Inspection on 29/08/07 for Marina Rest Home

This inspection was carried out on 29th August 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

Marina Rest Home 30/07/09

Marina Rest Home 06/08/08

Marina Rest Home 01/08/06

Marina Rest Home 31/10/05

Marina Rest Home 27/06/05

Marina Rest Home 17/02/05

Marina Rest Home 22/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Marina Rest Home St. Cuthbert Street Hebburn Tyne And Wear NE31 1DJ Lead Inspector Hilary Stewart Key Unannounced Inspection 10:30 29th August & 18 September 2007 th 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 Marina Rest Home DS0000000236.V349424.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. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Marina Rest Home Address St. Cuthbert Street Hebburn Tyne And Wear NE31 1DJ 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) 0191 483 5588 NO FAX Dr Inder Paul Vinayak Dr Veena Vinayak Mrs Heather Anne Pirie Care Home 30 Category(ies) of Dementia (17), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (1), Old age, not falling within any other category (28) Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 28 Dementia - Code DE, maximum number of places: 17 Mental Disorder, excluding learning disability or dementia, over 65 years of age - Code MD(E), maximum number of places: 1 The maximum number of service users who can be accommodated is: 30 1st August 2006 2. Date of last inspection Brief Description of the Service: Marina Rest Home is a converted property to its present use as a care home. It comprises of two units, one caring for up to twenty-seven older persons and a separate seventeen-bed unit for people with dementia. The home does not provide nursing care. The older persons unit is two-storey, the first floor being accessed by a passenger lift or stairs. Senior care staff and care staff, staff the home throughout the 24-hour period. Therefore support is available to service users at all times. The home is situated in a residential area close to the town centre. It is within walking distance of local amenities and accessible by local transport services. There is ample car parking space to the front of the building. The home charges £348.00p to £358.00p per week. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 1st August 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 29th August and the 18th September 2007. During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: The needs of the people who live at the home are assessed before and after they move into the home. This means that their care needs can be planned and properly met. Accurate and up to date information is kept in the care plans of each person who lives at the home so staff know how to meet their needs. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 6 Information about the home is available to help people decide if it is the right home for them to move in to. Healthcare needs are well met by using a multi-agency approach. This helps the people who live at the home to stay healthy. The home has medication systems for the staff to follow to make sure that the people who live at the home are not put at risk. The people have opportunities to take part in a variety of leisure pursuits and interests, which help them maintain links with the local community and help them keep their social skills. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person’s preferences. They treat the people who live at the home as individuals and support them to live the life they choose as much as possible so they know they are valued. The staff team make sure that the home is warm and pleasantly furnished so the people who live at the home have a comfortable place to live. There are procedures in place at the home that make sure that the people who live there are protected and kept safe from abuse. The staff are supervised and trained so they know how to provide the people with good care. The manager is qualified and experienced. They are approachable and clearly present in the home to give direction and support to staff and make sure that the service is centred on the people whom live at the home. What has improved since the last inspection? The home has now got an accessible toilet for people who use walking aids or wheelchairs. This has made the home more comfortable for the people who live there. Fire doors are now kept locked and have had key pads fitted so the people who live at the home are safeguarded as much as possible. Quality assurance systems have been developed but are not being used fully. When it is this will help the service to shape the quality of the service and ensure it is run in their best interests. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 7 The outside area has now been developed so the people who live at the home can now safely use it. This means that they have more choice of where to go in the home. 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. The summary of this inspection report can be made available in other formats on request. Marina Rest Home DS0000000236.V349424.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 Marina Rest Home DS0000000236.V349424.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have their needs assessed before they are offered a place at the home. This makes sure that only people who need the care the home can offer move in so people get the right type of care and the staff have the skills to me their needs. EVIDENCE: People have an assessment by their care manager before they move into the home. The manager looks at this assessment to see if the home can meet the person’s needs. The home’s manager also carries out an additional pre admission assessment prior to the person moving in. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 10 The home’s Service User Guide and Statement of Purpose have up to date information about the home. The people who live at the home have a contract, however one persons had not been signed the manager said that they had just moved in and they were still being assessed. Marina Rest Home DS0000000236.V349424.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All of the people who live at the home have up to date, accurate individual care plans, through which staff monitor and promote the health of the people at the home to maintain their well-being. This helps the people stay healthy. Furthermore the manager and staff respect the privacy and dignity of the people who live at the home. This is so the people know that they are valued as individuals. EVIDENCE: The manager said and records showed that each person who lives at the home has an individual care plan, which is based on their assessment of need. Plans are reviewed and updated regularly. Records showed that each person’s changing needs are clearly recorded. Nutritional needs, pressure areas and continence are regularly reviewed for individuals. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 12 There are procedures for staff to follow when they deal with medication. Staff said and records showed that any changes of medication or medication procedures are recorded and followed in the home. The manager said that people are supported to manage their own medication if, following a risk assessment it was found to be safe enough. The medication records were up to date. Records showed that the people’s health care needs are met at the home. Details of health checks, visits to their GP and hospital appointments are recorded in the individual files. The manager said that the health and welfare of the people who live at the home is monitored all of the time. At the time of the visit one person was being visited by their GP. The people who live at the home looked comfortable. One person said, “ This is a nice place to live” on relative said, “ they have looked after my parent really well” and “ the staff are nice to them”. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home are able to follow their own daily routines, which satisfy their social, cultural and religious needs. They can see their family and friends at any reasonable time. This helps to prevent them from feeling and becoming isolated. Meals at the home are varied, well-balanced and nutritious which promote the people’s health and well-being. EVIDENCE: Staff said that the people who live at the home have been out on a variety of outings. Records showed that some people had been out for a meal, others on a ferry trip and a summer fete. There are also activities in the home such as bingo, sing a longs and cooking. One person said about their relative “they would sit in their room all day but the staff encourage them to do things ” another said “ they look after people well, they had a really good summer fete in the garden”. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 14 The manager, staff and the people who live at the home said that relatives and visitors are welcome and encouraged to visit at any reasonable time throughout the day and evening. Visitors were observed during the visit, one relative said, “ People can visit at any time”. Records showed and staff said that the people who live at the home choose what they want to do during the day. They go to bed and get up when they want and staff said that they are always aware that they must support the people to be as independent as they can. One person said, “I’m quite happy living here”. The home’s menus are based on the known likes and dislikes of the people who live there. One person said, “the food is fine” and “ we can have what we like”. Special diets can be catered for one relative said that the home provides well those suffering from diabetes. Hot drinks and snacks are always available throughout the day and evening. The kitchen was well stocked and there were fresh fruit and vegetables. Staff were observed sitting with people at meals times and talking with and supporting them. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a procedure for dealing with complaints. Any complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about and have had training in adult protection so the people who live at the home are kept safe. EVIDENCE: Copies of the homes complaints procedure are displayed in the home and in the information about the home. The manager and staff said that the people who live at the home and their relatives know how to make a complaint. Records showed that there had not been any complaints made since the last inspection. One of the people who lives at the home said, “ I would let the staff know if I wasn’t happy”. relative said that they knew how to make a complaint. The manager said that all of the staff team have received training in Protection of Vulnerable Adults (POVA). There is a copy of the Local Authority procedures and the home has copies of their own POVA procedures for staff to access. Staff said that they have had the training and they did know what to do if someone disclosed abuse to them. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 16 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, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some parts of the home are comfortable, clean and generally in good repair. Other areas were in need of repair and require attention to ensure that the home is a more pleasant place for the people to live in. EVIDENCE: The home has gone through some areas of redecoration. In the South View area of the home the corridor and one of the bedrooms, room 40 had a very strong odour. On the second visit the manager said that the person had been moved out of that bedroom so it could be refurbished and the odour dealt with. Room 1 also had a strong odour. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 17 Some of the bedroom doors have been painted in the South View unit different colours to aid the people their to identify their rooms. Radiator covers had been fitted through out the building but had not been painted this had been first identified in 2005. On the second visit the covers were in the process of being painted. The home now has an accessible toilet for people who use wheelchairs and there are plans to convert some of the home so there are bedrooms with ensuite facilities. In some of the toilets the light pulls were dirty which can be a cause of cross infection they had been replaced or cleaned on the second visit. Some of the furniture in the bedrooms was old and not in a good state of repair some of the beds were made of metal and misshapen. The manager said that there are plans for the furniture to be replaced and they have had quotes to get the lounge redecorated Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a recruitment procedure to vet staff, so only suitable people work at the home and the people are kept safe. Staff get regular training and supervision which ensures that they have the necessary skills to provide the people who live at the home with good care. EVIDENCE: The manager said that more than half of the staff have vocational qualifications. Records showed and staff said that they have mandatory training regularly, such as first aid and food hygiene. The manager said that 20 of the staff are about to complete a course in equality and diversity. Sufficient staff were on duty during the visit and the manager and staff said that enough staff work at the home. The rota showed that on other days enough staff had been on duty. One relative said, “ There are enough staff to take people out”. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 19 The manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. Records showed that staff had been checked and vetted before they started to work at the home. Staff said and the manager and records confirmed that they have individual supervision and are supported to do their job. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered person is qualified and experienced and runs the home in the best interests of the people who live there. The home has procedures in place that make sure the people who live there are protected as much as possible. EVIDENCE: The manager said and records showed that they are qualified and experienced to run the home effectively. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 21 It was observed that there was a pleasant rapport between the people who live at the home the manager and staff. The staff said that the manager and the deputy were approachable and supportive. One person said “ the manager is excellent I fell confident to go to her with a problem”. Staff said that they liked working at the home and records showed that very few staff leave. The manager said a lot of the staff have worked there for the last 6 to 7 years. The home has procedures for staff when they deal with the people’s money so it is kept safe. Records showed that staff sign records when any of the resident’s money is used and the manager checks them regularly. Records showed that fire drills and staff instruction have taken place when they should. The home had had a recent visit from the local fire authority. Electrical equipment through the home had been safety checked. The manager said that the home does have a quality assurance system but it not being used. They intend to look at devising their own and then implementing that. Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 22 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 X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 23 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 OP19 Regulation 23 Requirement The provision of maintenance services must meet the needs of the home. (OUSTANDING SINCE JUNE 2005) Timescale for action 30/09/07 2. 3. OP26 OP24 23 23 The home must be kept free 30/09/07 from offensive odours throughout. The registered person provides 01/12/07 each person accommodation furnished and equipped to assure they have a comfortable bed and furnishings. 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 Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Marina Rest Home DS0000000236.V349424.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!