Inspection on 04/01/07 for Royal Bay Residential Home

This inspection was carried out on 4th January 2007.

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

Royal Bay Residential Home 06/02/06

Royal Bay Residential Home 16/09/05

Royal Bay Residential Home 23/02/05

Royal Bay Residential Home 24/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Royal Bay Residential Home 86 Aldwick Road Aldwick Bognor Regis West Sussex PO21 2PE Lead Inspector Mrs D Peel Unannounced Inspection 10:00 4 January 2007 th 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 Residential Home DS0000014696.V319951.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 Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Royal Bay Residential Home Address 86 Aldwick Road Aldwick Bognor Regis West Sussex PO21 2PE 01243 864086 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) royalbay@btopenworld.com RBCH Limited Mrs Beverley Annita Treble Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That ten (10) service users in the category physical disability (PD) over the age of 50 may be accommodated. That ten (10) service users in the category physical disability elderly (PD(E) may continue to be accommodated. 6th February 2006 Date of last inspection Brief Description of the Service: The Royal Bay Residential Home can accommodate up to forty two residents. The property is a detached three-storey building in Bognor Regis, close to the town centre and all amenities. Accommodation is provided in thirty-five rooms, seven of which are double sizes. There are two lounges and a conservatory and a dining room. The current scale of fees being charged at the home is from £325 to £475 per week. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 4th January 2007. The intended outcomes for 32 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 inspector reviewed information gathered from the provider during the course of the year, a pre inspection questionnaire completed by the manager of the home at the request of the inspector some weeks prior to the visit and the last inspection report detailing the outcomes for residents at the visit carried out on the 6th February 2006. During the visit to the home a case tracking exercise for four residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met by the home. The inspector spoke with residents living at the home whilst visiting them in their bedrooms, or in the lounges and at lunchtime in the dining room. The records of two staff were inspected and staff were spoken with informally during the visit to the home. Staff were observed assisting and interacting with residents in the lounge and the dining room. The atmosphere was friendly and staff demonstrated respect and recognition of individual residents needs. The inspector visited all communal areas during the visit and visited 14 residents’ bedrooms at random. Samples of other records required to be kept by the home were viewed to ensure that the provider is meeting their obligations with regard to the administration of the home. What the service does well: There is a low turnover of staff, which enables residents to get to know staff and provides consistency in their care. Residents, who are able, are encouraged to retain an independent lifestyle, accessing local communal facilities and maintaining relationships. Care plans are clear and provide staff with the information, which they need to meet the needs of the residents. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 6 The staff team treat residents as individuals and are able to assist them to maintain their dignity. Meals are varied, nicely presented, offer choice and are served in pleasant surroundings. Visitors are made to feel welcome and find communication with the management and staff of the home open and friendly. Staff are well trained and have the combined skills to meet the changing needs of residents 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. The summary of this inspection report can be made available in other formats on request. Royal Bay Residential Home DS0000014696.V319951.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 Royal Bay Residential Home DS0000014696.V319951.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 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 Residential Home has a Statement of Purpose and Service Users Guide, which are regularly updated. The most recent version was provided by the manager during the visit and was observed to show details of a variation to the homes registration, which was approved in June 2006. The documents were informative and would assist prospective residents and relatives to make a choice about the suitability of the home. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 9 A copy of the Statement of Purpose, Service User Guide and Emergency and Crisis policy was observed to be present in the bedrooms visited by the inspector. Also present in vacant bedrooms was a “Welcome Leaflet” which provided information about the management and staff working at the home, mealtimes and the days and times of regular activities taking place. The organisation has a website which prospective residents and their relatives can access to gain information about the home and its facilities and services. Care records viewed at this visit showed that resident’s needs are assessed prior to them moving into the home and used to develop a care plan. During the visit residents spoken with discussed the process of moving to the home. The majority had asked a relative to help them find home by visiting a selection of homes for them. One person said that they had been at another home in the same group after an illness. Once they had got better they had visited Royal Bay Residential home and decided to move there. Another person spoken with who had lived at the home for over three years commented that their son had found the home for them after they had been ill. Intermediate care is not provided at Royal Bay Residential Home but the home does offer periods of respite care. Royal Bay Residential Home DS0000014696.V319951.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. 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. Care planning systems 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 to make sure that any signs of residents being unwell are recognised. The home could demonstrate satisfactory medication practices. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: The care plans of four residents were observed at this visit to the home. They had been developed from a needs assessment carried out prior to moving to the home and details gained on admission to the home. The plans explained Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 11 what staff should do to help care for individual residents needs without taking away their independence and they had been reviewed monthly. 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 staff are able to work safely with residents and accident reports were observed to be regulalarly audited, with details of action taken to prevent further incidents. The home has a medication policy, which was provided prior to the visit to the home. The inspector observed the secure storage of medication during the visit to the home and the deputy manager explained the process of administration of medication to residents. Medication records viewed at this visit were up to date with no gaps observed. The manager told the inspector that as part of the organisations quality audit system a registered nurse from one of the other homes comes to Royal Bay Residential Home to audit the medication records and process of administration of drugs. Some staff have already had safe medication handling training and others will undertake the training in future training planned. During the visit the inspector observed staff interacting with residents in the lounge and the dining room. They were observed to treat residents as individuals and speak to residents in a meaningful, caring manner. Royal Bay Residential Home DS0000014696.V319951.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. 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. A good standard of food is offered with plenty of choice and variation. EVIDENCE: Residents spoken with during the visit were of the opinion that there are opportunities to take part in regular activities within the home if they wanted to. Throughout the day of the visit residents were observed to make choices about what they wanted to do, where they wanted to spend time and where they wanted to eat their meal at lunchtime. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 13 One person spoke about the twice-weekly visits by someone who visits to play cards and games. This was also mentioned in the leaflet left in bedrooms for new residents to see as being on a Monday and Friday. Another resident spoken with mentioned that they had been to the local theatre recently on an outing organised by the home. They had been provided with transport and “really enjoyed the show”. The home is close to the local shops and seafront and one resident commented that they “could go out alone when the weather was suitable”. It was observed that the home has a system for recording social activities which residents take part in. These records are kept within the plan of care and showed that some residents choose to take part more than others. Daily records seen recorded events such as visits by friends and relatives and outings with relatives. Information provided to the inspector prior to the visit to the home reports that activities include visiting shops, fashion shows, musical entertainment, games and bingo, physical exercise, music workshop, talking library. A resident commented upon their improved mobility since seeing the physiotherapist who visits the home. The inspector joined residents in the dining room at lunchtime to sample the main meal of the day. On the day of this visit the choice was lamb curry and rice, beef stew with potatoes, beans, swede and carrots, followed by meringue fruit nest or yogurt or ice cream. The meal sampled by the inspector was of a good standard and it was noted that the meals provided as a softened diet had been presented nicely to encourage people to eat them. Residents told the inspector that they are asked the previous day what they want from the next days menu. Residents who sat with the inspector said that you could have a salad if you didn’t want a cooked meal and they confirmed that they could have the meal in their bedrooms if they wanted. One resident told the inspector that in the past their sons had had Christmas day lunch at the home with them and had been made to feel very welcome. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 14 Those residents spoken with were all of the opinion that the food and choice of food was good. The chef was able to confirm that he had been able to attend a nutrition for the elderly course recently and that he consults with residents about what they would like to eat and be on the menu. Royal Bay Residential Home DS0000014696.V319951.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 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 taken seriously and responded to. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. EVIDENCE: The complaints process is explained in the Service User Guide and is on display in the entrance hall at the home. There are leaflets available in the hallway, which people can take to use if they want to make a complaint. No complaints had been received by the home since the last inspection in February 2006 and no complaints have been received by CSCI about the home since the last visit. Residents spoken with had not had reason to make a formal complaint and one person said that if they had didn’t like something they would “tell the manager”. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 16 Royal Bay Residential Home has an Adult Protection policy, which is used in conjunction with the West Sussex Multi Disciplinary Adult Protection procedures. Training records showed that the home is providing adult protection training and the deputy manager said that she had just recently been on an updating session with West Sussex Social and Caring Services on Adult Protection procedures. No Adult Protection issues have come to the attention of the inspector at Royal Bay Residential Home. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 17 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. The home is clean and residents have a comfortable, homely environment to live in. 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. The home is well maintained and provides a reasonably safe environment for residents to freely move around in. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 18 EVIDENCE: The home is a detached property situated on the main road leading out of Bognor Regis. It is near to the seafront and is close to shops and other community facilities. There is an ongoing replacement and refurbishment programme, which provides residents with a homely, comfortable environment to live in. On the day of the visit the flooring in all en suite bathrooms was being replaced by serviceable washable flooring and the manager told the inspector that new armchairs and new beds had been ordered for all the bedrooms. New curtains, new bedding and a third washing machine had recently been purchased. Residents spoken with in the privacy of their own rooms all confirmed that they liked their rooms. Some residents had brought their own items of furniture the home, which they had in their rooms and the majority of rooms viewed had been personalised by residents and their families to make them their own. Radiator covers are in place to protect residents from scalding and rooms on the upper floors have window restrictors to prevent residents from being at risk of falling out of windows. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 19 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 deployment and number of staff is sufficient to meet the needs of the residents. 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 by the manager prior to the visit to the home states that there are twenty four care staff employed to work at the home who are assisted by eighteen ancillary staff. On the day of this visit the deployments and number of staff appeared to be meeting the needs of residents. Fifteen care staff have an N.V.Q at level 2 or above which exceeds the target of 50 , which had to be achieved by the end of 2005. The records of three staff were viewed at this visit, which included the records of staff that had recently been employed. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 20 These records showed that the manager of the home ensures 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: Emergency Fire procedures, first aid, infection control, minimal handling, dementia care, abuse awareness, fall prevention, nutrition ad safe handling of medicines. One resident spoken with in the privacy of their room said that they had lived at the home for a number of years. They said “its very nice here. We get looked after. The staff are excellent. I have nothing to complain about”. A member of staff spoken with said, “it’s a good organisation to work for”. They confirmed that they had worked at the home for a long time and felt that the training provided was good. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 21 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): 31,33,35,37,38 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. Royal Bay Residential Home provides a safe environment for residents to live in. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager has worked at the home for eight years in the role of manager. She has completed the N.V.Q Level 4 Registered Managers award and 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. New residents and their families are asked to complete a questionnaire on admission about the process of moving into the home. There is a quality assurance manual which senior persons within the organisation audit the home against regularly. A representative from the organisation carries out monthly visits to the home and provides a report about their findings made available to the manager and CSCI. Information provided by the manager in a pre inspection questionnaire reports that the manager does not act as an appointee for handling any residents financial affairs and that no saving are kept for residents. The manager told the inspector that residents and their families are invoiced directly for expenditures not provided within the fees paid. A receipt is given for any small amount of monies given for safe keeping and in and outgoing records are kept with evidence of purchases. A maintenance person is employed to undertake a variety of checks and audits and to keep the home in a good state of repair. All records observed on the day of this visit were in good order. No health and safety issues came to the attention of the inspector at this visit except for the fraying join of a carpet, which the manager told the inspector was already in the maintenance book for attention. Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 23 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 4 3 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 3 3 Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Royal Bay Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 25 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 Residential Home DS0000014696.V319951.R01.S.doc Version 5.2 Page 26 - 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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