Inspection on 19/12/05 for Royal Garden Hotel

This inspection was carried out on 19th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 Garden Hotel 11/06/09

Royal Garden Hotel 30/06/08

Royal Garden Hotel 12/06/07

Royal Garden Hotel 24/01/05

Royal Garden Hotel 02/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Royal Garden Hotel 1 Princess Avenue Bognor Regis West Sussex PO21 2QT Lead Inspector Mrs V Gay Unannounced Inspection 19th December 2005 09:00 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 Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Royal Garden Hotel Address 1 Princess Avenue Bognor Regis West Sussex PO21 2QT 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) 01243 841026 www.royalgarden.net Crescentworth Limited Mrs Johanna Walker Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th April 2005 Brief Description of the Service: The Royal Garden Hotel is a care home providing personal care and accommodation for thirty-six persons (OP) of old age not falling within any other category. Crescentworth Limited owns the home and the registered manager is Mrs J Walker RGN. The responsible individual on behalf of the company is Mr C Lindsell. The Royal Gardens Hotel is purpose built and provides a high standard of accommodation throughout.It is positioned in Bognor Regis over looking the Marine Gardens and sea front. Shops and other local amenities are close by.The property is equipped with a 12-person passenger lift to all floors and has an assisted spa bath and shower units. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was unannounced, was undertaken on 27th April 2005. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. Where there have been no changes the report remains the same. The reader is advised to look at the reports of both inspections for a full picture of the home. During this inspection the Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at the Royal garden Hotel were being taken care of. In addition the Inspector toured the building, inspecting several the rooms that the residents have access to, and joined a resident for coffee. From the information available, the positive comments made by the residents the inspector gained the impression that the high standards of the home continue to be met. No requirements were made and all standards assessed on this occasion were met. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: The Royal Gardens Hotel is run on a “hotel model” where residents follow their chosen hobbies and lifestyle. The manager was registered when the home opened in 1991 and the registered providers are actively involved in the running of the business. Residents said they enjoyed having the opportunity to speak to them on a regular basis. The home has a group of staff that work together as a team and enjoyed good relationship with the residents. Residents said the manager is very efficient at looking after their health care needs. The home was purpose built and therefore aids and adaptation are available throughout the building. The standard of accommodation and décor is very high, with the majority of rooms having a balcony and sea view. Residents said the food was always very good, well presented and generous in quantity. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 6 Two visitors said they were very pleased with the standards of the home and that they could not fault the care. A visiting GP said the home was excellent and that he would not hesitate to place a relative of his there if the need arose. Record keeping is good, with clear guidelines for the staff to follow. Residents said their daily care needs were met. There is a strong leadership in the home. Comments from residents included the following: “I could not receive better care…I recently had a fall and they know what to do…lovely home I have lived here eight years and would not want to move…we see the manager every day…caring and kind staff” Staff comments included: “The manager is very kind and helpful…we receive regular training…it is a nice place to work”. Two new members of staff said they had received support and induction from the manager and other team members. Residents said they had the opportunity to join in various activities. 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. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 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 Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 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): 2,6 Each resident has a written contract/ statement of terms and conditions with the home. The Royal garden Hotel does not offer intermediate care. Several residents spend respite short stay breaks at the home prior to becoming permanent. EVIDENCE: The manager assured the Inspector all residents, and their representatives receive a statement of the terms and conditions, which contain all the requirements of the National Minimum Standards. Copies of these are kept on each residents file. Two residents recently admitted to the home said they had received a Statement of Purpose and Service Users Guide giving them full details about what to expect at the Royal Gardens Hotel. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 9 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): 9 The registered person ensures that there is a policy and staff members adhere to procedures, for the receipt, recording, storage, handling and administration and disposal of prescribed medication. Residents are able to take responsibility for their own medication if they wish, within a risk management framework. EVIDENCE: The manager confirmed that a recent Pharmacists visit to the home confirmed that the arrangements in place in respect of prescribed medication were being satisfactorily maintained. Residents who are deemed competent to retain control over their medication can do so. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 10 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): 13,14 Residents maintain contact with family, friends and the local community as they wish. During the inspection residents were seen to come and go as they wish and to welcome their visitors into the home. EVIDENCE: The residents are fully informed of their rights and said they feel confident to discuss with the management anything that is not to their liking. Mealtimes are set and there are the usual routines that you would expect in any large establishment. However from the comments received from the residents it was clear that they chose how they wish to spend their time. Several residents said they go out daily and others attend local clubs or visit their families. Residents told the inspector that several social events are provided for them in the home. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 11 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 Resident said they are listened to and understand how to raise a compliant should they wish to. Policies and procedures are in place to protect residents from abuse. EVIDENCE: The Commission has received no complaints in respect of the Royal Garden Hotel. Residents said they knew who was in charge and felt comfortable to approach them if things were not right. Several residents said they enjoyed speaking to Mr Lindsell (Senior) who visits regularly as part of the homes Quality Assurance Policy. All staff members have obtained Criminal Records Bureau disclosures to ensure they are suitable to work with vulnerable people. A resident told the inspector that residents meetings are held, and that the manager visits them in private daily to ask if everything is satisfactory to them. The manager confirmed that staff had recently received training in Protection Of Vulnerable Adults. All training is recorded and signed for as a matter of good practice. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 12 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): 20,21,22,23,24 25 & 26 Residents live in a safe, well-maintained environment, which promotes independence and assists them in their daily tasks of living. All bedrooms have an en-suite facility, which the residents said they appreciated. Bedrooms are attractively presented, bright and clean. Standards of hygiene cleanliness are very high throughout the home. EVIDENCE: Residents said the location of the home adds to the quality of their life. The beach promenade and marine gardens are situated adjacent to the home. Bedrooms are well proportioned, attractively furnished and well equipped. Residents said they were helped to furnish their room in a way, which suited them. One resident said she had changed her room to one with a balcony, which she was very pleased to have. Some residents have their own personal refrigerator Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 13 to store milk, wine and other perishable items in. Several residents told the inspector that the layout of the home enabled them to move around freely. Suitable aids and adaptations are available in the home if required. Records of fire training and equipment testing were looked at to make sure the residents lived in a safe building. The last fire officer’s report (14/4/05) stated that fire safety standards were being maintained. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 14 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): 28,29 The staff are well trained and supervised by the Registered Manager to ensure they have the necessary skills and confidence to care for the residents. The Registered Manager operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of residents. EVIDENCE: The Manager informed the Inspector that all staff members had received induction training together with fire safety, manual handling and infection control. In addition the Inspector was told that all staff members who administer medication, had received the appropriate training. The residents spoke highly of the staff team. Three files for new staff were examined; they contained all the relevant documentation. The manager informed the inspector that training is ongoing to meet the target set by the National Minimum Standards. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 15 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): 32,33,34,35,36, & 38 Residents 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 her responsibilities fully. Systems are in place to protect and safeguard the residents. Insurance cover is in place and Mr J Lindsell ensures a financial plan is available. Staff said they receive regular supervision. The health and safety of residents and staff are promoted and protected. EVIDENCE: The registered manager is very experienced having worked in hospitals and residential homes for many years. Residents said the home is run efficiently and they said this they thought was down to strong leadership. A visiting GP made positive comments about the management and care provided. Policies and Systems are in place to ensure the smooth running of Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 16 the home. Staff members have clear concise work sheets to follow to ensure residents daily care needs are met. Residents said they had contact with the registered provider and company director. Reports of these visits are sent to the Commission for Social Care Inspection as required by regulation 26 of the Care Homes Regulations. The Registered Manager works alongside the staff and makes regular spot checks on the practices in the home. Accidents and incidents are recorded as required by regulation. Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 17 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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 4 4 4 4 3 4 STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 3 3 X 4 Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? 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 Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Royal Garden Hotel DS0000014697.V265212.R01.S.doc Version 5.0 Page 20 - 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!