Inspection on 28/11/05 for Regent House

This inspection was carried out on 28th 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Regent House 23/05/07

Regent House 09/10/06

Regent House 13/03/06

Regent House 30/03/05

Regent House 12/08/04

Regent House 04/12/03

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

CARE HOME ADULTS 18-65 Regent House 28/30 Wellesley Road Clacton On Sea Essex CO15 3PP Lead Inspector Steve Boyd Unannounced Inspection 09:00 28 November 2005 th Regent House DS0000017918.V266692.R01.S.doc Version 5.0 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 House DS0000017918.V266692.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 Adults 18-65. 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 House DS0000017918.V266692.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Regent House Address 28/30 Wellesley Road Clacton On Sea Essex CO15 3PP 01255 421122 01255 431165 regenthouse@btinternet.com 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) Mrs Beatrice Owens Miss Suzanne Owens Mrs Joan Owens Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23) of places Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th March 2005 Brief Description of the Service: Regent House is a care home for people with mental health conditions whose prime needs are for emotional support and care. Regent House is a three storey, detached property located in close proximity to Clacton town centre. All except one of the bedrooms are single occupancy and there is a choice of communal rooms. There is a small courtyard style garden to the rear of the property. Regent House DS0000017918.V266692.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 on one day in November 2005. The inspector spoke with four service users in private and a number of others in the home’s communal areas. Three staff were spoken with during the inspection and the manager was available and assisted throughout the course of the day. A partial tour of the premises was undertaken and various records and policies were also seen. A total of 19 National Minimum Standards were considered at the inspection and only one was not met. What the service does well: What has improved since the last inspection? A number of requirements still outstanding at the previous inspection had been addressed by the time of this inspection. For example, the Statement of Purpose had been amended to give fuller details of room sizes. Staff supervision had been implemented on a more regular basis in line with National Minimum Standards. The inspector was also pleased to note that specific training in mental health issues had been provided by means of a twoday course for staff and the manager, Mrs Owens successfully achieved her National Vocational Qualifications at level 4 in both care and management. Regent House DS0000017918.V266692.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. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The home now has appropriate information available to allow prospective service users to make an informed choice about whether they wish to live at Regent House. EVIDENCE: The home has a service user guide and since the previous inspection had amended the Statement of Purpose to give fuller information on the environmental standards at Regent House. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. Service users had individual plans of care which reflected personal goals and strategies for meeting these. Service users are supported to take risks in their day to day lives. EVIDENCE: A number of service users plans of care were sampled during the inspection. Goals and objectives were set based on an holistic assessment of service users needs. The objectives were regularly reviewed and there was clear evidence of service user involvement in the setting up and review of plans. Daily reports made on service users linked into care plans. Risk assessments were seen to be available for service users. These had clearly defined risks and strategies as how to minimise the risks to service users. These like care plans were acknowledged by service users signing their acceptance of the risks and strategies to meet these. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 and 17. Service users can take part in appropriate activities both within the home and in the local community. Service users have a range of appropriate personal and family relationships. Service users benefit from a varied and enjoyable diet. EVIDENCE: Service users are involved in varying activities which include playing bingo, darts, quizzes and karaoke evenings. Many choose to watch TV or videos and listen to music in their rooms. A number of service users utilise Dawson House drop in house facility in Clacton. Two service users attend the local chess club and other service users use the shops and cafes within their local community. All the services users at Dawson House have some contact with family, friends or other appropriate adults. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 11 Service users commented that they enjoyed the food on offer at Regent House. Records are kept of what each individual resident has eaten. Stocks of food seen during the inspection indicated a variety of foodstuff. Preparations were well in hand for the Christmas celebration at Dawson House. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 and 20. Service users emotional and physical health needs appear to be met. Service users were able or encouraged to self-administer medication and policies and procedures are in place to protect those who have medicines administered by staff. EVIDENCE: Service users files and care plans that were sampled during the inspection evidenced that health needs of service users were monitored and appropriate appointments made with health specialists. A number of service users have ongoing dealings with community psychiatric, social workers and other professionals. Two of the current service user group are able to self-administer medicines. The home operates a monitored dosage system of medicine administration for service users deemed unable to self-administer. Records relating to the system were seen to be up to date during the inspection. Medication is kept in a secure facility within the home. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. Service users views are listened to and acted upon. EVIDENCE: The home has a complaints procedure which is made available to service users and other interested parties. The inspector was advised of one complaint made anonymously since the previous inspection which had been investigated and details sent to the CSCI. Regular service users meetings take place where residents can voice their views on the operation of the home. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Service users generally live in a homely, clean, comfortable and safe residence. EVIDENCE: Communal areas and bedrooms seen during the inspection were generally well decorated and free from safety hazards. One service user’s bedroom had a carpet which needed some repair in order that it did not present a trip hazard to the service user. Since the previous inspection a couple of bedrooms had been redecorated and there were plans to recarpet the dining room area in the near future. Odour control within the home was excellent and bathrooms, toilets and other communal areas were clean and tidy. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Service users are supported by both competent and qualified staff. The recruitment policy and practice of the home puts the residents’ safety at its forefront. Staff benefit from regular supervision from a supportive manager. EVIDENCE: Staff presented in discussion with the inspector as competent and knowledgeable about their roles within the home. More than 50 of the current staff team have qualified at National Vocational Qualification level 2 or above. Since the previous inspection, staff have undertaken training in “understanding challenging behaviour” and “moving and handling”. Many staff have also undertaken a two-day course in “understanding mental illness” arranged by the manager and an independent trainer. This covered specific issues relating to mental health. Staff files seen during the inspection indicated that staff are recruited appropriately with applications being filled in by prospective staff, references being taken up for successful candidates, CRB checks being progressed and proof of identity being available. Documents and discussion with staff indicated that regular supervision is available from the manager and that this process is valued by the staff. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Service users benefit from a well organised home with health, safety and welfare being a large part of the management function. EVIDENCE: The inspector was pleased to note that the manager, Mrs Owens has achieved National Vocational Qualifications at level 4 in both care and management since the previous inspection. She has been the manager of the home for a number of years and discussion with her as well as with the staff and residents indicated a home that was well run for the benefit of the service users. The manager had been working without a deputy for the last few months due to sickness then resignation. The manager admitted that as a result quality assurance and monitoring with in the home has not taken place although some formats and systems are ready to be utilised. Regent House DS0000017918.V266692.R01.S.doc Version 5.0 Page 17 Apart from the one potential safety hazard mentioned under National Minimum Standard 24, no other safety issues were apparent during the inspection. The inspector saw certificates of safety available for electricity, gas, passenger lift and other equipment used with in the home. Risk assessments were seen for issues and areas within the home as well as course assessments. Regent House DS0000017918.V266692.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Regent House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x DS0000017918.V266692.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 YA23 Regulation 13 Requirement The Manager must ensure that records required by regulation for the protection of service users are available and that there are clear procedures for dealing with abuse. This standard was not assessed at this inspection and is therefore carried over to the next visit. The Registered Person must ensure that service users rooms are lockable and an override device is only used by staff as indicated in the service users’ risk assessments. This specifically relates to those service users rooms with fire exits. This standard was not assessed at this inspection and is therefore carried over to the next visit. The manager must develop quality assurance and quality monitoring systems for the home. This is a repeat requirement. DS0000017918.V266692.R01.S.doc Timescale for action 31/01/06 2 YA26 23(F)12 (4)A 31/01/06 3 YA39 24 31/01/06 Regent House Version 5.0 Page 20 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 House DS0000017918.V266692.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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