Inspection on 02/11/05 for The Park Beck

This inspection was carried out on 2nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 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 Park Beck, The 21 Upper Maze Hill St Leonards on Sea East Sussex TN38 0LG Lead Inspector Mrs Sally Gill Unannounced Inspection 2nd November 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Park Beck Address Park Beck, The 21 Upper Maze Hill St Leonards on Sea East Sussex TN38 0LG 01424 445855 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) Regal Care Homes Ltd Mrs Victoria Willard Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The residents accommodated will be aged sixty five years or above on admisssion The maximum number of residents to be accommodated is thirty seven (37) 12th June 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 single and double rooms 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 usually street parking outside. Regal Care Homes Ltd owns the business and also another around the corner. Joint activities/social events are carried with the other home. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Wednesday, 2nd November between 9.55am and 2.45pm. Additional time was spent in preparation and report writing. During the inspection the Inspector spoke to 10 residents both in company and in private. Also, she spoke to the Registered Manager, the newly appointment future Manager and two carers. Feedback from residents confirmed that they are satisfied with their care at The Park Beck. Comments included “the staff are very good”, “they are very kind”, “I’ve no complaints”, “we can more or less do what we like”, “everything is just right”, “the food is well balanced”, “I have a comfortable room”, “Vicky (the Manager) is very nice”. The Inspector examined various records including a care plan/risk assessment, client’s finances, complaints log, menus, resident meeting minutes, the fire safety logbook, health and safety checks and accident reports. The Inspector accessed part of the building including three bedrooms, the dining room, all three lounges, the laundry and the office. After discussion during the inspection those that live at The Park Beck will be referred to in this report as residents. What the service does well: There is a designated staff member for activities and the home offer a wide variety of activities for residents to enjoy including bingo, manicures, board games, library books, skittles, art and craft, music and movement and dominoes. Outside entertainers also visit the home include music, singing and clothes parties. Residents confirmed that they enjoy regular outings and recent ones have included trips to the Kent & Sussex railway for cream tea and Lydd airport. A trip to the theatre in Tunbridge Wells is planned for November. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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 DS0000021182.V263369.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Prospective residents have detailed information available in order that they can make an informed choice before moving to the home. EVIDENCE: The Inspector did not examine the Statement of Purpose however the Manager has set up a notice board to display staff details and qualifications to ensure the information is available and also included a generic list of training/qualifications in the Statement of Purpose. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 The principles of how to treat residents with respect were not followed through into practice by one staff member during the inspection. EVIDENCE: The Inspector witnessed an isolated incident during the inspection where a resident was woken from sleep and assisted to walk to lunch in the dining room in an inappropriate manner. All other observations confirmed that the residents were treated with respect, maintaining their dignity. Residents confirmed that they do feel well cared for and that the staff are “very nice and kind”. Residents talked of maintaining contact with relatives and friends both within the home and the local community. A payphone is available for residents use although one resident told the Inspector she has her own telephone in her room and receives regular calls. All residents were dressed individually and appropriately for the time of year. Some residents said that they shared their bedroom but this was their choice. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15 Routines within the home are flexible and residents are able to exercise choice in their individual and group activities. A variety of appropriate activities are offered to provide stimulation. Residents are able to maintain contact with family and friends. Meals are varied and residents are offered a wide choice of appetising and wholesome food. EVIDENCE: The atmosphere in the home is one of calm and relaxation. Some residents said they preferred to spend time in their bedrooms and staff respect this choice. Staff provide a wide range of organised activities. Individual activities include crosswords, reading, daily newspapers and magazines, television, scrabble, jigsaws and other games. There are also regular trips out and several residents go out into the local community independently. A local vicar visits regularly. Residents talked about their families and the welcome they receive when visiting the home. Residents confirmed that breakfast is served in their bedrooms on trays. One resident commented “its nice to pour your own tea”. The main meal is at lunchtime is a choice from two options; there is also a choice at suppertime, which is usually sandwiches or light snack. Jugs of drink were available for residents to help themselves. Most comments about the The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 11 food were positive and ranged from “quite good” to “excellent”. There were comments regarding the lack of gravy on meals and this was discussed with the Manager who agreed that jugs of gravy would be taken round by staff. The meal on the day of the inspection was observed to be wholesome and appetising. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 12 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, 18 Residents consider that their views are listened to and as necessary are acted upon. There are shortfalls in protecting residents from abuse. EVIDENCE: There is a clear complaint procedure displayed within the home. The home has received three complaints in the last twelve months all of which were recorded as investigated appropriately. A recent residents meeting has been held after a considerable spell without any. Residents all confirmed that they knew who to complain to and felt sure that the Manager would resolve any issues although at present said, “we have no complaints”. There has been a recent Adult Protection alert highlighting concerns from a resident that they were roughly handled by a member of staff, a full review of care needs was undertaken and a revised care plan implemented. The alert is now closed. However the Inspector was therefore extremely concerned to observe a member of staff during the inspection not treating a resident with appropriate respect and dignity whilst waking them for lunch and undertaking manual handling manoeuvres. See also standard 10 regarding respect and dignity. Staff confirmed that they were aware of procedure to report abuse. The Inspector examined the records and balance of resident’s finances held by the home and found that one cash balance was short against records. The Manager agreed to investigate this shortage, resolve with no detriment to the resident and advise the CSCI of the outcome. It is also suggested that where receipts are obtained these are numbered to make the audit trail of monies The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 13 easier. The home would be advised to check the limit of insurance for cash on the premises. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 26 The home is generally well maintained, comfortable, clean, bright and homely. EVIDENCE: The fire safety logbook was examined and showed that all equipment was serviced and all tests carried out appropriately. The grounds of the home are accessible to residents and well maintained. The areas of the home seen were decorated to a good standard and were clean and tidy. Although hot water is regularly tested records showed some high water temperatures and no action had been taken. The Manager was also unsure where safety valves were fitted. It is a requirement that hot water temperatures are safe for residents. Any safety valve must be kept in good repair. See also standard 38. The home was on the day of the inspection clean, hygienic and free from offensive odours. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 15 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): None inspected on this occasion EVIDENCE: The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 16 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, 38 The Registered Manager communicates a clear sense of leadership, is open and positive. Effective quality assurance ensures the home is run in the interests of residents. EVIDENCE: Residents confirmed that the Registered Manager is approachable and will resolve any issue that is bought to her attention and this was also clearly evident during the inspection. The Inspector was informed that the Registered Manager will be transferring to a new position within the company and a new Manager has been appointed. Currently there is a handover period taking place although the Inspector was assured that the Registered Manager is still in day-to-day control at present. The home undertakes a four-monthly quality assurance process in the form of questionnaires to residents and families. Results are published and displayed. Residents meetings have recently been reinstated. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 17 See previous standards relating to shortfalls in system for handling resident’s monies. Staff are trained in safe working practices however see previous standards relating to non-compliance of correct manual handling techniques. See also previous standards with regard to safe hot water temperatures. A record is maintained of all accidents. The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 2 3 X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 4 Standard OP18OP10 OP35OP18 OP19OP38 OP38 Regulation 12(4)(a) 17 Schedule 4 13(4)(a) 13(5) Requirement Staff must treat residents with respect and maintain their dignity at all times The home must investigate shortfall in residents finances and inform CSCI of outcome Hot water must be maintained at a safe temperature for residents Staff to practice correct manual handling techniques Timescale for action 03/11/05 02/12/05 02/12/05 03/11/05 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 Standard Good Practice Recommendations The Park Beck DS0000021182.V263369.R01.S.doc Version 5.0 Page 20 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.V263369.R01.S.doc Version 5.0 Page 21 - 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!