Inspection on 15/12/05 for Regent

This inspection was carried out on 15th December 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

Regent 14/11/06

Regent 31/08/05

Regent 30/11/04

Regent 19/05/04

Regent 24/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Regent School Road St Johns Worcester Worcestershire WR2 4HF Lead Inspector Y South Unannounced Inspection 15th December 2005 10:50 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 Regent DS0000030248.V272713.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. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Regent Address School Road St Johns Worcester Worcestershire WR2 4HF 01905 337100 01905 420278 Telephone number Fax number Email address Provider Web address www.heart-of-england.co.uk/care/regent Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Heart of England Housing and Care Limited Sandra Ann Dixon Care Home 60 Category(ies) of Dementia - over 65 years of age (60), Old age, registration, with number not falling within any other category (60), of places Physical disability over 65 years of age (60) Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1. The home may provide care and accommodation for one named person over the age of 65 years with learning disability needs. The home may provide care and accommodation for one named person who is under the age of sixty-five years. 31st August 2005 Date of last inspection Brief Description of the Service: Regent is a purpose built home situated in a residential area of St Johns on the outskirts of the city of Worcester. It is well placed for access to local amenities and transport. The two-storey building has sixty single bedrooms, all with en-suite facilities. In addition there are communal lounges, dining rooms, toilets and bathrooms on each floor. Shaft lifts facilitate mobility between floors and there is ground floor access to a pleasant enclosed garden. The home is owned by Heart of England Housing and Care Ltd and managed by Mrs Sandra Ann Dixon. A service is offered to a maximum of sixty people of either sex over the age of sixty-five years who have needs associated with old age including physical disabilities and dementia illnesses. Two places are available for people requiring respite care and the other fifty-eight are available for people needing permanent residential care. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over approximately one and a half hours from 10:50am until 12:30pm. The focus was on the requirements and recommendation that had arisen out of the previous inspection. Because the home had an outbreak of infection at the time a very limited inspection was conducted. The inspector did not tour the home or speak to any of the residents. A service questionnaire was given to the manager during this inspection to complete and returned to the Commission for Social Care Inspection. The manager was also asked to distribute other questionnaires regarding the service to residents, relatives and health care professionals. The completion of these is voluntary but proves useful in assessing the various views that are held. The responses that are received may be included in the report of the next inspection. What the service does well: What has improved since the last inspection? Since the last inspection staff have begun training to use a new care planning system of records, a new carpet has been laid in one of the units, one of the bedrooms has been completely refurbished and a new cleaning system is being trialled. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 6 A person has been recruited and appointed as an activities co-ordinator and the manager has attended a workshop which has stimulated a lot of positive ideas regarding individual and group activities that residents can participate in if they wish. 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. Regent DS0000030248.V272713.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 Regent DS0000030248.V272713.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): EVIDENCE: These standards were not assessed during this inspection. It was planned to assess the standard relating to ‘needs assessment’, however due to the infection in the home this will be now be done during the next inspection. Regent DS0000030248.V272713.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): 9 Medication is well managed so that the residents receive the drugs they are prescribed correctly. EVIDENCE: It was planned to assess compliance with the requirements relating to care plans and risk assessments. However due to infection in the home this was not done. The manager said that the senior staff monitored and reviewed the care records each month and she believed that this had improved the standard of recording. The home was about to commence use of a new care record system that promised to be more ‘user friendly’. The new system would automatically be used for new residents and the current residents’ records would be transferred to the new system, one unit at a time. Feedback would be sought from all staff. Standards 7 and 8 will be assessed in depth during the next inspection. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 10 Medication storage, records and training were acceptable. None of the current residents wished to self-medicate so the home accepted responsibility for this aspect of care. The manager said that all new residents were asked their preference when they moved in. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 Work is in hand to expand the range of interests and activities available to residents. Residents are able to make decisions and choices regarding their life routines and the care they receive. EVIDENCE: Following the last inspection a requirement was made that the range of activities be expanded so that residents had access to recreational events that were stimulating and to their taste. An activities co-ordinator had now been appointed and would commence his duties as soon as the risks of cross infection had abated. The manager said that he was enthusiastic and full of ideas. The manager had been on a workshop that had been most successful and she had returned with ideas and suggestions. Together with suggestions from other staff and residents she was confident that the requirement would be met when everyone had recovered their health and the opportunities were made available. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 12 It was suggested that the questionnaires left by the inspector be distributed to the residents in a few weeks time by when they will have had an opportunity to make a judgement on the changes to the provision of activities and interests and provide informed feedback. Although evidence directly from residents was not available the manager confirmed that they were able to make decisions regarding their care and routines. They chose their meals and where they ate. They chose whether they stayed in their rooms or the communal rooms. They chose which activities, if any, they participated in. They had access to the complaint procedure and if necessary would be supported to use it. Residents’ meetings and 1:1 meetings gave opportunities for them to make suggestions and express opinions. The quality assurance questions demonstrated that issues were raised and the home took appropriate action and responded when necessary. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 13 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 standards were not assessed during this inspection. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 14 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): 20, 26 EVIDENCE: These standards were not assessed. However compliance with the requirements made in the previous report were discussed with the manager. The manager confirmed that the carpet in St Clements unit had been changed and the area that had previously had an odour had been completely recarpeted and redecorated. A new chemical solution was being piloted to address difficult problems. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): EVIDENCE: These standards were not assessed during this inspection. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 38 EVIDENCE: The assessment of health and safety was limited, as a tour of the home was not undertaken. However the manager confirmed that there was a health and safety policy and procedure and the equipment and services in the home were appropriately maintained, monitored and serviced. The fire log demonstrated that the equipment and systems were being checked out at the correct frequency and the manager confirmed that there was a risk assessment for the home. It was observed that there was a problem with emergency lighting that had been on going since 23.03.05 despite frequent requests by the home for repairs to be carried out. This delay is not acceptable. A requirement will be Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 17 made with a short time scale and the Commission for Social Care Inspection must be informed when the work has been successfully undertaken. An external fire safety trainer visited the home twice a year and in-house training took place so that all staff received refresher sessions at least every three months as is recommended by the Hereford and Worcester fire authority. It was recommended that the monitoring tool be developed further so that it was clearer and easier to use. Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X 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 X 3 X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 19 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 OP38 Regulation 23 Requirement Emergency systems must be maintained in good order. Specifically the emergency lighting system must be repaired where necessary as a matter of urgency and be fully operational. Timescale for action 30/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Regent DS0000030248.V272713.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Regent DS0000030248.V272713.R01.S.doc Version 5.0 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. 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