Inspection on 30/04/07 for Princess Marina House

This inspection was carried out on 30th April 2007.

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 Marina House 12/12/05

Princess Marina House 23/08/05

Princess Marina House 04/11/04

Princess Marina House 29/06/04

Princess Marina House 23/09/02

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Princess Marina House Seafield Road Rustington Littlehampton West Sussex BN16 2JG Lead Inspector Mrs M McCourt Unannounced Inspection 30th April 2007 09:00 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 Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 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. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Princess Marina House Address Seafield Road Rustington Littlehampton West Sussex BN16 2JG 01903 784044 01903 788900 shirley.steeples@princess-marina-house.co.uk 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) the Royal Air Force Benevolent Fund Mrs Shirley J Steeples Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30), Physical disability of places over 65 years of age (30) Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 30 service users may be accommodated at any one time. 12th December 2005 Date of last inspection Brief Description of the Service: Princess Marina House is a care home registered to accommodate up to thirty people aged sixty-five or over, people with a physical disability under the age of 65 and people with a physically disability over the age of 65. At the time of the inspection there were twenty-three people living permanently at the home, with the remaining rooms accommodating respite service users. Residents 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 home is an old style building that has been refurbished and is situated in a residential area on the seafront at Rustington, and is approximately a tenminute walk from the village centre. The accommodation is provided in thirtyfive single rooms and nine doubles all with en-suite facilities. The home provides spacious personal living accommodation with en-suite facilities and a range of communal rooms, all of which are specifically designed to accommodate and facilitate residents. In addition the grounds of the home incorporate a lawn, on which people can part-take in putting and croquet. There are two passenger lifts. Weekly fees range between £335 and £409 per week. This information was obtained from pre-inspection material. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one Inspector on Tuesday 24th April 2007 and lasted a total of eleven hours. Pre-inspection planning took approximately four days, consisting of the review of previous inspection reports, reading of the pre-inspection questionnaire and all of the preinspection documents requested. In addition, the inspector examined information received from other relevant professional bodies and regulatory information received by the Commission of Social Care Inspection (CSCI). A full tour of the building took place and included the observation of health and safety matters, hygiene issues, decorative order and a general overview of the atmosphere created within the home. Eleven staff members and the registered manager were spoken to at the time of inspection. Case tracking was carried out by examination of relevant records and information held on the staff and residents. The Inspector spoke with eight Service Users accommodated at the home, including some of their relatives. Policies and procedures were examined during the site visit. The Commission for Social Care Inspection has not received any complaints in respect of this service. What the service does well: The home is situated in an excellent location, right on the beach at Rustington. The building that now accommodates the residents was extensively renovated, redecorated and refurbished in 2005. All rooms are en suite with bedroom furniture new and modern in design. There are large button telephones, tea/coffee making facilities TV’s and a mini fridge in each room. Many rooms are over-looking the beach/sea, with the Isle of Wight visible on a clear day. Residents have access to a wide range of activities and there is an activities co-ordinator employed by the home, responsible for organising events. There Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 6 is a comprehensive programme of social activities and entertainment. The home also has a large outdoor area, where residents can play putting or croquet on the lawn. Menus offer an extensive choice, with at least three different meals prepared at each mealtime. A well-presented, two-day menu is on display beside the servery area. Each mealtime includes the choice of hot food and any meal can be served directly to individual rooms. The home has a good level of commitment to the development and training needs of staff. The management of development and training is the responsibility of all departmental supervisors and the care manager. Staff can request subjects of interest to further their personal development. Training is extensive, with many courses provided for staff to attend, including; care of the stroke patient, communication skills with older people, team working, nutrition and health, and so on. What has improved since the last inspection? What they could do better: Medication procedures and records are in need of reviewing, details of which can be found in the main body of this report. The home states that supervision of staff is carried out bi-monthly. However the inspector sampled staff files and that this was not always the case. Formally supervision does not take place as frequently as is recommended in the National Minimum Standards. On looking at a sample of CRB checks, it was found that one CRB was not in place. The registered manager should ensure that for any staff employed prior to the introduction of CRB that checks are carried out. During the inspection process, the inspector had several discussions with service users, staff and relatives connected with the service. It was clear that Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 7 there is a feeling of anxiety among some people, due to the changes taking place within the service. A resident told the inspector that “there is no sense of security”, and discussion with some relatives revealed that some residents are “very upset and feeling vulnerable”. Further discussions with staff, demonstrated a feeling that there have been many changes, and that permanent residents are affected by the volume of respite users. Since the inspection we have received information from the Head of Care services that residents have been constantly reassured of their commitment to their continued support. And that they are following their original commitment of perpetuating at Rustington the convalescence and recuperation of residents who are in need of their services. 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. The summary of this inspection report can be made available in other formats on request. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 8 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 Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an assessment process in place, although this is more relevant for respite service users, as the home is no longer providing permanent placements. Contracts are in place and all signed and dated by both the service user and the home. EVIDENCE: Contracts were in place for those files sampled. One was on file, whilst the other two were held at head office. The manager arranged for them to be faxed through to the home during the inspection process. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 10 Assessments are written up on to Standex systems, from which care plans are generated. There are separate policies in place to differentiate between permanent residents and respite admissions. The home does not offer intermediate care as such, but does provide respite care to 21 people. The organisation has decided not to admit any more permanent residents and is planning to provide only respite care in the future. The new certificate was issued on 12/04/07, which shows a reduction of numbers from 54 to 30; currently 10 of the 30 beds are occupied by respite residents. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans are in place, but should be signed by the home and either the resident or a representative. Assessments should be updated when needs change. Health needs are met by the home with management liaising closely with relevant health professionals for additional support. Medication procedures are in need of review. EVIDENCE: Care plans are written up in the Standex file system. Those sampled had been reviewed every month, although there were some inconsistency in the process. Also, not all care plans had been signed off by the staff responsible for writing them up and none of them had been signed by residents. Assessments are Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 12 done, but could be more comprehensive and where needs change, a new assessment should be carried out. Medical issues are recorded in personal files with a diary system used to log any health appointments. A keyworker system is in place, with one member of staff key working between 1 and 3 residents. Medication is stored in purpose built cupboards within a designated room. All medicines were stored neatly. The home uses MDS from Moss Chemist. There are some controlled drugs, and these were stored appropriately, in a metal cabinet, inside one of the cupboards. However records were a little confusing. The book recorded that there were 29 diazepam tablets, but in actual fact there were 14 and a half tablets. MAR sheets had many signature gaps and where medications had not been given, on querying this we were told that it may be because the individuals are self-medicating or that it may be PRN medication. Either way, it should be stated on the MAR sheet by the chemist and/or the home. We also found that there are no running written total of medications stored. In addition there is a lot of medication being booked in and out due to the respite users, which is leading to inconsistencies in medication systems. There is also no format for recording or monitoring medications given to residents who self-medicate. Families can stay at the home, space permitting, or can be booked into a local Bed & Breakfast, in certain case where circumstance so justify limited financial contributions may be made RAFBF. Most of the staff team cover ‘care for the dying’ in their NVQ modules. The registered manager and Care Services Officer, have both attended palliative care training. The Registered Manager said that residents would be nursed and cared for in their own rooms, unless they require hospitalisation. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to exercise choice over their lives and have access to an excellent range of activities provided by the home. However, it was noted that there is a feeling of unsettlement by permanently placed service users, who feel unhappy about the provision of respite care within the same setting. Meals are wholesome, nutritious and varied, with the home ensuring meals are cooked using the very best quality ingredients. EVIDENCE: Residents have a wide range of activities available to them. There is an activities co-ordinator, responsible for organising events. An activity planner demonstrates that there are many events and activities scheduled for each day. Activities range from bingo, keep fit, film nights, mystery tours and so on. The home also has a large outdoor area, where residents can play putting or croquet on the lawn. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 14 Some service users are able bodied and independent, with some people maintaining relationships outside of the home. One gentleman still continues to ride a bicycle into the town centre. There is an open visiting policy, with relatives able to turn up without prior notice required. Some residents are escorted to stay with their family for a period of time, and in certain cases financial assistance may be provided. They are dropped off and collected by the home, regardless of where the location is. Friends of Princess Marina House also visit regularly and there is a list of volunteers available. The inspector spoke with both staff and service users, some of who were unhappy with the dual respite/care home set up. There is a sense of anxiety from permanent residents who do not like living with respite users. Some service users spoken with said “it feels more like a holiday home, with people coming and going all the time. They don’t seem to understand that this is our home. However, other residents spoken with were very complimentary about the service and were quoted as saying “it is a 5 star hotel”, “it can’t get any better than this”, “the food is amazing – we go home and experiment with some of the dishes we have tried here”. Menus offer an extensive choice, with at least three different meals prepared at each mealtime, this includes a choice of deserts also. A well-presented, two-day menu is on display beside the servery area. Each mealtime includes the choice of hot food and any meal can be served directly to individual rooms. We were told that there are signal problems with television reception in one particular wing of the home. The home as taken all possible steps to boost the signal problem. However this is frustrating for those who wish to watch TV in the privacy of their own room. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has good, up-to-date complaints policies and procedures in place. Service users are protected from harm by the home’s adult abuse policies and the appropriate training of staff. EVIDENCE: The complaints policy is called “Learning from You” and is written in large, bold print. It clearly sets out the procedure for complaining and gives time frames for response by the home. The home stated in the PIQ that there were 18 complaints, with one serious, since the last inspection. The inspector sampled some of the complaints, including the one of a serious nature and found that they had all been investigated fully and appropriately. Adult abuse policies are in place and are detailed in content. Staff receive regular, in-house training in Protection of Vulnerable Adults, with three dates provided in 2006. The West Sussex County Council’s procedures were also available to staff. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 16 Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users live in a spacious, comfortable and beautifully maintained environment, with access to many additional facilities. The home is hygienically clean with no unpleasant odours detectable. EVIDENCE: The property is located on the seafront at Rustington. The building that now accommodates the residents was extensively renovated, redecorated and refurbished in 2005. The RAFBF sold the land opposite (previously permanent care), which is now being used to build private flats, to pay for the project. The result is a beautiful, purpose built home, called the ‘hotel’ by people Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 18 residing in it. The premises and environment can only be described as luxurious! Corridors are wide and beautifully decorated with RAF paintings and memorabilia, with a small annex donated as a type of museum for medals, writings, tributes and so on. Some paintings have been donated by RAF personnel over the years, with several signed editions on display. All rooms are en suite with bedroom furniture new and modern in design. There are large button telephones, tea/coffee making facilities (topped-up at least once each day), TV’s and a mini fridge in each room. Many rooms are over-looking the beach/sea, with the Isle of Wight visible on a clear day. A smaller lounge, that includes a video library and kitchenette, can be accessed on the first floor. Residents can entertain visitors if they wish. The home has several large bathrooms with assisted baths or a specialist disabled bath for those who prefer bathing to showers. On the ground floor there is a library room that liaises with the local library and is run by one of the residents. In addition, a computer area has also been provided for those ‘brave’ enough to try surfing the net! Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by appropriate numbers of staff. Staff are competent and well trained in their roles, with the home demonstrating a good level of commitment to the NVQ process. The home’s recruitment procedures are in the main good, although the manager must ensure that all records required for the safety and protection of service users is obtained prior to employment. EVIDENCE: Sixty-four staff are employed, twenty-five of which are care support workers. The staff team is made up of carers, assistant carers, customer services staff, senior carers, domestic staff and administration staff, including reception staff. Thirteen staff have obtained NVQ 3, twelve have obtained NVQ 2 and one has obtained NVQ 4. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 20 Almost all documents required for safe recruitment were in place, with one minor discrepancy. On looking at a sample of CRB checks, it was found that one CRB was not in place despite records showing it had been shredded. However, when the manager checked with the Bureau, it was found that the member of staff had not had a CRB check carried out. The management of development and training of staff is the responsibility of all department supervisors. Staff can request subjects of interest to further their personal development. Training is extensive, with many courses provided for staff to attend, including; care of the stroke patient, communication skills with older people, team working, nutrition and health, and so on. All mandatory subjects are also offered by the home. Staff spoken with confirmed that they do have access to a wide range of training courses. Team meetings do take place, but are not frequent. Staff spoken with said that they could remember one meeting taking place in recent months, but could not remember the time one was held before that. The registered manager said that staff meetings take place regularly, however there were only two sets of minutes available for inspection, dated November 2006 and February 2007. We have been informed that other meetings have been taking place, team building, health and safety and general staff meetings. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well run home that is managed in a professional manner. However, it was noted that there is a degree of anxiety regarding the dual service currently being provided. Service users financial interests are safeguarded by the homes own procedures. The health, safety and welfare of service users and staff are promoted and protected by relevant policies and procedures, although some documents are in need of reviewing and updating. EVIDENCE: Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 22 Mrs Shirley Steeples is the registered manager and has managed the service since May 2003. Mrs Steeples has approximately seventeen years management experience and has both a management and nursing qualification. In recent months the manager has attended training in; fire procedures, POVA, mental capacity, development for staff and general mandatory courses. Mrs Steeples said that she due to attend an update on the regulations. As previously highlighted earlier in this report, some service users are disappointed that the service accommodates permanent and respite residents within the same building On discussion with some relatives, the inspector was told that “residents are very upset and feeling vulnerable”, especially regarding the impeding departure of the Care Services Manager. Further discussions with staff, relatives and residents, demonstrated a feeling that there have been many changes, and that permanent residents are affected by the volume of respite users. Since the inspection we have received information from the Head of Care services that residents have been constantly reassured of their commitment to their continued support. And that they are following their original commitment of perpetuating at Rustington the convalescence and recuperation of residents who are in need of their services. During the inspection process, a volunteer was contacted in order to obtain views from as wide a range of people as possible. The inspector was told that recently, the whole ethos of the benevolent fund has changed. It did have an active social club with wide variety of entertainment, but this has now changed. The facilities residents once had are now gone, nursing care has gone and the management has changed. We were informed that the social club that once existed was located in the respite home and not in the care home and was used occasionally by permanent residents. Facilities have improved the communal bathrooms and showers have now been replaced by en-suite facilities and there are now more of them. Staff said that they did not know what would happen after the Care Manager leaves should there be an emergency. They claim there is no on-call system, and that currently they ring senior staff if they have any problems out of Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 23 hours. We were shown the emergency contact procedures and the on call is and has been the General Manager or the Facilities Manager. The inspector was told that a lot of carers have left because they didn’t like the changes at the home. The documentation sent with the PIQ shows that 32 staff had left the service since the last inspection in January 2006. The inspector learnt that a further two, not documented, had also left their employment. We have been informed by the Care Manager that of the 32 staff that have left 20 were bank staff that were not longer used so they were taken off the staff list. Of the seven permanent staff that resigned four relocated and three for personnel reasons. The home states that supervision of staff is carried out bi-monthly. However the inspector sampled staff files and found that this was not always the case. Supervision does not take place as frequently as is recommended in the National Minimum Standards. Three staff files were sampled, and out of these, records showed that two staff members had only received one supervision session in recent months, whilst the records for the third staff member where not available. Staff confirmed that they do not receive regular supervision, with some staff only receiving one or two sessions per year. We did see evidence of some supervision taking place and staff being supervised. Formal supervision sessions and recording of those sessions as recommended in the National Minimum Standard should take place. The home has quality assurance policies in place, and in order to maintain a high standard of service delivery they monitor in several ways. A yearly audit of all aspects of the service, conducted by senior management, using the Mark of Excellence questionnaire, is carried out. In addition, a yearly audit and risk review carried out by the RAFBF, bi-annual care services committee meetings, quarterly meetings of the PMH advisory board, monthly Regulation 26 visits, quarterly residents meetings with senior management and yearly satisfaction survey for long-term residents. Minutes for the residents meetings were seen for July, Aug, Oct, Nov 2006 and March 2007. The home does not control any service users finances. The are either selfmanaged or Power of Attorney Health and safety policies and procedures are in place. The home employs a catering services officer who oversees all of the catering matters, including fridge/freezer temperatures, which are taken twice a day. There are systems in place for labelling fridge and freezer food. Currently records of food eaten Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 24 are kept for two days only. The catering officer said that she was aware that it would be good practice to keep them for seven days. The environmental health department visited in October 2005. The inspector looked at a sample of accident/incident forms and RIDDOR occurrences, which were all appropriately recorded. Infection control procedures are in place and effectively monitored. Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 25 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 4 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 4 4 X X 4 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 x 3 2 X 3 Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 26 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. 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 Princess Marina House DS0000024197.V332605.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 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 © 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 DS0000024197.V332605.R01.S.doc Version 5.2 Page 28 - 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. 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