Inspection on 11/10/05 for Ocean Swell

This inspection was carried out on 11th 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

Ocean Swell 31/03/08

Ocean Swell 26/01/07

Ocean Swell 27/06/05

Ocean Swell 17/03/05

Ocean Swell 24/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ocean Swell Ocean Swell 33 Sea Road Westgate-on-sea Kent CT8 8SB Lead Inspector Elizabeth Hendry Announced Inspection 11th October 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 Ocean Swell DS0000023511.V254924.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. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ocean Swell Address Ocean Swell 33 Sea Road Westgate-on-sea Kent CT8 8SB 01843 832362 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 Martin Stephen Rose Mrs Denise Elaine Mary Rose Mrs Denise Elaine Mary Rose Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (17), Physical disability (15) of places Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The total number of residents shall not exceed 32. Residents who are physically disabled must be over 35 years of age. To admit one (1) Service User, whose date of birth is 14/05/1920. Date of last inspection 17th May 2005 Brief Description of the Service: Ocean Swell provides residential care for up to 17 older people and 15 people with physical disabilities, who require varying degrees of assistance. The home comprises of a large detached premises with coastal views. and is located within short distances of the seafront, local shops, post office, library and public transport links. The home is a family run business, with the owners having a high level of input into the day to day running of the home. Accommodation breifly comprises of a large lounge, dining room, smoking room, substantial ground with off road parking. Bedrooms are located on the ground, first and second floors with lift access to all floors. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the homes annual announced inspection, which took place over the course of a day. Time was spent meeting and talking with all residents, members of staff and management. Policies, procedures and records were examined, and a tour of the home was undertaken. What the service does well: What has improved since the last inspection? What they could do better: Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ocean Swell DS0000023511.V254924.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 Ocean Swell DS0000023511.V254924.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): 1,3 and 6 The homes Statement of Purpose and Service User guide are excellent. They provide Service Users and prospective service users with the information they need to make a decision about moving into the home. Service users move into the home knowing their needs will be fully met. No intermediate care is provided within the home. EVIDENCE: Service users spoken to confirmed that prior to moving into the home, they were provided with a service user guide, which clearly identified what services and facilities were available. The Statement of Purpose and Service User guide contained detailed information regarding the layout of accommodation, staff qualifications and experience, management of the home, and services provided. Service users spoke of being involved in a pre admission assessment undertaken by the manager of the home, all service users spoken to felt confident that their needs would be met prior to accepting a place at the home. Individual care plans viewed contained a detailed assessment that clearly identified needs and personal aspirations. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 9 The registered manager confirmed that no intermediate care is offered at the home. Ocean Swell DS0000023511.V254924.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 and 10 The care planning system is clear and consistent, providing staff with the information they need to meet the needs of the Service Users. Service users health care needs are fully met. The systems for medication administration are good, with clear and comprehensive arrangements being in place to ensure service users medication needs are met. Staff treat service users with respect and dignity at all times. EVIDENCE: Staff spoken to had a clear understanding of the needs and limitations of all residents within the home. Service users were fully aware of the contents of their care plan and confirmed that they are actively involved in the monthly review of each plan. Evidence was seen to support this in the form of service user signatures within individual files. The healthcare needs of all residents are fully met, staff closely monitor all residents to ensure their healthcare needs are met, and any problems identified are quickly addressed. Records viewed within individual care plans confirmed this. Medication administration records were checked and referenced against medication held within the home. Only staff who have undertaken training in Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 11 the safe handling of medication are involved in the management of service users medication. The registered manager spoke of service users receiving regular medication reviews with their chosen G.P. Throughout the course of the inspection staff were observed interacting well with all service users and treating them with respect and dignity. Ocean Swell DS0000023511.V254924.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): 12,13,14 and 15 Service users are fully supported to participate in activities and develop interests. Staff encourage service users to maintain contact with family and friends and participate within their local community. Service users are assisted to maintain control over their own lives. Dietary needs of Service Users are well catered for with a balanced and varied selection of food available that meets the Service Users tastes and choices. EVIDENCE: The registered manager confirmed that there is a wide range of activities available within the home, these include, dominoes, music appreciation, bingo, and arts and crafts. During the inspection some female service users were observed taking part in nail painting. One service user spoken to enjoyed using their computer to access the Internet. The registered manager spoke of friends and family being encouraged to visit at any time. A service user who spoke of their family being made to feel very welcome whenever they visit confirmed this. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 13 Service users spoke highly of the meals provided within the home, and dietary needs and advice is catered for. The home employs a cook who prepares all meals and is fully aware of individual likes and dislikes regarding food. Staff confirmed that snacks and drinks are available throughout the day. Menus showed careful planning and indicated choices available for each meal. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 14 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): 16 and 18 The homes complaints policy and procedure is excellent, ensuring Service users receive quality care at all times. Staff have sound knowledge and understanding of adult protection issues, which assists in the protection of service users from abuse. EVIDENCE: The home has an open door policy, which encourages staff and service users to raise concerns with confidence that appropriate measures will be taken. Service users spoken to said that they would feel comfortable to raise concerns without fear of reproach. A copy of the homes complaints policy and procedure was viewed within the service users guide and was found to contain detailed information in a manner that is easy to understand and act upon. Staff spoken to confirmed that adult protection and abuse awareness training is undertaken on commencement of employment. Records seen illustrated staff’s understanding of the homes policies and procedures and signatures were in place confirming documents had been read and fully understood. The home has an open door policy, which encourages staff and service users to raise concerns with confidence that appropriate measures will be taken. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 15 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 and 26 The standard of the environment within the home is good providing Service Users with an attractive and homely place to live. Infection control measures are in place, which promotes the wellbeing and health of service users and staff. EVIDENCE: A tour of the home was undertaken, a good standard of decoration and furnishing was found throughout the home. The majority of fixtures and fittings were domestic in nature. To the rear of the property there is a large garden area, which provides additional seating and living space for the residents during the summer months. Service users were seen to have personalised their bedrooms. The registered manager spoke of redecorating bedrooms once they become vacant to ensure a welcoming and pleasing environment for all residents. The home has a planned maintenance programme and has recently undertaken Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 16 significant building works to the roof. Service users spoken to said that this work was managed well with no detrimental impact to themselves. The home was found to be clean and no offensive odours were present. Staff training records indicated all staff receive infection control training on commencement of employment. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 17 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): 27,28,29 and 30 Staffing levels within the home are high providing consistent care to the service users. Service users receive care from qualified and well-trained members of staff. Recruitment policies are consistently followed to ensure service user receive care from appropriately vetted staff. EVIDENCE: High levels of staff were on duty during the inspection, staff rotas examined showed good levels of staff were on duty at all times to ensure service users needs could be fully met. Service Users spoke highly of all members of staff commenting that nothing is ever too much for them. Staff files viewed showed a commitment from both the management of the home and staff to undertake and achieve a variety of training relevant to the home and service users needs. Despite full support and encouragement from the management of the home only a small number of staff have undertaken or achieved the NVQ Level 2 qualification in care. The registered manager said that for those staff not wishing to undertake NVQ Level 2 they are put forward for all other training courses including skills for care to ensure a high standard of staff skills and competence throughout the team. Individual staff files contained all the required information and enhanced criminal records bureau checks were in place for all staff. The registered manager spoke of providing all staff with a copy of the GSCC guidelines. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 18 Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 19 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): 31,33,35 and 38 Quality assurance procedures within the home ensure the home runs in the best interests of the service users. The management of the home is good and records are well managed. The manager is supported well by the deputy manager in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The home places a high priority on ensuring quality care for all residents. The registered manager spoke of sending out an annual questionnaire to all service users and family members asking them to comment on the service they receive. Results of these questionnaires are made available upon request. In addition to the two annual inspections form CSCI the home completes a service summary, which is located within the quality assurance file. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 20 The manager has a clear understanding as to the goings on within the home, service users spoke of the manager undertaking care and domestic duties when needed and providing an open door to discuss personal issues and worries. Staff confirmed that the manager is approachable and understanding and actively encourages their personal development. Records are well maintained, accurate and regularly reviewed. Health and safety certificates viewed identified a consistent and responsible outlook being placed upon service users well being within the home by the management team. Regular fire safety checks are undertaken and annual safety checks are undertaken for all appliances. Training certificates viewed identified all staff undertake health and safety training as part of their induction process, with annual updates as required. Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 21 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 3 X 3 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ocean Swell DS0000023511.V254924.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 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