Inspection on 04/01/06 for Regent Hotel

This inspection was carried out on 4th January 2006.

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 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

Regent Hotel 15/03/10

Regent Hotel 04/03/09

Regent Hotel 07/03/07

Similar services:

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Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Regent Hotel 11 North Marine Drive Bridlington East Yorkshire YO15 2LT Lead Inspector Lynne Busby Unannounced Inspection 4th January 2006 09:30 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 Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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 Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Regent Hotel Address 11 North Marine Drive Bridlington East Yorkshire YO15 2LT 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) 01262 673338 01262 403607 Sandylane Ltd Mrs Elizabeth Annie Finney Care Home 29 Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (29) of places Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28/06/05 Brief Description of the Service: Regent Hotel is a large detached building situated close to Bridlingtons North Beach. It is part of a residential area away from the commercial aspects of the town. The local shops and amenities are only a short walk from the home. The home offers accommodation for up to 29 elderly male and female service users who may have conditions associated with old age. Regent Hotel has a range of room sizes available, the majority with ensuite facilities. Service users can enjoy the views from the lounge/dining room, which looks out over the bay. There is a garden area at the front of the home with seating and tables available. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed as part of the programme of inspections for the year. It was an unannounced inspection undertaken by one inspector. The inspection day lasted from 9.00 am to 2.00 pm with a previous 2 hours preparation also being completed. During the inspection a tour of the premises was completed, and a review of the documentation including care plans and recording systems. Time was also spent with residents in the communal areas. The inspector spoke to ten of the twenty-nine residents and five of these were engaged in longer conversations. Discussions were held with staff and the manager and visiting relatives. What the service does well: What has improved since the last inspection? What they could do better: The manager needs to ensure that service users plans are regularly reviewed especially service users who are self –funding. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 6 The toileting facilities in the downstairs communal area should be reviewed. There is presently only one available for service users and one staff toilet. 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 Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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 Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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): 5,6. Service users and families can visit the home prior to being accommodated to help them make an informed decision. EVIDENCE: Prospective service users can visit the home prior to moving in and stay for a meal and meet the other service users and staff. Since the previous inspection the admissions policy has been reviewed and that now includes an emergency admissions procedure. The home does not offer intermediate care. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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 The service user’s health, personal and social care needs are met. EVIDENCE: Three service users files were tracked and these included either a community care assessment or the home’s assessment for service users who are self funding. The plan of care is generated from the community care plan and is reviewed monthly by the keyworker. One-service user said she was aware what her care plan contained. It was noted that one service user who was self funding had not had a recent review. The manager said that a plan for all service users review had been drawn up for the year to ensure no one was missed. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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): 12 Service users social, cultural and recreational needs are met. EVIDENCE: Service users have a choice in all aspects of their daily lives. Service users interests are recorded. The home employs a staff member to provide activities. On the morning of the inspection service users had a variety of activities. Service users were playing dominos doing artwork or being read to. In addition they organise bingo and quizzes and have movement to music and a singer visits the home monthly. Two-service users commented that they had enjoyed Christmas in the home. There is a religious service every third Wednesday. There is a weekly entertainment programme displayed on notice boards throughout the home. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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): 16 Service users know how to complain and are listened to. EVIDENCE: The home has a complaints procedure available and this is displayed on notice boards throughout the home. Service users and visitors spoken to know how to complain and stated that complaints and concerns are listened to and acted upon. There have been no complaints since the previous inspection. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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, 21,26 The home is clean, hygienic and well decorated. The service users live in a safe and comfortable ‘homely’ environment. Service users have suitable communal lavatories but these do not meet their present needs. EVIDENCE: The home has accommodation over three floors and is accessible to all floors via a passenger lift. There is a garden area at the front of the home with seating and benches and is accessible to service users via a mobile ramp. The manager advised that there is a programme of routine maintenance and renewal. The building complies with the requirements of the local fire service and environmental health department. Regent House has limited communal space for its service users. There is a large lounge/dining room that has been recently redecorated and refurbished. One corner is reserved for service users who wish to smoke, as no separate facility is available. There is an extractor fan available. The registered manager advised the inspector that it is the intention of the providers that the home will Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 13 eventually have a no smoking policy. However, in the interim an alternative is being looked at. The home has two bathrooms with hoists to provide assisted baths. The home has 23 bedrooms that have ensuite facilities, some with baths and showers. There are five communal toilets facilities, but only one of these is on the ground floor. It was noted that a number of service users wanted to use the one communal toilet, which required some people waiting and caused some service users frustration. A review of the toileting facilities is required. There is a laundry facility available and laundry is washed at appropriate temperatures. There are policies and procedures in place for control of infection. There is provision of protective clothing for all staff. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 14 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): 28 Service users are cared for by trained staff. EVIDENCE: The home has over 50 of staff that have completed the NVQ level 2. All other staff with the exception of one are working towards completing NVQ Level 2. One senior staff member has completed NVQ Level 4 managers award and the deputy manager is working towards this. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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 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): 31,33,35,36 The home is well managed and run efficiently. It provides an environment that is safe and the welfare of staff and service users is promoted. Supervision of staff is in place. EVIDENCE: The registered manager has achieved NVQ level 4 and 5 in management and has recently completed NVQ level 4 in care. She has updated her skills and knowledge and attended periodic training. The manager informed the inspector that she has a job description. Service users are encouraged to handle their own finances whenever possible. Two service users files and monies stored were checked and accurate. Records are kept with receipts of all transactions. There are secure facilities available for safe keeping of money and valuables. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 16 The home have just implemented a supervision and an annual appraisal system. This is in the early stages and the inspector will have a clearer view if this is meeting the standard at the next inspection. The home has developed an in house quality assurance system and has been awarded Part 1 of the East Riding Social Services Department Quality Development Scheme (QDS). The manager advised that they are now working towards QDS Part 2. The development plan for the home and published results of the surveys is required to be sent to CSCI. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 2 2 X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X X Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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 2 Standard OP7 OP33 Regulation 14,15 24(1)(a) (b)(2)(3) Requirement The service users plan must be reviewed. For quality assurance the results of surveys must be published and made available to service users, representatives and other interested parties and the Commission for Social Care Inspection. Timescale for action 31/03/06 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP20 OP21 Good Practice Recommendations The registered person should ensure service users are provided with a range of communal space, which includes a smoke free sitting room. The number of accessible toilets for service user close to the lounge and dining room should be reviewed. Regent Hotel DS0000064420.V262068.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Hotel DS0000064420.V262068.R01.S.doc Version 5.1 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. 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