Inspection on 14/02/06 for 12 Marine Approach

This inspection was carried out on 14th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

12 Marine Approach 17/10/07

12 Marine Approach 08/11/06

12 Marine Approach 06/12/05

12 Marine Approach 31/01/05

12 Marine Approach 31/01/05

12 Marine Approach 31/01/05

12 Marine Approach 31/01/05

12 Marine Approach 14/04/04

12 Marine Approach 14/04/04

12 Marine Approach 14/04/04

12 Marine Approach 14/04/04

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Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Marine Approach (12) 12 Marine Approach Canvey Island Essex SS8 0AL Lead Inspector Mr Ron Reeves Unannounced Inspection 14th February 2006 09:30 X10029.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 Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 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 and 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. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Marine Approach (12) Address 12 Marine Approach Canvey Island Essex SS8 0AL 01268 690495 01268 690495 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) Dargaz Limited Mrs Marie Louise Jeanne Martinson Care Home 5 Category(ies) of Learning disability over 65 years of age (5) registration, with number of places Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 Brief Description of the Service: 12 Marine Approach provides care and accommodation for up to five adults with a learning disability, some of who may be over 65 years of age. The home is a large family style chalet bungalow in keeping with houses in the locality. The accommodation is spacious with a variety of communal spaces for sitting, eating and activities. All bedrooms are single and situated on the ground and first floor. The first floor is accessed via a staircase; there is no passenger lift. There is a bathroom and separate WC on the ground floor and a shower room and separate WC on the first floor. There is a pleasant garden/patio area to the front and rear of the property. Limited parking is available to the front of the home. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on 12th February 2006 and lasted for five hours. The inspection consisted of discussions with the manager and carer on duty, observations of residents and discussion with two of the residents. A tour of the building took place and examination of a sample of records, policies and procedures. What the service does well: What has improved since the last inspection? 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. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 The admission process is well managed and residents are offered a range of visits to the home to ensure the home can meet resident’s needs. EVIDENCE: The homes service users guide needs to be developed to be more user friendly. The homes admission arrangements are thorough. The manager assesses all prospective residents. Prospective residents are invited to visit the home several times before agreeing admission. The visits are managed sensitively by the home gradually increasing the length of each stay from an initial visit of having coffee and being introduced to residents to overnight and weekend Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 8 stays. During this period the manager continues her assessment to ensure the home can meet the prospective residents needs and that the prospective residents is compatible with the existing residents. Each resident is issued with comprehensive terms and conditions of residence. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7-10 Residents’ personal and health care needs are being comprehensively met by the home. EVIDENCE: Following discussions at the previous inspection the home has made considerable effects in developing Person Centred Planning. The manager informed that both staff and residents enjoyed the experience. Further developments were discussed with the manager to ensure instructions to staff to meet residents care needs were more specific. Daily records were to a good standard and demonstrated residents wishes and choices. Risk assessments Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 10 were seen to cover all residents’ assessed needs. Care plans demonstrated care needs were being met. Residents spoken with said the staff were always nice and helpful. Three of the residents were on various medication, which is administered by the staff. Records were seen to be appropriately completed and medication stored securely. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 The home continues to provide a wide range of activities and leisure pursuits both within the home and the local community, which meet residents needs. The provision of needs is to a high standard. EVIDENCE: From discussion with staff, residents and examination of records it was evident the home continues to support residents in maintaining and developing their daily living skills. All residents have a weekly activity chart, which demonstrated that three residents attend a local college and two attend day centres. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 12 The home arranges a wide range of activities both inside and outside the home with regular outings, holidays and making full use of the local community facilities. The manager informed that residents are encouraged to maintain friendships and to keep in contact with families where possible. The home’s menus are based on residents likes and dislikes as well as promoting healthy eating. Residents are encouraged to participate in the planning, shopping, preparation and cooking of meals. Staff ensure that all food is fresh and homemade. Residents are informed what is on the menu for the following day. Pictures are used to enable some of the residents to make a choice. Resident’s body weights are regularly monitored. Comprehensive nutrition records are maintained. Residents spoken with spoke positively about their life in their home. They spoke of how they enjoyed their holiday last year and how they are looking forward to this year’s holiday. They commented that they go out a lot to clubs, restaurant and pubs. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home has appropriate policies, procedures and staff training in place for responding to residents’ concerns and protecting them from abuse. EVIDENCE: The home has a comprehensive complaints procedure, which has been produced in a simplistic form which can be easily understood by the residents. No complaints have been received by the home. The home has policies and procedures for protecting residents from abuse and all staff have attended training for the protection of vulnerable adults. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 The home provides a high standard of accommodation for the residents. EVIDENCE: The home has recovered fully from the damage caused by a leaking boiler. Flooring has been replaced and damaged areas redecorated. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 15 The home provides a high standard of accommodation for the residents. Residents bedrooms were well furnished, decorated and personalised to individual residents tastes. Communal areas consist of a large well furnished lounge, a large conservatory which resident’s use for activities, a refurbished dining room and a small well maintained garden. There is a bathroom with a chair hoist on the ground floor and a shower on the first floor. One resident has an en-suite shower. A communal toilet is provided on each floor. The home’s laundry is accessed through the kitchen. Appropriate infection control procedures are in place. Due to their abilities and increasing age, none of the residents are able to assist with their laundry. All areas of the home were found to be clean and tidy and well maintained. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 The home benefits from a stable, enthusiastic staff team. The home needs to improve its recruitment and staff induction procedures. EVIDENCE: Staff rotas evidenced that agreed staffing levels of two staff on duty during the day and one asleep at nights continues to be met. The home benefits from an established staff group most of whom have worked in the home for a long time. All staff are issued with comprehensive job descriptions. All staff have completed foundation training and two staff are training at NVQ level 2. The manager has attended training in managing aggression and has cascaded the training to the staff. There was evidence to show that training in specific ailments that effect elderly people has commenced. The home’s staff induction programme does not meet the standards required by “skills to care”. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 17 The recruitment file for the last person recruited by the home in September 2004 was examined. It was found not to contain all the information required. Advice was given. Residents spoken with commented, “staff are always nice and helpful”, “I like all the staff”. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,36,37 The home is well managed by a competent and experienced manager. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 19 EVIDENCE: The proprietor/manager has managed the home for 19 years and has 40 years experience with the client group. She is a Registered Nurse for Learning Disabilities. The home has appropriate policies and procedures in place, which were generally to a good standard. Records seen were well maintained and stored securely. Records evidenced that staff receive regular one to one supervision by the manager. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 20 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 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 X 34 X 35 X 36 3 37 3 38 X Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 21 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. 2. Standard OP29 OP7 Regulation 17(2) Schedule 2 15 Requirement The Registered Person must ensure robust recruitment procedures are in place. The Registered Person must ensure clear information is provided to staff, in the service users care plan, on how to meet residents care needs. Timescale for action 31/03/06 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. OP1 OP2 Refer to Standard 28 31 Good Practice Recommendations 50 of staff achieve NVQ level 2 The manager achieve NVQ level 4 . Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Marine Approach (12) DS0000029503.V282868.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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