Inspection on 06/09/05 for R Janmayur Care Home

This inspection was carried out on 6th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

R Janmayur Care Home 06/12/07

R Janmayur Care Home 25/04/06

R Janmayur Care Home 04/04/05

R Janmayur Care Home 08/11/04

R Janmayur Care Home 23/06/04

R Janmayur Care Home 24/06/02

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE R Janmayur 15 Osmond Gardens Osmond Road Hove, East Sussex BN3 1TE Lead Inspector Glynis McLeod Unannounced 6 September 2005 10.00 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. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service R Janmayur Address 15 Osmond Gardens Osmond Road Hove East Sussex BN3 1TE 01273 777424 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 K Ramadas and Dr Ramadas Mr Kumarasamy Ramadas Care Home 7 Category(ies) of Old age, not falling within any other category registration, with number (OP) 7 of places R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated must not exceed 7. 2. Service users will be aged 65 years or over on admission. Date of last inspection 4 April 2005 Brief Description of the Service: R Janmayur is a small family-run care home registered for up to seven older people. The detached property is situated in a residential area close to shops, transport routes and other local amenities. Paid parking is available in the street outside the home. A large lounge/dining room is available on the ground floor, and there is access either via steps or by the side of the building to the garden at the rear of the property. There is no lift to the first floor of the home where the majority of service users’ bedrooms are located, and therefore the home is more suitable for people who are mobile. The home provides care, incuding respite care, for a mixed group of service users. The home does not provide nursing care. The joint proprietors are resident at the home and provide the bulk of the overall staffing. They employ a small group of part-time staff. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours and was one of the two inspections required over the year. A tour of the premises took place and records relating to care, staffing and maintenance were inspected. One staff member, three residents and the manager were spoken to. The inspector would like to thank the residents, staff and owners for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better: There are a couple of outstanding recommendations and requirements from the previous inspection, including providing residents with an updated service user guide and a clear complaints policy. A number of other requirements were made at this inspection. Specialized training must be provided to ensure staff are able to cope with residents who have special needs such as dementia R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 6 or challenging behaviour. The home must also develop a system for measuring how well it provides its service and then use that system to check that residents are benefitting from the way the home is run. There are also a number of health and safety issues that the home needs to attend to urgently, for example, how it stores hazardous items, such as bleach, and the need to arrange for a full fire drill to ensure that everyone knows where they have to go in the event of a fire. There must also be written information always available on site for staff to follow in the event of an accident or emergency. 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. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 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 R Janmayur H59-H10 S14227 R Janmayur V235701 060905 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 The service user guide does not contain all the information necessary to give residents a clear picture of the home’s services. Residents do not have access to their own copy of the document to consult. EVIDENCE: The service user guide has not been updated as recommended at the last inspection. Residents have not yet been supplied with their own copies of the document but were shown it on admission and signed to say they had seen it. The manager advised that he is still in the process of updating the document and will be providing a permanent copy in each resident’s room when it has been completed. A requirement that each resident must be given a copy of the document is carried forward and it is now also required that the document is updated to include all relevant details. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 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 and 8 Care plans are accessible and identify residents’ health, personal and social care needs. The home is making progress in developing a more detailed assessment of residents’ health needs. EVIDENCE: Care plans were available for each resident and contained all the required information. Plans are reviewed monthly and, although residents do not hold a copy of the plan themselves, they sign to say they are in agreement with it. Since the last inspection, the home has had an issue with a resident who developed a pressure sore that deteriorated quite badly. The incident was investigated and the home was advised that they must report all pressure sores immediately they are found to the GP so that proper treatment can begin. Following the incident, the manager has developed a new risk assessment, which he is in the process of finalising. This covers all health risks, including pressure sores, and provides a basis for assessing whether risk is high, medium or low. A requirement was made that this assessment is fully developed and used to assess all vulnerable residents. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 10 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) 15 Meals are nutritious and varied and residents’ preferences are catered for. EVIDENCE: Since the home is small, residents’ preferences are well-known and their individual tastes can easily be met. One resident said she liked the food and that ‘it was well-cooked’. Drinks and biscuits are provided throughout the day and the home provides special meals for celebrations. The manager has recently bought a new fridge-freezer and dishwasher for the kitchen. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 11 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 Residents are not provided with a simple, clear and accessible complaints policy. EVIDENCE: A complaints policy is available but it is rather complex and would be difficult for the home’s residents to understand. A recommendation was made at the last inspection that the policy should be made clearer and more suitable for the people it is intended for. The manager agreed he would clarify the policy. A suitable policy has not yet been produced and, therefore, a requirement is made that the policy must be clarified and all residents provided with a copy. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 12 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 and 26 Residents are able to access all areas of the home and garden and are provided with specialist equipment to encourage them to maintain their independence. Staff keep the home clean and hygienic ensuring residents are protected from infections. EVIDENCE: The home is clean, comfortable and homely. The owners have recently redecorated several of the bedrooms and have ordered new carpets and curtains. A new settee has also been ordered for the lounge. All repair and redecoration work carried out is recorded in a maintenance book. Care staff are responsible for keeping the home clean and tidy. The home recently had a satisfactory report from the Environmental Health Officer. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 13 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, 29 and 30 The home employs sufficient numbers of staff to ensure that residents’ needs are properly met. In order to protect residents from unsuitable carers, the home carries out the necessary checks on staff before they begin working at the home. The home does not have a staff training and development plan and staff do not receive all the training required to help them develop and meet the specialized needs of service users. EVIDENCE: The home is family-run with the owners living on-site. The family, who cover the nights and the early morning and late night shifts, provides the bulk of the care. In addition to the owner’s daughter (who has recently completed her NVQ 2 training), two other part-time care staff are employed, one of whom is a qualified nurse. There are no specific domestic staff, the cleaning being done by the family and care staff. The home has a master rota, which is updated to reflect holiday and sickness leave. Staff files contained all the required information (eg references and police checks), and copies of contracts were also on file. The home does not have a training and development plan and the last recorded training was in June 2004, although one member of staff had completed a medication course since then. Another staff member was booked on a manual-handling course due to take place later in September 2005. A R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 14 requirement was made that the home develops a training and development plan so that staff can develop their skills and fully meet the needs of residents. In particular, staff should receive training on dealing with dementia and challenging behaviour. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 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) 33, 35 and 38 The home did not have available for inspection a copy of its quality assurance and monitoring document, and there was little other evidence to show that monitoring of the service takes place. Residents’ financial interests are safeguarded by the home’s accounting procedures. The home’s health and safety procedures and practices do not fully protect residents from harm. EVIDENCE: The home’s quality assurance and monitoring system was unable to be assessed since there was only one copy of the document, which was not available on site. The only evidence provided was residents’ questionnaires dated June 2004. A requirement is made that the home produces and implements a quality assurance and monitoring programme. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 16 The manager is appointee for one resident and supports the other residents in managing their money. Secure facilities are available for storage of valuables. Bank statements and receipts were available for inspection and were found to be in good order. The home’s health and safety policies and practices were cause for concern. It was noted that a two-litre bottle of bleach was stored on an open shelf in the residents’ toilet, and that weedkiller had been left out in the laundry area. Despite having been advised at the last inspection in April that all homes must now use an approved Accident Book to comply with data protection legislation, the manager had not requested a new book until June and, at the time of the inspection, had not yet started to use it to record accidents and incidents. Policies and procedures relating to health and safety issues were not available at the home on the day of inspection. It is required that the home provides staff with written health and safety policies and procedures; that the approved health and safety book must be used to record accidents; that a fire drill, including a full evacuation is carried out; all that hazardous substances must be stored safely and securely. R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 17 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 2 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x 1 x 3 x x 1 R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 18 YES 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 1 Regulation 5(2) (6)(a,b) 14(2) 22(2)(5) Requirement The service user guide must be updated to contain all relevant information and a copy given to each service user. The risk assessment must be fully developed and used for all vulnerable service users. Service users must be provided with a written copy of the complaints policy appropriate to their needs. The home must produce a training and development plan and ensure that staff receive training appropriate to the needs of service users. The home must produce and implement a quality assurance and monitoring programme. The home must make written health and safety policies and procedures available to all staff. All hazardous substances must be stored safely and securely. A full fire drill, including an evacuation, must be carried out. The approved HSE accident book must be used. Timescale for action 31.10.05 2. 3. 8 16 31.10.05 31.10.05 4. 30 18(a)(c) 30.11.05 5. 6. 7. 8. 9. 33 38 38 38 38 24 (1)(2)(3) 13 (4)(a,b,c) 13 (4)(a,b,c) 13(4)(c) (6) 17 30.11.05 Immediate Immediate 31.10.05 Immediate R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 19 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 R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex 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 R Janmayur H59-H10 S14227 R Janmayur V235701 060905 Stage 4.doc Version 1.40 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. 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