Inspection on 25/05/05 for Princess Alexandra House

This inspection was carried out on 25th May 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

Princess Alexandra House 04/10/07

Princess Alexandra House 20/12/06

Princess Alexandra House 10/11/05

Princess Alexandra House 10/12/04

Princess Alexandra House 23/09/04

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 Princess Alexandra House 34 Preston Park Avenue Brighton East Sussex BN1 6HG Lead Inspector James Houston Unannounced 25 May 2005 9:00 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 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. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Princess Alexandra House Address 34 Preston Park Avenue Brighton East Sussex BN1 6HG 01273 565691 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Carole Franklin Mrs Carole Franklin Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (OP) 18 of places Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of people accommodated must not exceed 18 2. On admission the people accommodated will fall within the registered category (old age) Date of last inspection 10th December 2004 Brief Description of the Service: Princess Alexandra is registered to provide personal care and accomodation to eighteen older people. The registered provider/manager is Carole Franklin. The home is located in Brighton with good access to local transport and amenities. The home provides a mix of single and shared bedrooms, many of which have en-suite facilities. There is a good range of communal facilities and a passenger lift. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and early afternoon of the twenty-fifth of May 2005. Before the inspection papers held by the Commission for Social Care Inspection were read, and those sections of the Standards to be assessed prepared. The inspection in the home took 5.1 hours. A tour was made of the whole home and the provider/manager, four staff, six residents and a relative were spoken with. A range of records policies and procedures were read. Sixteen residents were living in the home on the day of the inspection, with one leaving during the day to move to a nursing home. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 6 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 Standards Statutory Requirements Identified During the Inspection Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 7 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 standard(s) 3,4,5 and 6. The home fully assesses prospective new residents. The home meets the needs of residents. Prospective residents visit the home before coming in, in order to assist with the decision with admission. Intermediate care is not provided. EVIDENCE: Records inspected showed that the home obtains a copy of a care management assessment from a placing authority where this exists, and also conducts its own detailed needs assessment. Discussion with the provider/manager, staff, residents and a relative and the reading of a range of records indicates that staff individually and collectively have the skills and experience to meet the needs of residents. Residents said that they had visited the home before coming to live there. The manager said that prospective residents are visited in their own home or where they then are (eg in hospital) before they come in. Admission is initially for a trial period. Intermediate care and emergency admission are not offered. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 8 Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 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 standard(s) 7, 8, 9 and 10. The plans of care are detailed and suitable. Health care needs of residents are met. The medication administration system is generally thorough. The administration of controlled drugs should be reviewed. Residents are treated with privacy and dignity. EVIDENCE: All residents have a detailed plan of care that is drawn up using pre-admission assessments and involving the resident and their family. Records showed that this plan is signed by the resident. Evidence was seen that the care plans and risk assessments are reviewed monthly. Record sheets on each resident are updated as needed. Those inspected were up to date and well kept. Staff said that they had had training on record keeping. Residents said that their health care needs are met. Records inspected showed that careful arrangements are made. Staff said that where possible residents retain contact with the professionals such as dentists, opticians and chiropodists whom they had visited before coming into the home. Residents can self-medicate if appropriate, and a resident who does so said that she has a lockable facility in her room that she uses for secure storage. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 10 Drugs are securely kept, and the record of administration of drugs is fully kept. Staff said that they have been given medication training. The home has a local pharmacist who is giving further training to the staff on 10th June 2005, and who inspects the medication system, leaving a report on their findings. The home reports that controlled drugs are held. It is recommended that the home review its practice against the relevant standard. Residents said that staff respect their privacy and dignity. Staff said that they are given guidance on this aspect. Residents said that staff knock before entering their rooms and that staff call them by the names they wish to be known by. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 11 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 standard(s) 12 ansd 15. Social activities are well managed, and residents choose what they do. Meals provide daily interest and variation for people living in the home. EVIDENCE: Residents said that they are free to rise and go to bed at times of their choosing and to eat in their own rooms or in the communal area. Residents and staff said that a range of activities such as scrabble tournaments and bingo are organised, and residents said that they feel free to participate or not as they wish. The home has a part-time activities organiser to whom the inspector spoke. She works with residents in the lounges and also in their own rooms with those who come down less. She was taking a group out to a local garden centre on the morning of the inspection having taken out another group the week before. On their return a resident said how much they had enjoyed the outing. Residents said that they appreciate the food served in the home, and that they are given choices. Records inspected confirmed this. The home’s cook said that medical or therapeutic diets are provided as needed. Staff said that they have the time to give discreet assistance to residents when necessary, and the mealtime was observed to be unhurried. The meal served during the inspection was in ample quantities and attractively presented. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 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 standard(s) 16 and 18 The home has a suitable complaints procedure. The home’s procedures, processes and training for staff should protect residents in the event of any abuse or allegation of abuse. EVIDENCE: The complaints procedure is clear and available in the home. Residents are encouraged to comment on any aspect of the service and said that they are aware of the complaints procedure. The home has received no complaints in the last twelve months and has a system to investigate any complaints made. The Commission for Social Care Inspection has received no complaints about the home. The manager has redrafted parts of the adult protection procedure since the last inspection to show that the lead agency in investigating adult protection allegations is Brighton and Hove City Council, and to refer to local and national guidelines. Staff said that they have had recent training in adult protection and records inspected confirmed this. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 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 standard(s) 19, 20 and 24. The home provides a good quality of accommodation, communal areas and bedrooms are to a good standard, providing pleasant accommodation. EVIDENCE: The location and layout of the home are suitable for its stated purpose. The home is well maintained, and all parts of the house and grounds are accessible to residents. The home’s owner arranges for items needing attention to be addressed. Parts of the building have been redecorated since the last inspection and a front window is about to be renewed. Minor aspects needing consideration were noted at the inspection. The home has pleasantly furnished and decorated communal areas that have lighting that is domestic in style. Residents said that they like their rooms, and that have been able to bring in their own things. All rooms have a lockable facility. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 14 Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. A competent staff team meets residents’ needs. The home has a commitment to its staff achieving NVQ 2 and the recommended level of 50 has almost been met. Staff are trained to do their jobs. EVIDENCE: There are three care staff on duty in the morning between 8 am and 10.00 am and two staff on duty for the rest of the working day, with one staff member on waking duty at night. Staff said that additional staff had been provided where they had asked for this. Residents said that there are enough staff to meet their needs. They said that they find staff to be helpful and pleasant. There are ancillary staff in sufficient numbers, with a cook, an activities coordinator and a cleaner being on duty in the home during the inspection. The registered manager is available in the home on a regular basis. Staff said that there is an effective on call system to give them advice and support. There is a staff rota, a copy of which was made available to the inspector. The manager said that staff left in charge are not aged under 21. Residents and staff said that staff turnover is low. Four of the ten care staff hold NVQ 2 and two are undertaking it. The manager said that over 50 of care hours are delivered by staff with this qualification. Records show that over the last twelve months the home has provided a range of training including fire training, which is now due again, and adult protection. Records were inspected of the home’s induction system for new staff. These were found to be thorough. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 16 Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32, 35,37 and 38 The manager is competent and experienced to run the home and meet its stated purpose. The management approach of the home creates an open atmosphere for residents. In general residents or their representatives control their own finances. Records are well kept. Some records could be reviewed to ensure they are signed and dated as appropriate. A window restrictor is a top floor bedroom must be re-secured urgently. EVIDENCE: The manager has many years relevant experience. She undergoes periodic training to update her skills. A staff member is commencing the Registered Managers Award with a view to becoming the registered manager. Staff said that the manager is approachable and open to new ideas. They said that staff meetings are held but not regularly. The manager said that the last one had been last year. Residents said that they find the manager and staff friendly and helpful and that they like the atmosphere in the home. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 18 The home does not normally hold valuables for residents but the facility to do so exists. The home acts as agent for one resident, who signs weekly for money handed to her. Records inspected were generally well kept. Some care records were found to need signing and/or dating. A resident was aware that they could have access to records and information held about them. A window had not been re-secured after a top floor window had been opened recently, leaving a hazard. The inspector and provider/manager had concluded during the inspection that the restrictor was missing, but the homes’s contractor found on the morning after the inspection that it was just not in use and re-secured it. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 x 2 2 Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 20 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. 1. Standard 38 Regulation 13(4)(c)_ Requirement Ensure a window restrictor on a top floor bedroom window is in use. Timescale for action Immediate 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. 2. 3. 4. Refer to Standard 9 28 31 37 Good Practice Recommendations Review the administration of controlled drugs. 50 of staff obtain NVQ level 2 by 2005 The registered manager obtain the recommended qualifications in 2005 Ensure records are dated and where necessary signed. Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Princess Alexandra House H59_H10 s14226 Princess Alexandra Hse v222033 250505 stage 4.doc Version 1.20 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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