Random inspection report
Care homes for older people
Name: Address: Royston Nursing Home Brighton Road Clayton Hassocks West Sussex BN6 9NH zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: David Bannier Date: 1 0 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Royston Nursing Home Brighton Road Clayton Hassocks West Sussex BN6 9NH 01273845603 01273842018 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care Reminiscence Limited care home 17 Number of places (if applicable): Under 65 Over 65 0 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is (17). The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Date of last inspection Brief description of the care home Royston is a care home, which is registered to accommodate up to seventeen residents in the category OP old age, not falling within any other category. It provides personal and nursing care. Royston is located in the rural village of Hassocks and is a detached three-storey property, which provides accommodation in single, and double bedrooms located on the ground, first and second floors. There are also two lounges, which are
Care Homes for Older People Page 2 of 10 Brief description of the care home located on the ground floor. A vertical passenger lift provides access to all floors. The registered provider of this service is Care Reminiscence Ltd, who has appointed Mrs Elizabeth Herbert as the responsible individual to supervise the management of the care home. The registered provider has appointed a manager who is currently in the process of registering with the Commission. Current fees are from £587.00 to £625.00 per week. Care Homes for Older People Page 3 of 10 What we found:
The reason for this inspection was to monitor compliance with statutory requirements made following the last key unannounced inspection carried out on 11th December 2009. We had prepared statutory requirement notices but they failed to be received by the registered provider. However, we looked at four requirements and the outcomes are as follows. Requirement: Care plans, risk assessments and daily records must be improved so that they give clear information to the staff team regarding the individual care needs of each person and to monitor the care being provided. Evidence: We examined care records of four of the eight residents accommodated and found that improvements had been made as required. Care plans include details of residents identified needs together with clear information for staff to follow so they know the action they are expected to take to ensure they have been met. Assessments had also been carried out which identified areas of potential risk to individual residents and the action staff are expected to take to ensure the risk of harm is reduced. Following discussion with the manager we identified some areas where care plans could be improved further to ensure information is clearer for staff. There was evidence that confirmed care plans have also been routinely reviewed. This means that information about residents care needs is kept up to date. Care records also include details of appointments with residents doctors or other health care professionals including details of any treatment prescribed and provided. We spoke to two care staff who were on duty. They were able to demonstrate they were familiar with the needs of identified residents and the actions they should take to ensure they have been met. We also spoke to a relative who was visiting at the same time. They were very complimentary at the service provided and confirmed they were satisfied with the care afforded to their relative. Outcome: This requirement has been met. Requirement: The staff team must attend safeguarding training and records must be kept in good order. This will ensure residents are protected from risk of all forms of abuse and harm Evidence: We were shown documents which demonstrated a programme had been set up to provide training to all staff. There were copies of attendance certificates for all staff who have received training in this area. We noted that the next planned training sessions were due to take place on 22nd and 26th February 2010. We also spoke to some staff who were on duty. They confirmed they have received training with regard to identifying different types of abuse. Following discussion the staff were able to demonstrate they knew the different categories of abuse that they might encounter. They were also able to explain who they should notify if they witnessed an
Care Homes for Older People Page 4 of 10 incident where a resident had been abused. Outcome: This requirement has been met. Requirement: The registered person must ensure all staff attend mandatory training. This will ensure all staff have the necessary knowledge and skills required to meet residents needs. Evidence: We were shown documents which demonstrated a programme had been set up to provide training to all staff. There were copies of attendance certificates for all staff who have received training in this area, and included manual handling, food hygiene, infection control and fire safety. We noted that the next planned training sessions were due to take place on 22nd and 26th February 2010. We also spoke to some staff who were on duty. They confirmed the areas of training they had received. Outcome: This requirement has been met. Requirement: The registered provider must provide all newly appointed staff with structured induction training. This will ensure new staff have the necessary knowledge and skills required to meet residents needs. Evidence: We were informed that, since our last visit, no new staff have been appointed. However, we were shown an induction booklet which had been prepared. We noted that it included the essential elements identified by Skills for Care as the principles for good care practices. We were informed that new staff will be expected to work through the booklet under supervision of the manager after they have been appointed. Outcome: This requirement has been met. Overall the findings of this visit are that requirements we identified have been met and that improvements have been made that benefit of individuals in the care home. However there is still work to be done to ensure that improvements become embedded in practice. We have noted that the appointed manager has recently been interviewed as part of the process of determining her fitness to be registered with us. We have also received notification that the responsible individual is due to change in the near future. What the care home does well: What they could do better: Care Homes for Older People Page 5 of 10 Whilst we have found evidence that requirements have been met there is still work to be done to ensure that improvements become embedded in practice. We expect the manager and the new responsible individual will be responsible for overseeing this process and for ensuring improvements continue to be made. They must also ensure staff are provided with the necessary training, support and supervision they need to carry out their work. It should also be noted that the four requirements listed as outstanding in this report were not identified in the notices and were, therefore, not assessed during this random inspection. They will be assessed when we visit the care home to carry out the next key inspection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 27 18 There must be sufficient 18/01/2010 numbers of care staff on duty to provide for the needs of residents. This will ensure residents safety and wellbeing is maintained at all times. Regular visits must be undertaken and recorded by a representative of the provider at least on a monthly basis. This will ensure the day to day running of the care home is appropriately supervised. Effective quality assurance and quality monitoring systems, based on seeking the views of residents and relatives must be put in place. This will ensure residents needs have been met in accordance with the homes aims and objectives 18/01/2010 2 33 26 3 33 24 18/01/2010 4 36 18 All staff employed at the care 18/01/2010 home must be appropriately supervised. This will ensure all staff receive the guidance and
Page 7 of 10 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action support they need to carry out the work expected of them. Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
