Care Home: Ocean Swell

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What the care home does well The service has undertaken staff training and this is ongoing. A mini bus has been bought for the home that is wheelchair user friendly and this is used frequently for social activities as well as transport to appointments. The home has good wheelchair access to communal, bedroom and bathroom areas. Different hoists are available around the home including bathrooms and bedrooms. Apart from shower areas there is a specialised bath for easy access. A regular audit of staff working practices is undertaken to maintain staff competencies. The home also undertakes audits of health and safety assessments. Written comments seen from families and residents indicate a good level of satisfaction with the care given. `(relative) hasn`t looked so well for years`,`looks wonderful`. (staff) couldn`t do any more for me, I couldn`t wish for more`. The service has a good level of support from health care professionals regarding health care issues. A written comment from a community nurse stated that a persons progress was due to the `tlc (tender loving care) of the staff`. The home employs a dedicated activities organiser and there is a good range of activities offered. Outings are undertaken. Staff are aware if people prefer not to join in. Spiritual preferences are upheld. People living at the home have regular meetings and records show that people are enabled to express their choices. What has improved since the last inspection? No requirements were made at the last inspection. What the care home could do better: No requirements or recommendations were made at this inspection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ocean Swell Ocean Swell 33 Sea Road Westgate-on-sea Kent CT8 8SB     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Gabriel     Date: 1 6 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Ocean Swell 33 Sea Road Ocean Swell Westgate-on-sea Kent CT8 8SB 01843832362 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) : oceanswellcare@btinternet.com Mr Martin Stephen Rose,Mrs Denise Elaine Mary Rose care home 32 Number of places (if applicable): Under 65 Over 65 32 0 old age, not falling within any other category physical disability Additional conditions: 0 32 The maximum number of service users who can be accommodated is: 32 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: Old age, not falling within any other category - OP Physical disability - PD Date of last inspection Brief description of the care home Ocean Swell provides residential care for up to 17 older people and 15 people with physical disabilities, who require varying degrees of assistance. The home is a family run business, with the owners having a high level of input into the day-to-day running of the home. Bedrooms are located on the ground, first and second floors with a shaft lift access to all floors. The home comprises of a large detached premises with coastal views and is located within short distances of the seafront, local shops, post office, library and public transport links. There is some parking to the front area of the home Care Homes for Older People Page 4 of 26 Brief description of the care home and plenty of parking to the road at the front of the premises. Fees are in the range of: £320.63 - £472.50 per week. For up to date information about the range of fees please contact the provider. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a Key Unannounced inspection. During this time we spoke to the registered manager, registered provider, deputy manager and some staff. We were introduced to some residents. The home was fully occupied at this time and there were no staff vacancies. We looked at a sample of records and cross referenced them with other documents to triangulate evidence. This means we looked at some records and residents files chosen at random to track their care. There were no requirements made at the previous inspection. Care Homes for Older People Page 6 of 26 The home submitted an Annual Quality Assurance Assessment (AQAA). This is a self assessment that focuses how well outcomes are being met for people using the service. It also gives us some numerical information. The AQAA and observations and information gathered during this inspection has been used in this report. The home was clean and hygienic and was comfortably warm on a very cold day. An accompanied tour of most of the premises was undertaken. The last inspection of this service was on 31/03/08. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their needs will be assessed and they will be given the opportunity to visit the home. People will be given written information about the home to enable an informed choice to be made about where to live. Evidence: The home undertakes a pre admission assessment of needs prior to an individual moving into the home. The registered manager will visit the prospective resident in their own home or hospital. An assessment will also be made by the placing authority and this with the homes assessment, will form the basis of the care plan. A sample of these were seen and they contain useful information about the prime needs of the individual. Prospective residents can visit the home with their representatives to make a judgment about whether the home can meet their needs. There is a four week trial Care Homes for Older People Page 10 of 26 Evidence: period when people first move in. A new resident said that the home looked after him very well and didnt think there was anything more they could do for him; he added that there was nothing else he wished for. Prospective residents also receive a copy of the homes updated statement of purpose and service users guide. This assists them to make an informed choice about where to live. The home does not undertake intermediate care but does occasionally accept respite care. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their health needs are set out in their plan of care and that any health needs will be met. Medication procedures protect residents. People can expect to be treated with respect and privacy is upheld. Evidence: Three residents files were viewed for case tracking, they were cross referenced with daily reports and health care records. Some written comments were seen from residents, relatives and visiting health care professionals about the care given. These were positive and included comments such as from a family who wrote how very pleased they were with (relatives) progress. A community nurse wrote that one residents progress was due to the tender loving care of the service. Another family wrote that their relative hadnt looked so well for years and looks wonderful. Bedroom doors have locks and care plans seen indicate whether the occupant holds a key. People have regular meetings and these are recorded. Records seen show that people are asked about their choices. Care Homes for Older People Page 12 of 26 Evidence: Care plans include a variety of information for staff to understand the needs and assessments of each individual. The plans are started on arrival of a new resident at the home and were seen to be reviewed regularly. Health care contact is recorded. Records seen evidenced a good level of advice being sought by the home from health care professionals to support health care issues. Good interaction between staff and residents was noted and people were seen freely accessing different areas of the home including bedrooms. The home has suitable procedures for dealing with medication administration. Care plans include information about medication and any changes are recorded. Medication is administered by trained staff and some training certificates were seen. After staff receive training they are regularly audited by the deputy manager regarding their administration practices. The deputy manager also regularly audits medication received in the home. The home has a copy of the Royal Pharmaceutical Society Guidelines. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to choose their lifestyle, social activity and family contacts. Social, cultural and religious preferences meet expectations. Dietary needs are met by a varied menu. Evidence: The home employs a dedicated activities organiser. There was written evidence of a variety of activities and outings undertaken by individuals. The home has purchased a mini bus this year and this is wheelchair user friendly. The registered provider said it is not too big but is comfortable for a few people to be taken out at a time rather than making outings seem institutional. Because of the bus, more outings have been enjoyed in the wintertime than before. One care plan indicated a full month of activities including, by choice, choosing to read in own room. Outings included going to The Winter Gardens Theatre, Salvation Army concert, the Salvation Army has also brought their band to the home, bowling, Christmas shopping, museums and parks. In house activities include arts and crafts, bingo, beetle drive, giant dominoes and table top games. Musical workshops are organised. An organist visits regularly for sing alongs. Care Homes for Older People Page 14 of 26 Evidence: The staff were aware of some residents preferences not to join in with organised events or participate in table games such as cards. On the day of the inspection a local church choir arrived after lunch for a Christmas carol event. Some people were eagerly anticipating this. Residents hold regular meetings and evidence of this and peoples requests for choices including activities and menu requests was seen in the records. Visits to the home by the local church occasionally takes place, communion is available in the home by church representatives, the Salvation Army may hold services also. Other spiritual preferences are upheld if the individual wishes. Spiritual preferences are recorded in individual care plans. Families are welcomed to the home. The home is close to local amenities and is directly opposite the sea with an area of gardens in between where, a resident said, flowerbeds are provided (by the local authority) during the summer. The front of the house has an area where people can sit out in the summer and look across the road to the gardens and the sea. The menu is varied and can be changed according to choice. The chef records daily choices and amounts taken to ensure weight can be monitored for people needing such observations to be made. The kitchen is well equipped. Written comments seen said that (resident) loves the food at the home. One person told us that the food is very good. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident their complaints will be listened to. People know they are protected from abuse and their legal rights are protected. Evidence: The home has a complaints policy and procedures. The home records compliments, concerns and complaints. The registered provider has notified us of any issues throughout the year in line with the national minimum standards. Evidence was seen of a complaint received earlier in the year and the procedures and documents that the home has maintained relating to the issue. The registered manager has recently attended a kent county council briefing session by the adult protection team to highlight what the adult protection team roles are. There is a whistle blowing policy. About 50 of staff has so far attended the mental capacity act training. Staff receive adult protection training. Staff were very clear about what is abuse and how to report it instantly. Staff said the registered manager is approachable and would have no hesitation speaking to her. People are enabled to vote either by going to the voting stations or by postal vote. The home has access to different advocacy services. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, well maintained, clean and hygienic environment. Evidence: Accommodation is over three floors and there is a shaft lift. All bedrooms have call bells. The home has six shared bedrooms. Anecdotal evidence suggested that this is acceptable to those sharing. A married couple share one room and one of this couple said the room was very nice. Communal areas are light and adequate for the number of people using them. The staff had decorated the lounge for Christmas and there was room for people living there to sit comfortably and enjoy a carol concert (plus props) given by members of the local church. Equipment in the home includes a variety of hoists and mobility aids. Hoists have up to date maintenance contracts. The home was comfortably warm on a very cold day and radiators are covered or have low surface temperatures. The laundry is well equipped and was clean and hygienic. Machines are capable of high Care Homes for Older People Page 18 of 26 Evidence: wash temperatures. The registered provider said that there is an ongoing plan for redecoration and pointed out a bedroom where redecoration is planned subject to the approval of the occupant. The home has had new handrails and a shelter fitted to the front entrance of the building. Some bedrooms are small and do not meet the current national minimum standards but are of long standing registration. All rooms seen were of reasonable decoration and were clean and comfortable. One bedroom had a very large television positioned to suit the preference of the occupant. Other rooms were made personal to the occupant with their own effects such as small items of furniture, pictures and ornaments. Some commodes are institutional in appearance although clean and well maintained. The home has a dedicated electric sluice. The registered manager said that modern, less obvious models will gradually replace these. Records were seen of regular health and safety audits of all areas of the home. The registered provider will undertake everyday maintenance. Service contracts were seen for electrics, gas, lift and hoists. The fire record book was in order. The kitchen was clean, tidy and in good order. The home has a designated smoking room for residents only. Otherwise the home operates a no smoking policy for staff and visitors. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. Evidence: The home was fully staffed and a sample of the staff files, chosen at random was viewed. Contents seen indicated that the home has a sound recruitment policy and that CRB checks are undertaken as are references. The home uses the TOPPS induction for new staff. Supervision and annual appraisals are undertaken. The staff rota was viewed and shifts are adequately covered. There were three care staff, the deputy manager and registered manager on duty as well as the activities organiser, chef, domestic assistant and registered provider who also undertakes maintenance. Staffing includes the registered manager, deputy manager, the head of care, senior carers and carers. The home also has the benefit of an activities organiser, chefs and domestic cleaners. The registered manager will vary her shifts at times to enable her to be able to have contact with all staff. The deputy manager has worked at the home for many years and said that the registered manager and provider were very supportive. Care Homes for Older People Page 20 of 26 Evidence: Staff training includes the mandatory training courses and service specific courses including for dementia care. Adult protection awareness is undertaken. The home has approximately 13 staff who have completed or are undertaking NVQs at levels 2,3,or 4. Training certificates were seen in files and displayed in the home for a selection of training courses. A written staff comment in response to what training needs to be improved wrote none, we are kept up to date on everything, and added that staff are always thanked. Observation was that residents and care staff share a good rapport. Staff were seen communicating in a quiet and pleasant manner. Positive written comments were seen from families and health care professionals. One resident wrote that he was lucky to live at the home and that (carer) is a very good worker. One family wrote to thank the staff for kindness and patience shown to (relative) and all the wonderful care (relative) receives. Another family were pleased with (relative) progress and thanked staff for all their work. A community nurse said that a residents progress was due to the tender loving care shown by the home. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know the service is run in an open and respectful manner by a qualified person. The home is run in the best interests of the people living there. Evidence: The registered manager has been involved with the home for many years and has suitable qualifications for her role. A member of staff said she was approachable and could be spoken to at any time about any issue and that she would feel confident reporting any concerns she may have to the registered manager. Some written comments were seen about the management of the home and these include Yes, I feel very valued by management, you can approach her with any issues you may have. Anything discussed with the manager is dealt with as soon as possible. From a family I find the management and staff friendly and very professional and deliver a high standard of care. The registered manager is aware of the mental capacity act and has access to different Care Homes for Older People Page 22 of 26 Evidence: advocacy services should the need arise. There are good links with the local health care professionl services. These include GP, community nurse, physiotherapist, continence nurse, dietician and a nurse practioner visits the home weekly. Chiropodist visits also takes place. Care plans had information of visits by health care professionals vsits and actions to be taken. Health and safety is maintained by regular audits that are undertaken around the home. Maintenance service checks were in date and the fire record book was in order. The registered provider undertakes general maintenance around the home and discussed the rolling programme of redecoration planned for the coming year. Risk assessments are in place for individuals and aspects of the environment to ensure health and safety is maintained. Residents have regular meetings and records are kept of the meetings. Staff are regularly supervised and evidence of staff supervison was seen. The service takes monitoring the quality of the service seriously and has records of comments received from an earlier quality assurance initiative in 2008. Further everday comments and compliments are also recorded. The registered manager said they were planning a regular newsletter for the home and plans to collate future comments received would be started in the new year. The home sent us their Annual Quality Assurance Assessment (AQAA) when it was requested. This document reflects provision of the service and provides us with some numerical information. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!