Inspection on 03/11/06 for The Victoria Royal Beach

This inspection was carried out on 3rd November 2006.

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.

Other inspections for this house

The Victoria Royal Beach 09/09/08

The Victoria Royal Beach 02/02/06

The Victoria Royal Beach 11/07/05

The Victoria Royal Beach 30/09/04

The Victoria Royal Beach 24/05/04

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 Victoria Royal Beach 12 Grand Avenue Worthing West Sussex BN11 5AW Lead Inspector Ms A Campbell-Currie Unannounced Inspection 09:30 3 November 2006 rd 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 Victoria Royal Beach DS0000058056.V314580.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 Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 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 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) 01903 246499 Victoria Care Elite Limited Mrs Coral Anita Jackson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 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 weekly cost of the service is from £325 to £650. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Jackson assisted with the Key Inspection. There were fifteen people staying in the home at the time. A tour of the building took place and the majority of service users were seen. Four people were spoken with in depth. The daughter of a service user was spoken with and two other visitors. A group of four staff, the housekeeper and the chef were spoken with. Thirteen service users, eight relatives and two health care professionals returned comment cards. A number of policies and other relevant documents were read and samples of case records were seen. The outcomes for people were assessed in relation to the Key National Minimum Standards for older people. Judgements were made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service, as well as evidence gathered from a range of sources since the last inspection of the home. What the service does well: The home is well maintained, bright, clean and welcoming. The quality of care provided is of a good standard and all those spoken with were very positive about their experience of the home. All those who retuned comment cards indicated that they were satisfied with the service provided at the home. The thirteen service users who responded indicated that they always or usually receive the support they need. Comments made by people who live in the home include: “I am very happy at the home and am looked after very well”; “ I am very happy with the service”; “ I can’t speak highly enough of the staff, they are all very kind”. Comments from relatives included: “ Staff are all very cheerful, kind and caring. There has been a steady improvement in resident’s health in the short time she has been at The Victoria Royal Beach”; “Very pleased with the degree of care provided to my mother”; “My aunt is very happy and content in The Victoria Royal Beach”. The staff are well trained and well supported to ensure that they have the knowledge and skills required so they can understand and meet peoples’ needs. It was clear from observation and discussion that the staff team work well together and are committed to providing a good quality of life for people The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 6 living at The Victoria Royal Beach. The care plans are person centred and detailed with clear information about all aspects of service users’ lives and the way they like their care to be provided. The quality of the meals provided is excellent and all service users who were spoken with said they are very satisfied with the food that is provided. 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 DS0000058056.V314580.R01.S.doc Version 5.2 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 Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 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): 3 The Victoria Royal Beach does not provide Intermediate Care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. No service user moves into the home without having had his/her needs assessed and being assured that these will be met. EVIDENCE: There is a format available for assessing the needs of each service user before a decision is made about them moving to The Victoria Royal Beach. A sample of case records were seen and it was evident that assessments had been carried out with people before their move. The manager said that she carries out the assessments and she gave an example of a service user whose needs she felt would be too complex for the home to meet. The people spoken with, whose case records were seen, all said that staff understand their needs. The The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 9 manager said that any issues of diversity that related to individual care needs would be addressed during the assessment and care planning process. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 10 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): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. 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. People are protected by the home’s policies and procedures for dealing with medicines. People feel they are treated with respect and their right to privacy is upheld EVIDENCE: The manager said that a care plan is drawn up with each service user following an assessment. A sample of care plans were read and the service users were spoken with. The care plans were person-centred and very detailed. The care plans included details of each aspect of the person’s life while they are staying in the home. The information included information about the way people prefer their care to be provided with clear guidance to staff. Risk assessments had been carried out and ways to help minimise risks had been noted. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 11 Service users have a copy of their care plans in their rooms. Those spoken with had been involved in drawing up their care plans. It was evident that people’s needs are reviewed monthly and that any change is noted. The staff spoken with said that the care plans provide them with the information that they need in order to provide the appropriate care. The staff also said that they are being encouraged to be involved in monthly reviews and noting key information in the care plans. It was evident that the care plans are working documents that have the detail needed to provide a good quality of life for the people living in the home. People’s health care needs were clearly noted in the case records that were seen. The people who were spoken with said that they are supported to see their GP if they need to and that they are seen in private. The thirteen people who returned comment cards indicated that they always or usually receive the health care that they need. The manager said that the communication with the local primary care teams is good and that the GPs and community nurses respond quickly when the need arises. The two health care professionals who returned comment cards indicated that they are satisfied with the care that people living at the home receive. The visitors spoken with also said that they are satisfied that their friends or relatives are receiving the care that they need. One person said her relative’s health had improved in the short time since she moved to the home. The staff who are involved in administering medication have all attended medication training. The pharmacy carried out an inspection earlier this year and found medication practices in the home to be good. The policies, administration practices, storage and recording processes were seen. The records were up to date and in good order; the manager said that the GPs check the recording sheets when they visit the home. There is a risk assessment for those who are able to administer their own medication and each person has lockable storage in their room. There is guidance for staff regarding recording medication where people are self-administering. There is a homely remedies policy and the GP signs a form for people who choose to use homely remedies; examples of these forms were seen. The storage facilities are suitable. The induction programme includes guidance to staff about the way that personal care should be provided; there are also policies in place. The case records included details about the way that people prefer their personal care to be provided. All of those spoken with said that staff are very helpful and provide care in the way that they like. During the day staff were communicating well with service users and supporting them with their care needs in a sensitive manner. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users find the lifestyle experienced in the home matches their expectations and preferences. Service users are supported to maintain contact with their family and friends. People are supported to exercise choice and control over their lives. Service users receive an excellent, balanced diet in very pleasing surroundings. EVIDENCE: There is a programme of activities that people could join in with if they wish to. The manager said that some people prefer to stay in their rooms instead of joining in with activities. There are celebrations for birthdays and other special events; the previous week a Halloween party was held with a special printed menu that showed the imaginative dishes that would be provided. The people spoken with said they had enjoyed the evening. Music evenings and quizzes are arranged and once a fortnight people can choose to go out on a minibus trip. Most people spoken with said they enjoy spending time in their rooms watching television or reading. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 13 The manager said that most people have family and friends who sometimes visit the home. The daughter of a service user and two friends of another couple were visiting in the afternoon. They were all spoken with and said that they are made to feel very welcome in the home and could have a meal if they wish to. The service users spoken with also said that their visitors are made welcome in the home. People said that they are able to make choices in their daily lives. Two people manage their own finances; all others have a relative or solicitor to assist them. The manager said that people would be supported to access an advocate if this service was required. Samples of menus were seen and the chef was spoken with. It was evident that people are provided with a balanced, imaginative and varied diet with three portions of vegetables and fresh fruit each day. Nutritional assessments were included in the care plans and people’s weights are checked every month. The service users spoken with all said that the food is excellent and that there is always a good choice of food. They also said that the chef talks to them about the food they like and any allergies or preferences are noted. A group of people were spoken with while they were gathering for a drink before lunch. They all spoke highly of the food. The dining room was attractively laid out and it was clear that meal times are sociable events. People can also choose to eat in their room if they prefer; one person said that she has made this choice and staff assist her when necessary. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: There is a complaints policy that is provided to all service users and their relatives. People spoken with said that they feel their complaints would be listened to and acted upon. All those who returned comment cards indicated that they know how to make a complaint. There is a system for recording complaints; this is being reviewed to ensure that outcomes and timescales for responding to complaints can be monitored and confidential information is protected. Two complaints had been recorded and appropriately investigated. There is an adult protection policy that is currently being reviewed to ensure that staff are clear about the investigation procedure. The West Sussex policy and procedure for protecting vulnerable adults is also available in the home. All staff have attended training regarding protecting vulnerable adults and all those spoken with understood their duty to immediately report any concerns to the person in charge. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. EVIDENCE: There is a programme of maintenance in the home. The dining room roof has been treated to ensure that people are not too hot in the summer. Bedrooms are decorated as they become vacant. The home was clean, well decorated, bright and welcoming. There were two health and safety issues that were noted and raised with the manager. These included an urn in the dining room that was very hot and could have presented a risk to service users and a radiator in the hallway that was extremely hot to the touch. The manager The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 16 confirmed in writing that these issues were addressed the day after the inspection. The manager said she has been concerned that the fire alarm system does not show zones on the panel although she has previously sought advice on this issue. The manager said that she would be contacting the fire officer again for further advice, although she has been advised that the system complies with current fire safety standards. The laundry facilities are suitable for the needs of the home. The housekeeper was spoken with and she said that she has the equipment and support she needs to keep the home clean The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 17 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The numbers and skill mix of staff meet the needs of service users. Service users are in safe hands at all times. Service users are protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: Samples of weekly rotas were seen. Three care staff are on duty each morning and two in the afternoon. The service users spoken with said that they do not have to wait for the staff to attend to them if they need to use the call bell. There were sufficient numbers of staff on duty at the time of the inspection. The manager said that staffing numbers would be increased if people needed more care. The staff spoken with said they have the time, information and support they need to do their jobs well. 75 of staff have achieved the NVQ level two award or above; the staff are highly motivated to take part in training that helps them to do their job well; those spoken with said that they get the support they need to attend training sessions. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 18 A sample of staff records were seen and included the information required. The staff spoken with said that their recruitment had been thorough; they had attended for an interview and all the necessary checks had been made. The manager said that the proprietor applies for POVAfirst checks before the enhanced CRB check has been returned so that staff can begin work without delay. The manager is aware of the safeguards that need to be in place before the CRB check is returned. There is an induction and training programme that includes all the mandatory training. In addition staff are supported to attend training in specialist topics that would help them to better understand the needs of particular service users; for example working with people who are confused or have dementia. The training records were seen and some staff spoken with; they said that there is a good training programme and they are kept informed of forthcoming training sessions. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. People live in a home that is very well managed. The home is run in the best interests of service users. Service users’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager was very cooperative and assisted with all aspects of the inspection. It was clear that she has good management systems in place including staff supervision. Mrs Jackson has achieved the registered manager’s award and has recently attended training in the new West Sussex The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 20 safeguarding adults policy and procedures and the Mental Capacity Act. It was clear in discussion with Mrs Jackson and staff that she is extremely committed to the efficient running of the home; she is very supportive to staff, making herself available on-call when she is not at work. It was clear that she has a good relationship with service users and is always looking for ways to improve the quality of care in the home. There is a quality assurance policy and a system for monitoring and developing the quality of care in the home. Questionnaires are circulated to people living in the home once a year and the results are collated and published on the notice board. Mrs Jackson said that she deals with any issues that arise and that she intends at a later stage to include staff, relatives and health and social care professionals in the quality monitoring process. There are policies in place regarding financial matters. Two service users manage their own finances and all others have family or solicitors to support them. The home does not get involved in supporting people with their finances. There is a petty cash system for day-to-day expenses. Mrs Jackson is committed to protecting the health, safety and welfare of service users. Risk assessments have been carried out for each individual and also aspects of the building that may present a risk. Guidance is provided to staff about ways to minimise risks. Two safety issues were raised with Mrs Jackson and they were addressed the following day. All staff have attended the mandatory health and safety training. The fire risk assessments have been carried out and an evacuation plan has been drawn up. There was an issue regarding the alarm system that Mrs Jackson raised and she was advised to seek further advice from the fire officer. The accident records were seen; accidents had been appropriately recorded and it was clear that incidents are monitored and any trends noted. The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 21 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 The Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 Victoria Royal Beach DS0000058056.V314580.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000058056.V314580.R01.S.doc Version 5.2 Page 24 - 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!