Inspection on 20/07/05 for Rustington Convalescent Home

This inspection was carried out on 20th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Rustington Convalescent Home 30/01/06

Rustington Convalescent Home 14/12/04

Rustington Convalescent Home 15/07/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Rustington Convalescent Home Sea Road Rustington West Sussex BN16 2LZ Lead Inspector Veronica Gay Unannounced 20 July 2005, 09:30 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rustington Convalescent Home Address Sea Road, Rustington, West Sussex, BN16 2LZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 783368 info@rustcon.co.uk Carpenters Company Mrs Margaret Julie Bishop Care Home (CRH) with nursing (N) 30 Category(ies) of Physical disability (PD), (30) registration, with number of places Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Rooms 6, 21 & 27 will not be used for Service User accommodation. 2 Risk assessments are carried out prior to admission of a service user to accommodation that does not meet the current National Minimum Standards. 3 Wheelchair dependent service users will not be admitted to rooms under 12 square meters in size. Date of last inspection 14 December 2004 Brief Description of the Service: Rustington Convalescent Home is registered with the Commission for Social Care Inspection. The Category of Registration is (CRH) Care Home with Nursing and Physical Disability for thirty persons.The registered providers are The Carpenter’s Company. The responsible individual on behalf of the organisation is Mr P T Stevenson. The registered manager responsible for the day-to-day running of the establishment is Mrs J Bishop.The establishment offers comprehensive short-term nursing care to patients recovering from illness or surgery. The establishment is located in Rustington close to local amenities and is set in seven acres of grounds. Accommodation comprises of twenty-eight bedrooms two of which are double.There is a large lounge, dining room, library, games room, therapy room and sun conservatory.Twenty-six rooms have en-suite facility, and a passenger lift serves all floors.The gardens and grounds are well maintained, with summerhouse, walkways, flower gardens and organic vegetable plots. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 20 July 2005 and lasted 5 hours. Twenty service users were spoken with, six in the privacy of their rooms and others in various communal areas of the home. Staff were also spoken with to gain a sense of what it was like to work and stay in Rustington Convalescent Home Rustington Convalescent Home provides postoperative care following surgery or respite stays after a recent illness. The majority of service users stay for a period of two weeks although stays can be extended if required. The inspector examined six files, including two new admissions. Residents told the inspector that Rustington Convalescent Home met their varying needs in every respect. No requirements were made following this inspection. During this inspection the core standards were examined for compliance. Records were examined at random. During the course of the day the Registered Manager very ably assisted the Inspector, and the inspector would like to thank her, and everyone else who cooperated with her at this inspection. What the service does well: Rustington Convalescent Home offers the Service Users who choose to stay there following surgery or an illness, good care, tranquil surroundings and the opportunity for some activities. Residents said they enjoyed their time in the home and found all the staff “wonderfully caring”. The home has a group of staff that work together as a team, and were observed to approach Service Users in a warm friendly manner. Several Service Users said that efficient nurses and carers met their nursing needs and gave them reassurance. Many improvements to the physical standard of the home have been made since the premises were first registered. Changes are in keeping with a building of this type and age. Service Users said they considered themselves lucky to have the opportunity to recover in” such a place”. The majority of Service Users said the food was always a pleasure to enjoy, well-presented and generous in quantity. Service Users comments included “the care is so good…. My health has improved considerably since entering the home…. this is my second visit…call Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 6 bells are answered so promptly…nursing care is so efficient… there is nothing to complain about” The standard of accommodation and décor is very good, with all rooms used for single occupancy unless otherwise requested. The Registered Manager consults daily with the Service Users and staff to ensure a continuity of care is maintained. Record keeping is good, with clear guidelines for the staff to follow. What has improved since the last inspection? What they could do better: Rustington Convalescent Home continues to ensure the standards are maintained as stated in the Statement of Purpose and Service Users Guide. It was difficult to ascertain what they could do better because Service Users In general were so positive about the care and service being provided. However two Service Users commented on the buffet suppers at weekend, which they said were not to their liking. This was discussed with the manager who was already aware of this matter and had taken steps to include other choices. It was agreed that supervision to ancillary staff needs to be formalised on a more regular basis and this will be checked at the next inspection. Please contact the provider for advice of actions taken in response to this Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Systems are in place to ensure the individual needs of the Service Users are met during their stay in the home. EVIDENCE: The majority of Service Users had arrived at the home following surgery and they said they were so please to have their post operative needs met in such a caring manner. Care plans; personal files examined at random were very detailed and gave a clear concise record of the medical treatment required during the Service Users convalescence. Each Service User signs their programme of care needs to ensure it meets with their approval. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 Each service user said that their personal preferences and daily routines were respected. As part of their recovery programme service users are encouraged to maximise their mobility to enable them to gain the confidence to manage when they return to their own homes. EVIDENCE: Care plans demonstrated the daily care needs of each Service User. A qualified nurse is on duty at all times to ensure any concerns or medical attention needed is promptly dealt with. The Service Users said they had obtained full information about the convalescent home before booking a stay there. Any changes in the Service User’s well being is recorded and reviewed regularly by the manager and her senior sister. Risk assessments are carried out prior to admission and during the Service User stay in the home. This is to ensure that their daily independence is encouraged and a duty of care promoted. A Service User said that she appreciated the routines in the home, which encouraged her to mobilise. For example televisions are not encouraged in the Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 11 bedrooms and Service Users are encouraged to walk if at all possible to the dining room for coffee and meals. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17 Service Users are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: The home employs two chefs, and dining room assistants to ensure the dietary needs of Service Users are met. The menu is varied and contains a good selection of fresh vegetables, which are grown in the grounds. Service Users said, “ The food is very good…always nicely presented …and served by friendly staff.” The mealtime was seen to be unhurried and Service Users said they had enjoyed their meal. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 A skilled team of staff meets the physical, medical and emotional needs of the Service Users. Medication is managed safely. EVIDENCE: The majority of Service Users look after their own medication and this was confirmed by the senior sister and records kept. Service Users described the staff as “Kind”,” caring” “reliable”. One Service User told the inspector “things get done” “you don’t have to ask”. The inspector observed staff talking and listening to Service Users and it was evident that their wishes were respected. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Service Users are listened to and their wishes are taken into account. Robust policies and procedures are in place to protect the Service Users during their stay in the home. EVIDENCE: No complaints have been received by the Commission for Social Care Inspection or at the home. Service Users told the inspector that they had received an information pack and Service Users Guide clearly stating how to make a complaint. One person said that she had received a feed back questionnaire to complete about her stay. The Registered Manager ensures all the staff have criminal Records Bureau enhanced checks before working in the home. Service Users retain control over the financial affairs and have safety deposits boxes in their rooms together with a key to their bedroom door. All staff have received training in Protection Of Vulnerable Adults. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 Rustington Convalescent home provides a safe, well-maintained comfortable environment. Standards of hygiene and cleanliness are high throughout the building. EVIDENCE: The inspector toured the building. All areas of the home are attractively presented, well maintained and suitably decorated. One Service User said that she had requested a certain piece of equipment and the next day it arrived. Several Service Users told the inspector how much they appreciated the sea views and wonderful grounds. One person said, “The home far exceeded my expectations”. The Inspector met the ancillary staff responsible for keeping the building clean and it was evident that they had set duties to ensure the high standards of cleanliness were maintained. The premises meet the requirements of the local Fire service and Environmental Health Officer and staff receive training in what action to take in the event of a fire. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 16 Policies and procedures are in place for the control of infection to include the safe handling of clinical waste. The senior sister informed the inspector that staff had received training in infection control as part of their mandatory training. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Satisfactory staffing levels are provided to meet the diverse needs of the people staying at Rustington Convalescent Home. EVIDENCE: The inspector saw the staffing rota and asked Service Users if there were sufficient staff for the help and support they required. They confirmed that staff were willing and always available to assist them. The senior sister is in attendance during the day to attend to dressings following surgery, or to reassure Service Users who are feeling unwell. On the day of the unannounced inspection Mrs Bishop Registered Manager was on duty supported by the Chef, two dining room assistants, five domestics, two care assistants and the senior nursing sister and the administrator. There is a trained nurse on duty at all times. One Service Users said “The management is good” and others said” it is good value for the money we pay” Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 Effective Quality Assurance and quality monitoring systems are in place, based on seeking the views of service users, to measure the standards against the Statement of Purpose. The Registered Manager ensures as far as is reasonably practicable the health, safety and welfare of Service Users and staff. EVIDENCE: The results of Service Users surveys are recorded and shared with the Responsible Individual and board of trustees, to ensure Service Users views are taken notice of. Letters and thank-you acknowledge cards from Service Users were available in the staff room. One Service User told the inspector that he had decided to use the home after reading about it on the Internet. Another said a friend who had stayed at the home had recommended it to him. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 19 All staff receive mandatory training, and have the opportunity to attend external courses in relevant topics. Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 4 Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rustington Convalescent Home Score 4 4 4 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 21 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. 1. 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 Good Practice Recommendations Rustington Convalescent Home H60-H11 S35682 Rustington Convalescent Home V233644 200705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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. 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