Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Philbeach Nursing Home Tanners Hill Hythe Kent CT21 5UE The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lisbeth Scoones Date: 1 6 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Philbeach Nursing Home Tanners Hill Hythe Kent CT21 5UE 01303262421 01303238785 moiraedmondson@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager post vacant Type of registration: Number of places registered: Philbeach Care Centre Ltd care home 61 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 61 Conditions of registration: No more than five (5) service users admitted for intermediate care. Service users admitted for intermediate care may be aged 55 years of age and over. One service user under the age of 65 years may be accommodated. Date of last inspection Brief description of the care home Philbeach Care Centre is a large detached three storey building set in 9 acres of attractive grounds. The home has a terrace with good views over well-maintained gardens. It is situated on the outskirts of Hythe close to shops and other amenities. A refurbishing programme of decorating and installing en-suite facilities in bedrooms, in the long term, is in progress. The home provides residential and nursing care. The Company owns other care homes, the bungalows in the grounds and two Domiciliary Care Homes for Older People
Page 2 of 9 Care Agencies. Weekly fees range from £337.23 to £412.76 for residents with residential needs and £ 550 to £750 for residents with nursing needs. Care Homes for Older People Page 3 of 9 What we found:
This unannounced random inspection was carried out on 16th October 2008. The inspector was assisted by deputy manager Sue Rodgers and other staff throughout in a helpful and professional manner. The purpose of the random inspection was to examine those standards that relate to management. The home has been without a registered manager for some considerable time. The home is currently managed by a part-time acting manager assisted by senior staff. At this inspection it was stated that interviews for the post of manager are currently taking place. During a tour through the home, 6 residents were spoken with. They expressed their satisfaction with the service. Discussions were held with a nurse in charge and a number of care staff. Records were examined in relation to care planning and risk assessments, recruitment, staff training, duty rotas, complaints, medication and accidents. The inspection was further informed by an AQAA (annual quality and audit) carried out by the acting manager on 25th July 2008. This had been completed in great detail for which the manager is to be commended. Comment cards were sent to residents and staff. Two residents responded and answered all questions positively. Three members of staff responded. Two responses confirmed that regular staff meetings take place to discuss any care issues. There is good communication between management and staff. Management is approachable. Regular handovers are useful. These are robust and explicit. New staff are provided with a good induction. One member of staff said that staffing levels are low which can be a problem when needing to use hoisting equipment. Since the previous inspection an investigation under adult protection procedures was carried out. This was satisfactorily concluded. The CSCI has received 3 complaints since the previous inspection. These have been dealt with in an appropriate manner. Occupation at the time of the inspection comprised 6 residents with residential and 34 residents with nursing needs. Since 31st of March 2008, the home has been managed by an acting manager currently on a part-time basis. The acting manager and her deputy work well together in an effort to continue to raise the standards particularly in respect of care planning and staff training. They reported good communication with GP’s and district nursing staff. District nurses are based at Philbeach and readily available for treatment and advice. The acting manager is further supported by other managers in the Company. Care plans have much improved and are person centred. Risk assessments and wound care records have been reviewed and included in the care plan. Following staff changeover, the manager reported that apart from one full-time nurse vacancy, the home is fully staffed and staffing levels are adequate for the needs of the residents. Staff files are more comprehensive but could be further improved. Care Homes for Older People Page 4 of 9 The acting manager communicates well with her staff through staff meetings, group and individual supervision. What the care home does well: What they could do better:
Staff need to ensure that all handwritten transcriptions on medication charts are double signed. Whilst care plans are being upgraded and information transferred, staff must ensure that a current care plan is available to them at all times. The programme of upgrading staff files should continue to ensure that every file contains two written references. Care Homes for Older People Page 5 of 9 The provider must ensure that a registered manager be appointed without delay. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
