Inspection on 21/08/07 for Southbourne Residential Care Home

This inspection was carried out on 21st August 2007.

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

Southbourne Residential Care Home 07/07/09

Southbourne Residential Care Home 29/10/08

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Southbourne Residential Care Home Cary Avenue Babbacombe Torquay Devon TQ1 3QT Lead Inspector James Rose Unannounced Inspection 21st August 2007 09:00 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 Southbourne Residential Care Home DS0000069861.V347969.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. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southbourne Residential Care Home Address Cary Avenue Babbacombe Torquay Devon TQ1 3QT 01803 323502 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) Rosepost Healthcare Limited Mr Vaughn Arthur Owen Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (21) Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (Code OP) Dementia over 65 - (Code DE(E) Physical disability over 65 (Code PD(E) The maximum number of service users who can be accommodated is 21. New Service 2. Date of last inspection Brief Description of the Service: Southbourne Residential Care Home is a detached residence that stands in its own grounds, it provides 24-hour residential care for persons in the category of Old Age, not falling into any other category, Dementia over the age of 65 years and Physical disability over the age of 65 years. The home’s accommodation is set over two floors, there are 17 single bedrooms, 12 of these have en suite facilities and two double bedrooms that both have en suite facilities provided. A large comfortable lounge is available, meals are taken in a separate dining room at small tables seating up to four persons. A stair lift is provided for people who have mobility issues. At the front of the building there is a large hard standing car park, which has the capacity to take several vehicles. There are gardens with a large lawn area to the rear and sides of the home. Southbourne is situated in the Babbacombe area of Torquay and is within level walking distance of local amenities and the Babbacombe downs. The weekly cost of care at Southbourne is between, lowest £325.00 and the highest £360.00. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 6.5 hours in August 2007. Samples of the care records were examined and three residents were asked individually in private for their views of the service offered. Two visitors to the home were also consulted. A complete tour of the building was undertaken with all rooms seen, and evidence was also gained from healthcare professionals that provide a service to the home. Two of the care team were interviewed in private for their views and the inspection was undertaken with the assistance of the proposed registered manager throughout, the new proprietor also assisted. What the service does well: What has improved since the last inspection? Since the time of the last inspection the home has new proprietors and a new manager; there have also been substantial staff changes. Substantial investment is also being undertaken in the building, with better facilities being provided and en suites added to residents’ bedrooms. In addition new carpets are going to be fitted and substantial redecoration to the communal areas is underway; this will provide a much improved environment for the residents. New systems of care records are being introduced that are more detailed than those that were available previously and these will achieve a ‘client centred’ approach to the service provided in the home. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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 Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is adequate. Current residents have their needs met. A new and improved assessment approach is currently being introduced in the home, which will make this process more comprehensive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this inspection the new proposed manager is introducing a more comprehensive assessment of residents needs with all the residents being reassessed. This system was discussed with the manager and all needs will be covered comprehensively in the areas of health, personal and social. A timescale of twelve weeks for this process to be completed has been agreed with the home. Three residents were consulted individually and others in small groups, all advised that they received a good service and felt that all their needs were met. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. Residents are treated with respect and their privacy is maintained. Residents are able to self medicate and they are protected by the home policies and procedures for the administration of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in the process of replacing the care plans that were available with a more comprehensive type that will ensure that a ‘client centred’ approach is provided for each person in the home. The new plans will also contain detailed risk assessments on residents. When the plans are completed they will be agreed with the individual concerned and signed by them or their representative if that is more appropriate. A timescale of twelve weeks for the completion of this process has been agreed with the proposed manager. Healthcare needs have been satisfied by the home through this period of change and this has been confirmed by the healthcare professionals that provide a service to Southbourne, and the residents consulted during the inspection process. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 10 The recordings of the administration of medication undertaken by the home were examined and found to be appropriate. Medication was checked and booked in when received, issued as per the prescription and any unused medication was returned to the pharmacist after being recorded. Facilities were available for low temperature storage and additional security storage was provided for medication subject to the controlled process. These processes ensure that residents are safe in the home. The manager is going to ensure that all residents have a secure storage facility in their bedrooms for medication and valuables. It was clear from observations made during the inspection and from conversations undertaken with residents that they were always treated with respect and their privacy was given appropriate priority by carers. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. Residents advised that they enjoyed their life at Southbourne, however when the ‘client centred’ care plans are in place activities will be better provided. The home has an unrestricted visiting policy and procedure that enables residents to maintain contact with family and friends. Residents are assisted to make their own decisions to maintain as much control as possible. Wholesome balanced meals are provided that are usually served in the dedicated dining room. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Currently the home has a programme of activities for residents, however when the ‘client centred’ care plans are in place activities will be provided according to residents needs. This individual approach to the provision of service will enhance residents’ quality of life. At present the home provides quizzes, indoor games, which includes board games, exercises, singing and crafts. All the residents consulted stated that they liked life at Southbourne and they enjoyed living there. Two visitors were also asked for their views of the service provide at the home and both were very positive. The home has an unrestricted visiting policy and procedure and residents are encouraged and assisted to maintain contact with family and friends. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 12 One of the residents said, “I go out regularly with my family and they can visit when they like” another remarked “ I do like life here, but I will be glad when all the redecoration is completed”. It was clear from observations made during the inspection process that residents are helped to exercise their own choices and time and space is given by carers for resident to consider their answers when they are asked a question. Residents confirmed when asked that they felt consulted and in control of the matters that concerned them in the home. Since the time of the last inspection the home has a new cook, residents advised that they enjoyed the meals provided and had now become used to the new menu. One of the residents advised on completion of her lunch “I really enjoyed that”. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Residents and visitors to the home were confident that the management would resolve any complaint quickly. The home has an appropriate adult protection policy and procedure and carers are trained in its use. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure was readily available in the home. The residents consulted were relaxed and confident and advised that if they found it necessary to raise an issue they felt it would be quickly resolved to their satisfaction. No complaints were raised during the inspection process. There is an adult protection procedure available in the home that is appropriate and meets the legislation. Carers are trained in its use, two carers were interviewed during the inspection and both were clear on the procedures to be followed in the event of abuse being discovered. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. Southbourne is a safe well maintained home that is clean throughout with good standards of hygiene apparent. The current refurbishment programme is causing some unavoidable disruption, but the substantial improvement to the environment will be appreciated by all. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the time of the last inspection Southbourne has changed hands and there is a new proposed manager. The new proprietors are making a substantial investment in the home and currently rooms are being altered and en suite facilities being provided. The communal areas of the home are being redecorated and it was understood that a new kitchen is going to be fitted and new carpets provided throughout. Bathrooms are being refurbished and the lighting in the home and the laundry is being replaced. When this work is completed a substantially improved environment will be provided for residents. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 15 A complete tour of the home was undertaken as part of the inspection process and there was clearly a lot of work being undertaken. There were some items of health and safety that should be taken into account. The main stairway was being repainted but no notice of wet paint was apparent. Work had also been undertaken in occupied bedrooms and not event the staff were aware that this was being done, alternative arrangements should be in place for residents to use a room in private if they should wish. The fire sensors had been disconnected in some of the occupied rooms whilst building work was in progress. A requirement has been raised in this report that until the fire system is complete regular half hour checks should be undertaken throughout the building by staff and the local fire authority should be contacted for advice. Residents were happy with the home but several stated that they would be much more relaxed when all the changes had been completed. All toilets and bathrooms were seen throughout the building and good standards of hygiene were in place. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. Residents’ needs are appropriately met by the experienced care team. The recruitment practices in place at the time of the inspection do not ensure the protection of residents. Carers are trained and competent to fulfil their roles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection there have been many care staff changes in the home. However, the staffing levels at the home remain at the same level as the time of the last inspection and there are always sufficient carers available to meet the needs of the residents and ensure their safety. Residents confirmed that their emergency call bells are answered in good time when used. The recruitment practices in place at the time of the inspection did not adequately ensure that residents were in safe hands at all times. Some carers were working in the home without a copy of the appropriate checks being available and no additional precautions were in place. Other personnel files had only a single reference available. The registered manager must ensure that the personnel files comply with the legislation to demonstrate that residents are safe, a requirement has been raised for this purpose. Induction of new staff was being undertaken and the proposed manager is currently involved in putting together a training programme for carers to ensure their skills are developed. The two carers on duty at the start of the Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 17 inspection were both well qualified and understood the details and procedures of the adult protection policy. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33, 35 and 38. Quality in this outcome area is adequate. The home has a registered manager who is delegating the day to day running to a new proposed manager and many changes are being introduced. Residents’ financial interests are appropriately safeguarded. In general the health, safety and welfare of residents and staff is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of the home has delegated the day-to-day running of the home to the new proposed registered manager. Residents were consulted about the service provided and it was understood that systems were going to be introduced which will demonstrate this in detail. It is acknowledged that the home has recently changed hands and new approaches are being introduced as quickly as possible. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 19 The home currently assists residents with the administration of their pocket monies. Four records were examined and found to be correct with only very small errors found. It was understood that this system will be altered. In general the health, safety and welfare of residents and staff are given priority. Some deficits were apparent at the inspection, parts of the fire alarm system had been disabled by the building being undertaken and no alternative arrangement had been put in place. A resident’s bedroom had had building work started and no arrangement had been made for the resident concerned to have the use of another room if they needed one to be available and even the staff were unaware that work had been started. Painting of woodwork was being undertaken in the home but no warning notice was on display. The recordings undertaken by the home of the fire precautions was examined and found to be appropriate. Electrical appliances were being tested during the inspection and faulty equipment was being taken out of service. An electrical installation certificate was available and the water in the home has been tested for unwanted bacteria. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 20 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP29 Regulation 19 Requirement The registered person shall not employ a person to work in a care home unless – he has obtained in respect of that person the information and documents specified in – (i) paragraphs 1 to 7 of Schedule 2. Timescale for action 30/09/07 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 OP38 Good Practice Recommendations The registered manager should consult the local fire authority to ensure the precautions undertaken in the home whilst parts of the fire alarm are out of action are appropriate and residents are safe. Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Southbourne Residential Care Home DS0000069861.V347969.R01.S.doc Version 5.2 Page 23 - 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. 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