Care Home: Seymour House

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What the care home does well The residents` have a care plan that lets staff know how they want to be looked after, and who is involved in meeting their health and social care needs. The service provides the residents with a clean, warm and comfortable home, and respects and listens to the residents. The service has trained staff that promotes residents` independence and enables them to take part in community activities. Residents are made aware of what is acceptable behaviour from others, and how to tell management or staff if they are not happy. Staff receive training to protect the residents. What has improved since the last inspection? The home makes sure they have enough information about people who come to work in the home before they employ them to ensure the safety of the residents. The home has made an adult protection poster to let the residents know what to do if they were not happy about the way they are treated by people. CARE HOME ADULTS 18-65 Seymour House 47 Seymour Road Slough Berkshire SL1 2NS Lead Inspector Yvonne Souden Unannounced Inspection 14 December 2007 3:15 Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Seymour House DS0000067342.V349694.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seymour House Address 47 Seymour Road Slough Berkshire SL1 2NS 01753 824798 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) Committed Care Services Limited Miss Sharanjit Kaur Bajwa Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users must not be admitted over the age of 65 years. Date of last inspection 25th January 2007 Brief Description of the Service: 47 Seymour Road comprises a three bedroomed property in Chalvey, Berkshire. The home has spacious communal areas and all bedrooms are single and have been personalised by the residents. The service is near to the centre of Chalvey and a short drive to Slough where there are good shopping, leisure and transport links. The provider is Committed Care Services Limited. The responsible individual for the provider and the manager, and several staff are part of the same family unit. Fees for the service start from £950 per week. Information supplied in the pre-inspection questionnaire states that there are no additional charges to service users. Seymour House has a Statement of Purpose and Service Users Guide that are available on application to the home. Email Seymour@hotmail.com the service website address is www.seymour-house.co.uk Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information gathered to support this report includes inspection records, documentation received from the home, surveys from residents’ relatives, staff and health and social care professionals, and a three hour visit made by the inspector to the home. The site visit enabled the inspector to observe care practice within the home and hear the views of the people who use the service, staff and management. The site visit also gave the inspector an opportunity to view further documentation, and the care plans of two residents. From the evidence seen by the Inspector and comments received, the Inspector considers that the home would be able to provide a service to meet the needs of individuals of various religion, race, or culture. The home follows the organisation’s policy and guidelines to manage issues relating to equality and diversity. What the service does well: What has improved since the last inspection? The home makes sure they have enough information about people who come to work in the home before they employ them to ensure the safety of the residents. The home has made an adult protection poster to let the residents know what to do if they were not happy about the way they are treated by people. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and social care needs are assessed prior to a placement offer. EVIDENCE: At the time of the inspection the home had no vacancies, the last service user admitted was in 2005. Records of two service users detailed pre-admission assessments plus information from the local authority Social Services Department that outlined their care needs. Records identify that the home had held review meetings at six weeks and then at six months intervals. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ Personal Plan of Care has been developed to promote service user choice and independence, whilst minimising risk. Monthly reviews of their care needs are complete. EVIDENCE: A health care professional said in a CSCI questionnaire about the home, as quoted ‘they give appropriate care’, and on the question how do you think the service can improve? ‘Nothing obvious to mention’; there was evidence at the site visit of health care involvement to meet the needs of the service users. A written plan of care was in place for each service user, outlining background information and their care needs and how these are to be met. Information had been reviewed regularly and any changes noted. Risk assessments and challenging behaviour guidelines were in place and were dated and signed as reviews took place. It was evident from observation that staff respect service user choice. Review meetings chaired by the manager were well documented with good summaries of the previous year’s health care needs. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users independence is encouraged as they are supported to access events within the local community, and maintain links with family and friends. Service users are involved in menu planning that promotes a healthy diet. EVIDENCE: It was evident from returned CSCI surveys and discussions with service users and staff at the site visit that service users’ are supported to attend day-care services, participate in activities within the home and within the community, and attend religious services of their choosing. A service user was visiting family at the time of the site visit and records identify that those visits are regular. Another service user spoke to his parents on the telephone whilst the inspector was there; the inspector was informed that this is part of the service user’s daily routine. It was evident that the service users’ were comfortable in their surroundings and had the freedom to make decisions about food and drink, and about how they wanted to spend Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 11 their evening following the full day of activities as recorded within the daily records that are maintained. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and their physical and emotional health care needs are met. Service users are protected by the homes policies and procedures on dealing with medicines. EVIDENCE: Service users’ care plans detail their personal care needs, and a staff member was observed to respect service users choice and preferences. Service users were seen to be well groomed. Service users have regular health checks and their general health and well being is closely monitored. All health care appointments and outcomes are recorded in care plans. Examples were provided where health concerns had arisen and appropriate medical intervention had been sought. Risk assessments do not enable service users to administer their own medication. The home uses a monitored dosage system and medication records matched medications in stock. Staff have received in-house medication training and have or are scheduled to attend Local Authority medication training in line with medication policies and procedures. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have their views listened to and are protected from abuse, neglect and self-harm. EVIDENCE: The service has a comprehensive and robust complaints procedure that is also in picture format. The manager reports that the home has not received any complaints since the last inspection, and a relative of a service user said within a CSCI questionnaire ‘the home provides a safe place for my relative when he is away from home, and a place that he is happy’. The Commission have received no complaints about the home since the last inspection. The home’s Annual Quality Assurance Assessment said that they have updated their safeguarding adult policy and procedure; the inspector observed that the home has developed a service user-friendly adult protection poster. Training certificates and training records viewed identify that staff have received in-house adult protection training, and that the home has accessed local authority training on safeguarding adults for staff to attend. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a homely, safe and comfortable environment that is maintained clean and hygienic. EVIDENCE: A service user showed their bedroom and the rest of the home to the inspector. The home is domestic in scale and is furnished in a comfortable and homely style, with service users’ personal effects in evidence. A relative said in a CSCI survey about the home ‘a caring, clean environment’. The home has updated their fire risk assessment and maintains weekly fire records. A maintenance logbook records scheduled and breakdown maintenance that has taken place. Records identify that staff have received mandatory training that includes infection control. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent, trained and qualified staff and are protected by the homes recruitment policies and practices. EVIDENCE: It was evident from records viewed at the site visit that requirements made at the home’s last inspection 25/01/07 have been met. Staff training records viewed at the site visit show that staff are supported in their training needs, receive regular one to one supervision and have regular team meetings. 50 of care staff have a National Vocational Qualification (NVQ) in care, and 17 of staff are undertaking an NVQ in care. All staff have had first aid training. The home states within their Annual Quality Assurance Assessment that they do not employ agency staff as they recognise the sensitivity of their client group, who do not take a liking to change. A visit to the service identified permanent staff on duty, and CSCI staff questionnaires conclude that staff feel supported by management to meet the needs of the service users. The home has recruited two staff since their last inspection January 2007. Records identified that all appropriate safety checks and references had been undertaken prior to employment. The home has a policy on equal opportunities, diversity, and anti-oppressive practice. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is well run in a manner, which reflects the views of service users. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager has achieved an NVQ 4 in care and the Registered Managers Award, and is currently undertaking distant learning studies on Learning Disabilities. The manager ensures she receives updated mandatory training, and has attended a train the trainer course to deliver mandatory refresher/induction training to staff. The manager has health and safety quality assurance systems in place, and from discussion, it was evident that the manager is proactive in looking at new ways to monitor and improve the service in line with current good practice. Staff training records identified that staff undertake mandatory health and safety training, and fire records seen record safety checks. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 17 The home has developed a generic risk assessment since their last inspection and continues to have specific risk assessments in line with health and safety policies and procedures they have in place. Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 18 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 19 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Seymour House DS0000067342.V349694.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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