Inspection on 18/07/07 for Resthaven Residential Retirement Home

This inspection was carried out on 18th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Resthaven Residential Retirement... 28/06/06

Resthaven Residential Retirement... 03/01/06

Resthaven Residential Retirement... 28/09/05

Resthaven Residential Retirement... 09/12/04

Resthaven Residential Retirement... 02/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Resthaven Residential Retirement Home 123 Grand Drive Herne Bay Kent CT6 8HS Lead Inspector Tina Thomas Key Unannounced Inspection 10:00 18th July 2007 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 Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 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. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Resthaven Residential Retirement Home Address 123 Grand Drive Herne Bay Kent CT6 8HS 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) 01227 369607 01227 367241 Fairlawn Investments Limited Mr Adrian Clarke Mr Alan Clarke Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2006 Brief Description of the Service: The premises are a three storey detached older property which has been adapted for its present use. Accommodation for the service users is provided on each of the three floors. There is a passenger lift giving access to most parts of the accommodation. There are 14 single bedrooms and 2 rooms that can be used for double occupancy. All of the bedrooms are fitted with a call bell and have a private wash hand basin and nine of them also have a private toilet. The property is located within a quiet residential area. The nearest shops are about half a mile away. The Registered Provider is a private limited company with two Directors, both who work in the Home. One of them is the Registered Manager. The current fees for the service at the time of the visit range from £312 to £410 per week. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is pidoux@aol.com Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process took place over a period of time, information was gathered, and it concluded with an unannounced site visit. This means that people at the home including the staff did not know the inspection was going to take place. The inspection looked at key standards. Judgements were made by taking into account evidence from a range of documentation including the homes own Annual Quality Assurance Assessment (AQAA), a tour of the home, views of people living at the home, the staff and the owner. The manager was not available on the day of inspection. What the service does well: What has improved since the last inspection? Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 6 The owner/ manager now works more closely with visiting health care professionals to ensure that the health care needs of people at the home are fully met. The home has strengthened its quality assurance processes and now seeks feedback from visiting health care professionals. The home has bought a lockable medication fridge so that medicines that need refrigeration can be safely and properly stored. The owner/manager has improved the range of activities within the home, and purchased a mini bus so that people can get out and about. Areas of the home continue to be improved. Some bedrooms have been redecorated and the hallways laid with new carpet. A new washing machine and tumble drier have been purchased. The number of staff who have NVQ Level 2 in care has improved to 76 . This helps to ensure that people are cared for appropriately. Staff have undertaken mandatory and service specific training. This helps to keep people safe with a staff group that are aware of their needs. The kitchen was cleaner than at the last inspection. (Requirement last inspection) All chemicals were safely locked up at this inspection. (Requirement last inspection.) What they could do better: The manager needs to ensure that staff are aware of infection control procedures and that they carry them out. Failure to do so could put people at the home at risk. When moving people in wheelchairs, staff should ensure that they apply the footplates so that peoples feet don’t get accidentally trapped or injured. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 8 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 Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who may be considering moving into the home receive sufficient information to make a decision about moving into the home. Their needs are assessed prior to admission to ensure that the home can meet these needs EVIDENCE: The home has a service user guide (brochure) which gives people choosing a home a clear picture of what day to day life is like at Resthaven. It discusses matters such as the staff and their qualifications and what types of people, they can care for. The home also has a website. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 10 One person living at the home told us she was ‘very happy’ at the home. She had visited the home to see if she liked it before making a decision to move there. Before anyone moves to the home the manager carries out comprehensive pre admission assessments to ensure that the home can meet their needs and expectations. Sometimes care managers also complete and assessment. These assessments form the basis of the service users plan of care. The home, like many others, does not provide intermediate care as described in Standard 6 of the National Minimum Standards. This is a specific service, which is designed for people who may be able to move back home. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Consideration is given to peoples choices and aspirations as well as their health care needs during the planning of their care. People are treated with privacy and dignity. Medication practices are robust. EVIDENCE: Each person that lives in the home has their own plan of care, which is discussed and decided with them when they come to live at the home. If the plan needs to be changed it is discussed with the person or a relative if appropriate. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 12 The plans we looked at described how people liked to be looked after. As well as peoples health needs the plans also thought about how people liked to spend their day and their aspirations. Risk assessments including manual handling and Waterlow, (a pressure area risk assessment tool) were in place to help keep people safe. These were well reviewed on a regular basis. Care plans showed that people in the home had regular access to the health care professionals they required. Some people see community psychiatric nurse for their declining cognitive health, which enables them to be properly treated and monitored. The manager ensures that the GP surgery is informed if people have not seen a GP within a six month period to ensure that people are regularly reviewed by the doctor. Staff are proud that there have been no pressure sores in the home in the last 12 months and this is discussed in the homes AQAA. All staff that administer medication have had training to do so. The owner said ‘staff have to earn the right to be involved in medication.’ This means that they need to know, and understand the people in the home and their conditions before they are able to deal with their medications. The Owner has purchased a lockable medication fridge so that refrigerated medications can be kept safely. The home is currently using the KCC policy for the administrations of medication in care homes. The home should have their own personalised policy regarding medication. People that we spoke to that live at the home indicated that they were well supported by the staff team and that staff were available to help them with their needs and with personal care. We viewed appropriate interactions between staff and service users on the day of the inspection. All doors have locks on them to ensure peoples privacy if they choose and staff were observed to knock before entering to ensure peoples privacy and dignity. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a suitable programme of activities, which considers the preferences of the people currently living at the home. People at the home are encouraged to maintain contact with family, friends and the community. Meals are wholesome and plentiful. EVIDENCE: The manager has created an active programme of activities to suit the needs of the people currently living at the home. The programme is well advertised in the home and staff remind people about what’s occurring. A new mini –bus has been purchased to enable people to get out and about. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 14 People that live at the home told us ‘I’m quite content with level of activity. I don’t want lots to do.’ ‘We get lovely food and lots of things to do and join in with.’ ‘There are enough staff about if I want to walk to the seafront.’ One person told us that they like to read their paper in the lounge in the morning, and then go to their room for some peace and quiet in the afternoon. People at the home are encouraged to maintain friendships and family links. One person told us that their family were able to visit or phone when they wanted. The manager has also discussed in the AQAA how families are encouraged to take part in activities and how the staff have explored how people might like to share family memories. The AQAA also discusses how the manager intends to improve in incorporating the ideas of the people living in the home and their families to change and improve daily living at the home. People at the home said that the food was good. They have a choice of three main cooked meals at lunch time and two desserts. We observed people being offered drinks and snacks throughout the morning. The home caters for one special diet. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good outcomes in this area. People’s complaints are listened to and acted on and they are protected from abuse. EVIDENCE: People we spoke to said that if they had any concerns they would feel happy to approach Adrian (the owner/manager) or his deputy. If people want to complain formally there is a complaints procedure that is on display in the reception area of the home. There is also a copy of it in each person’s brochure or service user guide. The home has had no complaints in the past 12 months. Staff have undertaken prevention of abuse training, which covered how to recognise abuse and how to report perceived incidents. This helps to keep people in the home safe. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23,24, and 26 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is generally a clean, and well maintained environment. Peoples own rooms are personalised to meet their needs. People at the home might be at risk sometimes when staff do not adhere to best practice in regard to infection control. EVIDENCE: Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 17 People generally live in a safe, well maintained home. The home is in the process of continuous overall improvement that has continued at good pace. The owner recognises the improvements that are still required. Since the last inspection the owner has ensured that new closures have been fitted to all internal doors to comply with new legislation. A new tumble drier and washing machine that are compliant with standards have been purchased and are in place. New carpets and have been laid in some bedrooms and hallways. Thermostatic radiator valves and radiator covers have been put on all bedroom radiators, this allows people to be able to adjust the heat as they choose and protect them from burns and scalds. Some radiators still need to be covered. They need to be removed from the walls to allow other maintenance work to continue. As the heating is currently turn off there is no risk to anyone living at the home at this current time. The owner should ensure that all radiators are suitably covered before the heating is turned back on. The owner showed us in the AQAA that the home complies with the local fire authority and environmental health office. Peoples own bedrooms were personalised with their own belongings, some people bought with them some of their own furnishings. People we spoke with discussed how they enjoyed the privacy of their own room. Everyone living in the home has his or her own bedroom. The home is generally clean and free from odours. However, we did find some incidents of poor infection control and this could affect people by the spread of infection and could also compromise people’s dignity. Both the toilets downstairs were dirty, the bins by the sinks in the downstairs toilets were not of the pedal variety so people had to touch them to open them, and in one bathroom their was dirty linen on the floor. Staff have had infection control training. The manager should ensure that staff practice suitable controls and ensure that staff know and understand the homes own policies and procedures regarding infection control to ensure that they keep every one safe. The owner/manager agreed that this matter would be addressed. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff numbers are appropriate to the needs of the people who currently live at the home. The homes practice regarding the recruitment of staff ensures the safety of people in the home. Staff receive suitable induction, foundation or service specific training. EVIDENCE: The home has 75 of staff trained to NVQ Level 2 in care. This means that people living at the home are cared for by staff that have been trained to meet their needs. People at the home told us that they thought staff were ‘friendly enough’ and that there were always staff available to help them. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 19 Staff also undertake mandatory training for example manual handling training and some service specific training. All new staff undertake a suitable induction and foundation training which helps them to understand how the home runs and what is expected of them as carers. Since the last inspection the manager has strengthened the homes recruitment practices. We looked at two staff files and found that everything that was required by the Standards to be in the files. This included criminal records bureau checks. This helps to ensure that the right people are chosen to be a carer at the home and helps to keep people at the home safe. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is generally well run. Some issues regarding health/safety need to be more rigorously addressed. EVIDENCE: The registered manager has run the home for 24 years. He and has a lot of hands on experience but no management qualifications. The deputy manager Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 21 has completed NVQ Level 4 in care and is currently undertaking the Registered Managers Award. There are clear lines of accountability in the home with the Deputy Manager having responsibility for staffing, training and care matters. The owner/manager has strengthened the homes quality assurance processes. He has looked at the homes strengths and weaknesses and decided on actions to be taken. Questionnaires are sent twice a year to people living in the home and their relatives and health care professionals. People living in the home, or their representatives, deal with their own financial affairs and the home do not hold any monies for service users. Whilst health and safety is generally maintained in the home, there are shortfalls regarding infection control, which may put people at risk. Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 22 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 3 x 3 x x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 23 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 Standard OP26 Regulation 13.3 Timescale for action The registered person shall make 10/09/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. Specifically: Ensuring that toilets are clean. Ensuring that foul linen is dealt with in an appropriate manner. Ensuring that suitable bins to minimise the risk of infection are in place Requirement 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 Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Resthaven Residential Retirement Home DS0000023540.V340403.R01.S.doc Version 5.2 Page 25 - 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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