Inspection on 08/06/05 for The Promenade Residential Care Home

This inspection was carried out on 8th June 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

The Promenade Residential Care... 25/08/09

The Promenade Residential Care... 06/09/07

The Promenade Residential Care... 13/09/06

The Promenade Residential Care... 21/02/06

The Promenade Residential Care... 04/02/05

The Promenade Residential Care... 10/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Promenade Hotel Marine Drive Hornsea East Yorkshire HU18 1NJ Lead Inspector Lynne Busby Unannounced 8 June 2005 9:30 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. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Promenade Hotel Address Marine Drive Hornsea East Yorkshire HU18 1NJ 01964 533348 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) Mr Parbhu George Peters Continuing Care Services Limited, 5 Chelmsford Square, Willesden, London NW10 3AP Mrs Irene Phyllis Poole Care Home 24 Category(ies) of OP Old Age (24) registration, with number DE(E) Dementia - over 65 (24) of places Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user under 65 years of age may be accommodated within the maximum number - the condition is to cease when the named individual ceases to live at the home. Date of last inspection 4/02/05 Brief Description of the Service: The Promenade Hotel is a residential home that caters for the needs of 24 elderly service users. The home is owned by Continuing Care Services Limited and was first registered on the 25th January 1994. Personal care is provided to all service users along with meals and a laundry service. The home is located on the sea front at Hornsea, close to all town amenities and public transport. The home comprises of three houses that were orginally converted into a hotel and restaurant. Accommodation is provided on three floors - the first and second floors are accessed via a stair lift. The environment consists of 2 lounges, 14 single rooms and 5 shared rooms. The home has an extensive garden at the rear and car parking is avialable at the front and rear of home. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed as part of the programme of inspections for the year. It was an unannounced inspection undertaken by one inspector. The inspection day lasted from 9.30 am to 4.45 pm with a previous 2 hours preparation also being completed. During the inspection a tour of the premises was completed, and a review of the documentation including care plans and recording systems. Time was also spent by the inspector in joining the service users at lunchtime and talking to residents in the communal areas. The inspector spoke to ten of the twenty-four residents and three visiting relatives. What the service does well: What has improved since the last inspection? What they could do better: The provider and manager continue to improve the environment to provide residents with a safe and comfortable home. The water temperature in washbasins needs to be risk assessed to ensure there is no risk of scalding. The fire risk assessment should be reviewed. All records relating to residents must be signed and dated. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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 Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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) 3 and 5 Prospective service users have their needs assessed and are given opportunities to make a considered choice before being accommodated. EVIDENCE: The service users are assessed prior to being accommodated in the home. Individual records are kept on each of the service users and inspection of the records of three files, one who was a recent admission, had full assessment information recorded on them. This included an assessment completed by the home and for funded service users a community care assessment. The manager advised the inspector that she would visit service users in their homes or in hospital prior to admission to assess their needs. Prospective service users can visit the home and stay for a meal. A recent family who came to look at the home advised the manager that they had looked at the home’s report prior to visiting the home. This gives the service and their families an opportunity to make an informed choice. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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 and10 Service users health, personal and social care needs are fully met. Staff treat service users with respect and ensure privacy is maintained. EVIDENCE: The inspector examined three service users files. All had plans of care that were generated from a full assessment of a service user’s needs. The plans of care detail the action that needs to be taken by the care staff to ensure that all care needs are met. Risk assessments are undertaken and these record the service users level of risk around various aspects of care, including risk of falls, pressure sores and diet. The plan of care is reviewed on a monthly basis, and any changes to the plan of care are recorded. Reviews of the care plan are held and service users informed the inspector that they attend these. The health care needs of the service user are promoted within the home. Records indicated that service users access dentists, opticians and chiropodists who all visit the home. Service users are registered with a local GP. Where it is necessary for service users to attend hospital appointments staff will accompany them if they wish. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 10 Staff treat service users with respect. Service users informed the inspector that staff always knock on their bedroom doors. Screening is provided in shared rooms. Service users have access to a telephone and some have their own telephone installed. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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 and 13 Service users are able to take full advantage of activities and interests and participate in community and family life. EVIDENCE: Information is posted on the notice board and in the lounge regarding forthcoming activities. On the day of the inspection the hairdresser was available to all service users. In the afternoon a singer was providing entertainment for those who wished to join in. Service users could have newspapers and magazines delivered and the library service visited the home regularly. Service users can choose to have their meals in the room or in the dining room. One service user said “I always have a breakfast tray in my room but I like to have other meals in the dining room”. Service users informed the inspector that they get up and go to bed when they wish and make other choices for daily living. The inspector spoke to a number of visiting relatives during the inspection. All stated that the staff made them feel welcome and there were no restrictions on visiting. One visitor said about the home that they “ can’t fault it in any way”. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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 Service users are listened to and protected from abuse. EVIDENCE: The home has a complaints procedure and this is available in the service user guide. There is a recording system that includes details of the investigation and any action taken. There has been one internal complaint within the home in the last year. Records indicated this had been dealt with. The home has a copy of the Hull and East Riding Protection of Vulnerable Adults procedures. The manager has developed the homes policy and procedures and these are available to the staff. The staff demonstrated that they are aware of their roles and responsibilities regarding protection of service users. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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, 22,25 and 26 Service users live in a clean, safe, well-maintained and homely environment that meets their individual needs. EVIDENCE: The home is located on the seafront at Hornsea and service users commented that they liked the location. The front of the home has benches for service users to sit out. The rear garden is large and has walkways so service users can fully access the garden, which is well tended and has a summerhouse and seating areas. One staff member has taken responsibility for the gardens at the rear and the flowerbeds and hanging baskets at the front. The home have won awards for the displays of flowers and during the inspection they were preparing for this years competition. The fire departments last visit was on the 24/06/04 and all recommendations have been met. Since the previous inspection the home has had an assessment by a suitably qualified person and a report was produced. Service users have access to all Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 14 communal areas and to other parts of the building via stair lifts. One of the stair lifts had recently broken down and had been out of action for three days. This had affected one service user who had to stay in their room. The manager advised the inspector that this stair lift might have to be replaced. Handrails are positioned in a number of locations throughout the home. Hoists are provided, and an assisted bath and toilets installed. A new call bell system has been installed. In discussion with a number of service users they advised that staff answer promptly if used. All rooms are bright, warm and well ventilated. All rooms inspected were found to have central heating and natural ventilation; radiators are guarded. The hot water in a washbasin was checked and found to be 47.3C. All water outlets should be regular checked and temperatures recorded. The laundry has been recently refurbished and now has floor finishes that are impermeable and wall finishes are easily cleanable. There is a new washing machine purchased and this has the specified programming ability to meet disinfection standards and a sluice facility. There is a separate hand washing facility available for staff. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 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 and 28 Staff are trained and employed in sufficient numbers to support service users. EVIDENCE: There was a staff rota available for inspection. This indicated that there are four staff on duty in the morning and three in the afternoon and evening. The home have two waking night staff. In addition the home has two cooks, three kitchen assistants, a maintenance person and an administrator. The manager and deputy manager are available to be on call. Staff have attended a range of training including, moving and handling, basic food hygiene, first aid, infection control and are currently attending dementia awareness training. The home has four staff that have achieved NVQ level 2 and 3. The home has eight other staff who are working towards either NVQ level 2 or level 3. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 16 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 home is well-managed ands service users financial interests are safeguarded. The health, safety and welfare of service users in promoted. EVIDENCE: The manager is experienced in caring for older people and has managed the home for a number of years. There is deputy manager and senior staff to support the registered manager. The manager has attended training to update her skills and during the inspection was informed she had achieved her NVQ Level 4 registered managers award. The registered manager ensures that communication is open and positive. In discussions with the staff and service users they confirmed that the manager has good communication skills and an open door policy. One member of staff said “you can discuss any concerns with her”. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 17 The inspector checked two service users financial records held by the home and these were found to be maintained appropriately. The manager advised that service users are encouraged to handle their own finances. One service user informed the inspector that the family deals with all finances. Records were securely kept and in good order. It was noted that not all plans of care were consistently signed ad dated. Service users can have access to their records and this was recorded in individual files. There were up to date maintenance records available for inspection. The home had a fire risk assessment it is recommended that this be reviewed. Staff have been trained in safe working practices. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 18 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x 3 x x 1 3 STAFFING Standard No Score 27 3 28 2 29 x 30 x 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 Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 19 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 25 Regulation 13(3)(4) (a)(c) Requirement The registered provider must ensure that risk assessments are in place to test water tempertures in washbasins. Where required pre-set valves which have fail safe devices are fitted locally and are regularly maintained to provide water close to 43C. Timescale for action 31/07/05 2. 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 28 25 37 38 Good Practice Recommendations The home should have 50 of care staff trained to NVQ Level 2 in Care by the end of 2005. Water temperatures should be regularly taken and recorded. The records should be consistently signed and dated. The fire risk assessment should be reviewed. Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Promenade Hotel J53_s19709_Promenade Hotel_v232489_080605_Stage 4.doc Version 1.30 Page 21 - 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!