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Inspection on 07/11/06 for Royal Bay Nursing Home

Also see our care home review for Royal Bay Nursing Home for more information

This inspection was carried out on 7th November 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Royal Bay Nursing Home has managed to balance the necessity to provide physical care with a cosy, busy, homely environment. There is a good standard of information available to prospective residents and their families to help them make a choice about if they want to move into the home. Resident`s needs are fully assessed before they move into the home and a trial period is in place to ensure that the home can meet each individual residents medical and social and emotional needs. Care plans are clear, regularly updated and provide staff with the information, which they need to meet the needs of the residents. Meals are varied, there is plenty of choice available and those residents able to express an opinion say that they are offered choices at all meal times. There is a low turnover of staff at the home, which enables residents and their families to build up relationships with staff. There are effective management systems within the home which residents and staff appreciate.

What has improved since the last inspection?

There has been some movement towards residents being involved in the development and review of their care plan. Most residents spoken with knew that they had a care plan, which tells staff about what they need help with. The majority of staff have now had formal Adult Protection Awareness training and this is now incorporated into the induction programme. The Skills for Care Induction Programme is now being used in the home for all new staff.

What the care home could do better:

A written risk assessment should be completed and reviewed, for resident`s who retain responsibility for some or all of their medicines and lockable storage should be available. An audit of the frames used for assistance, which surround toilets should be undertaken and any rusting areas to be recoated to ensure effective cleaning and infection control. Further progress needs to be made towards achieving 50% of care staff having an NVQ in care.

CARE HOMES FOR OLDER PEOPLE Royal Bay Nursing Home 86 Barrack Lane Aldwick Bognor Regis West Sussex P021 4DG Lead Inspector Mrs D Peel Unannounced Inspection 7th November 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 Royal Bay Nursing Home DS0000024205.V318811.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. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Royal Bay Nursing Home Address 86 Barrack Lane Aldwick Bognor Regis West Sussex P021 4DG 01243 267755 01243 266123 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) Royal Bay Care Homes Limited Mrs Angela Ward Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (10), Physical disability of places over 65 years of age (6) Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 16 service users in the PD & PD (E) category may be accommodated. Only service users over the age of 40 years of age in the physical disability (PD) category may be admitted. A total of 35 service users may be accommodated. Date of last inspection Brief Description of the Service: The Royal Bay Nursing Home is a care home, which can provide nursing care. It is a three-storey building located in a residential area of Bognor Regis, West Sussex. Accommodation is provided in thirty single rooms and three double rooms. There is a lift between the ground and 1st floor. All areas of the home are accessible to wheelchair users. There is a large modern conservatory overlooking the gardens, which are well maintained and surround the premises. The home has private parking to the front of the building. There is also a smaller conservatory and a dining room. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Diane Peel, and a pharmacy inspector Mrs Jeanette Datoo carried out this unannounced inspection on the 7th November 2006. During this visit the intended outcomes for thirty two standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspectors reviewed information provided in a pre inspection questionnaire completed at the request of an inspector some months prior to the visit and other information received from the provider since the last visit to the home on the 30th January 2006. The inspectors arrived at 9.30 am and were greeted by Mr David Eagal a representative of Royal Bay Care Homes Limited and Mrs Angela Ward, the registered manager of the home. During this visit the lead inspector visited all communal areas and fifteen residents’ bedrooms, sampled at random on each floor. A case tracking exercise for five residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met by the home and other outside professionals. Where possible residents were spoken with to gain some information about what it is like to live at the home either in the privacy of their rooms, in the lounge and at lunchtime when an inspector joined residents for a meal. A visitor to the home was spoken with during the visit, who commented that they had been visiting their friend for a number of years at the home and were very satisfied with the standard of care being provided to their friend. Staff were observed assisting and interacting with residents throughout the visit. The atmosphere at the home was friendly and relaxed. Staff were observed to speak with residents meaningfully and demonstrated respect and recognition of individual residents needs. The records of four staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home and what training had been provided. Samples of other records required to be kept by the home were viewed during the visit to ensure that the provider is meeting their obligations with regard to the administration of the home. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 6 The current scale of fees being charged at the home is from £615 to £695 per week. What the service does well: What has improved since the last inspection? There has been some movement towards residents being involved in the development and review of their care plan. Most residents spoken with knew that they had a care plan, which tells staff about what they need help with. The majority of staff have now had formal Adult Protection Awareness training and this is now incorporated into the induction programme. The Skills for Care Induction Programme is now being used in the home for all new staff. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Royal Bay Nursing Home DS0000024205.V318811.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 Royal Bay Nursing Home DS0000024205.V318811.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): 1,3,4,5,6 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with the information they need to make an informed choice about the home and are encouraged to visit the home before deciding if they want to live at the home. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. EVIDENCE: Royal Bay Nursing Home has a Statement of Purpose and Service Users Guide, which are regularly updated. The most recent version was provided to the inspector in July 2006 and was observed to provide informative information, which would assist prospective residents and relatives to make a choice about the suitability of the home. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 10 The home has a website which prospective residents and their relatives can access to gain information about the home and there was documented evidence to show that at least one prospective residents family had used the website. A relative had visited on behalf of the prospective resident and was impressed by the combination of the visit, CSCI inspection reports and the homes website. Care records viewed included enquiry forms, which detailed the dates of visits to the home by prospective residents families and the dates on which prospective residents were visited by senior staff to carry out an assessment. Care records observed at this visit showed that resident’s needs are assessed prior to them moving into the home Residents spoken with during the visit explained the circumstances, which had, lead them to come to live at the home. One resident said that her son had found the home for them after visiting several homes on their behalf. This person said “ its lovely here, its really lovely. I am very pleased.” Another residents commented that they had been at the home for a few weeks. Their daughter had visited this and another three homes and thought Royal Bay Nursing Home “would suit them best.” They said “its very nice living here”. A third resident said that they had chosen Royal Bay Nursing Home because they had visited their wife at the home some years earlier, so they knew the home and didn’t want to look at any others. They said, “ you can’t fault the care, lovely people”. Royal Bay Nursing Home does not provide intermediate care but does offer periods of respite care. Royal Bay Nursing Home DS0000024205.V318811.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems for care planning give clear information to assist with all aspects of health, personal and social care needs. Records are in place to monitor the health care needs of residents and record intervention from medical professionals. The homes medication procedures ensure that medication is managed well but there could be some improvements made in the security of medication for the resident who manages their own medication. Staff respect the privacy and dignity of residents so that residents are treated as individuals EVIDENCE: Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 12 Five care plans were examined at this visit to the home and a case tracking exercise was undertaken to find out if the assessed needs of residents had been developed into a care plan, which staff were following to meet individual residents needs. Two of out of the four residents whose care plans were viewed spoke at length with the inspectors about the care, which they receive, and the arrangements for the administration and safe keeping of their medication. Both residents were aware that information is recorded about them and remembered talking to staff about they could do for themselves and what they needed help with. Care plans are developed from an assessment of need. They explained what staff should do to care for individual residents needs without taking away any independence, which that resident has. Three out of the five records seen were for residents who had recently moved into the home and their care plans were still being developed. They showed daily monitoring which the manager explained would be used with the assessment to complete a plan, which met the needs of that person. Care records viewed showed that the physical heath of residents is regularly monitored. Visits by Doctors and other heath care professionals are recorded and outcomes to visits detailed. Risk assessments were in place to ensure that’s staff are able to work safely with residents. The home had a medicines policy with procedures. Medicines were stored in two lockable trolleys and a treatment room, with internal cupboards. The room temperature was 250C and fridge temperature was 60C. Nurses recorded the receipt and administration of medicines on printed charts for individual residents. A photograph and information about allergies were on a separate page. The records sampled corresponded to the dispensing labels and supply of medicines. Administration of a prescribed cream was mostly recorded with ticks. A nurse said that this was because sometimes carers applied the cream. It was discussed that records should show who was responsible for delegating this healthcare task. Nurses were aware of the correct timing of medicines that needed to be given at least half an hour before breakfast. Waste medicines were correctly recorded and disposed of. Oxygen cylinders were in date. Two nebulisers were due to be sent for servicing. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 13 A resident spoken to was able to manage the supply and administration of their own medicines, although these were not kept in a lockable space. The home had a record of these prescribed medicines but not a written risk assessment for self-administration. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Residents say that the food provided is very good with choices of alternatives available. EVIDENCE: When the inspectors arrived at 9.30 am a few residents were already meeting in the small conservatory to begin playing cards with an activities organiser who comes into the home three days a week. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 15 Other residents were sitting in the main conservatory, reading or watching the news on TV or remained in their rooms because this is what they preferred or they were having a lie in. There are photographs on display around the home of residents taking part in activities, special occasions and outings. One resident spoken with in the privacy of her room commented that they liked to stay in bed for breakfast and then two staff would come and help them get out of bed, get dressed and assist them to get in their arm chair. This person said that they liked to stay in their room and had plenty to occupy themselves. They confirmed that they have plenty of visitors including a church visitor and the church minister who had brought communion to her at the home. This resident confirmed that she had just opened her post, which had been delivered, to her room unopened. Another resident spoken with in their room said, “They’re very kind here. The food is lovely. The chef is very good and if I won the lottery I would take him home to cook for me”. This resident confirmed that they had a newspaper everyday, that someone from her family visited almost every day and that the staff always make them feel welcome. A resident staying at the home for a short period whilst needing extra care told the inspector “ You can’t fault the care. The food is very good” This person commented that they had been able to remain independent during their stay but needed to have the confidence that should they be ill there was someone around to look after them. Royal bay Nursing Home is a busy home with many visitors arriving throughout the day of this visit to see their relatives and friends. There are plenty of areas where residents can meet their visitors if they don’t want to see them in the privacy of their rooms. A visitor spoken with commented that there was always something going on for residents to take part in. She had been visiting her friend at the home for four years and thought that the standards of the home are good. An inspector joined residents for the main meal of the day, which was steak, mushroom and ale pie, carrots, brussel spouts and new potatoes followed by apricot sponge and custard. This meal was of an excellent standard with little waste being returned to the kitchen. Staff were available to assist those residents who had difficulty using cutlery and alternatives were provided for those residents who had special dietary needs. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 16 Menus provided to the inspector prior to the visit showed that food provided is varied and there are opportunities for choice when someone doesn’t like a particular meal. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. EVIDENCE: The complaints procedure is included in the Service User Guide and on display in the hallway. It is clear and gives an assurance that “all complaints will be dealt with within 28 days”. The complaints records were examined at this visit and it was noted that there had been two complaints made directly to the home. The outcomes to the complaints had been recorded and showed that they had been dealt with satisfactorily. Residents spoken with knew that if they had a complaint then they should tell the manager or the deputy manager. Royal Nursing Home has a Adult Protection policy which was provided to the inspector prior to the visit. It is used in conjunction with the West Sussex Multi Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 18 Disciplinary Adult Protection procedures, which include a training pack and a certificate of completion. Training records showed that the home is providing adult protection training. No Adult protection issues have come to the attention of the inspector at Royal Bay Nursing Home. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 19 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): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Royal Bay Nursing Home provides a comfortable clean home for residents to enjoy living in There is an ongoing maintenance plan to improve the decoration of the home, which is providing the residents living at the home with a more homely, safe, comfortable surroundings. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them EVIDENCE: Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 20 Royal Bay Nursing Home is located in a residential area of Bognor Regis, West Sussex. The home has private parking to the front of the building and well kept gardens, which surround the premises. Private accommodation is provided in thirty single rooms and three double rooms and there is lift access between the ground and first floor. All areas of the home are accessible to wheelchair users. Communal areas consist a large conservatory/ lounge, a smaller conservatory and a dining room. There are also a number of small sitting areas around the home for use by residents and their guests. On the day of this unannounced visit the home was observed to be clean, reasonably tidy and well maintained. Fifteen bedrooms were sampled at random, and found to be well maintained, clean and free from odour. Residents spoken with in the privacy of their rooms all confirmed that they were happy with their accommodation and considered that their rooms were cleaned often. Bathrooms and toilets were observed to be clean and well equipped but the inspector has recommended that an audit of frames surrounding toilets be undertaken and any found with rusting areas to be recoated to ensure effective cleaning and infection control. Information provided by the manager prior to the visit to the home showed regular maintenance of equipment and services. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing numbers are set at a level, which allows residents assessed needs to be met. Whilst the training and the skills of staff are satisfactory residents would benefit from more staff trained to NVQ level 2 in care. Recruitment procedures safeguard and protect residents at the home. There is an ongoing training plan to make sure that staff have the combined skills to meet the needs group of residents. EVIDENCE: Information provided prior to this visit by the manager states that there are twenty five care staff employed to work at the home and eight qualified nurses. The homes Statement of Purpose sets out the staffing arrangements for the home and details what ratio of staff residents and relatives can expect to be on Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 22 duty at all times of the day based on the dependency levels of the residents being accommodated. Four care staff have an NVQ at level 2 or above and three carers are qualified nurses oversees. This does not yet meet the target of 50 , which should have been achieved by the end of 2005. The records of four staff were viewed at this visit, which included the records of two staff that had recently been employed. These records showed that the manager of the home has continued to ensure that steps are taken to protect residents by recruitment practices. All records seen included a job description, evidence of identity, two references and evidence that CRB and POVA or POVA first clearance had been received. Staff records showed that there is an induction programme in place, which for new staff incorporates the Skills For Care, specification induction programme. Training records and information provided by the manager show that recent training includes: Fire Safety, Moving and Handling, First Aid, Dementia care, Diabetic care, Continence, Pressure area care, Infection control, Food Hygiene and Abuse awareness. One recently employed member of the care team interviewed during this visit confirmed that they had attended moving and handling training, Fire training, Abuse awareness, and was still undertaking the induction programme. This person commented that they found the handovers from staff on the previous shift very useful. Another member of staff spoken with said, “ it’s a nice organisation to work for. Everybody works as a team”. This person also confirmed that they had had Fire Training and COSHH training to help them work safely. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 23 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, 36, 37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed providing leadership and guidance for staff. The views of resident’s families and friends are being sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home Systems for handing residents monies ensure that residents are assured that their financial interests are being safeguarded. Staff are supervised appropriately so that residents benefit from a well informed staff team. Royal Bay Nursing Home provides a safe environment for residents to live in. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 24 EVIDENCE: The manager has the required experience to manage the home and has completed the N.V.Q Level 4 Registered Managers award. She can demonstrate that she has continued to improve her own knowledge, skills and competence by undertaking training relevant to her role. The home has regularly consulted with residents, families and outside specialist services about the quality of care within the home. The Service User Guide explains that the outcomes to these surveys are available for anyone to see in the office. The manager told the inspector that the company have recently a new quality audit system, which it intends using. An invoice for the purchase was seen during this visit. Residents say that they have had meeting together to discuss things about the home. The manager commented that there had not been a meeting for a while because residents don’t always want to attend. The manager confirmed that there had been no changes to the way resident’s finances in the home are managed. Records of all spending are kept and a maximum amount of money can be held at any one time for each resident. Supervision records were observed to be present in the staff records viewed at this visit and staff spoken with confirmed that they are supervised. Records viewed at this visit were well maintained and up to date. The home has a Right of Access to all personal records Policy which assures residents that they have the right to access all personal records kept at the home. This is explained in the Statement Of Purpose. No health and safety issues came to the attention of the inspector at this visit except for the fraying join of a bedroom carpet which was being made safe during the visit. Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 25 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 4 X 3 3 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 3 3 Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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 OP9 Good Practice Recommendations A written risk assessment should be completed and reviewed, for resident’s who retain responsibility for some or all of their medicines and lockable storage should be available. An audit of the frames used for assistance, which surround toilets should be undertaken and any rusting areas to be recoated to ensure effective cleaning and infection control. 50 of care staff should acquire an NVQ in care at level 2 or above or equivalent. 2 3 OP26 OP28 Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Royal Bay Nursing Home DS0000024205.V318811.R01.S.doc Version 5.2 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!