Inspection on 10/03/08 for April House

This inspection was carried out on 10th March 2008.

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

April House 12/06/07

April House 07/11/06

April House 15/05/06

April House 31/10/05

April House 24/05/05

April House 26/10/04

April House 07/06/04

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

CARE HOMES FOR OLDER PEOPLE April House 69 Sea Road Westgate on Sea Kent CT8 8QG Lead Inspector Jenny McGookin Unannounced Inspection 10th March 2008 10:00 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 April House DS0000044204.V354249.R02.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. April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service April House Address 69 Sea Road Westgate on Sea Kent CT8 8QG 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) 01843 831860 01843 836621 april@rossetticare.co.uk www.rossetticare.co.uk Mrs Kiki Cole Mr Raymond Edwards Vacant Care Home 30 Category(ies) of Dementia - over 65 years of age (30) registration, with number of places April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th June 2007 Brief Description of the Service: April House is a detached 4-storey building, comprising a lower ground floor, ground floor, first floor and second floor, with 2 mezzanine floors at first floor level. There is a shaft lift to all floors. Of recent date the lower ground floor has not been in use for residents. The maximum registration number is 30 but the exclusion of bedroom space for 5 residents in the lower ground floor effectively means there is only space to accommodate a maximum number of 25 residents. There are overall five potential double rooms but all the other bedrooms are single occupancy. There are two communal lounge areas and a dining area. April House is registered to provide care for older people with dementia. It is situated on the sea front of Westgate, within easy reach of Westgate shopping centre and several seaside towns, with the community and transport resources that implies. There is some off-street parking available (for 3-4 vehicles) and unrestricted kerb-side parking on Sea Road. And there is an enclosed garden to the rear. April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home was subject to a voluntary closure from 13th September 2007 to 18th October 2007, when its registration certificate was reinstated. Despite its reinstatement, the home has not resumed active business since then and has, therefore, been classified as a dormant service for the purposes of the regulatory framework, subject to periodic review. The inspection process took two hours, and involved a meeting with both proprietors and an inspection of every room in the property. Before its voluntary closure in September 2007, this care home was judged to be offering a poor service. Although it had some strengths, there were serious and important weaknesses judged likely to affect the welfare of the residents. The proprietors served the Commission with a Voluntary Closure notice, though they subsequently requested the reinstatement of their registration. The reader will note that its status as a dormant service automatically accords each section of the report with a quality rating of “adequate”, so to be consistent with other dormant services. This is the Commission’s draft guidance and does not take into account this home’s previous quality rating or any progress with matters raised for attention, should this apply. It should be noted that requirements were made in the previous inspection of this service. Whilst it is accepted that it is not therefore possible to regulate these requirements while the home remains non-operational, should it resume operating as a care home, then it will be subject to a Key Unannounced Inspection to ensure that all of the National Minimum Standards have been properly addressed and outstanding requirements met. What the service does well: What has improved since the last inspection? What they could do better: April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 6 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. April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 7 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 April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 8 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: . April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 9 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 10 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 11 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 12 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: An inspection was undertaken of every room in the property, which established that it was not being occupied. A number of hand basins and furniture had been stripped from the premises, and there was evidence of some water damage to one area, which had been partially repaired. April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 13 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 14 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): Quality in this outcome area is adequate This judgement is automatic, given this home’s dormant status, and is not affected by any evidence made available during the site visit to this service. EVIDENCE: April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 16 Are there any outstanding requirements from the last inspection? Yes – requirements and recommendations made at previous inspections cannot be addressed, because this service is not currently functioning. 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 April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 17 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 April House DS0000044204.V354249.R02.S.doc Version 5.2 Page 18 - 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. 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