Inspection on 16/05/06 for The Park Beck

This inspection was carried out on 16th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Park Beck 27/06/07

The Park Beck 02/11/05

The Park Beck 12/06/05

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 Lindy Latreille Unannounced Inspection 16th May 2006 08:10 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 The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Park Beck Address 21 Upper Maze Hill St Leonards on Sea East Sussex TN38 0LG 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) 01424 445855 01424 420812 managerparkbeck@regalhomes.com www.regalhomes.com Regal Care Homes Ltd Vacant Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is thirty seven (37) The service users must be older people aged sixty five (65) years or over on admission. 2nd November 2005 Date of last inspection Brief Description of the Service: The Park Beck is registered to provide accommodation for up to 37 older people and admits people with low to medium dependency needs. The premise is a large detached property in St Leonards on Sea with thirty-three single and two double rooms, many with en-suite on the ground and two other floors. Access can be gained to floors via a shaft lift. Residents have the use of three separate lounge areas (one is the designated smoking area) and a dining room. The home has a good-sized well-maintained rear garden with seating areas for residents, lawn areas and established borders. There is some car parking within the grounds or alternatively street parking is usually available outside. Regal Care Homes Ltd owns the business and also another within walking distance. Some joint activities and social events are carried with the other home. The home is near bus routes and Warrior Square railway station. The fees at present are £322 - £450. The last inspection report is available to prospective residents from the home. There were thirty residents living at the home during the inspection. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place between 0810 and 1600 hours. All key standards were inspected. Interviews were conducted with the new manager - who has been in post for three weeks, his line manager the Director of Care, all residents at the home, four staff and the cook. A tour of the home was undertaken with the manager and residents were spoken to in the lounges and in their rooms. Care plans, personnel files, internal monitoring audit, staff rosters and menus were read. Eight residents surveys were returned all reflecting a positive experience of living at the home, and thirty residents were present at the time of inspection. What the service does well: What has improved since the last inspection? What they could do better: The manager needs to make an application for registration to the Commission for Social Care Inspection and he needs to develop his own quality monitoring process, which will be supported by the re-instatement of supervision for all staff. The activity programme has lapsed for a while since the last organiser left and needs to be fully re- instated. Any money kept in a bank account for any residents must be individualised so that accrued interest can be added. An The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 6 assisted bath remains unable to be used due to an outstanding electrical problem. 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 DS0000021182.V290180.R01.S.doc Version 5.1 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 The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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): 1 and 3. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are visited and assessed prior to admission to ensure that all their needs can be met at the home. EVIDENCE: The statement of purpose and the resident’s guide, have been updated in April 2006 to detail the new manager. The procedure for admissions is followed and the management of emergency admissions is clearly detailed in the statement of purpose. Some of the residents have been at the home for many years and although they may need physical assistance were articulate to comment on the positive assessment of their needs on their admission and routinely in the home. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 and 10. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care is planned around individual need with aspects of the plan being reviewed to meet residents’ needs. EVIDENCE: Individual needs are assessed and set out in a personalised care plan. Residents spoke of a good quality of care received. Some aspects of the plans have been reviewed but there is a lack of consistency and regularity. The care plan and daily notes support that other professionals are involved in the care when identified as necessary. The documentation supported this involvement at an early stage to maximise early intervention and maintenance of comfort for the resident. Specialised equipment, monitoring health checks and medical appointments were evidenced in the care plan. A small number of residents self medicate. There is a locked facility in each room for storage and staff monitor through repeat prescriptions. Where a resident has capacity and chooses not to take their medication, contact has been made with the General Practitioner and the situation has been assessed. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 10 Medication is managed and recorded appropriately. Some errors have been identified as the responsibility of the pharmacy and the Regal Homes Group are now in discussion with a national pharmacy to supply all the homes wit medication training and audit of systems. Staff follow procedures when ordering and administering medication. Residents were observed being kindly and professionally managed with dignity and privacy being integral to all practice. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 and 15. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is re-instating an activity programme with a member of staff taking this new responsibility. EVIDENCE: The residents spoke of the excellent work dome by the last activity coordinator and clearly miss her input. The member of staff with new responsibility is developing a new programme that is anticipated to be discussed at the planned residents meeting. Activities often include some residents from Blair House, another Regal home, and residents commentated how enjoyable that was. Residents spoke of their freedom to choose to be part of the activities and some would rather go out or access the garden, or just sit in the smoking lounge. Some residents attend a local church. Daily reports and the residents themselves confirmed that their visitors were made welcome. Activities include visiting some the local community groups and outings, which residents said they enjoy to do if they choose to. The home has two lounges and residents choose which one they wish to sit in. The larger of the two is a smoker’s lounge and the television is mostly on The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 12 during the day, the other is a quiet area and where the afternoon activities take place. The cook has been working in the home for three years and is qualified in catering. She routinely speaks to the residents and uses the information to review the menus. The budget for providing the meals has not changed in the time that she has been in post. The recent quality survey in April 2006 showed 80 felt satisfied with the meals provided. The 10 - who felt that they were poor - linked the response to a difficulty in mastication and the cook was addressing this in discussion with the manager. Meals are provided in dining areas in the two lounges and residents choose where they wish to sit and with whom. Meals are home cooked, balanced and varied and served with a variety of drinks. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 and 18. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff are quick to action concerns and protect the residents from possible harm or abuse. EVIDENCE: The last complaint received was in November 2005 and was fully investigated and followed through to an agreed outcome following procedures. The residents spoken to during the inspection felt able to raise any concerns with staff or the new manager and they confirmed could be sure of a quick outcome. Adult protection is addressed during the induction process, and now that the new manager is in place the staff training is being actioned with manual handling later this month. Staff demonstrated an understanding of the procedures and their responsibilities in the process. The home does not hold large amounts of money on site; it is paid into a central holding account, as the service is not able to open a personal account for each resident, as they do not always have identification. This is an unsatisfactory arrangement, as interest is not accrued to each individual. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 and 26. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well maintained and provides a comfortable and safe home for those living there or visiting. EVIDENCE: A tour of the home with the manager confirmed that the home is well maintained. Some small areas such as shelves over radiators needed painting and will be actioned in the home’s programme of refurbishment. The lift is in working order and residents are able to move about the home at will with safety. The monthly visits monitor maintenance and plant servicing effectively. Residents spoke of their satisfaction about living in the home and the facilities that they enjoy. The home was well ventilated and clean. Unused rooms were maintained to a good standard, residents’ rooms were cleaned and tidy and furnishings in good The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 15 order. The laundry area is spacious and well organised and residents said that the laundry was returned in good time and orderly. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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): 27,28,29 and 30. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff morale is positive and they work well as a team to improve the quality of life for the residents. EVIDENCE: The number of staff on the morning roster has recently been reduced from five to four as residents numbers have fallen. The manager commented that caring has not been affected by this change; and residents were seen to be managed without rushing, well dressed and groomed. Staff were observed giving their morning report to the Head of Care and were knowledgeable about the residents needs. The recent quality survey showed a 100 response to rating the quality of care as “good”; clearly a situation to be commended as the service has been without a manager since August 2005. There are some staff recruited from overseas who hold qualifications but who have not been assessed for competence in vocational care to be part of the 50 requirement. There is a robust recruitment process in place that has been followed with recent staff appointed and files were sampled. It was not possible to see the new managers records as they were still at Head Office. Staff training has lapsed since the home has been without a manager; but although the new manager has only been in post three weeks staff training is scheduled for later this month. Staff are expected to attend as part of their The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 17 contract and are charged if they do not do so without reasonable reason or timing. The Head of Care is near to completion of her National Vocational Qualification level 4 in Care. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36 and 38. Quality of this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is well supported by senior staff and developing clear leadership and staff are demonstrating their awareness of their roles and responsibilities. EVIDENCE: The new manager is a Registered General Nurse (RGN) with current pin number with the Nursing and Midwifery Council (NMC). As his personnel file was at Head Office it was not inspected. He is still getting to know the service and his role in it, but being offered significant help from the Director of care. He has followed an induction to the home and is to register for the Registered Managers Award after a probationary period. An application must be made to the Commission for Social Care Inspection for the manager to become registered. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 19 Staff at all grades of the multi ethnic staff group contributed to the observation that the ethos of the service is focused to meet the needs of the residents. Residents spoke of feeling valued and care for while in the home. There are no known unmet cultural needs. The recent residents’ survey showed the positive level of satisfaction in all areas of care in the home. The monthly visits by the Director of care demonstrate a clear audit of the home and the satisfaction of residents. The manager needs to develop his own quality monitoring system for the service and not rely on the monthly visits as an audit. The home does not keep a lot of money on the premises and large amounts are paid into a current account and audited. The supervision of the staff is to be recommenced as soon as the manager can organise the schedule. The director, who is also an RGN, supervises the manager each month. The health and safety of the service and the residents is the responsibility of the manager, and the maintenance person actions all necessary servicing. Health and safety is audited monthly by the monthly visits and copies of the report are sent to the Commission for Social Care Inspection. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 2 X 3 The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 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 2 3 4 5 Standard OP7 OP12 OP18 OP30 OP31 Regulation 15(2)(b) 16(2)(n) 13(6) 18(1)(c)(i ) 9(2)(i) Requirement That all care plans are reviewed monthly. That the activity programme is recommenced. That all monies held for residents are managed individually. That the mandatory staff training programme is recommenced. That the acting manager applies for registration with the Commission for Social Care Inspection. That the manager develops a quality assurance programme. That monies banked for residents have the accrued interest added. That all staff are supervised as required. Timescale for action 17/08/06 17/07/06 17/07/06 17/08/06 17/10/06 6 7 8 OP33 OP35 OP36 9(2)(b)(i) 20(1)(a) 18(2) 17/10/06 17/07/06 17/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000021182.V290180.R01.S.doc Version 5.1 Page 22 The Park Beck 1 2 Standard OP15 OP28 That a current review of the food budget is undertaken. That 50 of staff are assessed to National Vocational Qualification level 2. The Park Beck DS0000021182.V290180.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East Sussex Area Office 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 DS0000021182.V290180.R01.S.doc Version 5.1 Page 24 - 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!