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Inspection on 23/08/05 for Princess Marina House

Also see our care home review for Princess Marina House for more information

This inspection was carried out on 23rd August 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has always had a reputation for good care and this reputation is well deserved. Although the majority of residents and respite users require little help, they know that well trained and reliable staff are on hand to aid them if necessary.

What has improved since the last inspection?

The facilities are excellent and all residents and respite users have excellent accommodation with en-suite facilities.

What the care home could do better:

The home needs to undertake a review of their staffing numbers and consider better use of trained care staff. For example, care staff assist with the serving of meals whilst there are two kitchen assistants who could take on that role freeing the care staff to spend time with the residents and respite users.

CARE HOMES FOR OLDER PEOPLE Princess Marina House Seafield Road Rustington Littlehampton, West Sussex BN16 2JG Lead Inspector Mr P Barker Announced Tuesday, 23 August 2005 V237501 rd 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 Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Princess Marina House Address Seafield Road, Rustington, Littlehampton, West Sussex, BN16 2JG 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) 01903 784044 The Royal Airforce Benevolent Fund Mrs Shirley J Steeples Care Home (PC) 54 Category(ies) of Old age, not falling within any other category registration, with number (OP) 54 places of places Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th November 2004 Brief Description of the Service: Princess Marina House is a care establishment providing long-term personal care for up to fifty six people over the age of 65. These people or their spouses must have served in the RAF. The registered provider is the Royal Air Force Benevolent Fund and the registered manager is Mrs Shirley Steeples. The new purpose built detached buildig is situated in a residential area on the beachfront and approximately a ten minute walk from the village centre. The accommodation is provided in thirty five single rooms and nine doubles all with en-suite facility. There are two passenger lifts. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place from 9-30am to 3-30pm. The home has recently moved into purpose built accommodation offering residents en-suite facilities and larger rooms. There are several lounges for residents to sit in including the Pavilion, a licensed building on the beachfront. This is the first inspection of the new premises. During the course of this inspection the inspector spoke to residents, respite users and staff. The manager was present throughout the inspection. Records and Care Plans were looked at and a tour of the home was conducted. The home is intending to become a respite facility only to people who have an association with the RAF. However, at present they have thirty-three permanent residents and sixteen on respite. The inspector spoke to residents and respite users. All the residents that were spoken to were very positive about the care they were getting at the home. They said that it was “a lovely place” and that “the staff are all so kind”. One resident even said, “I am utterly pampered”. There were some comments made about the move and how stressful it had been for them. “Couldn’t do it again” seemed to be the general consensus of opinion. Respite users were very pleased with the facilities and one said, “it was better than the QE II”. All records inspected were found to be in order and up to date. The Care Plans were well written and contained all of the information needed to look after the residents. They were reviewed regularly. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The training records of all staff were well documented and up to date. Staff were being supervised by the manager or her deputies and detailed notes had been kept of these sessions. The building was warm, clean and welcoming. There were six care staff on duty with eight domestics, two laundry assistants, a catering officer, a chef, two kitchen assistants, a dining room assistant, a gardener, two general assistants/drivers, three administrators plus the manager, the Care Services Officer and the Facilities Manager at the time of the inspection. At night there were three staff awake on duty. The rotas showed this to be the case. The building had recently been inspected by the Fire Officer and Environmental Health Department. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 6 There were no requirements made at the time of the inspection. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. Respite users are assessed by experienced welfare staff and information passed onto the home so that they can make a judgement. EVIDENCE: The home is not accepting any more full time residents. A local welfare officer assesses respite users and their requests are then sent to the home to see if they are suitable for respite care. These requests are usually submitted at least three months ahead. The manager said that on one occasion a respite user had arrived but Princess Marina could not meet her needs and she was sent home. The home does not take anyone in for intermediate care. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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, 10, 11 The resident’s and respite user’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. The manager told the inspector that care plans for respite users were written along similar lines. The inspector looked at several respite user plans and was satisfied that they contained information necessary to meet the person’s needs. Many of the respite users do not need much care other than help with a bath. District nurses visit the home when requested and records are kept of all such visits. Medication was stored safely in residents’ own rooms and records were well kept in regard to the administering and disposing of them. Staff were well trained and some had recently attended an outside course on Medication. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 10 When looking around the home the inspector noticed staff knocking before entering rooms. Residents and respite users were called by their chosen name; others preferred to be addressed as Mr or Mrs or by their RAF rank. The inspector spoke to residents in their rooms and privacy was observed. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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, 13, 14, 15 Residents and respite users say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: Two residents told the inspector that they were happy to stay in their own rooms and not get too involved in activities but one acknowledged that, “some do need activities.” The home realises that activities within the home are important and try to put on entertainment when they can. The home employs an Activities Coordinator. The home runs a daily minibus trip to the local village. There are regular keep fit sessions, church services, bingo sessions and outings. Residents like visits from their families and friends and often go out with them. Facilities are available in a lounge for residents and respite users to offer their visitors refreshment. The residents and respite users sat down to a choice of three meals at lunchtime, all of which looked very appetising. Residents enjoyed the food although one or two told the inspector that portions were sometimes too large. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. A copy of the Complaints procedure is given to respite users on their arrival. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: Staff have been trained in recognizing signs of abuse and know who to inform if they suspect anything is wrong. Records were seen showing this to be the case. There have been no formal complaints made to the Commission for Social Care Inspection (CSCI). Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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, 21, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home has recently been refurbished to a very high standard, more than that required by the National Minimum Standards. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 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 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, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 15 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, 33, 34, 35, 36, 37, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. EVIDENCE: Residents told the inspector that the manager was “very kind and approachable”. The home was constantly updating their practices to ensure that residents and respite users received the best care that they could. The home does not have any dealings with any money belonging to residents. Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 4 4 4 4 4 4 4 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 Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 17 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 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. 1. Refer to Standard Good Practice Recommendations Princess Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Marina House H60 H11 S24197 Princess Marina V237501 230805 Stage 4.doc Version 1.40 Page 19 - 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!