Inspection on 01/07/09 for The Suffolk Private Retirement Home

This inspection was carried out on 1st July 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Suffolk Private Retirement... 01/10/08

The Suffolk Private Retirement... 28/04/08

The Suffolk Private Retirement... 30/04/07

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Random inspection report Care homes for older people Name: Address: The Suffolk Private Retirement Home 9 Sea Road Felixstowe Suffolk IP11 8BB two star good service 01/10/2008 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: Julie Small Date: 0 1 0 7 2 0 0 9 Information about the care home Name of care home: Address: The Suffolk Private Retirement Home 9 Sea Road Felixstowe Suffolk IP11 8BB 01394282972 01394274485 daverai138@aol.com 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) : SJR Care Limited care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 1 1 0 2 0 0 8 Suffolk Private Retirement Home is a care home for older people. The home is located on the sea front at Felixstowe. It can accommodate up to a maximum of 23 older persons. The home has no garden area for recreational purposes, but there is a small paved area immediately outside the front door, where service users sit in fine weather. Immediately opposite is the sea front, which includes an esplanade, seating, and gardens. The home is spread out over five floor levels - a basement comprising laundry, staff area, and storage. The ground floor comprises of a kitchen, 2 lounges, dining room, 2 toilets, and a small office. A further three floors have bedrooms, bathrooms, toilets, a sluice room, and the managers office. Access to the floors above ground level was provided by a staircase and shaft lift. Details of current fees were noted from the Service Users Guide during the last key Care Homes for Older People Page 2 of 9 Brief description of the care home inspection and ranged from £341 to £420 per week. Care Homes for Older People Page 3 of 9 What we found: The random inspection was undertaken Wednesday 1st July 2009 from 13:40 to 16:55. The random inspection was following a number of safeguarding alerts which had been made about the service provided at the home and to assess if the home continued to provide good outcomes for people who lived at the home. We tracked the care records of two people that lived at the home, viewed the recruitment and training records of five staff members that worked at the home and viewed the health and safety records which had been implemented since the last key inspection. We looked at the environment in which people lived and spoke with the manager, three staff members and three people that lived at the home. Since the last key inspection there had been improvements in the communal areas of the home, such as the dining room had been redecorated, there was a new carpet in the entrance hall and stairs, a fire door had been fitted on the back door to the home, the milk dispenser had been cleaned, the front lounge had been decorated and there were new chairs and tables, on which people were observed to play dominoes. In each of the lounges it was noted that there was a selection of cold drinks and cups, which people could help themselves to. People that were in the lounges were observed to have drinks either in their hands or on tables in front of them, which showed that they were provided with drinks to ensure that they did not become dehydrated. Two peoples bedrooms were viewed and they were clean, tidy and personalised. However, there was a smell of urine in one bedroom and outside of the room, the manager told us the actions that they were taking to ensure that the persons continence was managed, which included consideration to changing the type of floor covering. The persons care plan was viewed and identified the support that the person was provided with regarding their continence. The manager told us that they were considering moving the laundry from the basement to the top floor of the home and showed us the rooms that they were planning to convert, one of which was a bathroom. They agreed that they would ensure that there were sufficient bathrooms in the home for people to use. There had been a recent safeguarding alert which stated that a wheelchair which had been used to transport a person was dirty and that the kitchen was locked during the night, which prevented access to food during the night, including people with diabetes. We looked at the wheelchair and it was noted that it was in good working order and that the seat was clean. However, the frame at the bottom of the chair was dusty and was in need of being cleaned. The manager told us that they would incorporate the cleaning of the wheelchair in the homes cleaning schedule to ensure that cross infection was minimised. We viewed the kitchen area and it was noted that there was no lock on the kitchen door or on any of the food storage cupboards, therefore access to the kitchen was available at all times, should people require food. A staff member showed us a cupboard, in which snacks were kept which could also be accessed by the night staff to provide to people if requested. The safeguarding alert had also stated that peoples care records and MAR (medication Care Homes for Older People Page 4 of 9 administration records) were not available to those who had made the alert and the staff during the night. During the random inspection we noted that peoples care records were stored in the ground floor office and the MAR charts were stored on the medication trolley in the room. The key to the room was available on the bunch of keys which were provided to the night staff, which gave access to the records. The care plans of two people were viewed, one of which had been updated following the support given to the homes management by the local authority monitoring and quality team. The care plan clearly detailed the support that the person required and preferred to meet their assessed needs and risk assessments which identified how the assessed risks in peoples lives were minimised. The second care plan was viewed, which had not yet been updated. The manager told us that they were planning to update all the care plans to the newer format. The care plan included the support that the person needed and preferred. However, it was noted that it was not as detailed or as person centred as the first one that was viewed. Two staff members that were spoken with told us that the care plans provided them with the information that they needed to ensure that peoples needs and preferences were met. The recruitment records of three staff members were viewed and it was noted that the appropriate checks had been undertaken to ensure that people were safeguarded by the homes recruitment procedures, which included POVAfirst checks, CRB checks, identification, previous work history and two written references. A further two recruitment records were viewed and they held the above checks, except there was only one written reference. The manager told us that the references were received and that they needed to locate them. The training records, which included training certificates, of five staff members were viewed and they had been provided with the training such as manual handling, fire safety, first aid, safeguarding, medication and food hygiene. The manager told us that eight staff members were to attend Skills for Care induction the week after the inspection, which was confirmed by staff members that were spoken with. Two staff members were spoken with and told us that they were provided with a good training programme in the home, which enabled them to meet peoples needs. They had a knowledge of the whistleblowing procedure, their roles and responsibilities in safeguarding people, what actions to take if a person wished to make a complaint and they explained methods of ensuring that people were treated with respect and that their dignity was maintained, which included methods of communication and peoples appearance. Three people that lived at the home were spoken with and they told us that they were happy at the home, that they were treated with respect, that their needs were met and they were complimentary about the environmental improvements that had been been undertaken. It was noted that people were clean and tidy. The environmental risk assessments were viewed, which identified how the risks in the home were minimised and staff, people who lived at the home and visitors were safeguarded. What the care home does well: Care Homes for Older People Page 5 of 9 There had been improvements made to the communal areas of the home, which provided a more pleasant place for people to live in. The interaction between staff and people that lived at the home was observed to be respectful and professional. 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 1 26 16 The home must be free of offensive odours. To ensure that people are provided with a pleasant and hygienic home to live in 30/07/2009 2 29 19 Recruitment checks must include those identified in schedule 2, including two written references. Evidence that the checks have been made must be available for inspection. To ensure that people are protected by the homes recruitment procedures 30/07/2009 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 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!