Care Home: Seacroft Court

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What the care home does well The home provides a comfortable, safe and homely environment for people to live in. There are assessment and care planning processes in place. Residents have detailed care plans, which enables staff to know how residents needs are to be met by the resources of the home. Regular residents meetings and care reviews are held where residents comment on the services provided at the home. The home offers, a range of social and leisure activities. A balanced and varied diet is provided. The environment of the care home is well maintained. There is a clean bright atmosphere to the home. The gardens outside the home and patio area provide residents with a pleasant outdoor area during the summer months. The staff team worked well together. The management team has clear roles and provide constructive professional support to staff. Relatives and other visitors to the home are always made welcome. A training plan in place for staff. What has improved since the last inspection? Staff feel that the management structure of the home is much clearer than at the time of the last inspection. The Professional support offered to staff is now very well structured.staff feel that teamwork has improved. Care records have improved tremendously. Care assessments are now more detailed and exceed national guidelines. The quality of recording has improved. Information is filed consistently in all residents files. Staffing levels have been increased to meet the needs of residents. What the care home could do better: Care plans meet the national minimum standard, however they could be more personalised. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Seacroft Court Seacroft Esplanade Skegness Lincs PE25 3BE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ken Hague     Date: 0 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Seacroft Court Seacroft Esplanade Skegness Lincs PE25 3BE 01754610372 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): collegiacare@aol.com Collegia Care Ltd Name of registered manager (if applicable) Susan Capes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD Dementia, not including learning disability or mental disorder - Code DE Date of last inspection Brief description of the care home Seacroft Court is a care home providing accommodation for 50 residents requiring personal and nursing care in the category Older People. The home is also registered to accommodate up to 8 people with a physical disability; 7 places for persons over the age of 40 and 1 named place for a person below that age. Care Homes for Older People Page 4 of 26 care home 50 Over 65 0 50 0 50 0 50 Brief description of the care home The care home is owned by Collegia Care Ltd, which is owned by Prime Life Ltd. The responsible individual for the company is Peter van Herrewege The home is situated in a residential area of Skegness in a quiet cul-de-sac overlooking the sea. Local amenities are a 10-minute walk away. The residents have access to the home?s transport, which is used to take them into the local community and Skegness town centre. The home is a detached property set in large landscaped grounds. The layout is over 2 floors, which are served by 2 passenger lifts. The home has an experenced registered manager in post. The homes weekly fees range from £348 - £450 depending on the residents assessed needs. Additional charges are made for services such as chiropody, hairdressing and toiletries. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report, can be found in the home statement of purpose and service user guide. These documents are made available to all new and potential residents, and explain the resources and services offered by the care home. A dedicated intermediate care service is not provided by the home. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection took place over 7 hours. The registered manager was given feedback at the end of the inspection. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents and related care practices. A sample of care records was inspected. Two members of staff were interviewed and the opinions of three residents was sought. An (AQAA) Annual quality assurance assessment was completed by the care home and sent to the Commission for Social Care Inspection prior to this report being completed. This is a self- assessment Care Homes for Older People Page 6 of 26 document completed by the providers of the care home. It sets out evidence from the provider to demonstrate that they are meeting the Care Home Regulations. It is normal procedure to obtain written feedback from residents prior to the site visit using a document called have your say documents There were 12 reports completed by residents on the day of the site visit. Three residents were spoken to do during the site visit their opinions are reflected within the inspection report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive a full assessment including a detailed risk assessment prior to be admitted to the care home. This ensures that all identified needs of the residents can be met by the resources of the care home. Evidence: Three individual files for residents been case tracked were inspected. They all contained a detailed assessment completed prior to the resident been admitted to the care home. The resident the family had been involved in the writing of each assessment. The assessments were signed by the individual resident and the assessor and were dated. A detailed risk assessment had been completed for each resident where any risk was identified the management of that risk was transferred on to their individual care plan. There was evidence in the form of dates and signatures to demonstrate that initial Care Homes for Older People Page 10 of 26 Evidence: assessments had been reviewed weekly. The assessments identified the social and care needs of residents. Residents spoken to during the site visit confirmed that they had been involved in their own assessment and stated that their needs are being met by the care home. The quality of recording has improved since the last inspection. The information was recorded in a consistent manner on each residents file. The assessment provided the information required to ensure that the identified needs of residents needs were met.staff stated that assessments and care plans are used as working documents. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. care plans ensure staff know how to meet the individual needs of each residents safely. The dignity and privacy of the residents is maintained. The health needs of residents are being met assisted by the community health care services. Evidence: The care records for three residents were examined. They all contained a detailed care plan written after a full assessment of need had been carried out. Care plans were reviewed monthly a formal review been held yearly. All care plans and assessments were signed by the residents and the assessor and were dated. Residents stated that they were involved in the writing of the own individual care plan. The health care needs, social needs and the manner in which personal care should be provided were recorded. Where risk was identified risk management strategy was in place. The number of staff needed to carry out each personal task and equipment necessary to carry out any personal care were recorded on individual care plans. Evidence was found of the input from community health care services for residential Care Homes for Older People Page 12 of 26 Evidence: residents. Individual care records detailed medical history, current medication, and the input from chiropodist. Visits to GPs and consultants were recorded. Residents confirmed that all of the needs including health care needs are being met by the home. The home has an updated medication procedure which meet national standards. The registered manager and deputy manager confirmed that this policy is being followed by all staff. The last pharmacy visit found no fault with the medication procedure of the care home. The deputy manager stated that only competent staff are allowed to give out medication. Care staff interviewed confirmed that this was the case. The deputy manager confirmed that stock levels and the storage and medication is monitored by herself and the registered manager. Observations on the day the site visit provided evidence that the privacy and dignity of residents is respected. Staff were seen to ensure the privacy of one resident was protected while she gave herself an injection. Staff were observed not to enter private areas of the home without requesting permission of the resident. At mealtimes some residents require the assistance of staff to eat their meals. These residents were fed in a quiet area staff were observed to assist them in a sensitive and patient manner. Residents stated all of our needs are being met by the care home. One resident stated I tried another home but this is the best home I have stayed in. All three residents interviewed confirmed that they found the staff helpful sensitive and kind. Staff confirmed that they are actively encouraged by management to preserve the dignity and privacy of residents. Staff confirm their satisfaction with the quality of care records and confirmed that they used them as working documents. The Inspector noted an improvement in the quality of the recording since the last inspection. The detail found in care records exceeds the national standards. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities are offered which meet the needs of residents. Visitors are made welcome, residents are encouraged to maintain links with the community. Residents are given choices in terms of their social activities.The managers menu ensures that the dietary needs of each resident is met while offering choices. Evidence: The Aqua lists a range of activities offered to residents.The registered manager confirmed that an activity organiser is in place to organise the activities. Residents stated that the activities meet their social needs. The likes and dislikes of the residents in respect of activities was found to recorded on their individual care records. The menu of the home offers choice and meets the dietary needs of the residents. Resident spoken to during the visit stated their satisfaction with the menu. A residents stated the food here cannot be bettered. A second resident said they give me food which I enjoy its always nice and satisfying. staff could discuss residents likes and dislikes which were recorded in their care plans. The registered manager said there are in place individual resident menus for those who have specific dietary needs. A copy is kept in the kitchen of all special diets. Care Homes for Older People Page 14 of 26 Evidence: The registered manager stated that residents are encouraged to maintain contact with their relatives and friends in the community. There are outings organised to take some residents out into the community to social activities. The deputy manager stated that staff at expected to ensure that Relatives who visit the home are made very welcome. Residents can choose where they eat their meals which can be served in her personal bedrooms or taken in the main dining area. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to protect residents. staff feel comfortable and able to use the whistleblowing procedures Evidence: The home has an updated procedure in place to protect residents from any possible abuse. Staff training records provided evidence that all staff have been trained in the recognition and prevention of potential abuse. Staff confirmed that this training had taken place. The registered manager has kept us informed of any incidents which has affected the safety of the residents since the last key inspection. The evidence from discussions with the registered manager, deputy manager and staff is that the adult protection procedure is being followed. Discussions with the residents produced evidence that residents feel protected from potential abuse by the home staff. A resident stated I would be very happy and confident to raise any concerns with any member of staff or the registered manager. I know any problem would dealt with immediately. Residents stated that they are aware of the homes complaints procedure and would feel able to raise any concerns with a member of staff. Staff stated in formal interviews that they would have no difficulty using the whistle blown procedure of the care home. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and comfortable home which meets their social and care needs. Evidence: The care home as an ongoing maintenance program. The registered manager stated many areas of the room had been decorated and new carpets fitted. Staff stated in their opinion the home is well maintained and is a safe area in which to work. Residents commented that their individual bedrooms were comfortable and well maintained. A sampler of four rooms were seen. All had been personalised by the individual resident. Furniture in common social areas were of a high standard. The dining area particularly is well maintained. The exterior of the building was tidy, gardens and grassed areas showed signs of continuous maintenance. The registered manager stated there is an ongoing maintenance plan to further develop the environment the care home. One resident who had been in another care home stated this home is much nicer than one I have just left it is well maintained I am very happy here. There has been no complaints or concerns raised in the last year regarding the environment the care home. Evidence of investment in improvments to the building were found when Care Homes for Older People Page 18 of 26 Evidence: walking round the building. All rooms were clean and smelt fresh. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager ensures that staff are provided with training to obtain the skills to meet the needs of residents. There are always sufficient numbers of staff on duty to meet the needs of the residents.New staff are recruited safely Evidence: The registered manager stated that staffing levels have been increased in the morning and afternoon since the last key inspection. There are now seven members of staff on duty and one nurse. In her opinion there are always sufficient staff on duty to meet the identified needs of each resident. Staff agreed with this judgment. Resident stated that they feel sufficient staff are always available to help them at all times. Staff rota evidenced that minimal staffing levels are always maintain. The home has an updated recruitment procedure which has been followed by the registered manager. The inspection a sample of recruitment records for new staff produced evidence to support the statement.staff confirmed in interviews that they have supplied details required by the care home regulations before they were offered employment. Staff stated inductions were provided for all new staff. There is a staff training programme in place which offers essential core training and specialised training courses for staff. Staff stated in interviews that they recieve Care Homes for Older People Page 20 of 26 Evidence: supervision and appraisals which are used to identifytheir further training needs. The registered manager confirm this practice was in place and produced evidence of a development plan for an individual member of staff. The registered manager stated that 50 of care staff hold an NVQ two in care or an equivalent qualification. A Resident stated staff provide us with help whenever we ask there are always enough staff around to help us A second resident said staff help us to enjoy the activities and make sure that we are have choices and enjoy our social life. staff are helpful sensitive and we can have a good laugh with them. They make the home a very nice place. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and comfortable home which meets their social and care needs. Evidence: There is an experienced registered manager in post and who is supported by a nurse trained deputy manager. Staff supervisions take place. Records were seen of staff meetings, staff appraisals and staff supervisions. Staff confirmed that supervisions and staff meetings do take place. In the opinion of the staff all members of the management team are approachable and helpful. Residents were aware of the complaints procedure many having a personal copy. Residents interviewed stated that they can approach any member of staff if they have concerns. Resident stated that residents meetings take place. Staff confirmed these meetings do take place. The registered manager confirmed these meeting are recorded. Care Homes for Older People Page 22 of 26 Evidence: Not health and safety or infection control problems were identified. Staff stated that in their opinion they are supported amd helped by the managers of the home. l management roles are clear to all staff. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!