Inspection on 20/06/06 for Rottingdean Nursing And Care Home

This inspection was carried out on 20th June 2006.

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

Rottingdean Nursing And Care Home 14/09/07

Rottingdean Nursing And Care Home 28/02/06

Rottingdean Nursing And Care Home 07/09/05

Rottingdean Nursing And Care Home 01/03/05

Rottingdean Nursing And Care Home 26/08/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 Rottingdean Nursing And Care Home 30 - 32 Newlands Road Rottingdean Brighton East Sussex BN2 7GD Lead Inspector Jennie Williams Unannounced Inspection 20th June 2006 10:00 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 Rottingdean Nursing And Care Home DS0000014036.V291717.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. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rottingdean Nursing And Care Home Address 30 - 32 Newlands Road Rottingdean Brighton East Sussex BN2 7GD 01273-308073 01273-300377 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) Mr Jon Breeds Mrs Carol Breeds Mrs Melanie Jane Barber Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That service users accommodated must be aged sixty-five (65) years or over on admission. That a maximum of twelve (12) places can accommodate service users in receipt of personal care only at any given time. That the maximum number of service users to be accommodated is thirty-four (34). 28th February 2006 Date of last inspection Brief Description of the Service: Rottingdean Nursing and Care Home is a care home providing care for up to thirty-four (34) residents over the age of sixty-five (65). It is registered to provide nursing care to residents and a maximum of twelve places can accommodate residents in receipt of personal care only at any given time. It is located in a quiet residential area in Rottingdean. There is limited car parking available at the home, but free parking is available on the adjacent streets. Local amenities are available at the town centre, a short walk down the hill. Rooms are located over three floors. There are twenty-eight (28) rooms for single occupancy, of which eleven has en suite facilities and three (3) double rooms with no en suite facilities. There is a passenger shaft lift available at the home to assist residents to access all floors. There are suitable toilet facilities provided throughout the home to meet the needs of residents. There are five bathrooms and one shower room for residents to use. There is a dining room, a good-sized lounge room, a conservatory area and a garden at the rear of the building that is accessible to residents. Weekly fees range between £500 and £550. There are additional fees hairdressing (£7.50), Chiropody (£8) and newspapers (cost of paper plus delivery charges). This information was provided to the CSCI on the 27 April 2006. Prospective residents/representatives are provided with a Statement of Purpose and Service User Guide that offer information on the services and facilities provided at the home. Residents/relatives know about the service through social service referrals and word of mouth or from living in the area. Information about the home is also obtainable on the CSCI website. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Rottingdean Nursing and Care Home will be referred to as ‘residents’. This unannounced inspection took place over seven and three quarter hours on the 20 June 2006. The Inspector spoke with seven residents, of both genders and over the age of 65. Fourteen resident surveys were sent to the home prior to inspection, of which seven were returned. Two registered nurses, four carers, two agency staff, two domestic staff members and the administrator were spoken with throughout the inspection process. The Inspector spoke with four relatives. Two comment cards were sent out to GP’s of which both were returned. Ten relative/visitors comment cards were sent to the home, of which none were returned. Six social worker surveys were sent out but none were returned. A pre-inspection questionnaire was completed prior to the inspection. Ten surveys were sent to a variety of staff working at the home, of which seven were returned. Two new staff files were inspected and two care plans were looked at in detail. Specific areas were looked at in other care plans. An activity was observed, accident/incident records, complaint records and residents’ personal allowances were inspected. Communal areas and some individual rooms were viewed. Fire records were inspected. A current staff rota was provided to the Inspector. The Registered Manager was not available on this day of inspection. The Inspector would like to thank all the staff for their assistance throughout the inspection process. There were 34 residents residing at the home on the day of the inspection. 28 in receipt of nursing care and six in receipt of personal care only. What the service does well: The home has a good admissions procedure that ensures only residents whose needs can be met will be admitted into the home. Staff were observed to have a good professional rapport with residents. The home provides a good standard of nursing care and the documentation in the care plans provides clear guidance for staff and are regularly reviewed. Visitors are welcomed at the home. Residents’ privacy and dignity are respected. Residents were very complimentary about the food and are provided with a variety and choice of meals. Residents are safeguarded from abuse by the Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 6 systems in place and residents feel comfortable to complain and feel that their concerns will be acted on. Residents live a safe and comfortable environment. Residents spoken to were complimentary about the staff working at the home. Regular supervision and training is provided to staff to up date their skills in areas that are relevant to their roles. There are suitably qualified staff on duty at all times. The home is well managed and staff spoken with were complimentary about the Registered Manager at the home. There is a structured quality assurance and quality monitoring system in place to actively obtain feedback from all people involved with the home. There are suitable procedures in place for the safe handling of residents monies. All relevant health and safety checks are regularly undertaken. What has improved since the last inspection? 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. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 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 Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 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): 1, 3, 4 & 5 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home has suitable information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. EVIDENCE: The Statement of Purpose and Service User Guide were found to be located at the entrance of the home and within individuals’ rooms. These documents contain information for prospective residents/representatives on the facilities and services provided at the home. This document states that Intermediate Care and respite care is available. The home does not have dedicated accommodation to provide intermediate care. This was discussed with the Registered Manager following inspection, who stated that they are aware of this error and the documents are currently under review. This document should contain a copy of the most recent inspection report or at least provide information to the reader that it is available at the home to read. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 9 A copy of the recent inspection report was noted to be placed at the reception desk. All resident surveys received demonstrated that they received enough information about the home before moving in to assist in deciding if the home was the right place for them. The Registered Manager undertakes a pre-admission assessment on all prospective residents. Relatives/representatives are involved in this process wherever possible. Information is obtained from other health professionals and copies of current care plans are taken, wherever applicable. The preadmission assessments inspected demonstrated that a thorough assessment is undertaken and evidencing that the home can meet the assessed needs. Prospective residents/representatives are provided with an opportunity to visit the home prior to moving in if they wish. Overnight trial visits are available if required. The home does not take emergency admissions. Some residents spoken with confirmed that they or a relative had visited the home prior to moving in. One relative comment was ‘the admission process was perfect’. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 10 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, 8, 9 & 10 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Residents’ needs are being met with the clear information provided in the care plans on the assessed needs of residents. Residents’ privacy and dignity are respected. EVIDENCE: Residents care plans provide clear guidelines for staff on the assessed needs of individuals. These read as being personalised to the individual. There was evidence that care plans are being reviewed on a monthly basis. A relative spoken with confirmed that they are involved in the reviewing on their relatives care plan. Care plans viewed had a plan of care form signed by the resident’s advocate to confirm that they agree with the plan of care and the home will notify them of any changes to the plan as soon as is reasonably practicable. There is a front page in the care plans that provide a quick clear overview of the resident’s needs. Eg. whether dentures, hearing aids or glasses are worn, food likes/dislikes, if plate guards are used to promote independence when eating, whether the resident smokes etc. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 11 Residents spoken with were complimentary about the care and services provided at the home. Resident surveys received demonstrated that three always and four usually receive the care and support they need. All staff spoken with felt that residents were appropriately placed at the home and all needs were being met. Of the residents that were asked, all confirmed that staff encourage and promote their independence. There is pressure-relieving equipment at the home to promote tissue viability and specialist advice is sought when required. The majority of resident surveys show that residents always receive medical support when needed. A resident noted to be wearing glasses confirmed that they are able to see an optician when they want. Some residents have recently seen a dentist and the chiropodist was visiting during the week of the inspection. It was noted that turning charts and other monitoring charts are being used effectively. (Turning charts - used for people who have limited movement and are at risk of developing pressure areas.) One turning chart inspected demonstrated that staff are regularly recording care provided to the individual. Both GP comment cards received stated that staff demonstrate a clear understanding of the care needs of residents and are both satisfied with the overall care provided within the home. Registered nurses are responsible for the administration of medication within the home. Medication Administration Record (MAR) charts inspected contains photos of residents and demonstrated that medication is being signed for at the time of administration. There are records kept of incoming and outgoing medication. A registered nurse confirmed that the disposal of unused medications comply with current regulations. It was confirmed that there are policies and procedures in place for all aspects of dealing with medication, the content of these were not read. There is evidence that there are accurate records kept of controlled drugs in use at the home. Medications are stored securely in the home. Staff were observed to have a good professional rapport with residents and were heard to be calling them by their preferred term of address. All residents spoken with confirmed that they felt their privacy and dignity are respected. A resident spoken with confirmed that they choose what clothes they wish to wear every day. GP comment cards confirmed that they are able to see their patients in private. Staff were observed to knock on residents room doors prior to entering. Residents are able to have private phones installed in their room if they wish. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 12 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, 13, 14 & 15 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Residents lifestyle within the home is their own choice, however residents are not provided with sufficient stimulation to fulfil their interests and needs. EVIDENCE: All residents spoken with confirmed that their lifestyle within the home is their choice and they are able to choose their own routines of daily living. There is an activities person employed at the home for three days a week for generally five hours. Some of the activities identified on a notice board showed activities provided range from general knowledge quizzes, bingo and sing-a-longs. There were mixed feelings about the provision of activities provided at the home. Some residents confirmed that they do not participate in activities by choice. One residents survey received demonstrated that there are never activities arranged by the home that they can take part in. Two surveys showed there are always activities and three demonstrated that there are usually activities provided that residents can participate in. Some residents spoke positively with the Inspector regarding a recent outing. Three residents out of nine sitting in the lounge were observed playing a game of bingo. Residents were observed not to be fully in engaged within this Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 13 process. Staff spoken with confirmed that on the day the activities person did not work they provided some activities for residents when time permitted. Staff confirmed that they feel that residents could be provided with more activities. On discussion with the Registered Manager following the inspection, it was confirmed that action is being taken to address this shortfall. Visitors are welcomed and encouraged to visit the home. All relative/visitors spoken with confirmed that there were no time restrictions for visitors and were always made to feel welcome. Of the residents that were asked, all confirmed that they could receive visitors in private. Residents were very complimentary about the food provided at the home. Comments ranged from ‘good’ to ‘excellent’. It was observed that drinks and snacks were offered to residents throughout the day. All residents confirmed that there is a choice of food provided. One resident confirmed that they are able to order food that is not on the menu if they don’t like any of the options. All resident surveys received demonstrated that they liked the meals provided. One comment written was ‘Excellent food, appetising, hot and satisfying’. The menu provided to the Inspector demonstrated that there is a variety of food provided. One resident chose to eat in the dining room, whilst others were in their rooms or in the lounge room. Staff are available to assist residents at meal times when needed. One staff member was observed to be assisting a resident to eat whilst standing over them. This assistance did not appear to be provided discreetly. This was addressed with the home on the day of the inspection. Two kitchen staff were spoken with who confirmed that Environmental Health visited the home at the end of last year and there were no concerns identified. There is a list provided in the kitchen, which alerts the cook of residents’ likes/dislikes/allergies with food. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 14 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 & 18 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The systems in place protect residents from abuse and residents feel comfortable to complain and feel that their concerns will be acted on. EVIDENCE: There is a complaints procedure available at the home, of which a copy is provided at the entrance of the home. This provides clear information on the steps to take should anyone wish to make a complaint. Residents spoken to and surveys received demonstrate that the majority of residents know who to speak to with any concerns and would be happy to make a complaint if needed. There have been three complaints made directly to the home within the last twelve months. Two were substantiated and one was not upheld. There was evidence that clear records are kept of complaints and copies are maintained of all related correspondence. It was evident that the home investigates all complaints in an unbiased manner. Action is taken whenever identified. The home has a complaint, suggestion and comment box by the entrance to the home, which enables anyone within the home to express concerns/ideas anonymously. There are suitable policies and procedures in place that provide staff with clear guidance on action to take if there is an allegation of abuse. There is a clear Protection of Vulnerable Adults (POVA) flow chart on the front of the policies Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 15 and procedures folder. Staff spoken with confirmed that they receive training on adult protection and are aware of the procedures if an allegation is made. Rottingdean Nursing And Care Home DS0000014036.V291717.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Residents live in a clean and homely environment and are provided with comfortable indoor and outdoor communal facilities. EVIDENCE: The home is well maintained and residents live in a homely environment. Rooms viewed were seen to be personalised to reflect the individuals’ choice and character. Residents spoken to were happy with their individual rooms. There are grab rails and equipment located throughout the home and in communal facilities to assist individuals with mobility. There is a call bell system in place, which enable residents to call for staff when they require assistance. There is a passenger shaft lift available and level access is provided throughout the home, ensuring that all residents have access to all areas of the home. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 17 Hot water taps are regulated to deliver water around the recommended 43°C. Of the taps that were looked at, hot and water taps were clearly identifiable as previously required. The home was clean on the day of the inspection and no offensive odours were noted. Resident surveys demonstrated that the majority always find the home fresh and clean. Relative/visitors spoken to stated that they always found the home clean and fresh at any time they visited. The Inspector noted that staff were carrying uncovered commode bowls from resident’s rooms into the sluice room. This practice does not promote good infection control and also resulted in some unpleasant odours being noted temporarily in communal areas. There is also a risk of contamination if a staff member was to drop one of the bowls. Staff should be encouraged to wheel the whole commode to the sluice room before emptying. Rottingdean Nursing And Care Home DS0000014036.V291717.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Residents’ needs are being met with the number and skill mix of staff on duty and are safeguarded by the robust recruitment procedures in place. EVIDENCE: Residents and relative/visitors spoken with were very complimentary about the staff working at the home, with the majority stating that there were sufficient numbers of staff on duty at all times. Staff spoken with confirmed that there are generally enough staff on duty. There may be times of staff shortages during times of illness and a bank/agency person is not available for work. Staff confirmed that mornings are a busy time of the day and the Registered Manager is currently looking at employing an additional person in the morning during peak times. The rota provided to the Inspector demonstrates that there is always at least one registered nurse on duty at all times. The rota shows there are generally seven staff working in the mornings, five staff in the afternoons and three staff working a waking night. The home has been proactive in ensuring 50 of staff have obtained National Vocation Qualification (NVQ) level 2 or above. There are six carers with NVQ level 2 and four care staff with NVQ level 3 qualifications. An additional three staff are currently undertaking their NVQ level 2 training. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 19 There is a robust recruitment procedure in place and two new staff files evidenced that all relevant recruitment checks are undertaken prior to an individual commencing employment. These checks include: Criminal Record Bureau (CRB), POVA checks, relevant references being obtained and clear interview notes were in place. One file did not have a health questionnaire in place. This was addressed on the day. Staff confirmed that they receive training relevant to their roles and are kept up to date with mandatory training. Records and certificates kept on staff training identify that some recent training included: Importance of wheelchairs, manual handling, communication, falls etc. The pre-inspection questionnaire demonstrates that future training planned include: NVQ level 2, POVA, wound care and infection control. There was evidence that a new staff member had undertaken relevant induction training. Rottingdean Nursing And Care Home DS0000014036.V291717.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38 “Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Staff and residents benefit from a well run home. The health, safety and welfare of residents and staff are promoted and protected so far as is reasonably practicable. EVIDENCE: The Registered Manager has the relevant skills and experience to manage the home. She has been working at the home since June 2005. She is a registered nurse with current registration with the Nursing and Midwifery Council (NMC) and has completed the Registered Manager Award (RMA). Staff spoken to were complimentary about the Registered Manager and find her supportive and approachable. One staff survey comment was ‘the manager is fantastically good’. There are clear roles and responsibilities within the home. Rottingdean Nursing And Care Home DS0000014036.V291717.R01.S.doc Version 5.2 Page 21 The Registered Manager was not available on the day of the inspection and it was evident that there are suitable procedures in place for the running of the home in the absence of the manager. There is a quality assurance and quality monitoring system in place. This is undertaken on an annual basis. The results of these were seen at the last inspection. The home has implemented a questionnaire regarding the preadmission process and arrival of any new resident to the home. Seven of these have been completed since the last inspection and all had positive feedback about this process. Residents meetings and staff meetings are regularly held where discussions take place on any improvements that could be made to the running of the home. The financial viability of the home was not assessed on this occasion. There is suitable insurance in place. The home has been owned by the same providers for a period of time and has given no cause for concern regarding financial viability to date. Records inspected demonstrated that there are suitable procedures in place for the safe handling of residents’ monies. Receipts are kept of all financial transactions. Residents are aware that if they require their own personal allowance, this is available during the hours that the receptionist works. Some residents are encouraged and supported to maintain their own personal allowance. All monies are kept securely at the home. Of the staff that were asked, all confirmed that they are provided with regular supervision. Six of the staff surveys sent also demonstrated that they are provided with regular supervision. The pre-inspection questionnaire demonstrates that all suitable health and safety checks are undertaken to safeguard staff and residents within the home. The agency staff working on the day of the inspection knew where the fire meeting point was located and procedures to take in the event of a fire. Staff receive fire training and participate in regular fire drills. There was no date on when the most recent fire risk assessment had been undertaken. The Registered Manager needs to ensure the date that it is undertaken is clearly documented. Rottingdean Nursing And Care Home DS0000014036.V291717.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 2 X 3 3 3 X 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 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 3 X 3 Rottingdean Nursing And Care Home DS0000014036.V291717.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 OP1 Regulation 4, 5 & 6 Requirement That the information on the provision of intermediate care is corrected in the Statement of Purpose/Service User Guide. That the Statement of Purpose/Service User Guide provides a copy of the most recent CSCI inspection report or at least provides the reader with information on how to obtain a copy. That suitable and appropriate activities be regularly provided to service users. That suitable procedures are put in place for the emptying of commodes. Timescale for action 15/08/06 2. OP1 5 15/08/06 3. 4. OP12 OP26 16(2)(n) 16(2)(j) 15/08/06 20/07/06 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. Refer to Standard OP38 Good Practice Recommendations That the homes fire risk assessment is dated. DS0000014036.V291717.R01.S.doc Version 5.2 Page 24 Rottingdean Nursing And Care Home Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Rottingdean Nursing And Care Home DS0000014036.V291717.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. 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