Care Home: Seaview Nursing and Residential Care Home

Similar services:

• The Highlands
• Turret Villa Retirement Home
• Blenheim House
• 1 Lanark Close
• Mendip House
• Beaconsfield Court Care Home
• Ann Charlton Lodge

What the care home does well Seaview Nursing and Residential home continues to provide a warm, friendly and caring environment for people to live. People who live at the home and staff who work at the home thought that it was well run. One of the staff surveys contained the following information, "We have been without a manager since January and our new action manager has been in post for a short time. She is approachable and supportive of the staff and I feel a real sense of her taking charge of the home". People spoke of being happy and were very positive about the staff who provided their care. They said, "People who live at the home and were spoken to during the inspection said, "I am so happy here, people are nice". "The staff are super duper". Another person said, "You only have to press the buzzer and they are there". ". Relatives also commented that, "The manager is exceptionally helpful, the staff are caring and the overall experience is good". A staff survey contained the following information, "Seaview is small with a comfortable homely feel. Staff really care about the wellbeing of the residents, their families and each other. There is a strong feeling of belonging". One staff member said of the staff team, "I have never genuinely worked with such a caring staff, there is a good team of qualified staff and there is good continuity of care". 53% of care staff are qualified to NVQ Level 2 with a further 3 staff underway with this taking them to 70% once completed. What has improved since the last inspection? There have been a number of improvements since the last inspection. The recruitment of staff is much better, with appropriate checks being completed prior to employment. The way in which personal allowances are managed and recorded are also much improved. There have been a number of improvements to the environment including the replacement of a number of windows, some new carpets have been laid and some decorating has taken place. The home itself is looking much more organised and less cluttered. What the care home could do better: The refurbishment of the home needs to continue with some areas needing to be addressed quickly, such as potential tripping hazard from carpets. Some development is needed to the individual assessment of need to ensure they are fully reflective of people`s current needs. Risk assessments need to be in place for the use of bedrails, with multidisciplinary agreement.Medication storage needs to be monitored for temperature and the Control Drugs cupboard needs some attention. It is recommended that bath and shower temperatures be recorded more frequently. CARE HOMES FOR OLDER PEOPLE Seaview Nursing and Residential Care Home 41 Marine Parade Saltburn-by-Sea TS12 1DU Lead Inspector Jackie Herring Unannounced Inspection 26th November 2008 09:30 X10015.doc Version 1.40 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 Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 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 Older People. 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. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seaview Nursing and Residential Care Home Address 41 Marine Parade Saltburn-by-Sea TS12 1DU 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) 01287 622 188 01287 622 522 seaview_saltburn@tiscali.co.uk A & R Healthcare Limited Helen Louise Pasco Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (5) of places Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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, maximum number of places: 25 2. Physical Disability - Code PD, maximum number of places: 5 The maximum number of service users who can be accommodated is: 25 12th December 2007 Date of last inspection Brief Description of the Service: Seaview Nursing and Residential Home is a care home registered to give nursing and personal care for up to 25 older people. It is situated on the sea front in the seaside town of Saltburn-by-Sea and is close to local amenities and shops. The home is close to the railway station and is accessible by bus. There are four double and seventeen single bedrooms available on three floors. Seven of the single rooms have an en-suite facility with a toilet and a hand basin. A lift enables service users to have access to all areas of the home. A pay phone is available. There are Registered Nurses on duty at all times. The cost of care at the time of the inspection visit ranged from £385 to £569 per week depending on the category of care. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some regulations from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. This Key Inspection was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use the services, and that it does what the Care Standards regulations say it must. This inspection was conducted across two inspection days a total of 7 inspection hours. During the inspection, a number of records were looked at, including records of people who use the service, along with staff recruitment and training records. A number of surveys from people who use the service as well as from staff and relatives. Discussion also took place with the people living at Seaview; the manager, and staff. The manager has completed the Annual Quality Assurance Assessment (AQAA), the service’s self-assessment of how well they think they are meeting standards. This was received prior to the inspection and some of information has been reflected within the report to support the judgements made. The AQAA was very well completed. What the service does well: Seaview Nursing and Residential home continues to provide a warm, friendly and caring environment for people to live. People who live at the home and staff who work at the home thought that it was well run. One of the staff surveys contained the following information, “We have been without a manager since January and our new action manager has been in Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 6 post for a short time. She is approachable and supportive of the staff and I feel a real sense of her taking charge of the home”. People spoke of being happy and were very positive about the staff who provided their care. They said, “People who live at the home and were spoken to during the inspection said, “I am so happy here, people are nice”. “The staff are super duper”. Another person said, “You only have to press the buzzer and they are there”. ”. Relatives also commented that, “The manager is exceptionally helpful, the staff are caring and the overall experience is good”. A staff survey contained the following information, “Seaview is small with a comfortable homely feel. Staff really care about the wellbeing of the residents, their families and each other. There is a strong feeling of belonging”. One staff member said of the staff team, “I have never genuinely worked with such a caring staff, there is a good team of qualified staff and there is good continuity of care”. 53 of care staff are qualified to NVQ Level 2 with a further 3 staff underway with this taking them to 70 once completed. What has improved since the last inspection? What they could do better: The refurbishment of the home needs to continue with some areas needing to be addressed quickly, such as potential tripping hazard from carpets. Some development is needed to the individual assessment of need to ensure they are fully reflective of people’s current needs. Risk assessments need to be in place for the use of bedrails, with multidisciplinary agreement. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 7 Medication storage needs to be monitored for temperature and the Control Drugs cupboard needs some attention. It is recommended that bath and shower temperatures be recorded more frequently. 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 summary of this inspection report can be made available in other formats on request. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was looked at during this inspection. People who use this service experience good quality outcomes in this area. People have their needs fully assessed prior to being admitted to the service, ensuring their needs are met. People also have good information about the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The AQAA detailed the admission process. It stated, “Prior to a prospective admission the Home Manager or, in her absence a qualified member of staff carries out a pre-admission assessment, in addition to this supporting documentation is received in the form of Social Work Assessment and Nursing Assessment from the relevant bodies”. Two sets of care records were looked at during this inspection, both had a copy of the pre-admission assessment along with care management assessment and hospital discharge information. There was also evidence of ongoing reviews. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 10 One of the surveys completed by a relative detailed, “Helpful information pack and visit to Seaview”. Another survey detailed, “I looked at other homes prior to deciding on Seaview and I have been quite happy with the choice I made for my wife/husband”. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 were looked at during this inspection. People who use this service experience good quality outcomes in this area. The health, personal and social care needs of people who use the service are assessed and detailed within care plans, some additional information and updating would strengthen these further. People are protected by the home’s policies and procedures for dealing with medicines although storage arrangements could be improved. People are treated with respect and their right to privacy was upheld. We have made this judgement using a range of evidence, including a visit to this service EVIDENCE: The same two sets of records were looked at in more details. The pre admission assessment was in place, along with a range of assessment tools, such as nutrition, moving and handling and one for skin integrity. There was a range of care plans in place in both of the files looked at, they ranged in the level of detail, with on being much more informative and person centred than the other. It was agreed with the manager that the level of detail could be expanded upon, and some of the intervention made much more specific. It was also agreed that some of the care plans needed to be Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 12 separated as some problem or need areas were combined within multi care plans. For example, in person’s file it details risk of choking and that they are diabetic and the interventions for each problem are not specific enough. Whilst there was a range of assessment tools in place along with the pre admission assessment, there was no actual full assessment of need that fully reflected people’s current needs. This was discussed and the manager agreed that these would be developed. There is also the need to ensure that when bed rails are being used, there is a multi-disciplinary risk assessment and agreement for use in place. The manager agreed to take immediate action to address this. Evaluations of care are very good, person centred and contains more detail than the actual interventions, this was discussed with the manager who acknowledged that there was some development work to do. The was evidence of visits from the GP, district nurses and other health professionals, showing that people’s healthcare needs were being met and additional advise sought where needed. The medication system was discussed with the manager and looked at during the inspection. The actual procedures in the main were good, although a little more information would strengthen this further. There is the need to ensure that where medication is handwritten on the MAR sheet that these are signed and witnessed. Storage is limited within the home and there is the need to ensure that medication is stored at the correct temperature. Currently this is not being monitored, but the manager confirmed that this would take place. The CD cupboard also needs some attention to ensure that this medication is stored in the correct and secure way. It was noted that some of the medication was not being stored in a locked cupboard; this was addressed by the end of the inspection. People living at the home were spoken to about their health and social care needs being met. They said, “I feel well cared for, it couldn’t be better”. “If I am unwell they will get the GP, if I want to stay in bed I can”. Observations showed that people living at the home were wearing watches and jewellery and spectacles were clean. One staff member spoken to said, “The are is excellent here, it is not regimented, yes there is a routine that is flexible and takes account of individuality and personalities”. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards: 12, 13, 14, 15 were looked at during this inspection. People who use the service experience good quality outcomes in this area. People who use the service have opportunity to take part in activities both on an individual and group basis. They are supported to live in a flexible environment where there is choice of routines and independence. The food provided is of a satisfactory quality and generally meets the dietary and cultural needs of the people who use the service. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a person employed to do activities for 12 hours per week. The activities range from group activities to some that take place on a one to one basis. Activities include, armchair exercises, dominoes and bingo, foot spa’s and massage as well as individual discussions with people. It was confirmed with the manager that there is currently no social assessment in place but will be developing this in time. One person spoken to said how much they enjoyed their twice weekly foot spa and massage and another person also talked positively about the regular massages they received. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 14 A relative spoken to said, “I visit three times a week, I have always been happy with Seaview, the staff are lovely and I come for dinner on Christmas and New Years day”. The menu was discussed with the manager. They said that this was in the process of being reviewed and that there had been new catering staff employed. The manager also confirmed that the way in which meals were served to people had changed and that many more people were now using the dining room. Initial steps had been taken to ensure that meals were delivered at an appropriate temperature to people who were not eating in the dining room; this is ongoing. A staff member from the kitchen was spoken to who said that the menu was a four-week rolling menu and that there was the choice of two set meals, that there were always three varieties of vegetables and potato as well as desert. They confirmed that fresh fruit was available. When asked about the meals people were generally satisfied, one person said, “The meals are quite good, I am quite satisfied and there is plenty to drink”. One person said that all of the meals were not to their preference and one of the surveys contained comments about the puree menu being somewhat limited. People living at the home confirmed that life at the home was flexile and they could make day-to-day choice and decisions about their lives. This was also confirmed by staff. A staff survey contained the following information, “Seaview is small with a comfortable homely feel. Staff really care about the wellbeing of the residents, their families and each other. There is a strong feeling of belonging”. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were looked at. People who use this service experience good quality outcomes in this area. People were confident their complaints would be listened to, taken seriously and acted upon. Additional recording would enhance this further. People who use the service were protected from abuse by the home’s policies and procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The complaints file was looked at and detail of five complaints since the last key inspection were recorded, along with the investigations and outcome letters. All detailed satisfaction with the outcome of the investigations and action taken. People living at Seaview are happy and settled there. They said they had no concerns or complaints and if they did, then they would speak to the manager. One Survey from a relative contained the following information, “Relative is unable to complain due to his/her health. Family know what to do if required”. There had been an incident that was of a safeguarding/adult protection nature. The manager handled this very professionally and all appropriate action was taken following the incident. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 16 Most of the staff spoken to were aware of Protection of Vulnerable Adults and the action to be taken in the event this was needed. There is the need to ensure that all staff have received training and have an understanding of this. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards: 19 and 26 were looked at during this inspection. People who use the service experience adequate quality outcomes in this area. The environment is generally appropriate to the specific needs of the people who live there although further refurbishment, redecoration and renewal of furniture would enhance this further. People are able to personalise their bedrooms and the home is warm, clean and comfortable. There have been improvements to the environment, which are continuing. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Whilst improvement has been made to the environment since the last inspection, there is still much to do. The improvements include the replacement of a number of windows, which is significant and has greatly improved these rooms. A small number of carpets have been replaced and some of the rooms have been redecorated. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 18 A repairs and refurbishment plan was made available, however this did not fully represent the work completed to date, as a number of areas specified as having been completed remain outstanding. The areas identified in this refurbishment plan should continue to be implemented and completed. The home generally had a less cluttered and more airy feel to it. It was observed to be clean and free from malodours. On the second inspection day, it was identified that some of the bedroom carpets presented as potential tripping hazards. The manager agreed to attend to this and to have new carpets fitted in these areas. Other improvements needed, continue to be the need for redecoration, the replacement of furniture throughout the home, particularly some of the bedroom furniture, which is beyond repair and the continued replacement of carpets. The bathrooms would benefit from updating. The manager is also examining the possibility of a new fire alarm system. People who were visited in the rooms said they were very comfortable; people did speak of the improvement that the new windows had made. There was much evidence of personalisation with the rooms visited. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards: 27, 28, 29 and 30 were looked at during this inspection. People who use the service experience good quality outcomes in this area. People who live at the home have their needs were met by the numbers and skill mix of staff who were trained and competent to care for people who live at the home although development of more informative training information would enhance this further. People are protected by the home’s recruitment procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Three sets of staff records were looked at during this inspection. They in the main contained the information to show that recruitment and selection of staff was good, including references, Criminal Bureau Records Checks and employment history. Initially, it was unclear about the system for checking qualified nurses personal identification numbers with the Nursing and Midwifery Council. It was confirmed and evidenced by the end of the inspection, that all had been checked, were up to date and confirmed that all nurses currently working at the home were eligible to practise. Whilst there is no actual training matrix in place the manager confirmed that a number of systems were being developed. Currently there is a list of Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 20 attendance at recent course; which include moving and handling; fire training and COSHH, this is a rolling programme. Individual certificates were available and in the files looked at, it demonstrated that individual staff were receiving the required mandatory training. Further development is underway with this. It was confirmed by the manager that staff who have not completed NVQ Level 2 in care would complete the Skills for Care Induction. They said that a new care worker had commenced this but there was no evidence on file to show this. Currently, 53 of care staff are qualified to NVQ Level 2 with a further 3 staff underway with this taking them to 70 once completed. 7 staff are also in the process of completing NVQ Level3. A survey completed by someone living at the home commented about availability of staff, “The staff are always very helpful and I appreciate that they are busy”. People who live at the home and were spoken to during the inspection said, “I am so happy here, people are nice”. “The staff are super duper”. Another person said, “You only have to press the buzzer and they are there”. Staff spoken to believed the staffing levels were sufficient to meet the needs of the people living at the home, however did say that there could be some difficulties due the home environment being on three floors. One of the qualified nurses felt well able to meet the nursing needs of people currently living at the home and the nursing tasks required of them. One staff member said of the staff team, “I have never genuinely worked with such a caring staff, there is a good team of qualified staff and there is good continuity of care”. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards: 31, 33, 35 and 38 were looked at during this inspection. People who use the service experience good quality outcomes in this area. The home is well managed and run in the best interests of the people who use the service. The health, safety and welfare of people who live at the home and staff are generally promoted and protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: A new manager has been appointed and registered with CSCI since the last inspection. Positive comments were received from people living at the home and staff working there about the new manager, the improvements made and their management style. One of the people living at the home said, “Helen (the manager) is smashing and she will get you anything, she turns herself inside out for you”. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 22 One of the surveys completed by a person living at the home commented, “The manager is exceptionally helpful, the staff are caring and the overall experience is good. The home is maybe a little ‘tired’ in it’s appearance”. Staff spoken to said that they thought recent improvements had been made to the home and that they were quite happy with how the home was being managed, that the current manager had made a difference. One of the staff surveys contained the following information, “We have been without a manager since January and our new action manager has been in post for a short time. She is approachable and supportive of the staff and I feel a real sense of her taking charge of the home”. The way in which the personal allowances are managed and now much improved, with good records, double signatures and receipts in place. When a sample were checked, the amount detailed in the balance was correct. Whilst water temperatures are being monitored and recorded on a monthly basis, it is recommended that the water outlet for baths and showers be checked weekly as per the Health and Safety Executives guidance. The manager said that this would be implemented. Random sample of maintenance and service records were looked at, including the fire system, fire extinguishers and the lift. There were all up to date and in order. The other equipment and service arrangement were detailed in the AQAA as being up to date. The policies and procedures have also been fully reviewed and updated since the last inspection. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 2 X X X 2 Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP8 Regulation 13 Requirement Timescale for action 31/12/08 2. OP19 23 Risk assessments and agreements must be in place for the use of bedrails. This will promote the health and safety of people who are using these. 31/03/09 The refurbishment that has commenced must continue. This needs to include: • The replacement of some of the bedroom furniture as it is beyond repair. • A window in the top floor lounge needs to have a restrictor, as this could be a potential risk. • A number of carpets need to be replaced; some that present as tripping hazards need priority attention. • Extractor fans need to be repaired. • Ongoing redecoration of bedrooms where there is peeling wallpaper. This will enhance the environment for people living and working at the home and will promote safety. Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 25 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. Refer to Standard OP7 Good Practice Recommendations Care needs assessments should be up to date and fully reflect the individual needs of people living at the home. The interventions within the care plans need to be more specific to the individual. The temperature of the office, which also currently stores medication should be monitored to ensure that it is not too hot. The control drug cupboard needs to be attended to. When handwritten entries are made to the MAR sheets, there is the need to ensure these are checked by a second person and that there are double signatures. Care should be taken with sluice rooms as these are currently not locked when not in use and could present some potential risk to the safety of people who use the service. Consideration should be given to updating the bathrooms. Where the strip lighting has been removed, some remedial redecoration is needed. 4. OP33 Quality assurance systems should be developed further and need to show that the home is run in the best of interests of the people who live there. Bath and shower water temperatures must be checked and recorded in line with the Health and Safety Executives recommendations ensuring more safety in these areas for people who use the service. (This requirement was not looked at on this occasion) 2. OP9 3. OP19 5. OP38 Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Seaview Nursing and Residential Care Home DS0000069727.V373575.R01.S.doc Version 5.2 Page 27 - 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!