Inspection on 12/06/05 for The Park Beck

This inspection was carried out on 12th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Park Beck 27/06/07

The Park Beck 16/05/06

The Park Beck 02/11/05

The Park Beck 07/03/05

The Park Beck 26/05/04

The Park Beck 15/02/04

The Park Beck 01/07/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Park Beck 21 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LG Lead Inspector Alexis Reilly Unannounced 12 June 2005 10:30 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. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Park Beck Address 21 Upper Maze Hill St Leonards-on-sea East Sussex TN38 0LG 01424 445855 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) Info@regalcarehomes.com Regal Care Homes Ltd Mrs Victoria Willard Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (OP) 37 of places The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is thirty seven (37) 2. The residents accommodated will be aged sixty five years or above on admission 3. Residents will be within the category of old age, not falling within any other category. Date of last inspection 7th March 2005 Brief Description of the Service: The Park Beck is a large detached property in St Leonards on Sea. THe property is close to the sea front and main town of Hastings. Residents placed have the use of three separate lounge areas and a dining room. The home has a good-sized rear garden. The residents placed have varying degrees of independence and abilty to provide their own self care. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours. The senior staff member was spoken with and the Registered Manager came in to take part in the inspection. The service has had two resident’s move in since the last inspection. The following documents were viewed: plans of care, and assessment documents. A record of accidents in the home and also the sheets which record the administration of medicine. Menus were also seen and health and safety documents such as electrical certificates and the record of fire drills were examined. What the service does well: What has improved since the last inspection? The Registered Manager has ensured all residents placed have been assessed by Social Services to ensure that Park Beck can meet their needs. Advocacy training has been provided for staff. Advocacy leaflets are on display for residents at the front desk in the home and on the notice board. The service has the correct number of assisted baths for residents placed. An Occupational Therapist has assessed the building to ensure it meets the needs of the residents placed. 50 of the staff team is on target to have achieved NVQ level 2 this year. Currently the training completed by the staff meets the needs of the residents placed. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 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 Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 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 standard(s) 1,3,4,6 The service carries out comprehensive assessments for new residents. ensures Park Beck can meet residents needs. EVIDENCE: This The statement of purpose must have the correct qualifications listed for each individual member of staff. The service has clearly demonstrated it can meet the needs of the residents placed. The Registered Manager has ensured that residents have been assessed by Social Services. They have confirmed the needs of these residents are met at Park Beck. Two new residents have moved in since the last inspection. The Registered Manager had ensured that Park Beck could meet these people’s needs. They have done this by gaining the relevant information from other professionals and finding out about the persons needs before offering them a place in the service. The service does not offer intermediate care facilities. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9&10 Residents placed in Park Beck have comprehensive plans of care. Residents are supported in taking charge of their own medication if this is appropriate. EVIDENCE: Residents placed have a detailed plan of care which helps guide staff in looking after, and meeting the needs of the residents at the home. The documents, which form part of the care plan include: maintaining a safe environment, risk assessment for use of walking sticks, and mobility. Diet and food is also listed, as are individual’s activities and interests. Details of memory and orientation are also listed. There is a data protection sheet and inventory form. Assessment of daily needs, manual handling assessment and mental health assessment are included. Details of personal hygiene, and a pressure area assessment chart is also included. The sheets which record the administration of medication were also looked at. Five residents have been identified as being able to administer their own medication. There are individual instructions recorded for each of these residents. A copy list of staff signatures is kept for checking the administration records. Administration of medication was recorded appropriately and no gaps were evident. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 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) 15 Residents are offered a varied and balanced diet. EVIDENCE: The service has a balanced and varied menu. Meat or fish is available each day. A vegetarian alternative is available and alternative meals will be prepared for residents if they do not wish to eat what is on the set menu for that day. Soup, salad and sandwiches are available for supper. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 11 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) 17 The service ensures residents’ rights are promoted and protected. EVIDENCE: The Registered Manager has ensured that staff have completed training on Advocacy and that leaflets promoting Advocacy services are available in the home. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 12 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) 21 Residents have access to sufficient bathing and toilet facilities. EVIDENCE: The home has adequate assisted baths to meet the needs of the residents placed. There are three communal bathrooms on the ground floor. One of theses is non-assisted, one shower room and one seated bath. On the first floor there is one non-assisted bath, 1 bathroom were a hoist is being installed, and one seated bath. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 13 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) 27,29,30. Residents are protected by the staff recruitment process in place. Staff have received appropriate training and are on duty in sufficient numbers. EVIDENCE: On the day of the inspection the following staff were on duty 1 senior care staff from 8am – 8pm, and three further care staff from 8am – 8pm. In addition to this was the hours of the cook, and the kitchen assistant. The service also had two domestic staff on duty for the cleaning. One working from 8am – 8pm, and one from 8am – 2pm. Documents for new staff employed in the service were looked at on the day of the inspection. These were found to be comprehensive, with POVA checks and CRB checks in place and two written references. Induction sheets were completed and lists of training undertaken were also recorded. 50 of staff within the service are on target to complete NVQ level 2. The Registered Manager has ensured that staff have had the appropriate training to meet the needs of the residents placed. Six staff are currently completing NVQ level 2, one staff member has completed NVQ level 3, and two staff are currently completing NVQ level3. The service has thirteen staff in total. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 14 Further training carried out by staff is detailed below: first aid, save a life and manual handling training. Food hygiene, safe handling of medication, and prevention of abuse. Infection control, COSHH, and dementia. Level 2 and Level 3 in care has also been carried out. There has been training in fire prevention, supervisory skills, and bereavement training. There has also been training in house in care planning, pressure sores, fall prevention and finger prick blood testing for insulin. The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 15 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) None of these standards were assessed during the inspection. EVIDENCE: The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 16 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 2 x 3 3 x 3 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 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x 3 x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 x x x x x x x x x The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 17 yes 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 1 Regulation 4(1)( c) Requirement Statement of Purpose lists the relevant individual staff and Registered Managers qualifications. Timescale for action 1st September 2005 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 Good Practice Recommendations The Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 18 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 Park Beck H59-H10 S21182 The Park Beck V227243 120605 Stage 4.doc Version 1.30 Page 19 - 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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