Inspection on 14/10/05 for Golden Sands

This inspection was carried out on 14th October 2005.

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

Golden Sands 22/06/07

Golden Sands 20/12/04

Golden Sands 16/07/04

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

CARE HOMES FOR OLDER PEOPLE Golden Sands 10 Nelson Road Westward Ho! Bideford Devon EX39 1LF Lead Inspector Susan Taylor Unannounced Inspection 14th October 2005 09:50 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 Golden Sands DS0000022192.V255091.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. 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. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Golden Sands Address 10 Nelson Road Westward Ho! Bideford Devon EX39 1LF 01237 477730 01237 421214 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) Mr Robert Thisby Mrs Thisby Miss Mandy Jane Bateman Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Golden Sands provides 24-hour personal care for 17 older people who are mobile or weight bearing. The home is situated in the centre of Westward Ho! The home has undergone major refurbishment and renovation. This included the addition of a spacious conservatory and landscape gardens. There is level access to the home. A passenger lift provides access to the first floor. There is also a stair lift leading to rooms situated up a flight of four stairs on the first floor. Accommodation comprises of 14 single and 1 double rooms. Five have ensuite facilities. Communal areas comprise of 2 lounges, a dining room and large conservatory. Toilets and bathrooms are easily accessible and include equipment to assist service users. The staff team have a range of skills and experience appropriate for caring for older people. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four and half hours over one day. The purpose was to focus on key national minimum standards that had not been covered at the last inspection. These covered the sections on information, health & personal care, environment, staffing and management. The inspector looked at records, policies and procedures. A tour of the building took place. Nine residents gave their views of the home to the inspector. Four staff also gave their views about the home to the inspector. In addition to this, the Commission received comment cards from five residents and five relatives, which are incorporated into this report. The people living at Golden Sands told the inspector that they preferred to be referred to as ‘residents’. This term is used throughout the report. What the service does well: Golden Sands is a well run home. Residents needs are well known, and met by a competent team of carers. Prospective residents are made welcome when they visit, and given information about the home that prepares them well for their stay there. Residents felt that the team respond quickly to their changing needs. Their comments were “The care here is second to none. Nothing’s too much trouble. If you’re ill they get the doctor in straight away”. “This is the best home. I can’t say anymore than that. It’s best because they genuinely care.” Relatives wrote “My relative receives the most caring and understanding treatment she could wish for” and “my Father is very happy there, he considers it his home” and “the home is very comfortable and you are made very welcome”. Comfortable accommodation is maintained to a high standard. Golden Sands has a range of equipment that is suitable for the residents the home caters for. Measures are in place that minimise the risk of cross infection to residents. The home carries out robust checks on staff prior to employment to ensure that residents are protected. In addition to this, there is a training and development culture at Golden Sands, which ensures that residents are cared for by properly qualified and experienced staff. Systems are in place to ensure that the health and safety of residents, staff and visitors is promoted at Golden Sands. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 6 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. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 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 Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6 Residents needs are well known, and met by a competent team of carers. Prospective residents receive comprehensive information about the service at Golden Sands and are made welcome when they visit, which prepares them well for their stay there. EVIDENCE: Four residents files were inspected. Comprehensive assessments had been completed, and had been reviewed regularly with the individual concerned. The home had also obtained assessment information from each individual’s care manager on admission. A resident told the inspector “They know our needs because they ask a lot of questions when you first come in, then they make sure that all of your wishes are followed after that”. The inspector met a prospective resident who was visiting the home for the day. Staff were seen to welcoming and engaged the visitor in conversation to put the person at ease during the visit. The visitor’s relatives had been encouraged to provide a life history, which provided staff with background Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 9 information to help engage the prospective resident. This is excellent practice and exceeds standard 5. The person in charge of the home verified that intermediate care is not currently provided at Golden Sands. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Golden Sands staff are responsive to the changing needs of their residents. They make good use of health and social care resources available to them in the community to ensure that residents receive the best care available. Residents are treated with dignity and respect. Minor amendments are needed to the policy and procedures covering the management of medicines in the home. Otherwise, the management of medicines ensures that resident’s healthcare needs are met. EVIDENCE: Care plans were well-maintained, accessible to residents and had been kept under review. Good outcomes were observed when the inspector tracked the care for one resident. The person’s care plan clearly identified risks with regard to eating and drinking, and set out a strategy for minimising those risks. One to one care was given at mealtimes, in an unhurried way. The inspector observed that particular attention was given to ensuring that the individual was given plenty of fluids, a record of which had been kept. A resident told the inspector “The care here is second to none. Nothing’s too much trouble. If you’re ill they get the doctor in straight away.” Another resident said “This is the best home. I can’t say anymore than that. It’s best Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 11 because they genuinely care.” Records demonstrated that the home had good relationships with other social and healthcare professionals. Relatives wrote in comment cards “My relative receives the most caring and understanding treatment she could wish for” and “my Father is very happy there, he considers it his home” and “the home is very comfortable and you are made very welcome”. Staff were seen to knock before entering bedrooms, and maintained residents dignity and privacy. Frosted windows in some doors had privacy curtains in situ. Two residents commented about issues of privacy and dignity, and told the inspector “They respect our privacy, they never intrude” and “They always knock before entering our rooms”. Medication Administration Record charts are in use and no gaps in the records were seen. Good outcomes were seen when the inspector tracked the care for one resident. Medicines had been administered as prescribed. All medicines were seen to be stored in a locked cupboard, which was securely affixed to the wall and kept in a treatment room. The medicines policy for the home did not cover sufficient detail as to what steps should be taken in the event of error or missing medication. A recommendation is made in respect of this. Four staff files were inspected and demonstrated that training on the safe handling of medicines is carried out. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 26 Residents live in comfortable accommodation that is suitable for their needs and is maintained to a high standard. Golden Sands has a range of equipment that is suitable for the residents the home caters for. Measures are in place that minimise the risk of cross infection to residents. EVIDENCE: Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 15 The home was maintained to a high standard, and spotlessly clean. Routine maintenance had been carried out to the heating, gas & fire precaution systems and equipment. Staff and residents told the inspector that prompt action was always taken in respect of maintenance. The grounds were tidy, and attractive with herbaceous perennials and shrubs. The total communal space available exceeds 4.1m² for each resident. The accommodation provided is comfortable and homely. A variety of specialist equipment was seen being used by service users around the home: pressure relieving mattresses on beds and chairs; walking frames; chairlifts; wheelchairs; handling belts and turntables. Call bells were seen in every bedroom. These were in full working order. Comments from residents were positive about the home: “I’m very satisfied here, the home is clean and warm and beautifully kept.” “The house is cleaned from top to bottom every day.” The laundry was clean. Good systems were observed in practice in respect of infection control. Soiled linen and everyday clothing had been separated for washing. Clean clothing had been placed into individual linen boxes that staff told the inspector would be delivered to residents later that day. The inspector observed staff using alcohol gel after tasks. Staff told the inspector that infection control training had been provided for them during the year. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29,30 The home had followed it’s own robust recruitment procedures, ensuring that residents are safeguarded. There is a training and development culture at Golden Sands, which ensures that residents are cared for by properly qualified and experienced staff. EVIDENCE: The inspector found that the home’s recruitment procedure had been followed when three staff files were inspected. Satisfactory references, including CRB and POVA checks had been obtained prior to the employment of the new staff. Staff told the inspector that they enjoyed their work and felt well supported. The pre-inspection questionnaire verified that a wide range of training had been provided over the last 12 months. Records demonstrated that 43 of the care staff had achieved the NVQ level 2 award in care. The inspector saw individual training files, which contained further evidence of specialist training having been provided e.g dementia awareness. Staff told the inspector that they felt well supported, and had been appraised. Induction records seen demonstrated that training meets the appropriate standards set out by the ‘Skills for Care’ organisation. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 38 Golden Sands is a well run home. The health and safety of residents, staff and visitors is promoted at Golden Sands. EVIDENCE: The pre-inspection questionnaire verified that the manager had completed the Registered Managers Award - NVQ level 4 in care and management. The electrical system had been inspected and a compliance certificate was seen. Engineer’s reports showed that regular maintenance was carried out to the lift, stair lift and other equipment in the home. Manual handling training had been provided for staff during 2005, and certificates were seen on four personnel files. Fire training had been provided for all staff by an external trainer in 2005. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 18 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 3 x 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 x x 3 x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x 3 3 x x 3 Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 19 NO 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. 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. 1 Refer to Standard 9 Good Practice Recommendations The medicines policy for the home needs minor amendment to include guidance about what steps should be taken in the event of error or missing medication. Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Golden Sands DS0000022192.V255091.R01.S.doc Version 5.0 Page 21 - 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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