Inspection on 26/07/07 for Beachside Rest Home

This inspection was carried out on 26th July 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beachside Rest Home 24/07/06

Beachside Rest Home 10/11/05

Beachside Rest Home 20/05/05

Beachside Rest Home 14/09/04

Beachside Rest Home 15/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Beachside Rest Home Cricketfield Road Seaford East Sussex BN25 1BU Lead Inspector Melanie Freeman Key Unannounced Inspection 26th July 2007 10:20 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 Beachside Rest Home DS0000021043.V345706.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 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. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beachside Rest Home Address Cricketfield Road Seaford East Sussex BN25 1BU 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) 01323 893756 01323 721331 Mr Abdoollah Feroz Peersaib Mrs Maryam Peersaib Mr Abdoollah Feroz Peersaib Mrs Maryam Peersaib Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11), Old age, not falling within any of places other category (11) Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is eleven (11). Service users accommodated will have been diagnosed as having had a functional disorder i.e. past or present mental illness. Service users are over sixty-five (65) years on admission. Date of last inspection 24th July 2006 Brief Description of the Service: Beachside Care Home is privately owned by Mr and Mrs Peersaib, they also mange the home jointly and are both the registered manager. The home can accommodate up to eleven people with a past or present mental illness who need support and personal care, who are over the age of sixty-five. The home is a detached converted private home and now provides seven single and two shared rooms over three floors. The passenger lift is no longer functioning so residents need to be able to negotiate the stairs if their rooms are not at ground floor level where the lounge and dining room is also located. As residents are mobile adaptations are not provided routinely in the home. The home has a small patio area at the rear of the property and small garden at the front. Both areas are well used by those residents who smoke and those who like outdoor space. Beachside is centrally located in Seaford a short walk to the seafront and to the centre of town. The home provides care and support to residents who are both privately funded and those who are funded by Social Services. The home’s fees as from 01 July 2007 range from £348.00 per person per week to £550.00 Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre and any personal toiletries. Intermediate care is not provided. The homes literature states ‘It is our sincerest intention to provide a comfortable and happy home suited to the individuals special requirements’. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Beachside Care Home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting social/health care professionals. Mr Peersaib who received the direct feedback at the end of the day facilitated the visit to the home. The inspection focussed on meeting and talking to residents and staff and accessing the homes progress in meeting the requirements made at the last inspection. A tour of the premises was undertaken and a range of documentation was reviewed including the homes statement of purpose and service users guide, medication records, some policies and procedures and recruitment files. In addition the care documentation pertaining to two residents were reviewed in depth. This inspection has been completed with a proportionate approach and taken into account the very good outcomes for residents. There are shortfalls in the management of the home that are demonstrated through the lack of available records and the number of requirements made at this inspection. The management arrangements are not however impacting on residents care at this time and clearly Mr and Mrs Peersaib need to take great care that they do not in the future. An Annual Quality Assurance Assessment completed by the home was not received before this inspection was undertaken. What the service does well: Beachside provides a home like environment with staff acknowledging that it is very much the resident’s own space. The atmosphere at the home is relaxed, with communication between staff and residents open and friendly. Staff stability has allowed staff and residents to know each other well allowing for a person centred approach to care. The home is owned and managed by registered mental health nurses, who have the skills and experience to offer the range of services required to meet the residents needs. They are particularly skilled at forming positive relationships that are therapeutic for residents allowing staff to provide support and care to improve their quality of life. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 6 An experienced team of care staff, who have a clear understanding of the varied and sometimes challenging care needs of the residents, provide appropriate care and support in a way that encourages the residents to make choices about all aspects of their lives and to maintain their independence. One relative commented on the independence that the home promoted and another health care professional was impressed with the freedom given to residents and the positive relationships initiated in the home. What has improved since the last inspection? What they could do better: The registered owners need to ensure appropriate and up to date information is available within the service users guide and statement of purpose as required to inform anyone wanting to know what services and facilities the home provides. The home needs to confirm in writing to the prospective resident or their representative that with regard to the needs assessment completed the home can meet the needs of the prospective resident. This ensures that decisions around admission to the home are informed. In addition the registered owner needs to fully document any pre admission assessment completed. The care plans need to record any changes in the resident’s needs and condition as identified to ensure appropriate guidelines are given to care staff on how to meet their varying needs. A comprehensive complaints procedure needs to be developed to ensure robust procedures to deal with all complaints made effectively. Despite some improvement to the environment considerable investment is still needed to provide attractive and a comfortable environment for all residents. The standard of cleanliness needs to be improved to promote a pleasant environment for all residents. Procedures for staff recruitment need to be improved to ensure effective systems to safeguard residents. Staff training needs to be fully recorded to demonstrate and ensure staff are appropriately trained to meet the needs of residents. Effective quality monitoring measures need to be established and used on an annual basis to improve services and facilities in the home. Up to date policies and procedures need to be established and followed to ensure best practice is Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 7 followed in the home. Robust Health and Safety systems need to be adopted and recorded to ensure staff and residents safety. 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. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 8 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 Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 9 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): 1, 3 and 6 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents are not provided with full and accurate information about the home to inform their choice of home. All residents are assessed prior to admission and residents are only admitted to the home if their needs can be met, although this is not clearly documented. Intermediate care is not provided at Beachside. EVIDENCE: Although a statement of purpose and service users guide was available when requested these did not contain the required information and were not up to date on the information they did supply. It was however noted that previous inspection reports were available within the office area and available to people on request. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 10 Residents and relatives spoken to said that they were able to visit the home before moving in and this contact is very much encouraged by the homes management who appreciate the importance of this familiarisation for both the prospective residents and the residents already living at Beachside. Mr Peersaib explained that he completes a comprehensive preadmission assessment prior to inviting prospective residents to visit the home and contact with other health/social care professionals confirmed that this assessment was completed. However records reviewed did not evidence any assessment by the home before admission. Records held in the home included a hospital discharge letter or an assessment completed on behalf of social services indicating a multidisciplinary approach to any assessment. Later discussion with Mr Peersaib highlighted that he does not routinely record his assessment and the importance of this documentation was discussed. It was also noted that although once the assessment is completed the prospective resident and their representative are advised verbally that Beachside is able to meet their needs this is not confirmed in writing. People spoken to about the admission procedures were positive saying that it was ‘’straight forward’, and despite the lack of clear documentation everyone had a good understanding of the care and support the home provides and to whom. Discussion with staff confirmed that if residents did not settle in the home or they are causing disruption or distress to other residents this is taken seriously and responded to with them being moved to other more suitable accommodation. The home does not have a locked door and so residents living in the home need to be safe with this arrangement. The home does not provide intermediate care. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home was found to be meeting resident’s health and general needs with assessed additional community support when needed. Residents are protected by the efficient and accurate administration and recording of medication. Staff treat the residents with respect and as individuals, and encourage them to play an active role in deciding the care and support they receive. EVIDENCE: The care documentation pertaining to two residents was reviewed as part of the inspection process and each of these residents were met with during the inspection visit to the home. The plans were found to be clear and to cover the health and social care needs of residents and to provide detail on individual preferences. The plans benefited from a detailed assessment after the residents admission into the Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 12 home. Staff spoken to had a good understanding of the resident’s needs and their personalities and used this knowledge when caring for residents. There was evidence that the care provided was reviewed regularly however it was noted that the changes in care are not always updated in the care plans and there was no record that the plans of care are written in consultation with residents or their representatives. Both these shortfalls were discussed during the inspection visit. The care documentation recorded regular contact with various supporting health care professionals including the stoma care nurse, dietician and community psychiatric nurse. The home has a good relationship with the community resources who respond to their contact. One resident was rather underweight and staff were monitoring this closely recording what he was eating weighing him and fortifying his meals. They were able to discuss the regular contact with the dietician and how they respond to this residents fluctuating weight and eating. Nutritional screening is not routinely completed for residents and this was discussed with Mr Peersaib. Discussion and observation of staff demonstrated that all staff had a very good understanding of resident’s needs and preferences. Associated professionals were complimentary about the homes ability to develop positive and constructive relationships with residents therefore improving their quality of life and ensuring that they accept the care and support that they need. Everyone spoken to about the home were positive about the care and support provided by the home comments included ‘In my view the home is absolutely perfect and the best thing that they do is allow my mother to be independent I am very satisfied I would not change anything’ ‘The home has met the needs of residents I know, very well, they have an individual approach to each resident the approach is person centred and the staff absolutely know residents very well’. A community pharmacist advisor was in the home during the inspection visit and confirmed that the practice in the home is good and well organised by the joint owners/registered managers who are both registered nurses. She has however recommended that they improve the home medicine policies and procedures and it was noted that they did not provide individual guidelines for those residents receiving as required medicines. Although a controlled drugs cupboard is not currently in use it was confirmed that one is available in the home and would be appropriately affixed and used if necessary. All medicines are stored in the office area and a monitored dose system is used. Practice observed was found to be safe. Staff were seen to have a friendly and respectful relationship with all residents who they knew well and were able to interact with them as equal adults. Many of the staff have worked in the home for many years forming close caring relationships with each other and residents. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 13 On arrival at the home Mr Peersaib was taking one of the residents to the Doctors and contact with residents representatives identified that this is normal practice and gives a necessary support to residents if they want it. Rooms seen were found to be very individual with residents able to keep their rooms as they wish with minimal intervention. Residents were also able to move around the home freely and to go out as they wished. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 14 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): 12, 13, 14 and 15 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The routines in the home are flexible and varied activity is provided if wanted. Residents retain control over their lives with the promotion of independence and individual choices being respected. Contact with the community and relatives/friends is important to residents and is well supported by the home. The meals at the home are satisfactory offering variety and choice and catering for dietary needs if required. EVIDENCE: The home is run very much as a small communal home with residents spending their time similarly to what they would do within their own home environment. Staff do involve residents in some catering and domestic chores and a visiting occupational therapist and an art group worker provide some structured activity. An occasional entertainer is also arranged. These sessions are well attended but only if residents want to. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 15 Staff also spend individual time with residents doing normal life activities like going for walks, tidying rooms and shopping and this time is valued by residents and should be maintained. Links with the community are maintained by residents being able to interact with the community as much as they wish. Visiting is not restricted and some of the residents go out to visit friends or family. Visitors spoken to said that they were always well received and felt welcome, one saying that ‘staff are very easy to talk to and are approachable’. On the whole the meals are rather basic, however residents were happy with the provision saying that they ‘liked the food’ and it was noted that the menus were flexible and responsive to what residents wanted and some alternative would be provided if necessary. On the day of the inspection visit Cornish pasties were provided for the main meal and it was noted that on the previous day sausage rolls were provided. More attention to home cooking and the use of fresh produce would be beneficial and this was raised with Mr Peersaib. A record of food is recorded along with how much has been eaten. In addition staff had a good understanding of how and when to fortify foods and had received training from a dietician. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 16 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): 16 and 18 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are confident that any complaint would be listened to and responded to appropriately. Practice in the home ensures that adult protection issues are responded to when identified. EVIDENCE: The complaints procedure was found to be out of date and not to provide clear guidance to people on how to make a complaint or how it would be dealt with once it had been received. This was raised with Mr Peersaid along with the need to ensure clear and full records he acknowledged the shortfalls, and also confirmed that there had not been any complaint made over the past couple of years. Residents spoken to about making a complaint said that they had no need to but would talk to one of the homeowners. Visitors were positive about how any concern raised would be dealt with but had never had the cause to complain but said that they would not ‘hesitate to raise an issue if necessary’. The home had an in depth adult protection procedure and it was recommend that they included a flow chart to record the local contacts to facilitate prompt reporting if an allegation or suspicion of abuse occurred. The new local Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 17 Safeguarding Adults procedures were discussed and Mr Peersaib who agreed to get a copy of this document. Staff spoken to had a good understanding of the possible abuses and felt confident with the leadership that would be provided by the homeowners. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 18 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): 19 and 26. People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is relaxed and friendly although some of the environment is in need of upgrading redecoration and improved cleaning. EVIDENCE: Beachside is a converted premise and therefore retains the character and dimensions of a family home. There was evidence that some redecoration had been completed and some work was being progressed on the day of this inspection visit. Mr Peersaib said that the redecoration and upgrading of the home had been progressed in line with a planned programme supplied to the CSCI. He however did not have a copy of this programme so it was unclear as to how this was being met. There was however a clear commitment to improving the environment but the home still needs considerable investment to improve the overall facilities and to ensure works are completed to a good standard. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 19 Residents said that they were comfortable in the home and liked their rooms, and rooms seen were noted to be individual with some being full of personal belongings. The passenger lift is not working and there is no plan to repair or replace this, so the home can only accommodate residents who have a good level of mobility. Beachside has a patio area to the rear of the home and a small attractive garden at the front; residents can use both areas safely. The home has a lounge and separate dining room. The standard of cleanliness in some areas needed improvement and this included net curtains and windowsills being dirty, and radiators being dirty behind the guards. As noted at the last inspection cleaning of some areas can be difficult when the standard of decoration and furniture is poor. Mr Peersaid confirmed that it was the homes intention to complete some ‘spring cleaning’ and to deep clean each room in turn. This needs to be planned and supported with allocated extra staffing. The curtains were also found to be in a poor condition many of them falling from the curtain rails and these need to be attended to. The laundry room is a good size and has appropriate equipment and facilities. It was also noted that staff had access to protective clothing as and when they needed it. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 20 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): 27, 28, 29 and 30 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staffing numbers and skill mix are appropriate to the assessed needs of residents. The homes recruitment procedures followed were found on the whole to be good although improvement is needed with regard to appropriate record keeping. EVIDENCE: At the time of this assessment visit nine residents were living at Beachside, these residents have a mixed dependency all are mobile but need differing levels of supervision and prompting. On the day of this visit two carers were working in the home, Mr Peersaib was also in the home and accompanied a resident to the Doctors and Mrs Peersaid was available later in the morning. The night is staffed by one carer and if this shift is not completed by Mr Peersaib he or his wife remain on call. Observation confirmed that resident’s needs were being attended to and staff had time to chat and interact with them. The care staff also do all catering and cleaning duties including the laundry and as mentioned earlier in this report the standard of cleanliness in the home need to be improved. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 21 All feedback received from residents, visitors and social/health professionals confirmed that the staff and the homeowners are well thought of and maintain good and appropriate links for the sharing of information, comments received included; ‘Staff are all nice and I have regular contact with the homeowners’ ‘The staff are kind helpful and thoughtful and think about what is best for my friend’ ‘My mother likes the staff and one of the staff members has become a friend she is also very fond of Mrs Peersaib’. Most of the staff have worked in the home for many years and the staff team is very stable. One carer has however left and two replacement staff have been recruited since the last inspection and both these recruitment files were reviewed. These demonstrated that both new staff had relevant POVA and Criminal Record Bureau checks completed along with two references. The following shortfalls were noted • One carer did not have evidence of ID and the other carer did not have a recent photograph. • There was no evidence that staff were given a copy of the General Social Care Code of Conduct. • There was no evidence that staff had any health screening completed. • There was no evidence that staff were given a job description or terms and conditions of employment. The documentation used for recruitment was old and Mr Peersaib was advised to update this documentation to ensure the recruitment process is formalised tacking into account all relevant legislation. Care is taken at recruitment to ensure suitable individuals are selected and one of the new staff members was noted to be respectful to residents when working in the home. Staff spoken to said that they received regular training and that it was pertinent to the work they perform and have improved their skills in dealing with the residents at the home. Records relating to staff training were rather disorganised and did not clearly record the training provided. Mr Peersaib confirmed that 50 of the staff have an National Vocational Qualification level 2 or above and that all mandatory health and safety training had been completed and that records would be updated to reflect this. Induction training was being progressed for the two new carers. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 22 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): 31, 33, 35 and 38 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management of the home encourages an open, relaxed, homely and caring atmosphere where care staff are suitably supported and guided and provided with clear leadership. Systems for quality monitoring need to be maintained along with clear up to date policies and procedures and required records to promote health and safety in the home. Resident’s financial interests are safeguarded. EVIDENCE: Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 23 Mr and Mrs Peersaib the joint managers of Beachside have owned the home for over twenty years. They are both registered mental health nurses and have completed the registered managers award they have many years experience of working with people with mental health problems. Being experienced practitioners they have the skills and knowledge to provide an appropriate service for residents in a relaxed and friendly environment. Every one spoken to were very positive about the management arrangements. Mr and Mrs Peersaib clearly care greatly for the residents and staff and promote a feeling of family care in the home although manage to ensure a degree of authority with both when necessary. They are both very approachable and lead the care provision within the home. There is a system for quality review and monitoring in the home that focuses on residents views however this is not being completed on an annual basis and needs to be used in a proactive and meaningful way. Mr Peersaib confirmed that he acts as an appointee for four residents and collects their personal allowances. Records are held that record that each resident receives this money, one resident is given money on a daily basis so that he has money each day to spend. The home has a range of policies and procedures however many of these need to be dated and signed and to be reviewed, there is currently no system to demonstrate an annual review is completed. During the visit it was noted that the health and safety policy was not signed and records relating to health and safety checks were not clear. For example the records relating to hot water checks did not record each outlet checked and the temperature of the water supplied. The individual and environmental risk and fire risk assessments are not clearly recorded and are rather minimal and it was suggested that Mr and Mrs Peersaib attend further risk assessment training along with seeking specialist advice from the Fire Brigade. Mr Peersaib confirmed that he would ensure that these matters are attended to. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 24 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 2 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP1 Regulation 4 (1)(c) 5(1)2) Requirement That the service users guide and statement of purpose is updated to contain the required information is readily available and is in a suitable format to meet all interested peoples needs. That any pre-admission assessment completed is clearly recorded and if wanting to admit an individual that the home confirms in writing having regard to the assessment made on the prospective resident that the home can meet those needs. That care plans are up dated to reflect the changes in care and condition of residents. That residents and/or their representatives are consulted regarding the information included in the care plans. That nutritional screening is completed on all residents and reflected in the care plan if necessary. Timescale for action 01/10/07 2. OP3 14(1) 01/09/07 3. OP7 15 01/10/07 Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 26 4. OP16 22 That a full robust complaints 01/10/07 procedure is developed to ensure any complaint raised is dealt with effectively. That a programme of redecoration and upgrading of furniture fixtures and fittings is followed. To ensure an attractive comfortable environment for residents to live in. That all areas of the home are kept clean to provide a pleasant and safe environment for residents. That the registered person reviews the recruitment procedure to ensure a full robust procedure is followed with clear records to support this. That clear records are kept to ensure all training is recorded to demonstrate that staff are appropriately trained. That thorough quality assurance monitoring systems are established and maintained. That all the homes policies and procedures are reviewed to ensure best practice is adopted. That robust health and safety practice is adopted to include thorough individual and environmental risk assessments, record keeping and fire risk assessment. 01/09/07 5. OP19 23 (2) (b) 6. OP26 23(2)d 01/09/07 7. OP29 19 01/10/07 8. OP30 18 01/10/07 9. OP33 24 01/10/07 10. OP38 13 (4) 01/10/07 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 Good Practice Recommendations DS0000021043.V345706.R01.S.doc Version 5.2 Page 27 Beachside Rest Home 1. 2. 3. Standard OP9 OP15 OP19 That the medicines procedures are updated and individual guidelines is provided for each resident who receives as needed medicines That further fresh produce are used within the meal provision. That the fabric of the building, furniture and maintenance plan are kept under review and up dated. Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 28 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 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. Extracts may not be used or reproduced without the express permission of CSCI Beachside Rest Home DS0000021043.V345706.R01.S.doc Version 5.2 Page 29 - 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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