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Inspection on 11/07/05 for The Victoria Royal Beach

Also see our care home review for The Victoria Royal Beach for more information

This inspection was carried out on 11th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

According to the residents that talked to the inspector, the care given was excellent. "Always someone to help me" was said by several residents. The home has a team of staff who have worked at the home for sometime. They are keen to raise the levels of care they give and get good direction from the Manager. From observation and discussion, it was evident that staff and residents have built up a good relationship and that staff work hard to improve the quality of life of those in their care. Meals are well varied, balanced and nicely presented offering choice and variety. One resident told the inspector that the food "is as good as you would find anywhere."

What has improved since the last inspection?

The home has recently undergone a period of refurbishment with three rooms being redecorated and new carpets laid. The kitchen is being painted and some new cupboards have been fitted. The outside of the property is currently being repainted.

What the care home could do better:

The inspector noticed that the Fire Alarm System has no zone alert feature. If the alarms go off, staff have to visit all three floors to see where the alarm had been triggered. If there was a fire lives could be at risk. The Fire Officer recommended this should be looked into in his report of March 2004.

CARE HOMES FOR OLDER PEOPLE The Victoria Royal Beach 12 Grand Avenue Worthing West Sussex BN11 5AW Lead Inspector Philip Barker Announced Monday, 11 July 2005 V229290 th 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 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 Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Victoria Royal Beach Address 12 Grand Avenue, Worthing, West Sussex, BN11 5AW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 246499 Victoria Care Elite Limited Mrs Coral Anita Jackson Care Home (PC) 20 Category(ies) of Old age, not fallin within any other category registration, with number (OP) 20 places of places The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th September 2004 Brief Description of the Service: Victoria Royal Beach is situated in a quiet residential area within easy walking distance from the seafront and all its attractions. Accommodation is on three floors accessible by a vertical passenger lift. There is a lounge/diner and a quiet reading room. Thirteen bedrooms have en-suite facilities. The Registered Manager is Coral Jackson. The home is one of a number of homes owned by Victoria Care Elite Ltd. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place from 9.15am to 1.35pm. The Victoria Royal Beach has performed well over the past years and at the last inspection no requirements were made. During the course of this inspection the inspector spoke to residents and staff. The manager was present throughout the inspection. Records and Care Plans were looked at and a tour of the home was conducted. A number of questionnaires had been sent to relatives to ask their views of the care that their loved ones were receiving at Victoria Royal Beach. Unfortunately only five had been returned by the time of the inspection. All the residents that were spoken to were very positive about the care they were getting at the home. One said, ”staff look after me very well”, another said, ”I am spoilt”. Several residents said that, “nothing was ever too much trouble for the staff.” One resident told the inspector, “I like it here”. All records inspected were found to be in order and up to date. However, the inspector felt that some of the records kept for staff could be better. There were some omissions in CVs and References were, in one case, missing. The Care Plans were well written and contained all of the information needed to look after the residents. They were reviewed regularly. The manager is keen to update the care plans and is hoping to rewrite them in a more user-friendly style. She hoped that this mammoth task would be completed before the end of October 2005. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The training records of all staff were well documented and up to date. Staff were being supervised by the manager and detailed notes had been kept of these sessions. The building was warm, clean and welcoming. Two requirements have been made regarding the building and these are listed at the back of this report. There was four care staff on duty with two domestics, a cook and a kitchen domestic. At night there were two staff awake on duty. The rotas showed this to be the case. Recent visits from Environmental Health and Health and Safety had been made and requirements had been left. These requirements were being dealt with at the time of the inspection. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 6 What the service does well: 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 Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5, 6 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. One resident said, “I leave all that to my daughter”. The manager assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. The home does not take anyone in for intermediate care. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. The manager told the inspector that she was intending to re-write the care plans in the near future so that they would be more user-friendly. District nurses visit the home when requested and records are kept of all such visits. Medication was stored safely and records were well kept in regard to the administering and disposing of them. Staff were well trained and some had recently attended an outside course on ‘Care and Control of Medicines’. Several more staff were to be offered this training later in the year. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name; others preferred to be addressed as Mrs. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 10 The inspector spoke to residents in their rooms and privacy was observed. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: Two residents told the inspector that they were happy to stay in their own rooms and not get too involved in activities but one acknowledged that, “some do need activities.” The home realises that activities within the home are limited but try to put on entertainment when they can. Activities in the home include regular Keep Fit and Art and Craft sessions from outside agencies. They all enjoy the fortnightly minibus trips to local places, usually ending up somewhere for tea and cakes! Others enjoy a sing-a-long or the occasional outside entertainer. The inspector was told about a recent special birthday party where the Mayor and other local people attended. Garden Parties are a regular occurrence and one is planned for later in August. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 12 Residents like visits from their families and friends and often go out with them. Facilities are available in a lounge for residents to offer their visitors refreshment. One relative wrote, “ I am always welcome to stay to lunch or tea.” Six residents are able to go out on their own locally. One resident said, “I don’t go to the shops but just love looking at the sea.” The residents sat down to a meal of Braised Lamb Chops in redcurrant, carrots, peas, cabbage and duchesse potatoes. There was a choice of Cheese and Tomato Omelette. The sweet trolley was a mouth watering selection and very much enjoyed by all who ate. One resident said, “I only eat what I like but I like everything I get given.” The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 standard(s) 16, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: There were five complaints recorded in the book mainly to do with the environment. One complaint around comfort has not been dealt with satisfactorily and will be expanded upon in the next section. Staff have been trained in recognizing signs of abuse and know whom to inform if they suspect anything is wrong. Records were seen showing this to be the case. There have been no formal complaints made to the Commission for Social Care Inspection (CSCI). The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The inspector when looking at Complaints saw an entry in the book concerning residents complaining about the temperature in the main lounge during a cold spell. It appeared that the radiator covers were removed to allow more heat into the room. This is not the solution to the problem. Radiator covers are installed to prevent the risks of residents burning themselves on the hot surface. To remove the cover increases this risk. The home needs to investigate further and provide an alternative solution to the problem. A requirement has been made about this. Residents also commented that their quiet lounge was often too hot and stuffy and that there was no window opening. The inspector noticed that on the day of the inspection a fan was placed in this room. All rooms should have some ventilation and a requirement was made. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 15 The inspector also noted that three fire doors were not responding to the test carried out. However, the manager called upon the organizations maintenance team who fixed the problem immediately. The home is well kept and is clean and tidy. The inspector observed the cleaners doing their rounds and every room was left clean and tidy. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. The requirements made by the Environmental Health Officer are all being met and the home is considered a safe environment. EVIDENCE: The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 19 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. Standard 25 Regulation 13.4 Timescale for action The practice of removing radiator Action Plan covers to give more heat must 3 months stop. An alternate solution must be found. Ventilation to the small lounge 3 months must be provided. Requirement 2. 25 23.2.p 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 Good Practice Recommendations The Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Victoria Royal Beach H60 H11 S58056 The Victoria Royal Beach V229290 120705 Stage 4.doc Version 1.30 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. 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