Inspection on 02/06/05 for The Mariners

This inspection was carried out on 2nd June 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

The Mariners 06/02/07

The Mariners 15/11/05

The Mariners 01/02/05

The Mariners 14/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Mariners 15 High Street Rye East Sussex TN31 6JF Lead Inspector Jason Denny Unannounced 2 June 2005 13:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Mariners Address 15 High Street Rye East Sussex TN31 6JF 01797 223480 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) Canterbury Oast Trust Mrs Frances Swain Care Home 10 Category(ies) of Learning disability (LD) 10 registration, with number of places The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged between eighteen (18) and sixty-five (65) years on admission 2. The maximum number of residents to be accommodated is ten (10) 3. Residents with a learning disability only to be accommodated Date of last inspection 1 February 2005 Brief Description of the Service: The Mariners provides residential and social care for up to 10 adults with learning disabilities. The home is in a Grade 2 listed building, which fronts onto the High Street in Rye. Service users’ accommodation is on four floors. Most of the private rooms have en suite facilities. Other rooms have bathrooms and toiliets close by. The property includes a restaurant, which is open to the public and provides supervised work experience opportunities for the service users of this and other homes, owned by The Canterbury Oats Trust. A large, lawned garden and newly fitted decking area to the rear is accessed via patio doors from the basement level kitchen/diner, or from a side exit that leads out into the shopping area of the town. Last year, extensive refurbishment and building works were carried out at the home to comply with fire safety standards. Durng this period a dedicated laundry room was created and a new modern lounge developed. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced routine inspection [first of two planned before April 1st 2006], which took place between 1pm and 6pm. The Inspection found that of the 24 National Minimum Standards inspected, that 22 had been fully met. The focus of the inspection was on seeing how the newest resident was settling in, along with overall resident involvement in the home. The inspector spoke with 6 of the 10 residents [4 in detail] and looked at the care records of 3 residents including the one referred too. The inspector had an extended discussion with 1 staff and the manager. The inspector toured all communal areas of the home. Food stocks were examined. Health and safety areas were examined. A record of complaints was inspected along with some other paperwork, such as the home’s guide and minutes of meetings. What the service does well: What has improved since the last inspection? The home has positively acted to promote the independence of two residents by offering them the opportunity to move to a smaller more independent home in a rural setting. After detailed consultation the two residents concerned The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 6 choose to stay at the Mariners due to Rye’s better transport links and greater community facilities which they felt enhanced their independence along with everything being within walking distance. Training has further improved with the introduction of a national induction framework [TOPSS] framework for all staff. The overall improvement to the building over the last 18 months is positively noted. This has resulted in a number of benefits such as a new lounge, separate laundry room, and safer access, improved fire safety, and a new decking area among other improvements. A number of residents have been supported to enhance their skills such as 2 residents who now go to a more advanced horse-riding school. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 & 4 Although the home provides good information in its guide this is not enough. This information needs to be on display and available to residents and visitors. Assessment information in relation to residents was of a good standard. The home ensures that prospective new residents have a high number of extended trial visits to ensure they are making an informed choice and to ensure that existing residents have a chance to meet them and pass a view. This part of the home’s practice was found to be exceptional. Residents contracts/agreements are well written, explained, and agreed by all, before a permanent place is offered. EVIDENCE: The home has a Statement of Purpose. The home has a clear complaints procedure. Some names in the organisation of whom to complain to were found to have left the organisation some time ago. The format of the Residents Guide was in both normal print and also in large print with photographs and symbols to assist people with communication needs to follow the information. The guide contained a range of information and some photographs but had no views of residents or other information such as social services emergency contact numbers. The guide was found to be in the homes office cabinet and so not freely on display for visitors. A copy of the most recent Inspection report was found on display in the home. Pre-admission assessments are undertaken by the Trust, which subsequently holds allocation meetings, matching new admissions to vacancies at one, or other of the homes it owns. Relatives and Residents are consulted with; there The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 9 are social care assessments available and discussions with Social Services in every case. This was all clearly recorded for the newest resident. The Inspector found through discussion with this resident and looking at records that this resident had visited for several extended overnight stays in the home. He was found to be coning to the end of his second 4 weeks with a review planned for June 13th. Records also showed that other residents were in agreement with the new resident moving into the home. The resident was found to have already made friends. The resident confirmed that everything has, and had, been explained to him. Each of his trial visits was clearly recorded in report form. Staff were found to have a good understanding of his communication needs and his ongoing needs and goals. The home believes that they will reduce the risk of challenges by offering a highly active lifestyle. Records and discussions indicated that this approach was being successful in that challenges had not been seen. The organisation has a clear admittance policy, which states that the service is not appropriate for people with seriously challenging behaviour such as aggression. The inspector observed compatibility of residents with all generally having low needs. For each service user there is a Social Services contract, additionally a form of service user agreement has been produced by the home that outlines the rights and responsibilities, terms and conditions, the plan for personal support and the facilities and services to be provided. This is also signed. The fee level is set at around £733.94, which is the same for each resident and funded fully by social services. The fee includes all day services such as trips to work placements. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 & 9 Care-Plans were found to contain good information subject to regular review with all relevant people. Care-plans showed evidence of being put into action and were found to be highly relevant to the needs of the individuals concerned. Staff showed a good understanding of guidelines especially in relation to the newest resident. Risk assessments were found to be relevant and thorough. Residents are all supported to be as independent as is practically possible. A wide variety of choice is available to residents. EVIDENCE: The Inspectors sampled 3 care-plans. The key worker together with the resident carries out care planning. Residents have access to their plans and choose who is to attend their review meetings. The care plan includes an assessment of all aspects of personal and social support and healthcare needs. Health records were particularly detailed in respect of those care-pans examined on persons with epilepsy. Daily notes and risk assessments also form part of the care planning process. Residents are encouraged to exercise responsibility and make choices about their day-to-day living. A number of the ten residents manage their own savings accounts and pocket money expenditure. Those who do not manage The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 11 their own money sign an agreement to allow the home to do this. This is subject to regular review. One resident who previously managed his own monies was finding this difficult and through support from the home agreed to let the manager do this for him resulting in him be able to save money. The resident confirmed to the inspector that he was pleased not to have this additional worry due to the new arrangements. The home retains details of an Independent Advocacy Service, should any Resident require this. None of the current residents were assessed to require independent advocacy. The inspector did not find any residents who wished to access this service or were observed to need this. The newest resident confirmed that he was attending a review 2 weeks after the Inspection now he had come to the end of his probationary period. An inspection of detailed review of one resident took place in November 2004. Risk assessments are carried out for Residents community activities e.g. evening outings and the use of buses, or trains unaccompanied. This information is recorded in individual care plans. Residents receive training about their personal safety such as how to use mobile phones and maps. The home has a missing persons policy, which is individual to each resident as confirmed by staff and records. Risk assessments on one resident were found to have been updated on 090405. Staff spoken to had an accurate knowledge of the care-planning information and are aware of the key issues involved for each individual. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13 & 17 Residents are carefully supported to progress to a level of independence that they are comfortable with. Meaningful Activities take place on a regular basis for all residents. Residents have continuous opportunities to learn new skills and further their education. Full structured routines are in place based on resident’s needs and choices There is a good range of leisure activity. Residents are encouraged to play a full role in the community by a motivated staff team. Meal arrangements are good and healthy with residents choosing the food that is cooked. EVIDENCE: A full, weekly programme of activities is agreed with Residents and these are entered on an activities board; the majority of these being off-site, including college courses, occupational activities and leisure outings. A variety of evening and weekend activities are also arranged. Residents access local community facilities and services on a daily basis; some have library and/or church membership; most enjoy pub visits, arranged with The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 13 staff. Community links have been established within the community of Rye, where the local shopkeepers know the residents. The newest resident confirmed that in a short space of time he had been introduced to a range of activities and jobs. He was found to have a 6-day weekly structured programme including working on a farm and in a tea-room along with gardening. He confirmed that this level of activity had initially been tiring, but was finding it very rewarding after years of inactivity. Another resident indicated how she was supported to change jobs based on her preferences to switch restaurants she was working in. Two residents were observed to go horse riding. The trust has produced its own “residents charter” based on the views of residents. Residents confirmed that Staff respect their right to privacy; they were observed to be attentive to the needs of residents, whilst at the same time giving encouragement to develop self-help skills and promote independence. Residents treat the home as their own, freely coming and going, or spending time in the privacy of their own room, as they wish. This was observed during the inspection. A 8-weekly menu plan is agreed in consultation with residents. There is always a choice at mealtimes, a record being kept of any special diets or preferences. A number of residents are on a health eating menu as part of their weight watchers commitments. The home was found to have a range of fresh ingredients including meats, fruit and vegetables. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 The home was found to be meeting resident’s health needs and was fully aware of what additional support it required. The inspector judged that resident’s rights were upheld. EVIDENCE: A range of individualised protocols was in place with clear guidance on how to support those residents with varying epilepsy conditions. Staff were found to be fully aware of their differing needs with clear written guidance in place along with nurse on call buzzer systems in the home. 2 staff do sleep in duty based on a risk assessment of night-time health needs. Records and discussion indicated that all residents are supported to manage as much of their self-care as possible with this clearly recorded in care-plans. The careplans clearly indicate what support staff are to give to each residents in agreement with residents. A number of residents were found to receive a range of support with healthy eating through supporting appointments with weight watchers and well-man clinic, organising appropriate menus along with other health checks. Those residents spoken with confirmed that they were happy with the way staff support them in their health needs. One resident indicated that he had been well supported to overcome some emotional issues linked to a relationship the person had had with someone in the Organisation. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Although the home and organisation respond appropriately to complaints especially by residents they need to improve the level of detail and clarity in its complaint file. This process should also show more involvement by residents with their status fully respected by writing to complainants. Complaints continue to be rare with issues promptly dealt with informally. Staff continue to demonstrate an sound understanding on how to prevent and report abuse and continue to benefit from adult protection training. Staff were found to be aware of the homes complaints recording policy and procedure. All staff follow a consistent approach when dealing with residents distress. EVIDENCE: The inspector found one complaint 120505, received by the home over the last year. This covered a concern from two residents about the level of support they received at an event. The record was incomplete in that the complaint file did not show what investigation had taken place and the outcome. The record did not confirm the residents view on how the complaint was handled. The complaint book did show the written complaint from both residents and who outside the home was investigating the concern. The manager indicated that the investigation was stored elsewhere on loose leafed paper, which is the Organisation’s policy. The manager agreed that all aspects of a complaint should be stored in one place with access strictly limited to those involved. It was agreed that residents should be treated no differently than other complainants and so should be written to at each stage of the process. Their comments on how the investigation was handled along with the outcome should also be recorded in the complaints log. The Manager sent the Commission evidence, shortly after the inspection, of writing to the recent Complainants. Apologising for the delay in doing so, due to someone else initially handling the complaint that had failed to write to the complainants at the time of receiving the complaint. The manager was found to have The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 16 introduced a “grumbles” book where residents can log minor concerns and get a response as evidenced in the records seen. These concerns tended to concern the behaviour of residents from their peers in relation to anti-social behaviour or performance in routines such as cleaning. All concerns were found to have been resolved. Key workers are trained to respond to service user’s wishes, suggestions, or concerns. All staff have received training in the protection of vulnerable adults. There is policy guidance for staff to adhere to. Staff interviewed indicated a sound knowledge of all the issues involved. The home keeps accurate records of all monies, managed on behalf of Residents e.g. pocket money savings and expenditure. Staff do not handle resident’s monies, unless a resident has signed an agreement giving permission to do this. Such records were inspected. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26 & 30 Resident’s benefit from living in a nice character building which feels and looks like an ordinary home at the high end of the market in an historic town. Residents have benefited over the last year from improvements to the homes safety, provision of proper access and improved communal space and facilities. Residents have a good range of storage space and equipment. The home was found to be clean and free from offensive odour with residents encouraged to play a full role in taking care of their home. EVIDENCE: The home provides shared and private rooms that meet space requirements. There is a separate lounge, a large dinning room. The lounge sits around 8 people although not many of the 10 residents use this. Meetings tend to take place in the dining room or on the large communal decking area, which has 3 tables and 12 chairs. The home is kept clean and tidy by staff and Residents, working together. A 3-year rolling programme of replacements and renewals maintains interior decoration and furnishings. The kitchen is newly fitted and spacious. The manager and/or staff carry out and record routine health and safety checks around the home and in its grounds; fire safety training is delivered regularly to staff and Residents. Staff record bath temperatures. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 18 A tour of the communal areas of the home showed that all fire safety measures have been implemented including additional fire exits as result of work done previously. The inspector did not inspect resident’s rooms but was informed that all residents have their own lockable space which only they have access too, as confirmed by staff and residents. Residents have chosen to bring items of their own furniture. The communal areas of the home were found to be kept clean, fresh and tidy throughout. There is a policy for infection control that all staff were found to be conversant with. A Legionella policy has been produced and water storage and delivery temperatures are regularly checked and recorded, in compliance with regulations. Residents have a detailed cleaning rota, which they have agreed between themselves. Residents take turns vacuuming the whole house on a daily basis as evidenced in the Inspection. The laundry equipment is now sited in its own dedicated room, which was found to be clean and tidy. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 Staffing ratios meet residents assessed needs and is flexible to ensure that leisure and other activities take place. The home’s rota’s can improve further to clearly indicate hours worked by staff and the manager in relation to her administrative role. Training arrangements were found to be good and subject to continuous improvement. All staffing standards not assessed here, were met at the last inspection. EVIDENCE: The duty rota shows staffing levels that reflect the needs and number of residents. The numbers remaining at the home varies according to the daily, off-site activities that Residents are engaged in. The duty rota did not clearly show hours worked by staff member or by the manager in relation to what hours were management time and which were spent working in the home. Staffing ratios consist of the same two staff throughout the day, which means that routines are uninterrupted. Another flexible staff person assists during the day with driving residents to activities. Two staff work on a sleep in. Most staff were found to have National Vocational Qualifications or were working towards these as confirmed in records and discussions. A TOPSS induction is used for all new staff. The manager is accessing training so that she can deliver this training to all existing staff to bring everyone up to The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 20 the same standard. Evidence continues to show how the managing organisation delivers a range of relevant training on a regular basis. The home was found to have training qualifications of those agency staff that are occasionally used by the home, usually to cover about 1 shift per month. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 & 42 Resident’s benefit from a home which is well managed in their best interests. The manager’s skills, input, experience and qualifications, exceed the normal standard and has been essential in delivering positive outcomes for all residents. Residents are supported to be fully involved in the running of the home and are consulted on any changes. Residents have open access to management and have regular opportunities to air their views. The organisation, which owns and manages the home ensures that good information such as their own monthly inspection reports are sent to the commission in a timely manner. Health and Safety maintenance was found to be satisfactory. EVIDENCE: The manager has several years of relevant experience in this field of work. She has undertaken periodic training to update her knowledge and skills relevant to the needs of people with learning disabilities both younger and older. She has achieved the NVQ at level 4, together with the Registered Managers Award. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 22 Staff confirmed how well supported they are by the manager. The leadership and direction to the home given by the manager over several years has previously been assessed as exceptional with no evidence here to contradict that judgement. Residents indicated that they are encouraged to participate in the running of the household, wherever possible. The Trust produces a quarterly bulletin, aimed at Residents, their families and friends. An area manager visits the home at least monthly. Resident’s views are formally sought at their reviews, during their fortnightly house meetings and informally through sessions with their key worker. Minutes of a meeting, which took place on 150505, were seen. Each Tuesday residents review the diary. Minutes of monthly staff meetings were examined and are signed by all staff. Each of the residents needs including health, is discussed at these meetings. Care plans, policies and procedures are regularly reviewed and updated. A commitment to service user involvement is demonstrated in the planning and delivery of services. Resident’s complete periodical satisfaction questionnaires, which on the ones inspected had 29 questions, and were completed on 26.4.04. The monthly section 26 visits as evidenced in reports are carried out by one of two area managers who visit on behalf of the organisation. The last report to be sent to the Commission was of a visit occurring on April 18th, which was received on April 26th. The manager carries out and records risk assessments for safe working practices, including a fire risk assessment. Monthly health and safety checks are carried out and recorded. The Trust provides in-house training and, where necessary, external courses for staff in core skills e.g. first aid, food hygiene, health and safety and Non-abusive Psychological and Physical Intervention. Staff confirmed that she had done all these courses. Radiator guards and water temperature controls are fitted, wherever there may be risks to Residents. The Inspector saw a current liability insurance certificate on display. The home was found to be safe during a tour. The home records, for fire safety purposes, on a visible chart who is in the home at any time. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x 4 x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Mariners Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 4 3 3 x x 3 x H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 24 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 1 Regulation 5 & 6[a] Timescale for action That the Service user guide must 02/09/05 be complete and include all information such as residents views on the home along with emergency social services and health authorities numbers. That information in the guide such as contact names is kept up to date. That the guide is clearly on display in the home and available to service users [Residents] and visitors. That the homes complaint file 02/09/05 must contain a clear record of complaints made, in accordance with the standard. That the Complaints file records the investigation and outcome of the complaint. That the file shows evidence of the complainant being written to at each stage, along with the complaints comments about the outome of the investigation. That the homes complaint procedure must include accurate up to date contact names. Requirement 2. 22 17[2] Schedule 4 The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 25 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 That the Staff duty rota clearly shows hours worked. That the hours worked by the Manager distinguish between management admin hours and those hours worked on shift. The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 26 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 The Mariners H59-H10 S21249 The Mariners V226493 020605 Stage 4.doc Version 1.20 Page 27 - 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!