Inspection on 18/11/05 for Rayleigh House

This inspection was carried out on 18th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rayleigh House 16/02/09

Rayleigh House 01/11/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rayleigh House 17 Derby Avenue Skegness Lincs PE25 3DH Lead Inspector Jean Cope Unannounced Inspection 14.30 18 November 2005 th 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 Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rayleigh House Address 17 Derby Avenue Skegness Lincs PE25 3DH 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) 01754 764382 01754 762525 Mr B M Ghent Mrs S Ghent Mr B M Ghent Care Home 15 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (12) Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration The category of MD(E) will be on a named basis and will cease when that person is no longer accommodated at the home. 23rd May 2005 Date of last inspection Brief Description of the Service: Rayleigh House is a privately owned care home for older people. It is operated as a family run business together with another home in the resort town of Skegness. The home has been converted from a former hotel and has been 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. There is a bus stop at the end of the road. The home does not have a garden but 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 are opportunities for the residents of Rayleigh House to enjoy the facilities offered by its sister home. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place with the assistance of the deputy manager over a three hour period. The inspector toured the building, spoke with two members of staff and the deputy manager and residents living in the home. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care that they receive through the checking of their records, discussion with them, the care staff and observation of care practices. There were twelve residents residing in the home on the day of the inspection. What the service does well: What has improved since the last inspection? The deputy manager is undertaking the Registered Manager’s Award and is applying to the Commission to become the registered manager of the home. New care plans have been devised for residents and are reviewed by senior care staff on a regular basis. The manager’s office has been re-organised making it easier to find records and documents. Staff training has also improved. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4 Some written information is available for residents and their families, and they are encouraged and welcomed to look around before they move in. EVIDENCE: A statement of purpose is available for new residents and their families, which tells them about the services and facilities available in the home. The deputy manager explained on the last inspection that they are developing a new brochure and service users’ guide. This is not yet available for inspection. Senior staff assess all residents before they move into the home and encourage them and their relatives to have a look around. Staff were able to give a good account of the needs of the residents that were case tracked, which was also documented on residents’ care plans. The residents who were case tracked and spoken to, also confirmed the information recorded and the comments offered from staff, were correct. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,11 Residents and their families are involved in planning the care that they receive from staff. Staff were seen laughing and joking and speaking kindly with residents. EVIDENCE: New care plans have been developed and are being put into place for residents living in the home. Some residents have been involved in producing them. Care plans are reviewed regularly, sometimes with the involvement of a resident’s family member. Two medication pots containing residents’ medication had been left in the kitchen to give to residents. This practice is unsafe and the carer’s attention was drawn to this immediately. It is acknowledged that the manager said that this is not normal practice in the home. Care staff gave a sensitive account of how they would look after residents at the end of their lives and would care for them ‘as they would want to be cared for’. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 the following standard(s): 3,14 Staff encourage residents to maintain and exercise choice over their lives whilst receiving the support they need. EVIDENCE: Residents are encouraged to take part in board games, jigsaws puzzles and shopping trips to the local shops. One resident regularly shops for other residents in the home, and two residents have daily walks. Residents were enjoying an old-fashioned music afternoon and discussing this with one of the carers when the inspector arrived. Residents were seen to be offered choice by the staff, in relation to where they ate their meals, where and how they spent their time. The deputy manager said that residents could get up and go to bed as they wished. Many of the residents went to their own rooms after they had eaten their evening meal. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These outcomes were not inspected. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 the following standard(s): 19,20,26 Residents live in a comfortable and clean home. EVIDENCE: The home was tidy and cleaned throughout to a high standard and residents had been able to make their own rooms more homely by bringing in their personal possessions. There are areas in the home that need to be decorated, the downstairs bathroom ceiling needs attention following some flood damage and the sun porch roof needs to be repaired. These areas have already been identified as needing attention by the proprietors. There were no unpleasant odours in the home and there are arrangements in place to prevent the spread of infection. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents benefit from a skilled, competent and stable workforce who know the residents well and who are able offer them good care. EVIDENCE: The home is managed by a registered manager, who is normally supported by a senior carer and two carers. The home is staffed at night by one waking and one sleeping member of staff. Since the last inspection staff working in the home have received training in moving and handling, fire safety and some staff are also commencing basic food hygiene. Fifty percent of the care staff working in the home have successfully completed National Vocational Qualification Training Level 2 with a further three staff waiting to enrol on the course. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 The home is well run and residents speak highly of the staff and the care they receive. EVIDENCE: There are safe and secure arrangements made for looking after residents’ monies. Receipts are kept and accounts are regularly balanced and checked by the deputy manager. The manager has not implemented a system, which ensures that residents views on the service provided to them are recorded, however the residents expressed their views openly and easily and spoke highly of the manager and deputy manager, the staff and the care they received. The laundry door, which should be kept closed, was propped open on this occasion. Care should be taken to ensure it is kept closed. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 15 Fire bells must be tested an recorded on a weekly basis as recommended by the fire authority. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 2 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 2 Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? yes 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 OP1 Regulation 5 Requirement The registered person must ensure that a service users’ guide is produced and supply a copy to the NCSC and each service user.The proprietor is reviewing this document. Terms and conditions must state what fee is being paid and by whom. Medication must be dispensed immediately to the person it is prescribed for and not put into medication pots. The garden should be tidied and the concreted cracked area at the bottom of the fire escape should be made safer. The registered person shall establish and maintain a system for reviewing and improving the quality of care provided at the home. Fire bells must be tested and recorded on a weekly basis. Staff must ensure that the laundry door remains closed at all times. Timescale for action 31/03/06 2 3 OP2 OP9 5(1)(b) 13(2) 31/03/06 18/11/05 4 OP20 23(2)(b) 31/03/06 5 OP33 24(1) 31/03/06 6 7 OP38 OP38 23(4) 13(4)(a) 18/11/05 18/11/05 Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 18 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 OP7 Good Practice Recommendations It is recommended that if a resident is unable to take a good diet, or is refusing food, that a record of their nutritional and fluid intake is recorded and maintained. Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Rayleigh House DS0000002407.V259303.R01.S.doc Version 5.0 Page 20 - 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!