Latest Inspection
This is the latest available inspection report for this service, carried out on 12th January 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Marina Rest Home.
What the care home does well Individual plans are in place to ensure that people get the care and support they need. Staff are well informed about peoples` needs and plans are regularly updated to reflect changes. There is good access to all NHS and Community services. Good risk assessments are in place to keep people safe. Good communication systems are in place to ensure that staff have the information they need to provide appropriate care to the people living in the home. The home is clean and being well maintained. The manager and deputy were very clear and had a good understanding of people`s diverse needs and how to further develop the service. What the care home could do better: Care plans on the younger persons unit should focus on how staff are going to support younger people make decisions to and retain their independence. Relocating the kitchen downstairs would help people regain skills they may have lost. The mealtime experience may be improved by offering food in tureens so people could help themselves. Although the registered manager and deputy have a good understanding of where the unit needs to develop.They need to include a more person centred care based on risk management and give autonomy to those living in the home via meetings, forums and involvement in the daily running of the younger persons unit. Random inspection report
Care homes for older people
Name: Address: Marina Rest Home Cuthbert Street Hebburn Tyne And Wear NE31 1DJ one star adequate service 30/07/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Irene Bowater Date: 1 2 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Marina Rest Home Cuthbert Street Hebburn Tyne And Wear NE31 1DJ 01914835588 NOFAX Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dr Inder Paul Vinayak,Dr Veena Vinayak care home 37 Number of places (if applicable): Under 65 Over 65 0 0 10 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 5 22 0 The maximum number of service users who can be accommodated is : 37 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 10 Dementia - Code DE, maximum number of places: 5 Mental disorder- Code MD, excluding learning disability or dementia, maximum number of places: 22 Date of last inspection 3 0 0 7 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home Marina Rest Home is a converted property to its present use as a care home. It comprises of two units, one caring for younger people who have mental health care needs and a separate seventeen-bed unit for older people some of whom have a dementia type illness.The home cannot provide nursing care. The Younger Persons unit is two-storey, the first floor being accessed by a passenger lift or stairs.This unit has a sensory room and a small kitchen which is located upstairs. The Older Persons Unit is a one storey newer extension. Each unit has lounges, dining rooms, bathrooms, bedrooms and toilets. Senior staff and care staff, staff the home throughout the 24hour period. The home is situated in a residential area close to the town centre. It is within walking distance of local amenities and accessible by local transport services. There is ample car parking space to the front of the building and accessible gardens. The home charges 397:00 pounds to 460:00 pounds per week. Personal items such as clothing, toiletries, hairdressing and outings are not included in the fee rates. Care Homes for Older People Page 3 of 9 What we found:
This visit was carried out on the 12 January 2010 and took one Inspector three hours to complete. The reason for the visit was to see how the home has managed the changes in registration and to see if progress has been made in meeting the requirements made at the key inspection of 30 July 2009. Time was spent with both the registered manager and deputy manager discussing the younger persons unit and if there had been any impact on the older people living in the home as the age range of people living in the home will present a challenge to the staff to make sure people are all supported in a person centred way. Clear admission information including details from previous placement,care manager and risk assessments are available.All have been discussed,agreed and signed with the person.There is also ongoing discussion regarding how the care is to be delivered and behaviours that may challenge managed. Two peoples care was case tracked from pre admission and we discussed other peoples care since the last visit to the home. The manager and deputy were very clear and had a good understanding of peoples personal and health care needs. The home has had a change in registration and although care plans are completed with the person they need to focus more on enabling people to regain and maintain their independence in the younger persons unit. Both care plans showed that the clear admission information had been produced into a plan of care. Risk assessments are in place and include fall prevention,nutrition,dependency,and pressure ulcer prevention using the Waterlow scoring system.Risk managements strategies are in place for dealing with behaviours that may challenge and information about any triggers and interventions to de escalate verbal and physical aggression are documented with outcomes recorded. There is also clear information given and explained about zero tolerance including informing the police. Another care plan shows how someone is supported with daily routines such as mobility,personal care and nutrition.For example this person can walk short distances and likes to link arms with staff,and as there is limited limb movement ,prefers to wear track suit bottoms and always wears a sweater. Information about maintaining a degree of independence with eating includes,eats with left hand and needs a plate guard and food cut up. Care Homes for Older People Page 4 of 9 The care plans looked at were easy to follow.Information from other professionals is sought and their advice followed.For example contact with GP services, District Nurses,Speech and Language Specialists,Consultants,and other NHS services. The manager confirmed that a drugs fridge has been purchased and that daily temperatures are recorded. All of the people living on the younger persons unit had a late start to the day.Most are able to go out and about independently and have risk assessments in place should they need assistance.There are planned events but mostly they prefer to follow their own wishes and lifestyle. There is a sensory room,pool table and computer for everyones use,access to the Internet would be beneficial. Although there are drink making facilities and a kitchen upstairs people are not involved in choosing,buying and preparing meals and snacks.And all meals are served by the staff. The home now has two units, one for younger people, and separate unit for older people some of whom may have a dementia type illness. All areas were clean,nicely furnished and homely in style. The registered manager and deputy have a good understanding of where the unit needs to develop.This includes a more person centred care based on risk management and give autonomy to those living in the home via meetings, forums and involvement in the daily running of the unit. On the day of the visit there were no health and safety concerns. What the care home does well: What they could do better:
Care Homes for Older People Page 5 of 9 Care plans on the younger persons unit should focus on how staff are going to support younger people make decisions to and retain their independence. Relocating the kitchen downstairs would help people regain skills they may have lost. The mealtime experience may be improved by offering food in tureens so people could help themselves. Although the registered manager and deputy have a good understanding of where the unit needs to develop.They need to include a more person centred care based on risk management and give autonomy to those living in the home via meetings, forums and involvement in the daily running of the younger persons unit. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 12 16 Records must be kept of all activities that take place This will ensure that activities will be appropriate to people living in the service 27/11/2009 2 37 26 The registered provider must 30/09/2008 complete a report on the conduct of the care home and supply a copy to the registered manager and CQC on request. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 It is highly recommended that care plans on the younger persons unit become more focused on people will be supported to met their aspirations and achieve their goals with in a risk management framework It is highly recommended that people are actively supported to plan,prepare and serve their meals.And kitchen faculties are relocated so the they can make their own snacks. The registered manager should start to involve people in meetings, forums and the daily running of the younger persons unit within a risk management programme. 2 15 3 33 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
