Inspection on 30/01/06 for Rustington Convalescent Home

This inspection was carried out on 30th January 2006.

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 20/07/05

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 Mrs Veronica Gay Unannounced Inspection 30th January 2006 09:00 Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 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 Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 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 Adults 18-65. 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. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rustington Convalescent Home Address Sea Road Rustington West Sussex BN16 2LZ 020 7588 7001 020 7638 6286 manager@rustcon.co.uk 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) Carpenters` Company Mrs Margaret Julie Bishop Care Home 30 Category(ies) of Physical disability (30) registration, with number of places Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That room 6, 21 & 27 will not be used for Service User accommodation. That risk assessments are carried out prior to admission of a service user to accommodation that does not meet the current National Minimum Standards. That wheelchair dependent service user will not be admitted to rooms under 12 square meters in size. 20th July 2005 Date of last inspection 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 Carpenters 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, and 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 DS0000035682.V274515.R01.S.doc Version 5.1 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 also unannounced, was undertaken on 20 July 2005. The reader is advised to look at the reports of both inspections for a fuller picture of the home. Not all of the Young Adult National Minimum Standards are applicable to this service and therefore have not been covered. Where there have been no changes the report remains the same. There were no outstanding requirements and the high standards of the service continue to be maintained. Mrs Bishops the Registered Manager was on duty supported by a full compliment of staff. During this inspection the Inspector examined records of care being provided to Service Users; as well as records of any accidents, staff records, and Quality audits to make sure that the people residing at Rustington Convalescent Home were being taken care of. The inspector met many service users who were all very positive with regard to the care they were receiving, and said that the “home is wonderful… food very good… staff couldn’t be kinder and the medical attention is very good” The atmosphere in the home was pleasantly busy with some Service Users preparing for discharge. The inspector would like to thank the staff and service users for their cooperation throughout the 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...It couldn’t be better from the top down”. One gentleman said he had filled in a questionnaire and stated” that everything is excellent” The homes 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. Improvements continue to be made to the physical standard of the home, and changes are kept in keeping with a building of this type and age. 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. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 6 The Responsible Individual arranges for members of the committee to visit the establishment monthly, and to submit a report to the Commission for Social Care Inspection as required by Regulation. 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. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 1&2 Systems are in place to ensure the individual needs of the Service Users are met during their stay in the home. Service Users told the inspector that they had received full information about the services available prior to admission. EVIDENCE: The majority of Service Users had arrived at the home following surgery and they said they were so pleased 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 sign their programme of care needs to ensure it meets with their approval. Each room has a copy of the Statement of Purpose and Service Users Guide to enable Service Users to know what can be expected of the home. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 6,7,8, &9 Service Users have an individual care plan to record changes in their health care needs. 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. Any changes in the Service User’s health or well being acted on, as was evident at the time of this inspection. 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. The Service Users are offered a healthy diet and enjoy taking the opportunity of going out as their health improves. Service Users told the inspector that their medical needs were very well met and that every thing possible was done to aid a speedy recovery. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 10 Televisions are not encouraged in the bedrooms and Service Users are encouraged to walk if at all possible to the dining room for coffee and meals. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 11 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 the following standard(s): Standards 12,13,15 & 16 are not applicable to this service. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (Standard 17) EVIDENCE: Service Users confirmed that the menu was to their liking and that the variety and presentation of the food was exceptionally good. The Chef endeavours to meet the likes and dislikes of the Service Users. As part of their recuperation meal times are important and food is presented in a manner, which encourages an appetite. The dining staff are attentive and ensure that each table is attractively presented. 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 main meals on offer were creamy cod crumble, leek and Stilton tart, or salad. A fresh selection of vegetables was also served followed by a good choice of dessert. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 12 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 the following 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 the records kept confirmed this. Service Users described the staff as “approachable…readily available and friendly in their approach” One Service User told the inspector that she required assistance during the night, which was always available. The inspector observed staff talking and listening to Service Users and it was evident that their wishes were respected. Service Users confirmed that the ratio of staff to Service Users was always good. The nurse in charge made available the medication records, which were up to date and concise. The support of a GP is available twice a week to the Service Users unless required as a matter of urgency. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 13 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 the following 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: The Commission has received no complaints in respect of 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. Service Users are invited to complete a questionnaire about their stay before they leave. An audit is carried out four times a year as part of the Quality Assurance policy. Results were shown to the inspector. The Registered Manager ensures all the staff have criminal Records Bureau enhanced checks before working in the home to protect Service Users. 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 DS0000035682.V274515.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 24,25, &30 Rustington Convalescent home provides a safe, well-maintained comfortable environment. Standards of hygiene and cleanliness are high throughout the building. Rooms are allocated according to need and availability at the time the booking is made. EVIDENCE: The inspector toured the building and visited several rooms. All areas of the home are attractively presented, well maintained and suitably decorated. As previously mentioned the Registered Provider is constantly looking at ways to improve the facilities for the Service Users If a Service Users makes a request about any aspect of their accommodation it is promptly dealt with. A lady during the inspection said she would like a change of room for various reasons. This was dealt with immediately and she was helped by staff to move her belongings in. 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 Registered Manager confirmed that fire training was up to date for all staff; the last record was twenty third November 2005. AN Environmental Health Officer’s inspection report dated eighteenth October 2005 confirmed that standards were met at that time. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 15 Policies and procedures are in place for the control of infection to include the safe handling of clinical waste. The staff confirmed that they had received training in infection control as part of their mandatory training. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 16 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35, 36 Satisfactory staffing levels are provided to meet the diverse needs of the people staying at Rustington Convalescent Home. Staff members are well trained and receive regular supervision. 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. Supervision is regularly provided to all staff and this is recorded. One Service User said that personal care was readily offered without having to ask. On the day of the unannounced inspection Mrs Bishop Registered Manager was on duty supported by a trained senior nurse, a Chef, two dining room assistants, six domestics, two care assistants 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 a really nice place to recuperate in.” Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 17 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 The Registered Manager is qualified, competent and experienced to run the home and meet its stated aims and objectives. Quality Assurance is undertaken and the views of Service Users acted upon. The Registered Manager ensures all staff; to ensure Service User safety follows safe working practices. EVIDENCE: The Registered Manager is a qualified nurse and she has obtained a National Vocational Qualification level 4 in Care management together with the Registered Managers Award. There are clear lines of accountability within the home and support is provided as appropriate. 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. The Commission receives regular reports for Social Care Inspection keeping them informed of the running of the home. Policies and Procedures are regularly reviewed and the Registered Manager keeps abreast of changing legislation. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 18 Letters and thank-you acknowledge cards from Service Users were available in the staff room. All staff receives mandatory training, and have the opportunity to attend external courses in relevant topics. Staff told the inspector that they considered themselves well qualified for the job they do. Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 19 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 3 X X 4 X Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 20 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 Rustington Convalescent Home DS0000035682.V274515.R01.S.doc Version 5.1 Page 21 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. 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