Care Home: Royal Bay Residential Home

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What the care home does well The Royal Bay Residential Care Home provides a comfortable, homely and safe environment for the people who live there and people tell us that they are very happy with the service being provided. In order to ensure that people have the level of care that they need, good preadmission processes are carried out and people`s individual needs and wishes are detailed in a plan of care. People have access to very good healthcare support and the home works well with other professionals. There are a wide variety of regular activities provided, people tell us that they enjoy the choice of meals on offer and that snacks and drinks are provided at any time including during the night. Many improvements have been made to the environment and there is a programme of continuous updating and refurbishment in place. The people living in the home are protected by the home`s robust recruitment processes, a high level of staff training is in place and people are very complimentary about the skills, commitment and approach of the Registered Manager and the staff team. A family member said, " I like the cheerful atmosphere in the home, the door is always opened with a smile and the staff team get on very well together. There is a relaxed feeling in the home and residents have the freedom to do their own thing, which gives it a homely feel". A service user told us, " I have lived here for quite a long time, it is very comfortable, you get what you want and everyone is very kind to you". What has improved since the last inspection? In order to better meet service users` needs, the assessment and care planning process has been improved. There has been an extensive programme of improvement and refurbishment carried out to the environment and specialist equipment including a new bath hoist has been purchased. What the care home could do better: The home should continue with the programme of refurbishment currently in place and should also continue to build on the high quality care it is providing for the people who live there. CARE HOMES FOR OLDER PEOPLE Royal Bay Residential Home 86 Aldwick Road Aldwick Bognor Regis West Sussex PO21 2PE Lead Inspector Annie Taggart Unannounced Inspection 11th March 2008 10:00 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 Royal Bay Residential Home DS0000014696.V359423.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. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Royal Bay Residential Home Address 86 Aldwick Road Aldwick Bognor Regis West Sussex PO21 2PE 01243 864086 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) royalbay@btopenworld.com Royal Bay Care Homes Ltd Mrs Beverley Anita Treble Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That ten (10) service users in the category physical disability (PD) over the age of 50 may be accommodated. That ten (10) service users in the category physical disability elderly (PD(E) may continue to be accommodated. Date of last inspection Brief Description of the Service: The Royal Bay Residential Home can accommodate up to forty-two residents. The property is a detached three-storey building in Bognor Regis, close to the town centre and all amenities. Accommodation is provided in thirty-five rooms, seven of which are double sizes. There are two lounges and a conservatory and a dining room. The current scale of fees being charged at the home is from £325 to £475 per week. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. In order to prepare for the visit, surveys sent to service users, families and professionals involved with the home and an Annual Quality Assurance (AQAA) had been sent to the manager for completion. This was returned within the given timescales and contained very comprehensive and detailed information. Eight service user, seven family and two professionals surveys were returned and all comments received were very positive about the care being provided in the home The unannounced visit was carried out at 10.00am on Tuesday 11th March 2008 and the visit lasted for four and a half hours. During the visit we spent time with the people living in the home in communal areas, in their private bedrooms and during an activities period and we spoke to the staff on duty and observed staff practice. We were also able to speak with three visitors who were in the home at the time of the visit. Five care plans and all supporting documentation such as daily records were looked at and we also looked at five staff records and the system for the recording and administration of medication. We looked at menus and food records, saw the main meal of the day being prepared and served and we asked people how they are given a choice in the meals that are provided. Records for the running of the business including the quality assurance process, health and safety, fire records and incident and accident recording were seen and were all current and in good order. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? In order to better meet service users’ needs, the assessment and care planning process has been improved. There has been an extensive programme of improvement and refurbishment carried out to the environment and specialist equipment including a new bath hoist has been purchased. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 7 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 summary of this inspection report can be made available in other formats on request. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 8 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 Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 5 and 6 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. In order to ensure that the home can meet individual and diverse needs, there is good information available about the services on offer, people have their needs and wishes assessed and are encouraged to make visits prior to moving in. EVIDENCE: The home has a Statement of Purpose and Service User Guide and both provide good information about the home. The Registered Manager, Mrs. Treble told us that the home is working towards the documents also being produced in an audio version and Braille if required. We saw that in each person’s bedroom there was a copy of the Statement of Purpose, an overview of the services on offer and a précis of the last inspection report. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 10 To ensure that the home can meet individual needs, comprehensive pre admission assessments are carried out with the involvement of service users and their families. We saw the assessments for four people and all contained background history, detailed information regarding personal choice and individual preferences and also information regarding health and personal care needs. For one person who was in the home on respite care for two weeks there was a full assessment of need and a care plan in place. Mrs Treble showed us that the home had an equality and diversity policy in place and told us that individual requirements such as cultural or religious needs would be addressed during the assessment process. The people living in the home confirmed that they were able to make visits to the home or stay for a short break prior to moving in and some people were also having a period of respite care. Royal Bay Residential Care Home does not provide intermediate care. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 and 11 Outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. The people living in the home have their individual needs and wishes recorded in a plan of care. They receive a very high level of care and attention, their lifestyle choices are respected and they are treated with dignity and respect at the end of their lives. EVIDENCE: In order that the staff team have the information they need regarding the individual needs and wishes of the people they are supporting, for each person living in the home there is a detailed plan of care in place. We saw the care plans for five of the people currently living in the home and all contained background information, personal care preferences, healthcare information and lifestyle and routines preferences. The plans are outcome based in order to ensure that peoples preferences are met and risk assessments both personal and environmental are carried out in order to keep people safe. Regular reviews are undertaken and any changes Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 12 needing to be made are communicated to the staff team at shift handover meetings. The day care person is currently working with service users one a one to one basis to produce detailed life histories and when completed we saw that they are added to the care plans. From looking at the care plans and comments received from healthcare professionals it is clear that the people living in the home have access to a variety of healthcare professionals and that they receive good healthcare support. Records are kept of visits to local doctors, chiropodists, mental healthcare specialists and hospital appointments and district nurses, physiotherapists and occupational therapists also visit the home on a regular basis. Nutritional screening is carried out to ensure that people receive the correct diet they need and people’s weights are monitored and recorded. For one person who was not very well there were up to date records of the food and drink the person was accepting and medical advice had been sought. For another person who now needs a different level of support, the home was working with the person and their family to find more suitable accommodation. In a satisfaction survey a healthcare professional said, “ I find the care and attention given to my patients to be very good and consistent and in relation to my visiting the home regularly I see that this also applies to other people ”. Another healthcare professional said, “ I often bring up a point concerning one of my patients and the staff are always responsive and deal with it straight away”. From looking at daily records and observing staff practice it is clear that people are treated with dignity and respect and a service user commented, “ I only have to ring the bell for help if I need it but my privacy, independence and lifestyle are respected” another person commented, “ I receive excellent care, the food is very good and the staff are also excellent, absolutely lovely, kind and caring and always come when you ring the bell”. The home has polices and procedures in place regarding the storage and administration of medication and records showed us that all of the staff administering medication have received training. There were two securely stored medication cabinets in use; both were clean and well organised. A monitored dose system of administering medication is provided by a local pharmacy and in checking the medication we found that this is well managed and records were current and in good order. We also checked the records of two controlled medications and they also were correct. For people who wish to manage their own medication there are risk assessments and signed agreements in place. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 13 Care plans contain end of life wishes and the home gains advice and training from the local Palliative Care Team. Mrs. Treble told us how the home had, despite some difficulties accessed specialist advice from a religious person on how a person with a differing cultural background needed to be treated following their death and a family member visiting their mother during the day told us, “ I am so glad I could speak to you today because I want to say how wonderful the staff were when my father died, he received better care here than he did in the hospital. Everyone was so supportive and my family could come in and out any time of the day or night to be with him and nothing was too much trouble”. Royal Bay Residential Home DS0000014696.V359423.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 Outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. The people living in the home are offered a wide range of activities and can follow their religious beliefs. People’s lifestyle choices are respected, family and friends are made welcome at any time and a range of fresh homes cooked meals are provided. EVIDENCE: The home is to be commended for the variety and frequency of activities offered to the people living there. An activities co-ordinator is employed and at 10am she was sitting with a group of people playing cards and table tops games. Evaluations are kept of each person’s involvement in the activities and we saw that there are reminiscence sessions, arts and craft, themed days and occasional outings. There are also outside entertainers involved each week and these include gentle keep fit, music sessions and visits from a “pat dog”. The home also has a caged bird that is very popular with the people living there. The day care person is also working on a one to one basis completing life histories with each person and families are also included in this. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 15 Service users said that they enjoyed the daily activities and one person said, “it is very good to have something to do, I especially like monopoly and bingo but I cheat a bit so I can win the prizes” In the lounge, where the activities were being provided, there was a friendly and homely atmosphere, people were chatting or reading papers and magazines and some people said that they likes to go for a walk to the sea front or to the local shops. There is also another lounge available if people wish for a quieter atmosphere. Other people said that they had chosen not to join in with activities and wished to be more independent and they told us that this was respected. The home holds a regular interdenominational church service and people can have their own priests or vicars to visit if they wish to do so. Visitors told us that families and friends are made welcome at any time and said that they were always offered refreshments. From looking at food records, menus and lunch, the main meal of the day being prepared and served, we saw that the home provides a variety of fresh home cooked meals. Nutritional assessments are carried out for people and there is a choice on the menu each mealtime. There is a choice of a cooked breakfast, lunch and evening meal and snacks and drinks are available both day and night. We saw a member of staff going to each person to ask what they would like the following day and when the person said they did not want what was on the menu an alternative was offered. We also saw two people ordering meals for their families who were visiting the next day. A service user told us, “ I am really happy here, there is always something to do, the staff are very kind and we can choose the food we want to eat”. Three people said that they were not always pleased with the food on offer but confirmed that an alternative was always provided. Royal Bay Residential Home DS0000014696.V359423.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The people living in the home can be confident that their concerns and complaints will be recorded and acted upon and the home’s policies, procedures and staff training are designed to protect people from risk of harm or abuse. EVIDENCE: There is a clear complaints procedure in place a copy of which is displayed in the hallway of the home; there are also complaints, concerns and suggestions slips for people to fill in should they need to make a comment. We looked at the complaints log and this showed us that the manager deals with any complaints or concerns in a timely manner and records are kept of the investigation and outcome. Both the people living in the home and visitors told us that they felt confident about the complaints process and in a satisfaction survey a service user said, “ I would speak to the head of the home if I had a complaint but I am very happy here and have no need to, everyone is great”. In order to better understand the rights of service users, the manager and deputy have attended training in the Mental Capacity Act and will be cascading this to the staff team using a training pack purchased by the home. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 17 Policies and procedures are in place regarding the protection of vulnerable people from risk of harm or abuse and there is also a whistle blowing policy for staff. Records showed us that all of the staff team receive training in safeguarding adults issues and all of the staff on duty were aware of their responsibility to report any suspected abuse. A staff member said, “ any form of abuse would not be tolerated here and we would report it straight away to the manager or deputy”. Royal Bay Residential Home DS0000014696.V359423.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 22 24 25 and 26 Outcomes for service users in this area are good. This judgement has been made using available evidence including a visit to this service. The home offers a clean, comfortable, homely and safe environment for the people who live there and there is a programme of continuous improvement and refurbishment in place. EVIDENCE: The home offers a homely, comfortable and attractive environment for the people who live there and in the past year a large number of improvements have been made. There is a large lounge/conservatory area that is warm and comfortable and also a light and airy dining room. Some communal areas have recently been redecorated, new furniture purchased for the dining room and some carpets and curtains renewed. There is a well maintained garden to the rear of the building that people say they enjoy in better weather and a large courtyard car parking area for visitors to the front. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 19 Service users private bedrooms are all light and airy and have been decorated and furnished to a high standard. The rooms have personalised with pieces of service user’s own furniture and personal belongings and people told us told us that they were very happy with the facilities on offer. Some of the double bedrooms now have single occupation. The manager told us that in the past year all beds have been replaced and some bathrooms updated, new armchairs have also been purchased for bedrooms and new curtains fitted. An overhead hoist has also been supplied to one of the bathrooms to ensure safer and more comfortable moving and handling for less mobile people. A modern call bell system that has an automatic print out of staff response times is in use and the manager monitors this on a regular basis. People have the aids and adaptations they need and the district nurse team provides pressure relieving equipment. Records showed us that regular maintenance checks are carried out, we saw that infection control issues are addressed by there being antiseptic hand washes, gloves and aprons being used by the staff on duty and the home was clean and hygienic throughout. One service user had wedged their door open, which could have caused risk to them in the event of a fire occurring. The manager spoke to the person about the risk they were putting themselves at and by the end of the visit the person had agreed to have an automatic closure fitted to the door and this had been arranged to be fitted by the maintenance person. Royal Bay Residential Home DS0000014696.V359423.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 Outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. A competent, kind and caring staff team support the people living in the home. People are protected by the home’s robust recruitment practices and the staff team are very well trained and well supported. EVIDENCE: From looking at staffing rotas and also the number of staff on duty, it is clear that the home has sufficient numbers of staff on duty to meet the needs of the thirty six people currently living in the home. There was one deputy manager, one senior carer and four support workers, three cleaners, a laundry person, chef and kitchen assistant and also a maintenance person. The manager also works in the home on a daily basis and is extra to the rota. The people living in the home, healthcare professionals and families were very complimentary about the staff team describing them as kind, efficient and caring. Comments included, from a service user, “ I didn’t want to come to live in a care home but this is nearly as good as home, the staff are all lovely, they are all very kind indeed and I am content” and from a family member, “ this care home seems to cover all of my brother’s needs, the staff are very kind and caring and he is happy there”. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 21 In order to ensure the safety of service users, the manager carries out a robust recruitment process and very organised files are kept in the home. We saw the files of five staff members, two of whom had recently been recruited and all contained the required documentation including a current Criminal Bureau Check (CRB) and two references. We saw workbooks showing that the staff team receive both an in-house induction and also a structured foundation induction in line with Skills for Care. The home is to be commended on the training provided for the staff team. We saw that as well as all mandatory training including first aid, moving and handling and infection control, courses such as person centred planning, working with older people, medication, deafness awareness, palliative care and safeguarding adults are attended and regular updates are carried out. Mrs. Treble told us that over 50 of the staff team have NVQ 2 or above, four carers have NVQ 3, a senior carer has a BTEC Diploma in Care and the deputy manager has NVQ 4, the Registered Manager’s Award and is an NVQ assessor. Records showed us that the staff team receive regular supervision and this includes discussion in care practice issues. Mrs. Treble told us that as it was very difficult to get all of the staff team together for staff meetings, separate meetings are held for day, night and ancillary staff and we saw evidence that each member of staff is given a copy of the minutes that they then have to agree and sign. There is a stable staff team and many people have worked in the home for a number of years. A staff member who has worked in the home for eleven years told us, “ This is a very good place to work, we have a good manager and the training is ongoing all the time. We all get on well and there is good communication”. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 37 38 Outcomes for service users in this area are excellent. This judgement has been made using available evidence including a visit to this service. A qualified and competent manager runs the home in the best interests of service users. Records are in good order, there is evidence of continual improvement, health and safety issues are addressed and records are in good order. EVIDENCE: The manager has the qualifications and skills required, having had many years experience in managing care homes and she runs the home is the best interests of the people living there. Service users, staff and families were very complimentary about the skills and commitment of Mrs Treble, describing her as accessible, professional and friendly. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 23 A staff member told us, “ I like working here because the manager ensures that we have all the training and support we need and this helps us to give better care to the residents”. In addition to the manager there is a qualified and competent deputy manager in place and this ensures that the home is managed competently at all times. There is a quality assurance system in place that starts with resident’s meeting that are recorded with any suggestions made being acted upon, there is also an internal audit system, where managers from other Royal Bay homes carry out visits and work through a detailed audit in line with the Care Standards requirements. Questionnaires are also sent annually to families and other professionals involved with the home and the outcomes are used to ensure a process of continuous improvement in the home. Regulation 26 Registered Providers visit are carried out and records are kept in the home. We saw that accidents and incidents are recorded and the manager has a system in place for monitoring any trends and taking appropriate action. We saw records for the running of the business including fire records and staff fire training and this showed us that regular training is carried out for both day and night staff and that all equipment in the home is regularly maintained. As previously stated in the report there is a programme of continuous improvement being carried out in the home and health and safety issues are well managed in order to ensure the safety of both service users and the staff team. Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 24 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 3 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X 3 4 Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 25 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. 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 Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 Royal Bay Residential Home DS0000014696.V359423.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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