Inspection on 01/02/06 for Sandmartins

This inspection was carried out on 1st February 2006.

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

Sandmartins 21/11/08

Sandmartins 22/11/06

Sandmartins 18/08/05

Sandmartins 18/01/05

Sandmartins 18/08/04

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 Sandmartins Kings Parade Aldwick Bognor Regis West Sussex PO21 2QY Lead Inspector Mrs L Riddle Unannounced Inspection 1st February 2006 11.00 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 Sandmartins DS0000044061.V281503.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 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. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sandmartins Address Kings Parade Aldwick Bognor Regis West Sussex PO21 2QY 01243 864031 01243 864031 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) Homebeech Limited Mrs Pauline Pink Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Sandmartins is a care home registered to provide accommodation and personal care for fourteen residents in the category of old age, not falling within any other category. The registered provider is Homebeech Limited for whom the responsible individual is Mrs. S. Ellis. The registered manager in charge of the day-to-day running of the home is Mrs. P. Pink. The property is a large detached building, situated in a quiet residential area overlooking a park with gardens very close to the seafront in Bognor Regis. Local shops are nearby. Accommodation is provided on two floors, communal space consisting of a lounge area, dining room, sun lounge and large garden to the rear of the building. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of four and a half hours by one inspector between the hours of 11:00am and 3:30pm as part of the yearly inspection process. Prior to this inspection the previous inspection report was read along with other documents and correspondence relating to the home. Some records and documents were examined during this inspection and a tour of the premises was undertaken. Three residents were spoken with at length in the privacy of their rooms and five residents and two visiting relatives were spoken with in the lounge. Discussion took place with three members of staff, the registered manager and with the responsible individual for the company who ‘popped in’ whilst the inspection was in progress. Not all of the National Minimum Standards were assessed on this occasion as all were assessed when the previous inspection was carried out. On that occasion only two were not met in full. These two standards were re-visited as part of this inspection and were found to have been satisfactorily addressed. What the service does well: The home provides warm, clean, well-maintained, comfortable and cheerful surroundings for residents. There is a stable and committed staff team who strive to provide a high standard of care for the residents and help and enable them to enjoy a good quality of life. Care plans are comprehensive and contain all the information needed to care for the residents in a way that has been agreed and is acceptable to them. Residents benefit from a balanced and varied diet, which offers daily choices at all mealtimes. There is an active training programme which means that residents are cared for by competent and experienced staff. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 6 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. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 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 Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 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): 3 The needs and wishes of prospective resident’s are thoroughly assessed to ensure that the home will be the right for the individual. EVIDENCE: Four files examined, including those of the two residents most recently admitted, showed that each resident’s needs had been thoroughly assessed in relation to all aspects of care. These included physical health care needs, mental health, social, emotional and spiritual needs. The written detail was seen to be comprehensive and provided the basis upon which the subsequent care plans were developed. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 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): 7, 9 Residents know that they will receive the degree of care they need and it will be delivered in a way that is acceptable to them. EVIDENCE: Four care plans were examined and showed that these are based on the assessed needs of each resident and are reviewed and changed as necessary on a regular basis. A plan for one resident recently admitted was still in the process of being developed as staff gradually learn more about her and her specific needs and wishes. Residents spoken with confirmed that their care needs are very well met and they were confident that as their needs change so the degree of assistance they need will be increased accordingly and with their agreement. One resident for example said “They give me the help I need as requested, I can’t fault them” another said “I have help with anything I want, they never come in without a smile and that says a lot to me”. Residents confirmed that they could have control of their medication if they wished but all those asked said they preferred it to be in the charge of the home. They said that they receive it at the set regular times each day. Records of administration examined showed that staff are completing them as Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 10 required and there was an audit trail of medicines received into the home and any returned to the pharmacist. Medicines were seen to be stored securely in a locked trolley which, when not in use, is chained to a wall. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 11 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): 15 Residents receive a wholesome and varied diet and are offered a choice at all mealtimes. EVIDENCE: The chef was spoken with during the inspection. He provides meals based on a cycle of four-weekly rotating menus, which were examined. Staff take a list of alternative meals round to residents each morning from which they select their evening meal and their main lunchtime meal for the following day. This was observed to take place whilst the inspection was in progress. All residents spoken with were very complimentary about the food and made such comments as “the chef is excellent, he asks our opinions and we have a choice of menu”. “The food is very good and varied” and “the food is lovely, the chef’s very good”. The dining room is bright, well furnished and inviting. Residents said that they can eat in their rooms if they wish. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 12 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 Residents and their relatives are confident that their concerns and/or complaints will be listened to, taken seriously and acted upon. EVIDENCE: The home has a complaints procedure, which is included in the Statement of Purpose and Service User Guide. Residents spoken with knew who they should tell if they have any concerns or complaints and were confident that something would be done to put things right. One said “I go to the manager or deputy manager if I have any worries and they do something straight away”. Another said “I’d tell Pauline, but I think any of them would be ready to take any criticism and make things right, we see a lot of Mrs Ellis too”. Visiting relatives spoken with said that the manager and deputy manager are always very available and approachable and will sort out any queries or concerns as they arise. All staff had very recently received training in relation to the protection of vulnerable adults and those spoken with were confident about the procedures which are in place and aware of their own responsibilities in protecting residents from any form of abuse. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 13 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): 19, 26 The home’s premises are suitable for its stated purpose, accessible, safe and well maintained. EVIDENCE: The home is conveniently situated within very easy walking distance of local shops, seafront and bus routes and is on level ground. The premises were found to be clean and fresh, well maintained, comfortably furnished and homely. There is a large garden to the rear of the premises, which is easily accessed by residents. The home meets the requirements of the local fire service and environmental health department and there are reports to verify this. Staff currently have to take soiled washing out of the premises and round the house in order to access the laundry without going through the kitchen. This will be resolved in the near future when the kitchen is closed off on one side Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 14 and a corridor constructed from the laundry to the rest of the home avoiding any passage through the kitchen. The laundry area was seen to be clean and tidy with suitable equipment provided. The home has policies and procedures in place for the control of infection. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 15 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): 27, 28, 29 Residents are cared for by staff who are competent and experienced to understand and meet their individual needs. Thorough recruitment procedures are followed to support and protect residents. EVIDENCE: The home has an active training programme which means that staff have the necessary skills and competencies to care for the residents and meet their individual needs. They have opportunities to undertake National Vocational Qualification training and more than 50 have achieved this in levels 2 and above. The deputy manager is undertaking level 4. Other training is provided including a comprehensive induction for new staff, which meets Sector Skills Training specifications. Staff files examined contained evidence of training undertaken. Staff spoken with said that they very much enjoy working in the home. Residents described the staff as being “caring”, “patient” and “kind” one said “nothing is ever too much trouble for them”. Relationships between staff and residents appeared to be very relaxed and there was a happy and warm atmosphere in the home. Staff considered that they receive clear direction from the manager and good training opportunities. They presented as being Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 16 well motivated and committed to providing the best possible care for the residents. Duty rotas examined, observations made and discussion with the manager and staff confirmed that staffing levels are appropriate to provide a good level of care for the residents. They said that they are able to spend quality time with residents, particularly in the afternoons when various activities take place. This was also confirmed by residents. Four staff files examined at random were found to contain all of the necessary evidence and documentation to show that robust recruitment checks had been carried out. Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 17 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): 35, 37 Resident’s rights and best interests are safeguarded by the home’s policies, procedures and record keeping. EVIDENCE: Where any monies are held on behalf of residents for personal spending on such items and services as hairdressing, chiropody, toiletries etc. detailed records are maintained of all expenditure along with receipts. These records are available to residents or their representatives at any time if they wish to check them and they were examined during the inspection. A safe is provided in the office for any monies or valuables held on behalf of residents. Each bedroom also has a lockable facility with a key held by the resident where they can store monies or valuables if they wish. Policies and procedures are in place to support the delivery of care and the running of the home. Other records examined during the course of the Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 18 inspection such as complaints book, fire log, accident records, visitors book and resident information were found to be up to date and accurate. Sandmartins DS0000044061.V281503.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 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 N/A N/A 3 N/A N/A N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 N/A 9 3 10 N/A 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 N/A 13 N/A 14 N/A 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/A 18 3 3 N/A N/A N/A N/A N/A N/A 3 STAFFING Standard No Score 27 3 28 3 29 3 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score N/A N/A N/A N/A 3 N/A 3 N/A Sandmartins DS0000044061.V281503.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 Sandmartins DS0000044061.V281503.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. Extracts may not be used or reproduced without the express permission of CSCI Sandmartins DS0000044061.V281503.R01.S.doc Version 5.1 Page 22 - 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!