Inspection on 18/11/05 for New Monterey

This inspection was carried out on 18th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

New Monterey 10/11/06

New Monterey 14/07/05

New Monterey 26/01/05

New Monterey 21/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE New Monterey 20/22 North Promenade St Annes On Sea Lancashire FY8 2NQ Lead Inspector Denise Upton Unannounced Inspection 18th November 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address New Monterey DS0000009910.V266339.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. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service New Monterey Address 20/22 North Promenade St Annes On Sea Lancashire FY8 2NQ 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) 01253 723392 Mrs Valerie Buckley Mrs Carole Thompson Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 Brief Description of the Service: The New Monterey is a large sea front hotel accommodating in the main, short stay hotel guests but is also registered to accommodate up to three older people within a residential care environment who do not require nursing care. The hotel is privately owned and the two proprietors provide any support that may be required by the single service user accommodated. No care staff are employed, however ancillary staff are employed primarily in respect of the hotel, but who also provide a service to the resident in respect of meals. The proprietors have chosen to undertake domestic tasks in the service users private accommodation. The hotel is situated within reasonable distance of the main shopping centre of the town and in close proximity of community resources and facilities that the service user can access independently. All service user bedroom accommodation is provided with an en-suite facility and located on the ground floor of the building along with communal facilities that are shared with hotel guests. A passenger lift is provided for ease of access and two ramped accesses are available to the front of the building to enable those with mobility difficulties to gain access. A car park is provided and an extensive raised patio area with tables and seating is available to the front of the hotel that can be enjoyed by the service user in the warmer weather. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of two and a half hours. Discussion took place with one of the homeowners and more limited discussion took place with the second homeowner. In addition, the only resident currently accommodated who has lived at The New Monterey for a considerable period time was also fully involved in the inspection. A number of records and policies and procedures were also examined. The majority of the core standards regarding Care Homes for Older People had been assessed at the last inspection that took place in July 2005. The outstanding seven core standards were assessed at this inspection along with a reassessment of the requirement and recommendations identified at the last inspection. What the service does well: What has improved since the last inspection? The homeowners are sensitive to the needs of the resident and offer any increased emotional or practical support in a discrete way to ensure the dignity of the resident is not compromised. Since the last inspection a member of the hotel staff has successfully undertaken a first aid course. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 6 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. New Monterey DS0000009910.V266339.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 New Monterey DS0000009910.V266339.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): None of the above six standards were assessed at this inspection. EVIDENCE: None of the above six standards were assessed at this inspection. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above five standards were assessed at this inspection. EVIDENCE: None of the above five standards were assessed at his inspection. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 The homeowners have a good understanding of the service user’s support needs. This is evidenced from the positive relationship that has been formed between the homeowners and service user that includes supporting the service user to access and enjoy social contact. The meals and menus at this home are to hotel standard offering a wide variety and choice to the service user. EVIDENCE: The service user’s routines of daily living and activities are self-determined to suit his own preferences. The service user accommodated clearly stated that his needs, wants and wishes including social activities are met while living at the New Monterey and confirmed that he had opportunity to exercise individual choice in all aspects of his life. Leaflets, primarily for hotel guests, are available with regard to local community activities to supplement verbal information sharing. In addition, the service user accommodated stated that he enjoyed participating in the programme of activities arranged for hotel guests including the ‘turkey and tinsel’ breaks currently taking place. The service user also enjoys the one to one support of the homeowners to maintain social contacts and social activities. This includes regular outings to the shops and at the end of the inspection the service user and one of the proprietors went for a walk along the beach with the dogs that is a normal daily activity that they both enjoy. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 11 Social relationships are encouraged either through family/friends visiting at a time of the service user’s choice or the service user visiting relatives either independently or with the support of the home owners. At present the homeowners are arranging a birthday party for the service user to celebrate a significant birthday. Family and friends will all be attending along with a number of hotel guests. Through discussion with the homeowner and service user it was confirmed that the current service user remains financially independent although on occasions the proprietor collects the service users benefit entitlement from the Post Office rather the resident himself. It was evident the from financial documentation and confirmed by the service user accommodated, that he often received his personal allowance in excess of the minimum weekly amount to enable him to enjoy a lifestyle of his choice. The current service user stated that he enjoys a wide variety of meals and has elected to eat in the main dining room with hotel guests and selects from the hotel menu at breakfast and evening dinner. The lunchtime meal is of the service user’s choice and usually consists of a snack type meal. In addition drinks and snacks are available at any time as observed during the course of inspection. Although the current service user has no dietary need or requirements, it is understood that specialist diets with regard to medical need could be accommodated and diets in respect of religious or cultural diversity addressed. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 12 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): 18 in part. Further policies should be developed especially regarding service users monies to guide the informal process already in place. EVIDENCE: As recommended in the last inspection report, further policies should be developed in order to protect the service users interests especially regarding service user’s monies. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 13 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): None of the above eight standards were assessed at this inspection. EVIDENCE: None of the above eight standards were assessed at this inspection. However it was noted that the recommendation that further policies and procedures should be developed to promote and make proper provision for the health and welfare of service users has yet to be implemented. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 14 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): Standards 27 & 29. Standards 28 & 30 not assessed as no care staff employed No care staff is employed at this home however appropriate staff rotas are available in respect of the homeowners and catering staff. There is a structured recruitment process in respect of hotel staff but only the cook provides a direct service to the service user accommodated. A standard Criminal Records Bureau is required in respect of this person to help protect the service user. EVIDENCE: At this present time any care needs and requirements of the current service user are addressed by the homeowners, however in reality, the service user is in the main, self-caring and independent. In consequence, no care staff are employed. However catering staff are employed in respect of the hotel and as part of their duties provide a service to the service user. A staffing rota was available in respect of these members of staff and a further staff rota is established in respect of the homeowners. One of the homeowners occupies private accommodation within the building and is contactable by the telephone from the service user’s bedroom during the night time period if assistance is required. It is understood that it is unlikely that any further service users will be admitted to the home and in consequence no care staff will be employed. If for any reason this situation changes, the homeowners will develop a recruitment policy and procedure for the appointment of care staff. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 15 Since the last inspection a new cook has been employed in respect of the hotel that also has responsibility for the preparation and cooking of the service user’s meals. The homeowners stated they were experiencing difficulty in finding an umbrella body to submit the Criminal Record Bureau (CRB) clearance application regarding this person. The web site address of CRB was provided by the inspector to enable the homeowners to contact the agency and to identify a local umbrella body to process the application. Please inform the Commission For Social Care Inspection in writing of the date the application was submitted and the date the clearance was received and deemed to be satisfactory. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 16 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 & 35 The homeowners are experienced in providing care and support to older people within a residential care home environment and one of the homeowners has a nationally recognised qualification in care that helps to ensure a good quality service is provided . EVIDENCE: The homeowners at The New Monterey are competent and experienced and one of the homeowners has achieved a National Vocational Qualification (NVQ) Level 3 in care. This homeowner has tried to register to undertake the Registered Managers Award or NVQ Level 4 in care and management but has been informed by an educational provider that because only one service user is accommodated, it was unlikely that the evidence required in order to complete the course could be obtained. The homeowner is however still trying to access a relevant course to enable her to achieve the qualification recommended for a manager of a care home for older people. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 17 The current service user remains financially independent and controls his own monies. Written records are maintained of all financial transactions that was evidenced at the time of inspection however this document should also clearly identify the amount that is retained in respect of residential fees from the service users benefit entitlement. Although not required at present, secure facilities are provided for the safe keeping of money and valuables and it is understood receipts would be provided. The service user stated that he was satisfied with the current financial arrangements in respect of fees/personal allowance at the home but that the personal allowance did not go very far. As recommended in the last inspection report, further policies and procedures should be developed in respect of safe working practices and infection control training should be provided. One of the homeowners has received first aid training through alternative employment and a member of the hotel staff has now also undertaken first aid training. New Monterey DS0000009910.V266339.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 3 28 N/A 29 2 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES 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 OP29 Regulation Sch 2 Requirement The cook who provides a service to the service user must have a satisfactory CRB clearance. (Previous date of 30/09/05 not met). Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP18 Good Practice Recommendations Further policies should be developed in respect of service users monies and financial affairs, the safe storage of service users monies and valuables and advice on personal insurance. Further policies and procedures should be developed to ensure hygiene is maintained in the home. The registered proprietor/manager should obtain by 2005 a level 4 NVQ in management and care or equivalent. Further policies and procedures should be developed to promote and make proper provision for the health and welfare of the service user. The financial records should also identify the amount of DS0000009910.V266339.R01.S.doc Version 5.0 Page 20 2. 3. 4. 5. OP26 OP31 OP33 OP35 New Monterey 6. OP38 money retained from the service user’s benefit entitlement in respect of residential charges. Further policies and procedures should be developed in respect of all safe working practices and infection control training should be provided. Reference should be made to all aspects of this Standard to ensure compliance. New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 New Monterey DS0000009910.V266339.R01.S.doc Version 5.0 Page 22 - 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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