Inspection on 27/06/07 for The Park Beck

This inspection was carried out on 27th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 16/05/06

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 Caroline Johnson Key Unannounced Inspection 27th June 2007 09:40 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.V339205.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 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 manager.parkbeck@regalcarehomes.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.V339205.R01.S.doc Version 5.2 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. 16th May 2006 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. Additional costs are charged for hairdressing, toiletries and newspapers. The last inspection report is available to prospective residents from the home. There were twenty-six residents living at the home at the time of inspection. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process an unannounced site visit was carried out on 27th June 2007. The visit lasted from 09.40am until 6.20pm. During the visit there were opportunities to meet with the new manager and her line manager, with the activity co-ordinator, cook and with three care staff. There was also an opportunity to join five residents at lunch. A full tour of the building was not carried out. However, all the communal areas were seen along with a number of bedrooms, the kitchen, laundry and garden area. A wide range of documentation was examined including three care plans, records held in relation to staff recruitment and training, menus, medication, activities, complaints, quality assurance and health and safety. There was also the opportunity to meet with the relatives of two of the residents who were visiting the home on the day of inspection. At the time of the inspection the new manager had only been in post for three weeks. She had identified a number of areas where improvements were to be made and had already made plans to make a number of significant changes. Prior to the inspection a number of surveys were sent to the home for distribution to residents, relatives and any visiting professionals. Three residents, four relatives and one visiting professional responded. In addition attempts were made to contact another two relatives by telephone but contact was only achieved with one relative. The results of the surveys sent to residents/relatives and visiting professionals were for the most part very positive with comments such as: ‘Staff have a genuine concern for and are kind to the residents’. ‘I always receive the care I need’. The staff team ‘treat people as individuals’. ‘There are always a variety of activities I can join in’. A negative comment included that the home should ‘make sure there are enough staff to cover illness and holidays without losing ability to care, work and clean properly’. The majority of the relatives spoken with were happy with the care and support provided to their relatives. One relative stated that staff are ‘very helpful’, she was pleased with the progress made already by the new manager and with the new activities on offer in the home. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 6 One relative raised a number of issues in relation to terms and conditions of residence, food, cleanliness, gp contact and reviews. The relative was asked to contact the manager to discuss these issues in detail. The home completed an AQAA (Annual Quality Assurance Assessment) in advance of the inspection, which details the work undertaken in respect of each standard. It also identifies any shortfalls and what the home is doing to bring about improvements. What the service does well: What has improved since the last inspection? What they could do better: The system for care planning is good but the system for reviewing care is not of the same standard. More detailed record keeping should show who was involved in the review, what was discussed and decisions reached. Some areas of the home are in need of refurbishment and although the home has started making plans for this to happen it would be beneficial to assess all The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 7 areas in need of refurbishment and to prioritise the work in order of importance. The changes in the law in respect of smoking means that the home will need to change the arrangements in place in relation to smoking and this will ultimately be of benefit to non-smoking residents and to the staff team who currently use a computer in the smoking area. Procedures need to be put in place to ensure that all new staff receive a thorough induction to the home to make sure they are clear about their role and responsibilities. In addition all staff should receive supervision on a regular basis. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 8 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.V339205.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that prospective residents have detailed information to enable them to make an informed decision about accommodation. EVIDENCE: The home’s Statement of Purpose and Service User Guide provide detailed information about the service and the facilities on offer. The Statement of Purpose now needs to be updated to reflect the very recent changes in the management of the home. Pre admission documentation was seen in respect of three residents. The assessments included detailed information about contact details and medication prescribed but there was very limited information about the level of support required. The acting manager was able to produce a detailed format for pre admission assessments and advised that this is the documentation that would be used in the future. Following the inspection the manager contacted the inspector to advise that once a new resident moves into the home and the The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 10 care plan is drawn up, part of the pre admission assessment is then taken out and stored elsewhere. Pre admission documentation will therefore need to be assessed at the next inspection of the home. The manager advised that once it has been assessed that the home can meet the needs of a prospective resident they then write to the prospective resident or a representative on their behalf to confirm that they can meet the assessed needs. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place for care planning are good. The quality of report writing in relation to reviews is not of the same standard and is a missed opportunity to capture both improvements and problems and how they are dealt with. EVIDENCE: Three care plans were examined on this occasion. Each contained detailed information about the needs of the residents accommodated. Weights are monitored monthly and a record is kept of all healthcare appointments including chiropody treatments. Manual handling assessments had been carried out and there were several risk assessments in place. In relation to one resident there was a risk assessment in place in relation to smoking. The assessment stated that the resident needed reminding of the risks. This resident is partially sighted and there was no reference to this in the risk assessment or to whether they needed a staff member present whilst they smoked. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 12 The manager advised that there is a kardex system in each of the residents’ bedrooms detailing a checklist of the areas that each resident requires support with. Staff observed in the course of their duties were courteous and treated residents with respect and dignity. It was noted that relatives have been asked if they would like to attend a monthly review of their relatives’ care plan. In one of the care plans seen, reviews had been held monthly up until March 2007. In the other care plans the reviews had been monthly but generally there was a statement saying no change and the form was dated and signed. It does not state who was involved in the review, that is, was the resident or their relative involved. The manager stated that the practice is that a relative signs the form if they wish to. In the care plans seen there was only one change recorded and the information recorded was very basic. One relative spoken with stated that she had not been invited to reviews; she did not know whom her mum’s keyworker was and she had not seen her care plan. For a short period a staff member was observed administering medication and procedures followed were appropriate. Medication is stored safely and recordkeeping see was in order. A small number of residents self-administer their medication. There are appropriate arrangements in place for the storage and management of controlled drugs. A returns book is kept for all medication returned to the home’s pharmacy. Senior staff have responsibility for the administration of medication but staff advised that it is the home’s policy that all staff receive training on the subject. The next training course to be held on medication is in August. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good.This judgement has been made using available evidence including a visit to this service. The changes made in the past month to the activity programme are to be commended and it is hoped that they will continue to provide stimulation and interest to the residents. EVIDENCE: Within the past month an activity co-ordinator has been appointed who works 11am until 3pm daily and there are now planned activities seven days a week. Activities include puzzles and crosswords, skittles, memory games, pamper time, bingo, people time and arts and crafts. In addition external entertainers are coming into the home. Movement and music entertainers come in twice a month and on the day of inspection a physical motivation session had been arranged for the first time. Fifteen of the twenty-six residents participated. A planned outing to Hastings for fish and chips had also been arranged. A hairdresser visits the home two days a week. Photo albums have been introduced for each resident showing them involved in various activities. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 14 The activity co-ordinator advised that for the people time sessions what they intend to do is to research the work and hobbies that residents have done in the past and to talk about them. So far they have researched the work of one resident who was a baker and another resident who was a dancer in the army. Regular open days are being planned where there will be a buffet and entertainment provided. The home is also hoping to reintroduce the production of a regular newsletter. Records are being kept of each activity that is run and who has participated. Some of the residents spoken with stated that they like reading and that there is a good supply of books in the home. A relative spoken with stated that her relative enjoys knitting and has a newspaper delivered daily. Everyone spoken with advised that they are looking forward to having more outings and to having external entertainers. The need to ensure that there is a detailed risk assessment carried out in respect of all outings to determine any risks and to assess staffing levels was discussed. Staff spoken with advised that three of the residents receive Holy Communion on a weekly basis. A bi-lingual priest occasionally visits another resident whose first language is not English, so as well as meeting this resident’s spiritual needs it is also an opportunity to meet their cultural needs. There is a four-week menu in place. There is a choice of main meal at lunchtime and in the evening a hot meal is served and should anyone prefer it then a selection of sandwiches is always available. The cook advised that she is kept informed of the monitoring of individual residents’ weights and will increase and decrease food portions accordingly. A good practice recommendation was made at the last inspection to carry out a review of the food budget. This has yet to be done. The meal presented on the day of the inspection looked appetising and all residents spoken with stated that they enjoyed it. The manager advised that a new notice board has been placed in the kitchen to keep staff informed of changes as they occur. A drinks list has been implemented and a list of each resident’s likes/dislikes is now in the kitchen. The manager advised that new condiment containers are being ordered for each table. On the day of inspection it was very quiet in the dining room throughout the mealtime. Residents spoken with stated that it is always like that. It was noted that when tea was served following the meal the teapot already contained the milk. The director advised that they have tried on numerous occasions to change this practice but the residents choose to have their tea in this way. The manager advised that she would be carrying out satisfaction questionnaires that would incorporate views in this area. The television was put on immediately after the meal and a number of residents went into the smoking lounge for an after lunch cigarette. It was noted that once residents started moving off, conversations began again. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 15 A recent food survey revealed that a number of residents were not happy with the meat provided so the manager advised that they are now going to change their meat supplier as a result. A relative of a resident advised that there is a lot of spicy food served and the alternative to this is sausages or sandwiches. She did not feel that this was an appropriate alternative to a main meal. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good.This judgement has been made using available evidence including a visit to this service. There are clear procedures in place enabling anyone wishing to make a complaint to do so. EVIDENCE: Records showed that there were two complaints in 2006, both were from the same person and related to the problem of smoke from the smoking lounge filtering through to the dining room. There were no complaints recorded in 2007. The home responded in writing in both cases. The new manager advised that with the changes in the law in respect of smoking, the problem identified would no longer exist as the home will need to change the current arrangements. One of the residents that responded to the Commission’s survey stated that they did not know the home’s complaint procedure. The majority of the staff team have received training on the protection of vulnerable adults. An additional course has been planned for the remaining seven staff and is due to be held in July 2007. A staff member spoken with was able to describe the action they would take if they suspected abuse. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate.This judgement has been made using available evidence including a visit to this service. There are a number of areas within the building that require redecoration to improve the quality of the environment for those accommodated. EVIDENCE: A full tour of the building was not carried out. However, all communal areas, the kitchen, laundry and a number of bedrooms were seen. The new manager advised that she had visited each room and identified all areas that require attention. She was in the process of agreeing with the owners the areas that need to be addressed and the timescales for work to be undertaken. Bedrooms have been personalised by the residents with ornaments, plants, photos and small items of furniture. Windows in a number of bedrooms are due to be replaced and the Director of Care advised that timescales for this The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 18 work will be included in the home’s development plan. It is thought likely that some windows will be replaced this summer. In a couple of areas there were sections in the ceilings that appeared damp. However, the manager advised that as far as she knew they were the result of leaks that have since been repaired and there is now cosmetic work to be carried out. Many of the bedrooms currently unoccupied are in need of redecoration and work has already started on this. One of the bedrooms was being redecorated at the time of inspection. It was noted that one bedroom door was propped open with a door wedge. If the resident chooses to have her door propped open then a door guard must be fitted. On the outside of one of the bathroom doors there was a bolt lock. It was recommended that this be removed. In one area of the building there is a large lounge area. Some of the residents choose to have their meals in this area. This room is well decorated and is homely in design. In another area there is a large dining room/large lounge area. This lounge area is also used as the smoking area. Despite the use of fans and open doors and windows the odour of smoke lingers both in the dining room and the surrounding areas. The manager advised that the area of smoking would be addressed in line with the changes in the law on 1 July 2007. Within this area there is a staff computer and a section of the room is also used to store wheelchairs. On the ground floor close to one of the lounge areas there are two toilets that require redecoration. In addition the shower/toilet is in need of redecoration. The manager advised that they are making plans that incorporate refurbishment of this part of the building. In this area of the building there is a stale odour in the corridor areas. However, in all of the bedrooms seen the rooms were clean and well ventilated. There is a large garden area to the rear of the building. The manager advised that they have a part-time gardener to attend to this area. There is wheelchair access from one part of the building but this area was overgrown and not easily accessible. The manager advised that they have plans in place to erect a summerhouse, to have raised flowerbeds, to increase the patio area and to and to improve the access from the second lounge so that the garden areas can be used more easily. The previous manager carried out a fire risk assessment for the home in March 2007. One recommendation was made as a result and the new manager advised that this had been addressed. Fire alarms are tested weekly and emergency lights monthly in line with the home’s policy. Fire drills are carried out regularly. The manager advised that residents are never evacuated and she would like to organise a drill whereby this occurs. She also wants to reassess the evacuation procedure and will take further advice on this process. There is a large laundry room with an industrial washing machine and tumble drier. A member of staff is employed to carry out laundry duties. She advised The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 19 that most of the laundry has been attended to by 2pm and is placed in individual baskets. Care staff put the laundry away in the afternoon. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The increased training opportunities being made available to staff should ensure that there is a staff team well equipped to meet the needs of the residents accommodated. Further progress in the area of staff induction should ensure that all staff are fully aware of the requirements of their role and responsibilities. EVIDENCE: At the time of inspection there were twenty-six residents accommodated. Staffing levels consisted of four care staff plus the manager on an early shift and three care staff on the afternoon shift. Two waking night carers work at night. Staff spoken with stated that they felt that staffing levels were appropriate now that they had reduced numbers of residents. Two staff files were examined on this occasion. In each case there was an application form and two references. CRB (Criminal records bureau) checks had been obtained. In relation to one staff member there was no induction booklet in place. The manager advised that she has recently introduced induction booklets for five staff. In relation to the second staff member there was an induction file that was mostly completed. The induction package contains a detailed checklist but the manager was advised to check with Skills The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 21 for Care to see that the induction package is compliant with their requirements. Since commencing in post the new manager had already been through the staff files and identified the areas where training is required and which staff members need to attend each course. Several courses have already been arranged including pova (protection of vulnerable adults) and dementia courses in July, medication in August and infection control and fire safety in September. A staff member spoken with stated that they would have liked more time in the induction period to read through care plans and also that they would like more support with care planning. A staff member described the staff meetings as ‘helpful’ saying that you hear what is going on from all perspectives. All the staff spoken with felt positive about the future and were pleased with the changes that the new manager had made in the home. In relation to NVQ (national vocational training), four staff have completed NVQ level three and three staff have completed level 2. A meeting has been arranged to be held in July with the NVQ trainer and so far five staff have been identified as willing to study for NVQ level 3 and one for level 2. In addition one staff member is going to study for an NVQ in food safety. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The introduction of a quality assurance system has helped to make improvements to the quality of the care provided. Other areas raised through this system now need to be tackled such as staff supervisions. EVIDENCE: The new manager started in post three weeks prior to the inspection. She is currently studying for NVQ level four and on completion it is her intention to complete the RMA (Registered Managers Award). Staff spoken with stated that the new manager has been very supportive. In relation to the two staff files seen, records showed that one staff member had received three supervisions in 2006 and one in 2007. The second staff The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 23 member commenced employment in April 2007 but had not received any supervision sessions. Staff spoken with stated that supervisions have been infrequent. One of the senior staff spoken with advised that they also have responsibility for providing supervision to staff. They stated that they have not had any formal training on the supervisory role. The home manages small amounts of money on behalf of residents. Large amounts of money are not stored on the premises. Individual records were seen for two residents. Records are kept detailing all money received and used on behalf of residents. In addition to this the company manages money on behalf of a small number of residents. This money is kept in a central holding account and the resident or a representative on their behalf can obtain a print out of expenditure upon request. There was an opportunity to meet with the relatives of two residents during the inspection. In both cases the relatives were very happy with the care and support provided to their relatives. One relative stated that staff are ‘very helpful’, she was pleased with the progress made already by the new manager and with the new activities on offer in the home. Following the inspection a further two relatives were contacted to hear their views on the care provided. One relative raised a number of issues in relation to terms and conditions of residence, food, cleanliness, gp contact and reviews. The relative was asked to contact the manager to discuss these issues in detail. As part of the home’s quality assurance system satisfaction questionnaires were sent to residents and to their relatives for comments. In addition a meals survey was sent to the residents. A few of the residents raised problems with the quality of the meat provided. The manager advised that this has already been addressed. A staff questionnaire was also carried out and staff, as part of this process, raised the lack of staff supervisions and appropriate induction. In addition, audits are carried out in relation to staff personnel files, admissions and care plans and medication. It was reported that the home has achieved Investors in People status. Hot water temperatures were tested at three outlets. Two of the recordings were within agreed safety limits (43°C) but one reading was 51°C. The manager advised that this would be adjusted immediately. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 24 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 X 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 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X X 2 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 2 3 3 The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 25 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. Standard OP7 Regulation 15(2b) Requirement That all care plans are reviewed monthly. [This was a requirement of the previous inspection timescale given 17/08/06]. A copy of the planned programme of refurbishment must be sent to the Commission and include reference to those areas highlighted in this report and timescales for work to be undertaken. Staff employed to work in the home must receive a thorough induction. The acting manager must apply for registration with the Commission for Social Care Inspection. That all staff are supervised as required. [This was a requirement of the previous inspection. Timescale given was 17/7/06]. Timescale for action 31/10/07 2. OP19 23(2b) 15/08/07 3. 4. OP30 OP31 18(1ci) 9(2)(i) 30/08/07 15/09/07 5. OP36 18(2) 30/08/07 The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 26 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 OP28 Good Practice Recommendations The home should continue to pursue the target of having 50 of staff trained to National Vocational Qualification level 2 or above. The Park Beck DS0000021182.V339205.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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