Inspection on 16/02/09 for Rayleigh House

This inspection was carried out on 16th February 2009.

CSCI found this care home to be providing an Good service.

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

Rayleigh House 01/11/06

Rayleigh House 18/11/05

Rayleigh House 23/05/05

Rayleigh House 10/02/05

Rayleigh House 21/10/04

Rayleigh House 26/01/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rayleigh House 17 Derby Avenue Skegness Lincs PE25 3DH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ken Hague     Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Rayleigh House 17 Derby Avenue Skegness Lincs PE25 3DH 01754764382 01754762525 seabreezes41@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr B M Ghent,Mrs S Ghent Name of registered manager (if applicable) Mrs Susan Hinton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The category of MD(E) is on a named basis and will cease when that person is no longer accommodated at the home The home is registered to provide personal care for service users of both sexes whose primary care needs fall within the following categories:- Old Age, not falling within any other category (OP) - 15 Dementia - over 65 years of age (DE/E) - 3 Mental Disorder, excluding the category of LD, (MD/E) - 1 The maximum number of service users to be accommodated is 15 Date of last inspection Brief description of the care home Rayleigh House is a privately owned care home for older people. It is operated as a family run business. The home has been converted from a former hotel and has been Care Homes for Older People Page 4 of 24 0 0 0 Over 65 3 1 15 care home 15 Brief description of the care home extended and altered to provide care and accommodation for up to 15 people in 9 single and 3 double rooms Three of the single rooms have en-suite facilities. Accommodation is provided on two floors and a stair lift provides access to the first floor. The home is located in a residential area which it is situated is a cul-de-sac affording the home some quietness and privacy in a busy coastal town. There are shops available in the vicinity and the main shopping area can be reached, however, transport is advised. The home does have a small garden and a sun lounge come small conservatory to the front of the building, allowing residents the opportunity to sit and observe passers by and acknowledge their neighbours. On street parking is available. There is a bus stop at the end of the road. The homes fees range from £372 to £457. The proprietors encourage new residents to visit prior to making any decision to stay at the home. The home has an updated statement of purpose which advises any potential residents of the resources the care home. A service user guide is given to all new residents. Both of these documents are available in the entrance hall of the care home next to the visitors book. A copy of the latest Commission for Social Care Inspection report is also available in the entrance. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was an unannounced and took any previous information held by the Commission for Social Care Inspection about the home into account. Throughout this report the terms and we and Us refers to the Commission for Social Care Inspection (CSCI) Before the visit the provider had returned an annual quality assurance assessment (AQAA) . This gave us information about their own assessment of how well they are meeting standards and their plans for improvements over the next 12 months. We also sent out surveys to residents, no surveys were returned in time to be included in this report. The registered manager stated that the surveys have been sent to the Cambridge office of the CSCI but these could not be located at the time this report was Care Homes for Older People Page 6 of 24 written The main method inspection used was called case tracking. This involves selecting a proportion of residents and tracking the care they received through the checking of records, discussions with them and the staff who care for them, and the observations of care practices. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive a full detailed assessment to ensure that their identified needs can be met by the resources of the home. Evidence: The files for three residents being case tracked all contained a comprehensive assessment drawn up with each resident which provided the basis for safe care to be delivered. The registered manager stated that all new residents are admitted only after a full assessment has been undertaken by a competent member of staff.The assessment identifies the social and care needs of each resident. The registered manager stated the assessing officer must ensure that all identified needs can be met by the resources of the care home. Residents confirmed that they had been involved in the writing of this initial assessment. They had signed and dated their own individual assessment. The Care Homes for Older People Page 10 of 24 Evidence: registered manager stated that a risk assessment is carried out to ensure that any identified risk can be reduced or removed. Staff confirmed that they read assessments and care plans in order to be able to understand the individual needs of each resident. Staff confirmed that the information from these assessments are transferred onto individual care plans to be used as working documents. Assessments are being reviewed formally every six months. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans instruct staff how to meet residents needs safely. Health care needs are being met. Evidence: The inspection of a sample of care records produced evidence that the information obtained at the initial assessment is used to write a formal care plan. Care plans detailed the needs of each individual resident in respect of personal care and social care. Care plans instruct staff how the identified needs are to be met safely using the resources of the care home. They detail the equipment necessary to carry out each task and the number of staff required to ensure the resident is safe. If any risk has been identified the management of that risk is included in the personal care plan. Care plans are being reviewed in line with national guidelines. Residents confirmed that they had signed and dated their own individual care plan. Staff confirmed that care plans are working documents. The registered manger stated that the home workd closely with community health care Care Homes for Older People Page 12 of 24 Evidence: services. Care records contain details of visits made by GPs and health visitors. Records also provided evidence that chiropodist visit the home and that residents are able to obtain the services of an optician and dental practitioner. Resident stated that staff treat them in a courteous manner and are sensitive in a way that they provide personal care. A resident stated staff help me with my personal care but do not embarrass me. They help me in a sensitive way. They respect my privacy and always ask permision before entering my bedroom. The company has an updated policy and procedure for the administration and storage of medication. She stated that only qualified staff were judged to be competent are allowed to administer medication. Staff confirmed her statement to be correct. Training records supported the statement that staff received training in the Administration and storage of medication. Observations on the day provided evidence that medication procedure of the care home was being followed and that medication is stored appropriately and safely. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a diet and a the range of activities that suits there needs and wishes. They benefit from being able to maintain links with the local community. Evidence: A range of activities are offered to the residents which are detailed in the AQAA. Activities take place within the home and the local community. Residents spoken to during the site visit described their favourite activities. These were recorded on the individual care plans. Evidence of activities being offered were found in the activities record file. No negative comments were received from any resident in respect of activities provided by the home either on the day of the visit or in the have your say documents return by residents. The registered manager stated that although there are planned activities residents can choose to change their social activities on the day. There was evidence found on notice boards in residents discussions and in photographs displayed in the home that residents do take part in activities in the community. These include visits to restaurants and theatres and other social events held in a community setting. The home has a menu which offers choices to residents while meeting the individual Care Homes for Older People Page 14 of 24 Evidence: dietary needs of the individual residents. If the resident requires a special diet the registered manager stated this is recorded within care records and details kept in the kitchen. A resident stated the food here is very good. A second resident stated I am very happy with the food they give me its tasteful and presented well. A third resident stated we are always asked what we want to eat every day Im very satisfied with the homes menu. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by clear policies and procedures; and staff who are trained and knowledgeable. Evidence: The complaints procedure is displayed in an entrance hall. The registered manager stated a copy of this procedure is given to all residents. Staff stated they discussed the complaints procedure with residents to ensure they know how to make a complaint. A resident stated I do know how to raise a formal complaint but if we have any worries we can talk to the manager who puts things right immediately. Residents and staff interviewed during the site visit stated that the management team are very approachable and would act immediately if any complaints or concerns were raised with them. There have been no notifications since the last key inspection that have raised any concerns. There have been no Adult protection enquiries held at the home since the last key inspection. Training records showed that staff had received safeguarding training. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean well maintained care home, which provides them with safe comfortable accommodation. The up-to-date infection control policy is followed and a safe environment is maintained. Evidence: The registered manager stated that there is in place an ongoing maintenance programme,she stated that new windows had been fitted to the front of the house. A number of bedrooms have been decorated. A new patio area had been created outside the home. The home was clean and smelt fresh. there were no negative comments made by residents in the have your say document or during the discussions during a site visit in relation to environmental care home. No infection control issues of health and safety issues have been identified since the last key inspection. Residents stated they felt safe living in the home. Staff confirmed that they found it a safe environment in which to work. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of staff on duty with appropriate skills to meet the needs of residents. Staff are recruited safely using the updated recruitment procedure of the care home. The registered manager ensures training opportunities are provided for staff. Evidence: During the site visit a relaxed atmosphere was evident, call bells were answered promptly, and staff demonstrated efficient management of residents needs. Staff said that there are enough people on duty to meet needs, and if shortages occur through sickness, there are staff to call upon to fill any gaps. The staff stated that if residents needs increased additional staffing is provided. Rotas show satisfactory numbers of staff are available on each shift. Records show that staff have received training in areas such as moving and handling, fire safety, health and safety, diabetes, and dementia. There is also evidence that induction training is provided and training for a nationally recognised qualification is available. The registered manager has received training in the mental capacity at. Staff training dates have been identified for the staff to obtain an understanding of this new legislation. Care Homes for Older People Page 18 of 24 Evidence: Staff confirmed that access to training is very good and they received a good induction. The registered manager stated that all staff are provided with supervisions and appraisals. Staff confirmed the accuracy of this statement. A resident stated staff are very caring here there are always sufficient staff around to help us. Another resident stated you will not find better staff in any home. The home has a recruitment procedure in place which includes obtaining an application form, criminal record bureau check and two written references for any new member of staff. The home interviews all new staff before offering employment. An introductory course called an induction is provided to all new staff when they commenced employment. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run with good leadership. The health and safety and welfare of residents is promoted. Evidence: All of the key standards were met at this inspection. Staff stated that they feel supported by the managers of the home. The inspection of training records produced evidence that staff are being given training opportunities, appraisals and regular supervision. No health and safety or infection control issues identified. The managers continue to keep us informed of any incident which affects the safety of residents. The registered manager produced quality assurance documents which contained only positive comments. She confirmed that residents meetings and staff meetings are being held. No complaints have been received by the home or the Commission for Social Care Inspection since the last key inspection. Care Homes for Older People Page 20 of 24 Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!