Care Home: Beachside Rest Home

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What the care home does well Beachside provides a home like environment with staff acknowledging that it is very much the resident’s own home. The atmosphere at the home is relaxed, with communication between staff and residents open and friendly. Staff stability has allowed staff and residents to know each other well allowing for a person centred approach to care. The home is owned and managed by registered mental health nurses, who have the skills and experience to offer the range of services required to meet the resident’s needs. They are particularly skilled along with their staff at Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 forming positive relationships that are therapeutic for residents allowing staff to provide support and care to improve their quality of life. The staff have a clear understanding of the varied and sometimes challenging care needs of the residents, and provide appropriate care and support in a way that encourages the residents to make choices about all aspects of their lives and to maintain their independence. Visiting professionals were positive about the care and support provided saying ‘The home is good for clients and their conditions are managed extremely well, promoting each person’s independence and the home is nice and comfortable for them’. Residents also said how they liked the home ‘it’s all very good here’ What has improved since the last inspection? Although the key inspection completed in July 2008 was on the whole mainly positive it did identify a number of requirements that the managers have worked hard to address. They have reviewed and updated the statement of purpose and service user’s guide and has made it available to all residents and anyone visiting the home. The assessment process is now more thoroughly recorded and prospective residents are advised in writing that their assessed needs can be met by the home. The care documentation has been extended to ensure it records the changing conditions and care needs of residents. Residents are consulted about the care they are to receive although this still needs to be recorded in a systematic way. Nutritional screening is now completed on a routine basis so that any dietary problems are identified quickly. A full complaints procedure has been developed and is readily available in the home being displayed in the front entrance area. The physical environment has been subject to an upgrading and redecoration programme that has improved the environment for residents and staff alike. A cleaning schedule has been established and the home is now clean. The recruitment practice has been improved to ensure the required documentation is retained in the home. A fire risk assessment is in place and environmental risk assessments are completed. What the care home could do better: Whilst it is acknowledged that the managers have gone a long way in addressing the shortfalls identified in previous inspections. The report hasBeachside Rest HomeDS0000021043.V375699.R01.S.doc Version 5.2 reflected that there are some ongoing issues that Mr Peersaib has made assurances that he will address. Therefore no requirements apart from one have been made within this report. The staff training records were not available within the home at the time of this inspection. It was therefore not possible to assess the training provided. The management of the home need to ensure that all staff are given appropriate training to ensure staff are able to look after each resident’s care needs in a safe way. Key inspection report CARE HOMES FOR OLDER PEOPLE Beachside Rest Home Cricketfield Road Seaford East Sussex BN25 1BU Lead Inspector Melanie Freeman Key Unannounced Inspection 20th July 2009 09:30 DS0000021043.V375699.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beachside Rest Home Address Cricketfield Road Seaford East Sussex BN25 1BU 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) 01323 893756 01323 721331 feroz@peersaib.com Mr Abdoollah Feroz Peersaib Mrs Maryam Peersaib Mr Abdoollah Feroz Peersaib Mrs Maryam Peersaib Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (0), Old age, not falling within any of places other category (0) Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD). Old age, not falling within any other category (OP). The maximum number of service users to be accommodated is 11. 2. Date of last inspection 26th July 2007 Brief Description of the Service: Beachside Care Home is privately owned by Mr and Mrs Peersaib, they also mange the home jointly and are both the registered manager. The home can accommodate up to eleven people with a past or present mental illness who need support and personal care, who are over the age of sixty-five. The home is a detached converted private home and now provides seven single and two shared rooms over three floors. The passenger lift is no longer functioning so residents need to be able to negotiate the stairs if their rooms are not at ground floor level where the lounge and dining room is also located. As residents are mobile adaptations are not provided routinely in the home. The home has a small patio area at the rear of the property and small garden at the front. Both areas are well used by those residents who smoke and those who like outdoor space. Beachside is centrally located in Seaford a short walk to the seafront and to the centre of town. The home provides care and support to residents who are both privately funded and those who are funded by Social Services. The home’s fees as from 01 July 2009 range from £348 to £600 per person per week. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre and any personal toiletries. Intermediate care is not provided. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 5 The homes literature states ‘It is our sincerest intention to provide a comfortable and happy home suited to the individual’s special requirements’. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Beachside Care Home will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home on Monday 20 July 2009, and follow up contact with a visiting health and social care professionals. The allocated inspector spent approximately five hours in the home and was able to discuss matters with Mr. Peersaib, one of the registered managers who received the inspection feedback at the conclusion of the visit. All the communal areas were seen along with most of the resident’s rooms. A range of documentation was reviewed including the homes service user’s guide, pre-admission assessment procedures, the systems in place for handling complaints and protecting resident’s from harm, staff recruitment files, staff training records, quality assurance systems and some health and safety records. The care documentation pertaining to two residents were reviewed in depth and the inspector was able to view the meal eaten in the communal dining room. The required Annual Quality Assurance Assessment (AQAA) was completed by the registered owners and returned when requested and was used to inform this inspection report. What the service does well: Beachside provides a home like environment with staff acknowledging that it is very much the resident’s own home. The atmosphere at the home is relaxed, with communication between staff and residents open and friendly. Staff stability has allowed staff and residents to know each other well allowing for a person centred approach to care. The home is owned and managed by registered mental health nurses, who have the skills and experience to offer the range of services required to meet the resident’s needs. They are particularly skilled along with their staff at Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 7 forming positive relationships that are therapeutic for residents allowing staff to provide support and care to improve their quality of life. The staff have a clear understanding of the varied and sometimes challenging care needs of the residents, and provide appropriate care and support in a way that encourages the residents to make choices about all aspects of their lives and to maintain their independence. Visiting professionals were positive about the care and support provided saying ‘The home is good for clients and their conditions are managed extremely well, promoting each person’s independence and the home is nice and comfortable for them’. Residents also said how they liked the home ‘it’s all very good here’ What has improved since the last inspection? What they could do better: Whilst it is acknowledged that the managers have gone a long way in addressing the shortfalls identified in previous inspections. The report has Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 8 reflected that there are some ongoing issues that Mr Peersaib has made assurances that he will address. Therefore no requirements apart from one have been made within this report. The staff training records were not available within the home at the time of this inspection. It was therefore not possible to assess the training provided. The management of the home need to ensure that all staff are given appropriate training to ensure staff are able to look after each resident’s care needs in a safe way. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 9 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 Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents receive sufficient information on the home to enable them to make an informed decision over whether the home is the right place for them. The admission procedure allows for the needs of prospective residents to be assessed by one of the managers before admission. EVIDENCE: Since the last inspection the home has reviewed and updated its combined statement of purpose and service user’s guide. A copy of this was available in the home on request and Mr Peersaib said that that copy would be displayed in the front entrance and given to each resident. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 11 The last key inspection report and Annual service review were also displayed in the front entrance area. Information held within the statement of purpose/service user’s guide was useful and accurate. An assessment of the admission process included a review of the documentation used in respect of the last admission to the home. Records and discussion with Mr. Peersaib confirmed that all prospective residents are assessed before admission. This assessment is thorough and takes into account the opinions of the multi disciplinary team often involved in the prospective residents care. The last admission is on a trial basis and an independent advocate has been involved in the admission process. The assessment process has also included a risk assessment regarding the long term placement and was completed in conjunction with the psychiatrist. The assessment process followed by Mr Peersaib is lengthy. Contact with other professionals indicated that he is very careful about who he admits to the home, taking into account the other residents and the environmental limitations of the home. People Once assessed people are advised if the home can meet there needs, normally this is confirmed in writing and a record of this is held in the residents file. All admissions are subject to a trail period to ensure an appropriate placement fro residents and for the home. Intermediate or rehabilitative care is not provided at Beachside. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was found to be meeting resident’s health and general needs with assessed additional community support when needed. Residents are protected by the efficient and accurate administration and recording of medication. Staff treat the residents with respect and as individuals, and encourage them to be as independent as possible and to take an active role in deciding the care and support they receive. EVIDENCE: The care documentation pertaining to two residents were reviewed as part of the inspection process, and each of these residents were met with during the Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 13 inspection visit to the home. Each resident had a plan of care and this took into account residents social and psychological needs providing clear guidelines for staff to follow. In one case the personal care needs were not well recorded and this was identified to Mr Peersaib for him to address. Monthly reviews are completed and resident’s involvement with the planning of care is encouraged, however the reviews need to evidence that the whole care package is reviewed and records need to demonstrate residents involvement, a more systematic approach needs to be adopted. Mr Peersaib said that this would be progressed. Discussion with staff indicated that they knew each of the residents well, being able to notice subtle changes in them and to respond appropriately. They had a good understanding of each residents individual needs and the care is delivered in a way that suites the residents, and allows for flexibility. All feedback about the care was good with visiting professionals indicating that it is responsive to the sometimes very challenging care needs of residents, and that situations are well managed in consultation with them. In discussion residents were also positive about the care and support they received ‘it’s all very good here’ The home works closely with Community Mental Health team with regular reviews being scheduled. Some Risk assessments are used including nutritional and environmental and these are followed up through the plans of care. Medicines are stored in the office in locked cupboards. Practice observed during the inspection visit confirmed that staff administer each resident’s medicine on an individual basis. Records seen were found to be accurate and well maintained, ensuring residents receive their prescribed medicines. The home does not have suitable facilities in order to store controlled drugs and although the home did not have any Controlled drugs on the premises the provision of appropriate storage was raised with Mr Peersaib. It was agreed that the he would consult with his supplying pharmacist with regard to this matter to ensure if any Controlled drugs were prescribed for a resident they would be appropriately handled. Further information on this matter is available on the CQC Internet within the guidance document The safe management of controlled drugs in care homes. Staff were seen to have a friendly and respectful relationship with all residents who they interacted with as equal adults. Many of the staff have worked in the home for many years forming close caring relationships with each other and residents. Rooms seen were found to be very individual with residents able to keep their rooms as they wish with minimal intervention. Residents were also able to move around the home freely and to go out as they wished. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The routines in the home are flexible and varied activity is provided if wanted. Residents retain control over their lives with the promotion of independence and individual choices being respected. Support is given in maintaining links with family and friends. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: The home is run very much as a small communal home with residents spending their time similarly to what they would do within their own home environment. Some activity is provided by a visiting occupational therapist and an art group worker. An occasional entertainer is also arranged. These sessions are well attended but only if residents want to. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 15 Residents like spending time where and how they want to many of them enjoying the fresh air in the garden on the patio area, which is sheltered and provides a sunny area in good weather. Residents do use the community resources often going to town or walking to the beach with or without staff. Some like to eat and drink in local cafes and public houses. During the inspection visit relatives of the new resident came to the home unannounced. Staff were very warm and welcoming to the guests, answering questions and allowing them private time with the resident. Residents socialise with each other and have a good relationship with staff that they enjoy talking with and spending time with. The meals are a social event with most residents eating together. The food provided focussed on fresh produce and home cooking with residents preferences being taken into account. Residents said that they liked the food and feedback from visiting professionals indicated that the food was ‘good’. Nutritional screening is maintained and following the last key inspection the dietician was contacted and provided staff training on specific dietary needs. Beachside Rest Home DS0000021043.V375699.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from an open culture where they are able to express their views and are confident that any complaint made would be listened to and responded to appropriately. The management overview of the home would ensure that any safeguarding issue raised would be responded to quickly and appropriately, although supporting procedures need to be accurate. EVIDENCE: The home has an updated complaints procedure that is displayed in the front entrance and available within the statement of purpose/service user’s guide. The AQAA and Mr Peersaib confirmed that there have not been any formal complaints and that any received would be recorded within a complaints book that would then be held in a confidential way. Residents clearly had an open relationship with all the staff and both residents and staff were able to approach Mr Peersaib about any matter confident that he would listen and respond. Although the home has the new local policies and procedures on Safeguarding Vulnerable Adults its own procedures were not correct and did not record that Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 17 Social Services were the lead authority on all Safeguarding issues. And need to be advised of any allegation or suspicion of abuse. Mr Peersaib acknowledged this shortfall and said that the procedure would be updated accordingly. Staff have received training on safeguarding matters and Mr Peersaib has been working with Social Services on a Safeguarding issue outside of the home promoting the best interest of the resident involved. Mr and Mrs Peersaib have attended training on the Mental Capacity Act and Deprivation of Living and are awaiting relevant booklets and are going to produce relevant procedures for the home. Residents are protected by the systems in place to manage their money and the home ensures that staff are employed subject to appropriate recruitment checks. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a clean and homelike environment, which is reasonably well decorated. EVIDENCE: Beachside is a converted premise and therefore retains the character and dimensions of a family home. There was evidence that a redecoration programme has been progressed with carpet replacement and redecoration and upgrading being noted. The communal areas of the home looked light and well decorated. Each of the residents rooms seen were very personalised, although further decoration in some rooms needs to be progressed in negotiation with the resident occupying the room. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 19 Feedback from visiting professionals indicated that Beachside provides an environment that is comfortable to its residents, taking into account the home environment that they would choose to live in. At the time of the inspection visit the second floor bathroom had been taken out of use for refurbishment. Mr Peersaib confirmed that this will be completed by the end of this week and ready again for safe use. The laundry is located outside in the garage storage area and this was found to be well equipped. Not all communal hand washing areas had liquid soap and paper towels and this shortfall was raised with Mr Peersaib who said that this would be addressed to ensure everyone is able to wash their hands thoroughly. It was also noted that the communal bathroom had a number of shampoo bottles and bars of soap left out in them. Mr Peersaib confirmed that he would ensure that each resident had their own items returned to their rooms and that they are stored safely. The home has a copy of the Department of Health (DOH) guidelines on infection control in Care Homes and the management now needs to ensure the homes policies and procedures reflect this best practice and gives clear guidelines for staff working in the home. Beachside Rest Home DS0000021043.V375699.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being supported by a kind and dedicated team of staff and are protected by the recruitment systems in place. EVIDENCE: At the time of this assessment visit ten residents were living at Beachside, these residents have a mixed dependency all are mobile but need differing levels of supervision and prompting. A review of the duty rota indicated that staffing levels provide two care staff throughout the waking day with Mr and Mrs Peersaib working in addition to these levels numbers throughout the week unless shortfalls need to be filled. The night is staffed by one care staff who can go to sleep from 10pm to 6 am. The night records indicated that recently the home has been very busy at night and Mr Peersaib has been called into the home on a number of occasions, to deal with a resident needing further support and care and stayed in the home until all matters had been resolved. This situation has now been resolved and Mr Peersaib is satisfied that the staffing levels provide are suitable cover for the home and the current dependency of the residents living in the home. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 21 All staff spoken to said that they would have no hesitation in ringing Mr or Mrs Peersaib whenever they were needed and they were always readily available and able to get to the home quickly. They live within 15 minutes and provide a 24 hour on call cover to the home. The staffing arrangements at night were discussed with Mr Peersaib and it was also agreed that the home would contact the local fire brigade to discuss the fire precaution arrangements at night. Staff spoken to said that they liked working in the home with many of them having worked in the home for a number of years. There is a strong team spirit and it is clear that staff get on well with each other and like working together. The care staff also complete all catering and cleaning duties including the laundry. All feedback received from residents, and social/health professionals confirmed that the staff and the managers are well thought of and maintain good and appropriate links for the sharing of information. One professional said ‘communication with the home and the staff within is positive and very good and I am contacted regularly for updates’. The recruitment files pertaining to two staff were reviewed as part of the inspection process and on the whole were found to be comprehensive. They included an application form, evidence of two references and the required Criminal Records Bureau (CRB) and POVA checks on all staff. It was however noted that not all staff had a photograph on file or a full employment history. It was also recommended that the references received should also record in what capacity the applicant is known in and that a checklist is used to ensure all the required documentation and checks are completed. The manager said that these matters would be addressed. Staff spoken to said that they received regular training and that it was pertinent to the work they perform and have improved their skills in dealing with the residents at the home. The AQAA confirmed that all staff working in the home have completed a National Vocational Qualification in care at level 2 or above. Records held in the home evidenced that staff complete an appropriate induction programme. Staff training records were not available within the home and Mr Peersaib said that these were at home and confirmed that staff had received ongoing training, that covered all the mandatory training and additional training to meet the specific care needs of the residents in the home. As it was not able to confirm the training provided a requirement on staff training has been made. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 22 Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home encourages an open, relaxed, homely and caring atmosphere where care staff are suitably supported and guided and provided with clear leadership. Systems for quality monitoring need to be further developed to ensure a responsive service to outcomes for residents. Resident’s financial interests are safeguarded. EVIDENCE: Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 24 Mr and Mrs Peersaib are the joint managers of Beachside having owned the home for over twenty years. They are both registered mental health nurses and have completed the registered managers award and have many years experience of working with people with mental health problems. Being experienced practitioners they have the skills and knowledge to provide an appropriate service for residents in a relaxed and friendly environment, and demonstrate a commitment to the service. Direct observations confirmed that the managers are open and approachable and were seen to listen to staff and residents responding to their questions. Systems for quality assurance are still not providing an overall report and do not evidence of ongoing review and improvement of the service. The home uses questionnaires that indicated a high satisfaction from residents. Discussion with Mr Peersaib confirmed that he would develop the quality monitoring further taking into account the views of staff and other resident representatives, and reporting on these and the yearly audit tool completed within a report, to demonstrate any planned improvements. Although the AQAA was completed it was not used as a quality monitoring tool and was minimal in its content. Mr Peersaib confirmed that he acts as an appointee for three residents and collects their personal allowances. Records are held that record that each resident receives this money, one resident is given money on a daily basis so that he has money each day to spend, and signs to confirm receipt of this. Systems have been put in place in relation to the Health and safety of residents, although records relating to these need to be fuller to confirm the risk assessments and safety checks completed and the results of these. A fire risk assessment has been completed and Mr Peersaib said that he would ensure fuller records are retained in the home with regard to Health and Safety matter. Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 25 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 2 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 X 3 X 3 X X 3 Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 26 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 OP30 Regulation 18 Requirement That staff receive training appropriate to the work they are to perform and that suitable records to confirm this are maintained. Timescale for action 01/10/09 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 Beachside Rest Home DS0000021043.V375699.R01.S.doc Version 5.2 Page 27 Care Quality Commission South East The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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. 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