Inspection on 02/08/05 for Sandylane Hotel

This inspection was carried out on 2nd August 2005.

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

Sandylane Hotel 06/10/06

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Sandylane Hotel 33 Sands Lane Bridlington East Yorkshire YO15 2JG Lead Inspector Lynne Busby Unannounced 2 August 2005 9:30 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 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. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sandylane Hotel Address 33 Sands Lane Bridlington East Yorkshire YO15 2JG 01262 403037 01262 403067 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) Sandylane Limited Mrs Judith Ann Dennis Care Home 31 Category(ies) of OP Old Age (31) registration, with number DE(E) Dementia - over 65 (31) of places Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22/03/05 Brief Description of the Service: Sandy lane Hotel is an adapted, purpose built care home on Sands Lane, Bridlington, with sea views. It is a four storey buiding which once belonged to the Local Authority, but which is now owned by Sandylane Limited. Service users are located on the ground, first and second floors, whilst offices for adminstration are on the third floor. A passenger lift goes to all floors. There are twenty five single rooms with ensuite toilet and three shared rooms with ensuite toilet. The home has three bathrooms, two showers, eight separate WCs, together with three lounges and two dining rooms. The home cares for service users who are elderly and may have dementia and offers personal care, emotional support and a level of entertainment and activity. The home tries to encourage relatives and friends to become involved in activities of service users outside the home. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4.5 hours and was under taken by two inspectors, Lynne Busby and Sarah Urding. The inspection process included a review of documentation and a tour of the building. The inspectors spoke to three staff on duty, the manager, 13 service users, two family members who were visiting the home and two health care professionals. What the service does well: 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. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 7 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 standard(s) 3 and 6 Prospective service users needs are fully assessed before entering the home to ensure their needs can be met by the home. The home does not offer intermediate care. EVIDENCE: Individual records are kept on each of the service users and inspection of the records of three files, one who was a recent admission, had full assessment information recorded on them. This included an assessment completed by the home, for funded service users, or a community care assessment. In addition to this the records included a plan of daily care. The manager advised that before admission she would visit the service user and complete an assessment. The home does not offer intermediate care. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 8 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 standard(s) 7,8,9 and 10 All service users have individual care plans ensuring their assessed needs are met. Service users health care needs are well met. The systems for administration of medications are in place and followed. Service users are respected and privacy is upheld. EVIDENCE: The inspectors tracked three service users files. Service users had a plan of care that had been generated from a community care plan or from the home’s assessment of needs. The plan of care is reviewed on a monthly basis. The plan covers all aspects of health, personal and social care needs. Risk assessments are in place for a range of needs. The health care of service users is fully met. Records of health professional visits are recorded. The visiting health care professionals said that the staff communicate well with the health care staff and “ they follow advice and guidance that is given”. It was observed that service users who are receiving medical attention are treated in their own rooms. Service users are accompanied to hospital appointments by staff. Records indicated that fluid Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 9 intake charts are kept and nutritional screening is undertaken. There are opportunities for physical exercise some service users go out for a walk and the home offers movement to music once a week. This was observed during the inspection with a number of service users taking part. The home’s medication is supplied by a local pharmacist who visits the home annually and a report is given. The manager informed the inspector that they seek information and advice from the pharmacist. The home has the correct storage for any controlled drugs and a register is provided. The inspector checked two-service users medication and found these to be appropriately recorded. The privacy and dignity of service users is maintained within the home. Staff are aware of how to treat service users with respect and this is covered in the induction training. Records indicated that the preferred term of address is used for service users. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 10 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 standard(s) 12,13,14 and 15 Service users are able to take full advantage of activities and interests and participate in community and family life. The meals in the home offer choice and variety to the service users. Service users are encouraged to exercise choice over their daily lives. EVIDENCE: Service users are able to make choices in all aspects of daily living. Oneservice user said “ I get up when I want, get a cup of tea in bed and go to bed when I want”. Service users can choose to have their meals in their rooms or in the dining room. The home offers a range of activities including bingo, movement to music, an entertainer once a month, hairdressing and going out for a meal. Service users are encouraged to continue with their own interests. The inspectors were informed that one service user is making cuff links for the forthcoming coffee morning. The inspector spoke to two visiting relatives during the inspection. They stated that the staff made them feel welcome and there were no restrictions on visiting. One visitor said about the home “ staff take time with everyone”. A relative advised that the home gave her a meal when visiting. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 11 Service users can handle their own financial affairs for as long as they wish to do so. Service users and their representatives are informed how to contact advocates. When service users are admitted to the home they can bring personal possessions and this was observed by the inspector when touring the building. The home has two dining rooms that are attractively decorated. Meals are well presented and on the day of the inspection lunch included soup, steak and kidney pie and fruit crumble and custard. Service users advised the inspector that they are offered a choice everyday. Menus were displayed on each dining table. The cook advised that menus are on a four-week rota and are changed to reflect seasonal variation. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 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 standard(s) 16 and 18 Service users are listened to and protected. EVIDENCE: The home has a complaints procedure and this is displayed in the home. Records indicated that there have been three complaints in the last year:- One regarding a missing item of clothing and two regarding the food. These were dealt with appropriately and fully recorded. A service user said, “If I don’t like something I will say”. Service users are given opportunities to give opinions in reviews, through satisfaction questionnaires and in service users meetings. The home has a protection of vulnerable adults procedure. Staff explained that this is covered in induction training. Staff demonstrated an understanding of the procedure and would refer any concerns to the manager. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 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 standard(s) 19 and 26 The standard of the environment within the home is good providing service users with an attractive place to live. EVIDENCE: The home is located close to the Bridlington’s North Beach with views of the bay visible from a number of rooms. The property has four floors with accommodation for service users on the ground, first and second floors and administration offices on the top floor. Access to the upper floors is via a passenger lift and a staircase. The outside area is accessible to service users through the use of a ramp and is attractive with a seating area and water feature. The home is well maintained throughout. The local fire service have visited on the 12/04/05 work is still continuing on fitting intumescent and cold smoke seals on doors. The environmental health last visited on the 14/04/04 and no recommendations were made. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 14 The home was clean, hygienic and free from offensive odours. The home employs housekeepers to ensure this standard is met. The laundry has washing machines that can wash at appropriate temperatures. There are hand-washing facilities for staff in the laundry. Staff have attended training on infection control and policies and procedures are in place. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28, 29 and 30 Sufficient staff are deployed at all times to meet the needs of the service users. Recruitment practices needs to be consistent to protect service users from risks of abuse. Staff are well trained and therefore competent to do their jobs. EVIDENCE: There was a staff rota available for inspection. This indicated that there are four staff on duty in the morning and three in the afternoon and evening. The home has two waking night staff. In addition the home has two cooks, two kitchen assistants, a maintenance person and an administrator who is supported by office staff. The manager, deputy manager and senior staff are available to be on call. The manager is proactive in arranging training and staff have attended a range of training including, moving and handling, basic food hygiene, first aid, infection control and safe handling of medications. The home has fifteen staff that have achieved NVQ level 2 and 3. The home has five other staff that are working towards NVQ level 2. Staff members complete induction and foundation training to TOPSS specifications. This was confirmed by staff who have recently been appointed. All staff receive three days training a year that is funded by the provider of the service. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 16 The inspectors checked three staff files and found that the recruitment and practice procedures had been followed in all but one where the staff member had started prior to the receipt of the POVA clearance. The manager advised that verbal references had been sought but this had not been recorded on the file. This is not the usual practice of the home and the staff member had not been unsupervised until all clearances were in place. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,36 and 38 The home is managed well and run efficiently. It provides an environment that is safe and the welfare of staff and service users is promoted. Staff are supervised appropriately to support service users. EVIDENCE: The home has a clear quality assurance system that includes monthly audits. Service users, family and friends and other stakeholders views are sought and collated and this informs all planning and reviews of the home. The provider and manager are very proactive in ensuring any requirements and recommendations made at inspections are actioned. Service users are encouraged to manage their own finances. Where the home manages the personal allowance this is not pooled and clear records are kept with receipts. Secure facilities are provided for the safe keeping of money. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 18 Staff are formally supervised and records are kept. In addition staff receive annual appraisals and a review of training needs. There were up to date maintenance records available for inspection. The home had a fire risk assessment that had been reviewed. Staff have been trained in safe working practices. A range of risk assessments on safe working practices had been carried out. Accident records were recorded appropriately. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 3 x 3 Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 20 No 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 29 Good Practice Recommendations The home should ensure that staff are not employed until recruitment checks have been carried out. Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Sandylane Hotel J53_s64418_Sandylane Hotel_v242208_020805_Stage 4.doc Version 1.40 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. 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