Seahorses

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

In this key question we looked at 1 quality statement. We found concerns in relation to restrictive practices and a breach of regulation in relation to locked bedroom doors and consent.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

Staff told us about how they support people to make a decision and demonstrated an understanding of the Mental Capacity Act (MCA). One staff told us: “I would try to explain [decision to be made] in a different way [if a person could not make a decision about something], if it's biscuits or cake I would take it to them and ask them what they wanted. Or clothes point to them.”

We found people living at Seahorses all had their bedroom doors automatically locked from the outside when they were closed. The owner explained people carry their own keys, but sometimes lose these and have to wait for staff to let people back into their rooms. Some people were able to consent to this, however other people were not. There was no evidence that any mental capacity assessment or best interest decision had been carried out to determine whether this was the least restrictive option for people who were not able to consent to this.

People told us that staff ask permission before assisting people with personal care. Comments included: “Yes, they always say would you like to change and have a wash. I’m the kind of person to let them [staff] know what I want from the beginning, so they know”, and [Staff] “always [ask for permission], [staff] never say do this, do that without asking me first.”