Random inspection report
Care homes for older people
Name: Address: The Regency Torrs Park The Regency Ilfracombe Devon EX34 8AZ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Taylor Date: 1 0 0 7 2 0 0 9 Information about the care home
Name of care home: Address: The Regency Torrs Park The Regency Ilfracombe Devon EX34 8AZ 01271862369 01271863012 nmcarehomesltd@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Norma Martin Care Homes Limited care home 20 Number of places (if applicable): Under 65 Over 65 20 20 20 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 The Regency is registered as a care home able to provide care accommodation for up to 20 service users in the categories OP Old Age (20), DE (E) Dementia over 65 (20) and MD (E) Mental Disorder over 65 (20). Date of last inspection Brief description of the care home The Regency is a care home providing accommodation and personal care for up to 20 people over the age of 65 years, who may have a diagnosis of dementia or mental disorder. The home is situated in the Devon seaside town of Ilfracombe. There is a
Care Homes for Older People Page 2 of 9 Brief description of the care home short, steep walk from the High Street and local amenities. Accommodation is provided on four floors. A ramp provides access to one floor and passenger lift to the remaining three. All the present accommodation is in single rooms. In July 2008, the range of fees was £322 to £380 per week. Additional charges are made for chiropody [£10], hairdressing [variable], newspapers, personal toiletries. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to Care Services procedures. Local Authority or Primary Care Trust charges are determined by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk Information about the home is made available to all prospective service users and a copy of the most recent inspection report is available in the entrance hall. Care Homes for Older People Page 3 of 9 What we found:
We did a random inspection as a result of concerns highlighted in the Annual Service Review report. We specifically looked at whether peoples needs are met by the staffing levels and how the home is being managed. We examined the care files for 3 people. All of the care plans had been reviewed and corresponded with the care we observed was being given to the individuals concerned. Therefore, people living in the home can be confident that all staff are clear about what is required to meet each persons needs. We were shown a communication book that had been started as a result of comments in the Annual Service Review to ensure that important messages, such as care instructions from community nurses, are communicated to all the staff. A handover form had been introduced 5 months previously for the same purpose, as a result of listening to the views of relatives and healthcare professionals visiting the home. We saw completed handover sheets for last 3 months, which staff verified they have to read. We met 11 people in the dining room at lunch time. We tracked the care of 3 people that needed a greater level of input at mealtimes. We saw that staff followed good practice. People being fed or needing prompting had 1 to 1 care that helped the person focus on the meal. Similarly, people were encouraged to eat at a pace that suited them and were closely monitored. The meals were nicely presented, looked nutritious and catered for individual needs. For example 2 people had a beef stew with vegetables and the rest of the group had fish and chips with peas. There was a lively banter in the dining room between people living there and the staff. A visitor was also offered a meal. People made comments like, I particularly like the puddings. We met the chef and looked at food supplies, which were plentiful. The chef told us that they were responsible for the food budget and made changes in conjunction with the manager according to season, individual preferences and suggestions made. For example, a recent change had been a move toward using frozen vegetables. We looked at the vegetables, which were of excellent quality and heard people making complimentary comments about their meal at lunchtime. The chef explained that a recent visit from the food safety officer had supported the use of frozen vegetables on the grounds that it is a more nutritious way of eating vegetables. By being frozen immediately at the point of picking, the vegetables are unlikely to have deteriorated or be deteriorating if stored properly. In the kitchen we saw a large iced fruit sponge that had been made for the afternoon tea. We observed the chef asking people for feedback after their meal and they made comments like its lovely and I really enjoyed that and I really like the puddings xxx makes, especially his rhubarb crumble, thats really yummy. A visitor said this place is a palace, I wouldnt have XXX here if it wasnt. The staff are marvellous, very caring and XXX really is in the best place. We spoke to 4 people about how their needs were being met. They told us that staff are very attentive and always very good. Staff on duty said we are kept busy, but its
Care Homes for Older People Page 4 of 9 manageable. All of the people we met looked well cared for and were in clean clothes. We looked at duty rosters for the month of June 2009, spoke to 3 staff on duty and the registered manager. The manager told us that a continental shift pattern had been started on 6th July, which had increased staffing across the 24 hour period. The duty roster showed 3 care staff on duty, including a senior carer, working 8am to 8pm. In addition to this, the registered manager had been on duty since 7.20am and was due to finish at 7.30pm. The registered manager/provider told us there are 6 staff (all registered nurses from overseas) that currently live in accommodation within the home. They take it in turns to provide back up as the sleeping in member of staff on nights between 11pm-7am. The registered manager/provider said that she has the ability to increase staffing levels as peoples needs dictate. Similarly, sickness had been covered on the off duty seen. We looked at a register of staff on duty dating back to 1/6/09. This demonstrated that the registered manager works across the 24 hour day. Similarly, supervision records also demonstrated this. For example in April 2009, the manager did a spot check at 3am one night and found a number of issues that they had to address through the disciplinary process. Records demonstrated that prompt attention had been given and matters had been dealt with appropriately resulting in better care of people at night. We concluded that sufficient time is being put into management and leadership ensuring that the home is well run for the people that live there. We looked at 3 newly refurbished bedrooms, which had ensuite facilities and non slip flooring. This has greatly improved the accommodation for the people living in these rooms. A damp wall leading up into the annexe on the lower ground floor had been treated and redecorated since the last key inspection. What the care home does well:
Each person has a plan of care that details their preferred routines and states how staff will provide care and support to them. Plans are regularly reviewed and detailed daily records show that support is delivered. People who live at the home say that the staff are very kind and caring and feel they are treated as individuals day to day. The home has an open feel. People living there say that on the whole they have the freedom to do what they want to, when they want to. They feel able to voice their concerns, if they have any. For example, recent concerns about staffing levels and communication have been taken seriously and looked into by the manager/provider. Friends and families are encouraged to visit whenever they wish to. The people living at the home get support to keep in touch with their families and friends if they need to. There is a good choice of appetising and well-balanced meals at the Regency. People tell us that the choice is good and meals are lovely and they really enjoyed that and really like the puddings xxx makes, especially his rhubarb crumble, thats really yummy. Care Homes for Older People Page 5 of 9 The Regency is a large converted house that is a comfortable place to live. Improvements since the last inspection have improved the accommodation individuals live in. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 32 The manager should ensure that people living at the Regency and visitors are aware of when she is on duty so that they can speak to her if they need to. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
