Inspection on 23/05/05 for Rayleigh House

This inspection was carried out on 23rd May 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

Rayleigh House 16/02/09

Rayleigh House 01/11/06

Rayleigh House 18/11/05

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 Lincolnshire PE25 3DH Lead Inspector Jean Cope Unannounced 23 May 2005 09.30 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. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rayleigh House Address 17 Derby Avenue Skegness Lincolnshire PE25 3DH 01754 764382 01754 762525 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 B M Ghent Mr B M Ghent Care Home 15 Category(ies) of Dementia over 65 (DE(E)) - 3 registration, with number Mental Disorder over 65 (MD(E)) - 1 of places Old Age (OP) - 12 Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions 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. Date of last inspection 10.02.05 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.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. There is a bus stop at the end of the road. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place with the assistance of the manager and acting manager. One inspector undertook the inspection spending five and a half hours in the home. The inspector toured the building, spoke with two members of staff and seven 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 records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? The acting manager and the care team are continuing to improve residents’ records and care plans. Senior care staff have been appointed to support the acting manager and are have responsibility for the care delivered. The system providing hot water and heating for the home has been improved. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 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. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 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 Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 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) 1,2, 3, 4 and 5 Some written information is available for residents and their families, and they are encouraged and welcomed to look around before they move in. Residents said that their needs were being met 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 manager explained that they are developing a new brochure and service users’ guide. Senior staff assess all residents before they move into the home and encourage them and their relatives to have a look around. Before residents decided to stay at the home permanently, they are offered a trial visit. All residents are given a copy of the home’s terms and conditions on admission to the home. Staff were able to give a good account of how they meet residents’ needs in the home. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 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, 9 10, Care is given to residents in a quiet gentle manner and residents are spoken to respectfully. Residents’ privacy and dignity is respected. EVIDENCE: Residents have a plan of care detailing their individual needs, which senior staff are responsible for reviewing. Residents and their families are involved in developing them wherever possible. Care plans have improved since the last inspection with the care team working together to improve their quality. Doctors and nurses are requested to visit residents when necessary and they are escorted to outpatient appointments at the hospital. A chiropodist regularly visits the home. The home’s pharmacist visited recently and their written report states that ‘the storage was excellent with no evidence of excess medication’. All medication records were seen to have been completed. All staff giving medication have received training. Staff were seen to knock on residents’ doors prior to entering. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 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) 12, 13 and 15 There is very little in the way of planned activities in or out of the home, which is also largely dependent on the number of staff on duty. Residents are able to exercise choice about where they spend their time with a resident saying ‘you can do exactly what you want to do’. EVIDENCE: Three residents said that they had enjoyed a trip to the shops and to look at the boating lake, but this has happened only rarely. They said that trips like this really made a difference to their lives. There is a regular church service held in the home on a six weekly basis. A hairdresser visits the home regularly. Residents are able to come and go as they wish and their visitors are made welcome. Staff encourage residents to remain as independent as possible with a resident confirming that she did as much for herself as she could, with staff assisting her when she needed them. Residents said that the food was good, with plenty of choice and plenty of it. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 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 and 18 Residents’ views are listened to and acted upon in order to improve the services offered to them. EVIDENCE: The home has received no complaints since the last inspection and none were received on the day. Residents were clear how to complain and who to. Staff have received training on how to protect residents from adult abuse and the manager has a copy of the local authority adult protection procedure. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 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, 20, 21,22, 23, 25 and 26 The home offers a homely comfortable environment, cleaned to a high standard and was odour free throughout, however some areas need to be redecorated to ensure the standard is maintained. EVIDENCE: There are ongoing improvements to the home, but some flood damage to ceilings and corridors needs to be made good. Bathrooms and toilets were attractive and clean, with aids and adaptations available for the more frail residents. Residents are able to choose to sit in either of the two lounges or the sun lounge. Residents are able to personalise their own rooms and bring small items of furniture with them. The garden needs to be tidied and the concreted area at the bottom of the fire escape is cracked and uneven and requires attention. Recommended hot water temperatures are exceeded in one bathroom, but manager ensures that bath water temperatures are measured on every occasion. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 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) 28.29 and 30 Safe recruitment is practised in the home to the benefit of residents. There is no formal training plan for the home, which means that some staff have not received the appropriate training to ensure that they are competent to do their jobs. EVIDENCE: A new staffing structure has been developed since the last inspection with the introduction of senior care staff taking more responsibility for ensuring the smooth running of the home. Many staff have worked in the home for several years providing consistent care for the residents with staff getting to know their residents’ needs very well. Recruitment records inspected showed that the acting manager had safely recruited staff, ensuring that she had received written references and CRB checks before staff worked in the home. Written records were seen for one new staff member showing that they had received induction training in the home. The staff member confirmed this although they also said that they had received no other formalised training since commencing work. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 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 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, 35 and 38 There is good morale amongst the care team supported by the manager and acting manager, which provides a stable environment for residents. Irregular testing of fire bells could put residents and staff at risk. EVIDENCE: The home has a registered manager, but the day-to-day management is undertaken by the acting manager who is studying for her manager’s award. The home identified on the pre-inspection survey that the environmental health officer had recently visited the home and recommended that catering staff receive basic food hygiene training. Since the last inspection the acting manager has ensured that records relating to residents’ money looked after by the home, have improved. A fire lecture has been planned for staff in June 05. Examination of the fire log book showed that fire alarms had not been tested on a weekly basis as recommended by the fire authority. Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 15 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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 2 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 3 x x 2 Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 16 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 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. Appropriate activities must be identified and arranged for residents living in the home. Areas damaged by the flood must be made good. The gardend should be tidied and the concreted cracked area at the bottom of the fire escape should be made safer. Staff must receive training appropriate to the work they are performing. A training plan must be put in place. 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. Timescale for action 30.06.05 2. 3. 4. 5. 2 12 19 20 5(1)b 16(2)(n) 23(2)(b) 23(2)(b) 30.06.05 30.09.05 30.09.05 30.09.05 6. 28 and 30 18(1)c 30.09.05 7. 33 24(1) 30.09.05 8. 38 23(4) Immediate Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 17 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 Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unity House, The Point Weaver 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 Raleigh House C53 C04 S2407 Rayleigh House V228831 230505 Stage 4.doc Version 1.30 Page 19 - 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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