/06

The Seagulls 04/05/05

The Seagulls 14/09/04

The Seagulls 01/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 The Seagulls 6 Crowborough Road Saltdean East Sussex BN2 8EA Lead Inspector Glynis McLeod Unannounced Inspection 15th November 2005 11:15 The Seagulls DS0000021406.V249652.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 The Seagulls DS0000021406.V249652.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. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Seagulls Address 6 Crowborough Road Saltdean East Sussex BN2 8EA 01273 303713 01273 308672 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) Mr Driss Zemouli Ms Niki Clarke Ms Niki Clarke Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is six (6). Service users should be aged between eighteen (18) and sixty-five (65) years on admission 4th May 2005 Date of last inspection Brief Description of the Service: The Seagulls is a well-appointed detached property situated in a residential area close to the main coast road and cliff tops at Saltdean. The home is registered to provide care for six adults with a learning disability; it does not provide nursing care. The owners have another home nearby and there are often joint activities between the two homes. Local shops and amenities are a short walk away and bus services to Brighton and other areas run close by the home. Parking is freely available in the street outside. Accommodation is provided on two floors, with two bedrooms on the ground floor and five rooms on the first floor. Communal areas include a comfortable lounge and a separate dining room, which is also used as an activity room. There is a smoking conservatory leading out to a pleasant garden situated at the rear of the property. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was unannounced, took place over two and a half hours and was one of two inspections required over the year. A tour of the premises took place and records relating to care, medication and quality assurance were inspected. The inspector spoke with residents, staff and the owner/manager. The inspector would like to thank the residents and staff and manager for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better: To ensure that new workers have the relevant experience and personal qualities necessary for care work the home must make more attempts to make sure that they obtain all the proper documents before staff start work. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 6 References must be relevant and full details given of past experience, qualifications and employment history. For residents’ safety, only workers who have suitable experience and skills must be employed. 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 Seagulls DS0000021406.V249652.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 The Seagulls DS0000021406.V249652.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): The key standard was assessed at the last inspection. None of the other standards were assessed at this inspection. EVIDENCE: The Seagulls DS0000021406.V249652.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): 6 All residents have care plans that are up-to-date and reflect their health, personal and social care needs. EVIDENCE: Since the last inspection, the home has revised the way it records in its care plans and they are now updated with relevant information between reviews. New residents also have an initial care plan drawn up when they are admitted, which gives staff information on how to care for the resident and help them to settle into the home. A separate record is now also kept for GP and other medical appointments so that the home can see clearly when, for instance, check-ups are due. Guidelines for dealing with challenging behaviour are included in residents’ files where appropriate, and risk assessments have been completed for general and specific risks both inside and outside the home. The Seagulls DS0000021406.V249652.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): 15, 16 and 17 Residents are given daily opportunities to meet with different people and are encouraged to keep in contact with their friends and families. This enables them to develop life and social skills and to maintain important family relationships. Staff treat residents with respect and encourage them to make decisions about their own lives. Meals are varied and nutritious and residents are encouraged to participate in planning, preparing and serving meals. EVIDENCE: Residents often receive visitors in the home and also go to visit their families on a regular basis. The home tries to arrange activities, such as a summer barbecue, where relatives are invited to join in with the residents. Two residents recently reached their 50th birthdays and had parties to celebrate. One of the residents said she had enjoyed going to the party. Staff were observed to talk with residents and share a joke with them, whilst also treating them with respect. They also knock on doors before entering The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 11 bedrooms and call residents by their preferred name. One resident said she thought the staff were ‘very kind’. The home has a four-week rolling menu but residents often choose to have something other than the set meal. They are encouraged to lay the table, prepare the food, and to clear up afterwards; they also enjoy shopping for meals. On the day of the inspection, two residents went to the local pub for lunch and said they had had a good time. The home takes residents out for meals on a weekly basis. All residents are weighed monthly and a close watch is kept on residents who have a medical problem, such as diabetes. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 12 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, 19 and 20 Residents’ health, personal and emotional care needs are identified and their preferences are respected, enabling them to retain independence and control over their lives. Medication policies and procedures are clear and comprehensive, and regular monitoring of medication issues means that residents receive their prescribed medication correctly. EVIDENCE: All residents are mobile and are able to express preferences about how they are moved. Personal care takes place in private, as do medical examinations in the home. Health appointments, such as optician and dental checks, are arranged six monthly and GP appointments are arranged as necessary. Residents are encouraged and supported to manage their medical conditions, such as diabetes, and to control their weight. The manager is a trained nurse and aware of the medical conditions that could affect residents. None of the residents have been assessed as being able to manage their own medication, and staff only administer medication after training. Records were all in order, and medication was stored securely. The local pharmacist provides some medication training in the home and also does three-monthly checks to ensure that policies and procedures for safe storage, handling and administration are being followed properly. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Adult protection policies and procedures are in place and give staff guidelines on how to ensure the safety and well-being of residents. EVIDENCE: Since the last inspection, the home has revised its adult protection policy and procedure and it now gives staff clear guidelines on how and to whom they must report suspected abuse. The home has also attended to a previous requirement that it must contact the local social services department if there are any concerns about the protection of residents. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home is safe, well-maintained, clean and hygienic. Residents live in comfortable, well-decorated surroundings and have access to all parts of the building and the garden. EVIDENCE: The home is clean, hygienic, safe and well-maintained, and furnishings and fittings are domestic in style and of good quality. All rooms are occupied by only one person and are larger than the required minimum space. The bedroom in the new extension is en-suite; all others have a washbasin. The home has a very comfortable lounge (complete with budgie!), which is used mainly in the evenings and at weekends, and a dining room that is also used for activities. The small conservatory is used mainly in the summer and also doubles as the smoking room when it is wet outside. There is a large garden at the rear of the property with seats and a table where service users can eat in the summer. The kitchen is clean and well-equipped and there is a small laundry area towards the rear of the property with washing machine and tumble drier. Residents help staff to keep the home clean and tidy. Policies and procedures for the control of infection are in place. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Residents benefit from being cared for by experienced, competent and trained staff who have a good knowledge of their needs. The home’s recruitment procedures are designed to protect residents but it was noted that not all the necessary documents had been obtained before staff started work at the home. In order to ensure that residents are cared for by suitable staff, a requirement was made that the home obtains all the necessary documentation described in Schedule 2. EVIDENCE: The manager said that she preferred to employ workers who had some experience of caring for people with learning disabilities. The qualities she looked for in new staff were a caring and trustworthy attitude, and an ability to understand and recognize residents’ needs. The staff group is experienced and capable and most of the carers have worked at the home for a number of years and have developed good relationships with residents. Three of the four workers have obtained their NVQ2; one of these has also obtained her NVQ3 and the two others are planning to do theirs in the coming year. Training is provided both in-house and externally to ensure that staff are up-to-date with core and specialist training. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 16 Staff files showed that recruitment practices were not as robust as they could be; for instance, although two references had been obtained for a new worker, they were not really adequate to ensure that the worker had the experience and personal qualities necessary for care work. There was also no documentary evidence of the worker’s qualifications or a full employment history. The requirement was made to ensure that only staff with suitable experience, qualifications and attitude are employed to care for residents. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 17 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 and 39 The manager is experienced and capable, and runs the home efficiently and effectively. The home ensures that residents, their families and other professionals are invited to comment on how the home is run. The owners also regularly monitor and review the service they are providing to ensure that it is run in the best interests of the residents. EVIDENCE: The manager is a qualified psychiatric nurse of some 20 years experience and has worked with people with learning disabilities for twelve years, ten years as a manager. She has completed her Registered Manager’s Award and has undertaken adult protection training. Future courses she has arranged for herself include person centred planning (care planning) and first aid. The manager has a strong and positive relationship with staff and service users and is clearly liked and respected. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 18 Since the last inspection, the home has improved its quality assurance and monitoring systems and has recently undertaken a full audit of its services. Residents and families are given questionnaires to complete and resident meetings are held. Full risk assessments of the premises are in place, and policies and procedures are reviewed annually. Residents’ development is linked to the care plan reviews with goals being set for the coming year. The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 19 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 x x x x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 2 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Seagulls Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x DS0000021406.V249652.R01.S.doc Version 5.0 Page 20 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. 1 Standard YA34 Regulation Requirement Timescale for action 15/11/05 19(1b)(4)(5d) The manager must obtain all Sch 2 the required documents as detailed in Schedule 2 before new workers can start at the home. 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 The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 The Seagulls DS0000021406.V249652.R01.S.doc Version 5.0 Page 22 - 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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