Inspection on 22/11/06 for Sandmartins

This inspection was carried out on 22nd November 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

Sandmartins 21/11/08

Sandmartins 01/02/06

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 D Peel Unannounced Inspection 22nd November 2006 09:15 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.V307521.R01.S.doc Version 5.2 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.V307521.R01.S.doc Version 5.2 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) www.homebeechltd.co.uk 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.V307521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 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 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. Private accommodation consists of 14 single bedrooms. The current scale of fees being charged at the home is from £350 to £460 per week. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to Sandmartins was carried out by Mrs Diane Peel on the 22nd November 2006. During this visit the intended outcomes for 34 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed previous inspection reports, information provided in a pre inspection questionnaire completed at the request of an inspector some weeks prior to the visit and other information received from the provider since the last visit to the home on the 1st February 2006. The inspector arrived at 9.15 am and during the course of the visit met and spoke with thirteen of the fourteen residents currently living at the home either in the privacy of their bedrooms, in the lounge or at lunchtime when the inspector joined residents for a meal. A case tracking exercise for three residents was undertaken to look at how the assessed needs of this group of residents were being met by the home and other outside professionals. Staff were observed assisting and interacting with residents throughout the visit and the inspector spoke with, two members of staff, the registered manager and the responsible individual for the company who visited the home, whilst the inspection was in progress. The companies quality assurance questionnaires returned to the manager were sampled to see what resident’s views of the home and services provided had been during the past year. The records of three of staff were examined to see if the homes recruitment policy was being put into practice and staff training records were also viewed. Samples of other records required to be kept by the home were examined during the visit to ensure that the provider is meeting their obligations with regard to the administration of the home. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: There are no requirements or recommendations arising from this visit to the home however it was noted that staff still have to take soiled laundry out of the premises to get to the laundry. Please contact the provider for advice of actions taken in response to this Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 8 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.V307521.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,5,6, Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with the information they need to make an informed choice about the home and are encouraged to visit the home before deciding if they want to live at Sandmartins. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. All residents and their representatives have contracts so that they know what is included in the fee and what the terms and conditions of living at the home are. EVIDENCE: Sandmartins has a Statement of Purpose and Service User Guide. The most recent copy was provided to the inspector prior to this visit. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 10 This information would assist prospective residents and relatives to make a choice about the suitability of the home. The information pack was seen to be present in bedrooms of those residents who had just recently moved into the home. The organisation has a web site, which prospective residents and relatives can access to find out more about the organisation. The home has an admissions procedure, which states that “all pre-assessments must be carried out by the manager or the deputy manager” to make sure that the home can meet the needs of individual residents and ensure that prospective residents can be offered accommodation within categories for which the home is registered. On admission to the home the staff have admissions procedure to follow so that all residents and their representatives have sufficient information about the home. The three residents files examined included the two most recently admitted people. They included a documented assessment of needs, which had been used to develop a care plan. Residents spoken with spoke about the process of moving to Sandmartins. The majority of residents said that relatives had come to look at the home first on their behalf. One resident said, “ her daughter and her husband had toured around the homes to find the best home in the area. Then they brought me to look”. Another resident said “ her son came and found the home for her. He said that it was lovely and clean and comfortable” and then she came down to stay. The organisation provides residents and their advocates with contracts/statements of terms and conditions. A sample contract was seen which outlined the fees to be paid and who was responsible for the payment of the fees. An additional fees tariff is also included in the information pack so that people are aware of the additional costs not covered by the fees paid. Sandmartins does not provide intermediate care although periods of respite care can be offered. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Care planning systems are updated and they give clear information so that all aspects of health, personal and social care needs can be met. Records are in place to monitor the health care needs of residents and record intervention from medical professionals. The home can demonstrated satisfactory medication handling so that residents are confident that they will have their medication managed properly. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: All residents have a plan of care, which has been developed from their assessment of need. The three care plans viewed at this visit were written in a clear language, and could be used by anyone not familiar with the content. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 12 They addressed all aspects of care including, physical needs, health care needs, mental health, social, spiritual and emotional care. Residents have signed a statement within their care plan, which records that they are fully aware of their care plan. Those plans seen had been updated monthly to show changing needs of residents, and daily progress records are kept by staff to monitor the well being of residents. The home has a medication policy, which includes procedures for selfadministration of medicines. These were provided to the inspector prior to the visit to the home. The inspector observed the secure storage of medication during the visit to the home and the administering of medication was observed at lunchtime when a care assistant dispensed medication to individual residents. Medication storage included a lockable medicines trolley, which was chained to the wall in an office. The manager told the inspector that no residents were currently prescribed any controlled drugs. Medication records viewed at this visit were observed to be clear and up to date. Information provided to the inspector about staff training shows that medication awareness training and a medication refresher course has been provided in the last twelve months. At this visit to the home there was no evidence to suggest that the privacy and dignity of residents is not being respected. One resident spoken with at length said, “ I didn’t think that I would be happy here, but I am. It’s clean and everyone is very friendly. I have my own toilet and staff are here to help you when you want them. The staff are nice and they listen to you.” Another resident said, “ I am quite happy here and I can take all morning to put my make up on if I want.” Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15, Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The home provides a lifestyle that respects privacy, dignity and choice, matching resident’s expectations and individual preferences. Activities are offered and residents who are able are encouraged to be part of the community. Home cooked food is provided to a good standard with choices of alternatives available. EVIDENCE: When the inspector joined residents in the lounge during the morning of the visit the atmosphere and conversation between residents was jolly and sociable. Residents were keen to tell the inspector about the visits from a lady who comes to play the organ once a fortnight. Comments were “ she is very Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 14 good”. “She plays music which caters for our age group and popular songs from the war time which we know.” Another residents spoke about the quizzes. She said, “I like the quizzes, we had one last week”. This was confirmed by another residents who said I like the quizzes too; there is usually a prize, chocolates or other bits and pieces”. A notice board in the lounge displays the details of forthcoming events, which included gift tag making, flower arranging, quizzes, organ music, exercise by Activise, music for health and a film afternoon. Sandmartins also has a monthly newsletter, which was observed to be on the notice board and in resident’s bedroom. Not only does the newsletter inform people about what is going on at Sandmartins but also it invites residents to events at the other homes within the organisation. Whilst the majority of residents spoken with were pleased that they had opportunities to take part in such an active social life one resident did tell the inspector “ I don’t like to take part in activities but I do like to watch.” Food is considered to be of a good standard by residents who made comments such as “ the food is good. We always have a choice of two main meals at dinner time, we are asked the day before.” “ I am always congratulating the chef every body likes his custard and fruit crumbles”. “ the chef is wonderful, we always get a choice.” Staff spoken with during the visit commented that the chef is part of the team and knows what people like and don’t like. The inspector joined resident for the main meal of the day in the bright, well furnished and inviting dining room. Residents spoken with earlier had said that they could have their meal in their room if they wanted. Residents had a choice of gammon and pineapple or cornish pasty with cauliflower, peas and roast potatoes, one person chose an omelette. Desert was cherry crumble and custard or strawberry and chocolate whip. Menus provided to the inspector prior to the visit showed that food provided is varied and there are opportunities for choice when someone doesn’t like a particular meal. Feedback about the range and quality of food in the homes quality assurance questionnaires viewed at this visit was very good with most people reporting that the food was of a high standard with plenty of variety. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be taken seriously and responded to within a maximum of 28 days. The homes adult protection procedure is clear and residents are protected by systems in place to protect residents from being placed at risk of harm or abuse. EVIDENCE: The complaints procedure is included in the Service User Guide and on display in the home It is clear and gives an assurance that complaints will be dealt with within 28 days. The complaints records were examined at this visit and it was noted that there had been one complaint made directly to the manager which had been investigated and a satisfactory outcome recorded. Staff have attended adult protection training and the home has its own guidelines for staff to use at the home, which are used alongside the West Sussex Multi Agency guideline for reporting abuse. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25,26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, clean, well maintained and provides residents with a home from home environment to enjoy. Bedrooms are well equipped and comfortable and residents say that they meet their needs for a private place, which is their own space. EVIDENCE: The property is situated in residential area of Bognor Regis close to the sea and overlooking a park. On the day of this visit all the communal areas and thirteen of the fourteen bedrooms were seen. The home was observed to be clean and well maintained. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 17 Residents spoken with commented about the homely comfortable décor and furniture in the lounge and their bedrooms. On resident said “ I am quite happy living here. I am very pleased with my room. I like to come upstairs at about 6 o’clock so that I can watch my own television before I deicide to go to bed. Another resident said, “ its lovely here, there is a family atmosphere, we all chat together when we are in our lounge”. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The staffing numbers are set at level, which allows residents assessed needs to be met. Recruitment procedures safeguard and protect residents at the home. The staff-training programme provides staff with the skills, which they need to do their job, and enables them to provide a reasonably safe environment for residents. EVIDENCE: Staffing rotas observed prior to the visit show that sufficient staff are employed with the appropriate skill mix to meet the needs of residents over the 24-hour period. The organisation has its own recruitment procedure and the records of three members of staff were examined to see if the procedure is being followed. Those records seen were well organised and had all the information required. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 19 Information provided by the manager of the home prior to the visit about the qualifications of staff show that there are eleven care staff working at the home. Six care assistants (55 ) have an N.V.Q qualification at level 2 or above. The deputy manger is undertaking an NVQ level 4. Staff records and information provided before the visit to the home showed that there is an ongoing training programme which the provider has for all the homes within the company and a member of the care staff spoken with confirmed that they thought that there were plenty of training opportunities. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 20 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): 31,32,33,35 36,37,38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents and staff have confidence in the manager’s approach to running the home and feel that the home is run in their best interests. Quality assurance systems are in place to ensure that the views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. Systems for handing residents monies ensure that residents are assured that their financial interests are being safeguarded. Records required are constructed and maintained so that up to date information is available about residents to safeguard their best interests. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 21 Sandmartins provides a safe environment so that residents and their families know that their wellbeing and safety is promoted. EVIDENCE: Residents and staff spoken with all spoke highly of the manager and her flexible, but professional approach to running the home. The manager completed the NVQ Registered Managers Award and has over two years experience as manager of the home. The results of resident’s quality assurance surveys were examined during the visit to the home and regular visits by the responsible individual on behalf of Homebeech Limited have been provided. No monies are held at the home for distribution to residents. The company has a designated person who is responsible for invoicing relatives or residents representatives. An external accountant is monitoring the system being used to deal with service users monies. This system works for Sandmartins. Residents have a lockable facility in their rooms with a key held by the resident so that they can store any monies or valuables. Supervision records were observed to be present in the staff records viewed at this visit and staff spoken with confirmed that they are supervised. Records observed during the visit were detailed and up to date. No health and safety matters came to the attention of the inspector during this visit to the home. The manager told the inspector that Fire Risk assessments had been carried out and that the Chef had completed the “Safer Food, Better Business” required by the Food Standards Agency. Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 x 18 3 3 4 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 4 3 3 Sandmartins DS0000044061.V307521.R01.S.doc Version 5.2 Page 23 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.V307521.R01.S.doc Version 5.2 Page 24 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.V307521.R01.S.doc Version 5.2 Page 25 - 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!