Inspection on 06/12/05 for 12 Marine Approach

This inspection was carried out on 6th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

12 Marine Approach 17/10/07

12 Marine Approach 08/11/06

12 Marine Approach 14/02/06

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

Similar services:

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 ADULTS 18-65 Marine Approach (12) 12 Marine Approach Canvey Island Essex SS8 0AL Lead Inspector Ron Reeves Unannounced Inspection 6th December 2005 09:30 Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 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.V271872.R01.S.doc Version 5.0 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.V271872.R01.S.doc Version 5.0 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.V271872.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 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. Parking is available on the road. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 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 the 6th December 2005 and lasted for five hours. The home has suffered damage from a faulty boiler and repairs were being carried out to the damage caused by water. The manager was not on duty on the day of the inspection, however, the two staff on duty were very knowledgeable of the residents and the management of the home. The inspection process consisted of a tour of the building, inspection of a sample of records and detailed discussion with the staff and residents. 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.V271872.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) 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 prospective residents and their families are given adequate information and residents offered trial stays to ensure the home can meet their needs. EVIDENCE: The home has an appropriate Statement of Purpose, which was displayed in the hallway and a Service Users Guide, a copy of which was in each resident’s file. Although both documents were informative, the Service Users Guide would benefit from being user friendly. Each resident’s file contained a comprehensive terms and conditions of residence. The home has appropriate admissions arrangements, which involve preadmission assessments by the home and trial stays to ensure the home can meet prospective residents needs. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-9 Resident’s needs are being met by the home. Staff encourage residents to make choices and be included in the day-to-day running of the home. Further development of the home’s care planning process is required. EVIDENCE: Care plans seen covered all resident’s assessed needs together with appropriate risk assessment, and from discussions with staff and observations throughout the day, it was clear residents needs were being met. However, care plans would benefit from being developed into Person Centred Planning. Positive discussions took place with the two staff on duty regarding improving the care planning system. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 9 Documents sampled evidenced where possible residents are encouraged to make their own decisions. Daily records indicated that residents are encouraged and supported by staff to make decisions and participate in the day-to-day running of the home. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-17 Social activities are well managed. The home provides a wide range of appropriate activities and leisure pursuits both within the home and the local community. The provision of meals is to a high standard. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 11 EVIDENCE: From discussions with staff and examination of records it was evident that residents, accordingly to their abilities, are enabled to maintain and develop appropriate living skills. All residents, apart from one, are enabled to attend regular day care placements. The home organises a wide range of activities both inside and outside the home, with regular outings, holidays and making full use of all the local community facilities. Staff informed that residents are encouraged to maintain friendships and to keep in touch with their families where possible. The home’s menus are based on residents likes and dislikes as well as promoting healthy eating. Residents, accordingly to their abilities, are involved in the planning, shopping, preparation and cooking of meals. Comprehensive nutrition records are maintained. Residents’ body weights are regularly monitored. Staff take pride in ensuring that all food is fresh and home made. The main meal of the day was taken in the lounge as the dining room was out of action due to water damage from a faulty boiler. The meal was seen to be well presented and in good quantity. Residents spoken with said they really enjoy the food cooked by the staff and commented that they always have a cup of tea in bed before rising. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-20 Resident’s personal and health care needs are being comprehensively met by the home. EVIDENCE: All residents are registered with a local GP and are supported by staff to access all other community health services. Four of the five residents are on regular medication. Records seen demonstrated that medication was administered to residents in an appropriate manner. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 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. The procedure would benefit from being more user friendly for the residents by the use of pictures and diagrams. No complaints have been received by the home since the previous inspection. The home has policies and procedures for the protection of residents from abuse and a copy of the Essex County Council’s procedures for reporting abuse. All staff have attended training for the protection of vulnerable adults. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-26, 28 & 30 The provides a high standard of accommodation for the residents. EVIDENCE: The home’s boiler has been leaking for some time and has resulted in damaging the dining room. The room has been cleared of furniture and is in the process of being dried out. This has resulted in the furniture being stored in the conservatory. Staff on duty said they hoped the home will be back to normal within a few days. Apart from the temporary damage the home provides a good standard of accommodation for the residents. Residents’ Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 15 bedrooms were well furnished, decorated and personalised to individual resident’s tastes. All areas of the home in use were found to be clean, tidy and well maintained. 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 or ironing. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,35 Residents are well supported by an enthusiastic staff team. The home needs to develop its staff induction procedures and widen the scope of training. EVIDENCE: Staff rotas evidenced that agreed staffing levels are being maintained. All staff have completed the foundation training and two staff are training at NVQ Level 2. There was no evidence that staff had received training in managing aggression or any specific training in ailments that effect the elderly. There was no evidence to suggest the home staff induction was “Skills to care” standard. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 17 The staff on duty felt they had a good staff team and the communication between the team was good. All staff have regular one to one supervision. Residents spoken with said the staff were “nice and kind.” Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,40-42 Staff within the home are well supervised and supported by the registered manager. Records required to protect residents were generally well maintained, up to date and stored securely. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 19 EVIDENCE: The manager/proprietor was not on duty on the day of the inspection. Staff informed that the manager is a registered learning disabilities nurse and has managed the home for over sixteen years. Staff spoken with said the manager is knowledgeable, easy to talk to, is supportive and holds regular staff meetings. The home has appropriate policies and procedures in place, which were generally to a good standard. Some have been commented on throughout the report. Records seen were well maintained and stored securely. Safety Certificates were seen for services and equipment and regular fire safety checks are maintained. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 2 36 3 CONDUCT AND MANAGEMENT 37 3 38 3 39 X 40 3 41 3 42 3 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 3 3 3 X X 3 3 4 3 3 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? 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 YA35 Regulation 18 Requirement The home must widen its range of training to include specific ailments that affect elderly people. Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The home should develop its care planning process into Personal Centred Planning. Marine Approach (12) DS0000029503.V271872.R01.S.doc Version 5.0 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.V271872.R01.S.doc Version 5.0 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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