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Inspection on 21/11/05 for Shoreline Nursing Home

Also see our care home review for Shoreline Nursing Home for more information

This inspection was carried out on 21st November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home delivers a quality standard of care to the residents in a clean environment for the residents to live in. The atmosphere of the home is warm and homely, with some good quality soft furnishings. All rooms are personalised with the resident`s belongings such as photos and ornaments. The staff are friendly and greet visitors in a positive helpful manner. Resident`s comments included: " I receive excellent care". "The staff go out of their way to help me". "I love being in my room as it overlooks the sea". "The food is fine, I have what I want". "The home has everything I ask for". " They are the kindest carers I have ever known".

What has improved since the last inspection?

The management team have continued with their redecoration programme and several rooms in the home have been re-carpeted. The management team continue to work towards achieving consistent high standards of care and have staff and residents meeting to create and launch new ideas. The manager meets with other healthcare professionals in order to develop the service in the home for the benefit of the residents.

What the care home could do better:

The audit system would be improved if other health care professionals who visit the home were included in the quality survey. Following the survey it may be useful to put the findings on the notice board to allow residents and visitors to see the outcome. Develop a policy to demonstrate the disposal of medication to meet the current guidance from the Environments Agency. Records of activities that have taken place in the home should be kept to show what residents have participated in and what they enjoy doing.

CARE HOMES FOR OLDER PEOPLE Shoreline Nursing Home Park Avenue Redcar TS10 3JZ Lead Inspector Lyn Burrell Unannounced Inspection 21st November 2005 10:00 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 Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shoreline Nursing Home Address Park Avenue Redcar TS10 3JZ 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) 01642 494582 01642 494582 Dr Lal Dr Dave, Dr Puri Mrs Helen Pasco Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The home can admit 10 service users with a physical disability aged from 55 . The home can admit 20 service users age 55 . The home can admit three named service users under 55 years of age, until such a time that the placements are no longer required. The home can admit one named individual under the age of 40 years. Date of last inspection 15th June 2005 Brief Description of the Service: Shoreline is a care home that provides nursing care to older people aged 65 plus. However there is a condition of their registration that allows the home to admit up to 20 service users age 55 and above who have a physical disability. The home is located on the sea front and is close to central Redcar shopping mall, where there are pubs, shops, and other amenities. Weather permitting the carers can take the residents to the shops and along the seafront in wheelchairs if the service user feels it is too much to walk. The home was built in 1993 and is a 2-storey building. There are 44 rooms in the home of which 30 single rooms have en-suite facilities and there is a passenger lift. A lounge and dining room are available on both floors and there are Registered Nurses on duty 24 hours per day. There is a paved area around the home where plants and shrubs are in pots and a veranda on the first floor where service users can sit out if they choose. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not told beforehand about the inspection. The inspection lasted three hours with one inspector; I spoke briefly to nearly all of the residents whilst walking around the home and three residents were interviewed in the dining room for a longer period of time. During this inspection discussion with residents took place, the inspector walked around the home, read care records, activities and social contact, complaints system, reviewed the medication records, staff recruitment residents monies and staff supervision records. A tour of the home showed that it was clean, tidy and well decorated throughout. What the service does well: What has improved since the last inspection? The management team have continued with their redecoration programme and several rooms in the home have been re-carpeted. The management team continue to work towards achieving consistent high standards of care and have staff and residents meeting to create and launch new ideas. The manager meets with other healthcare professionals in order to develop the service in the home for the benefit of the residents. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 6 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. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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 Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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): This standard was not assessed on this occasion. EVIDENCE: Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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): 7,8,9 Each resident has an individual care plan that includes the health and social care needs. The records show the home meets the residents’ health care needs. Further development of the medication policy is needed. Service users said they were happy with the care provided. EVIDENCE: The residents care plans are formulated from the problems that are identified at the initial assessment. A life story of the person is written to create a picture of the person and to help understand the persons likes and dislikes in order to maintain a usual lifestyle as best as possible. To ensure all health care needs are met various assessments are used to identify risks, such as nutritional problems, mobility issues, pressure sores and other risks that may affect the person’s well being. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 10 The care records have sections in them for the appropriate health care professional such as GP’s district nurses, optician, dentist and podiatrist to record their findings. The manager checks the care plans monthly to ensure they are up to date. The policy for the disposal of medication does not explain the process for returning unused medication to the dispensing chemist. The policy needs to include the new guidance for the disposal of medication. The current system for ordering monthly prescriptions is effective and there is an appointed person responsible for ensuring this works well. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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): 12,13,14 The programme for activities needs amendment. The development of a planned structured and well delivered activities programme can contribute to a more interesting and stimulating lifestyle for service users. Residents are encouraged to maintain contact with their friends and families and go out in the community if the wish to. Residents can access their care records at any time. EVIDENCE: There is an activities programme in place, however the diary that the activities coordinator keeps does not to show what entertainment or activities that have happened. The neither shows the residents names that have participated in any of the activities. An example of this is the diary does not reflect the activity schedule and reads as if there are only two residents who have joined in with the planned events. Friends and relatives were free to visit at any reasonable time and many residents go out of the home from time to time. Carers take the residents out to the local shops and along the promenade providing the weather is fine. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 12 Residents’ bedrooms were decorated with wallpaper of their choice and coordinating soft furnishings. The bedrooms that were looked at had many personal items of furniture, photos and ornaments that the resident brought from home. Residents can access their care records at any time and care planning is completed with the resident so that the person can decide on the care they need. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 13 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 The home has a satisfactory complaints system. Complaints are handled appropriately and the outcomes used to improve the service. EVIDENCE: There is a specific form to complete when a person complains about the service in the home. All complaints are taken seriously and recorded. There is assurance in the homes policy that the complainant will be responded to within 28 days. The manager keeps a record of all complaints, how it was investigated and the outcome. All complainants receive written information about their complaint explaining if it was upheld or not and describes the action if any that will be taken. There is clear instruction to complainants about their rights to contact CSCI if they are not satisfied with the homes investigation. There has been three complaints in the last year two of them were upheld and the other one wasn’t. The three complaints were about care practises within the home. The home also receives letters of thanks from residents and their families who use the service. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 14 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 The standard of the environment within this home is fairly good, with exception of the corridor carpets. The home is safe and regular maintenance and servicing of equipment is undertaken. The home is clean and tidy throughout. EVIDENCE: The home was bright and cheerful throughout and homely. Resident’s bedrooms had some of their own furniture from home, photographs and ornaments. Bathrooms and toilets were spacious and disabled people could easily access them. The home has suitable equipment to assist with mobility and bathing. A toilet on the first floor had a loose handrail and broken flooring. However it is a clean and pleasant home. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 15 Corridor carpets were replaced approximately 2 years ago and they have not met the expectations of the manager or responsible individual. The management team have agreed to clean the corridor carpets every 3 months with an industrial cleaner to try to improve it. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 16 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): 29 Staff recruitment practice protects service users and record keeping in respect of new staff employed in the home is robust. The records contain sufficient information to ensure that service users are protected. EVIDENCE: A robust recruitment system is in place and the records are well maintained. Each staff member has a personnel file that is kept in accordance with data protection. To ensure the residents are safe each employee completes an application form and explains any gaps in employment. Two references are requested by the manager, one of the references is from the previous employer. Photographic identification and birth certificates are copied and a criminal records check is sought at an enhanced level. Nurses personal identification numbers are checked with the Nursing & Midwifery Council to ensure the nurses are eligible to practice. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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): 33,35,36 Service users are asked by the organisation and by staff about how they want their support to be provided so that their rights and best interests are promoted. Arrangements for the handling of service users’ personal savings are appropriate and well managed. The manager ensures that all staff have guidance and support so that service users needs can be most effectively met. EVIDENCE: The manager frequently reviews the running of the home; a monthly review of the building for maintenance checks is in place to ensure safety of the residents and staff. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 18 The manager reviews care records randomly every three months; this is to ensure that the records are accurate and up to date. Records of the audits are kept and are available for the staff to see if they choose to. Policies and procedures are checked annually and they are amended to meet current requirements and practises. However it may improve the audit system if other health care professionals who visit the home were included in the quality survey. Following the survey it may be useful to put the findings on the notice board to allow residents and visitors to see the outcome. An effective recording system is in place for the residents’ personal allowance. Each resident has a separate record that shows every transaction, all transactions of incoming and out going money is signed for by two people. The running total shows the balance that remains. The staff receive supervision every two months, this is to allow them to express their training needs and discuss areas within their care practise. There are members of staff who are appointed to undertake these sessions and support the staff member during their time at work in the home. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 3 X X Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13,15,17, 18 12,16 Timescale for action The medication policy must give 31/12/05 clear instructions to follow when storing and disposing of medication. A clear record of the activities 31/12/05 the residents have participated in must be kept. Requirement 2 OP12 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 33 Good Practice Recommendations It would be beneficial to include healthcare professionals who visit the home in the quality assurance survey. Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Shoreline Nursing Home DS0000000137.V258952.R01.S.doc Version 5.0 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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