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Inspection on 05/06/08 for Beach Crest

Also see our care home review for Beach Crest for more information

This is the latest available inspection report for this service, carried out on 5th June 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service provides a warm, friendly, homely environment where people who use the service feel they can make decisions about how they live their lives. People who use the service said they decide when they get up and go to bed and where they spend their time. They made the following comments about how they are looked after: `They look after us very well. We like to stay in our room and have our meals together. The staff make sure we can do this.` `I chose this room because I did not like the other one. I can get up and go to bed when I want. ``There`s not a lot to do here but I enjoy what I do. I like to feed the birds, do my crosswords and read the paper. I usually go to bed about 9 p.m. but it depends what I am watching on television.` People who use the service felt the home made visitors very welcome. One person said her partner visited every other day and was always able to have a cup of tea. Comments from one relative included: `This home is very family orientated. There is always someone around. We are made very welcome and always offered a cup of tea and cake. ` The home encourages people who use the service to remain as independent as possible. For example, one person likes to make their own cup of tea, breakfast and supper and is supported to be able to do this. The care plan identifies any risks and how they can be minimised. The home has a small stable staff team. They get to know the needs of the people who use the service really well and the people who use the service know who will be giving them their care.

What has improved since the last inspection?

Risk assessments are used to enable people to do activities that might involve an element of risk but that they enjoy. The assessments identify any possible risks and provide an action plan to minimise them to an acceptable level. Staff have had training in safeguarding adults so they have the knowledge and skill they need to identify and report any allegations of abuse. Staff also have up to date training in food hygiene and infection control. Fridge and freezer temperatures are now being regularly recorded to make sure food is stored safely at all times.

CARE HOMES FOR OLDER PEOPLE Beach Crest Marine Drive East Barton-on-sea New Milton Hampshire BH25 7DX Lead Inspector Pat Trim Unannounced Inspection 5th June 2008 09:00 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 Beach Crest DS0000012135.V365230.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. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beach Crest Address Marine Drive East Barton-on-sea New Milton Hampshire BH25 7DX 01425 612506 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) Doctor Vallabhdas Faldu Mrs Shobhna Faldu Doctor Vallabhdas Faldu Mrs Shobhna Faldu Care Home 7 Category(ies) of Dementia - over 65 years of age (7), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (7), Old age, not falling within any other category (7) Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2006 Brief Description of the Service: Beach Crest is situated on the seafront in a residential area close to local amenities and approximately one mile from New Milton town centre. It provides residential care for up to 7 older persons, some of who may have dementia. Accommodation is provided on two floors and there is a stair lift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Five of the bedrooms are single and one is a double, with the double having an en suite bathroom and toilet. There is a lounge/dining room on the ground floor. There is one communal toilet on the ground floor and a bathroom and separate toilet on the first floor. Car parking is available to the front of the building and there is a garden to the rear of the property. The current fee is from £445.00 to £595.00 and does not include hairdressing, chiropody or personal toiletries. Beach Crest DS0000012135.V365230.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 2 star. This means people who use this service experience good quality outcomes. The information used to write this report was obtained in the following ways. We looked to see if we had received any complaints about the home and saw that we had not. We also looked at any information the home had given us about what might have happened since we visited. We used some of the information the provider gave us about the home in a form called the Annual Quality Assurance Assessment (AQAA). This is a form the home has to fill out every year to tell us what they are doing to make sure the home gives the people who have used the service the care that they want. A five and a half hour visit was made to the home by one inspector to carry out a key unannounced inspection. During the visit time was spent talking with four of the people who use the service to get their views about it and two of the staff who worked in the home. Time was also spent discussing the provider’s plans for the home and looking at the environment. A random selection of documents was viewed. Three people who use the service were case tracked. This means their records were looked at to see how the provider identified their needs and made sure they were met. What the service does well: The service provides a warm, friendly, homely environment where people who use the service feel they can make decisions about how they live their lives. People who use the service said they decide when they get up and go to bed and where they spend their time. They made the following comments about how they are looked after: ‘They look after us very well. We like to stay in our room and have our meals together. The staff make sure we can do this.’ ‘I chose this room because I did not like the other one. I can get up and go to bed when I want. ‘ Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 6 ‘There’s not a lot to do here but I enjoy what I do. I like to feed the birds, do my crosswords and read the paper. I usually go to bed about 9 p.m. but it depends what I am watching on television.’ People who use the service felt the home made visitors very welcome. One person said her partner visited every other day and was always able to have a cup of tea. Comments from one relative included: ‘This home is very family orientated. There is always someone around. We are made very welcome and always offered a cup of tea and cake. ‘ The home encourages people who use the service to remain as independent as possible. For example, one person likes to make their own cup of tea, breakfast and supper and is supported to be able to do this. The care plan identifies any risks and how they can be minimised. The home has a small stable staff team. They get to know the needs of the people who use the service really well and the people who use the service know who will be giving them their care. What has improved since the last inspection? What they could do better: Some of the people in the home have dementia. They would benefit from activities that are specifically designed for them. The provider has already identified this as an area of improvement and is taking action to find appropriate activities. There were no requirements made following this report. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 7 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. Beach Crest DS0000012135.V365230.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 Beach Crest DS0000012135.V365230.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): 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have their abilities and needs fully assessed before they move into the home. They can be confident they will only be offered a place if the home can meet their identified needs. EVIDENCE: The AQAA recorded that a person centred approach is used to assess the person’s abilities and needs, commenting that ‘We assess all prospective service users to the home by ascertaining their needs and abilities, by focusing on what the individual can do for themselves while they are in their own home or hospital’. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 10 The last inspection found that everyone living in the home had a detailed pre admission assessment completed. Only one person had been admitted since then and their file contained a detailed assessment of what the person could do for themselves and what help they needed. This included a nursing procedure. Arrangements were made for the district nurse to visit regularly to undertake this procedure before the person moved into the home. Beach Crest DS0000012135.V365230.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed care plans ensure people who use the service receive their care in the way they like it. Their health care needs are monitored and met and medication is managed safely. Staff provide personal care in a way that promotes people’s rights to dignity and privacy. EVIDENCE: The care plans for three people who use the service were viewed. These recorded what the person could do for themselves and what help was needed. For example, one plan recorded that the person was able to wash the top half of their body independently and only needed help with the bottom half. The person concerned confirmed staff let them do what they could for themselves but always offered assistance. Another plan recorded that the person was able to do their own personal care but that staff needed to remind them to do everything. Some of the people living in the home were able to describe what help they needed, but were not aware this information was written in the form of a care Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 12 plan. This was discussed with the provider who agreed to look at how people could be more involved in care planning. Staff spoken with were able to describe the abilities and needs of the people being case tracked and demonstrated they knew what was recorded in the care plan. They said that information was passed verbally at handovers, in daily records and in care plans. Care plans were reviewed on a monthly basis and changes made when there was evidence of changing needs. For example, one person’s plan changed as their mobility deteriorated. Since the last inspection, risk assessments have been reviewed to make sure one is in place for any activity that has an element of risk. These are used to make sure people are enabled to remain as independent as possible and identify the positive outcome of taking the risk. For example, one person likes to cross the road to feed the birds on the cliff top. A risk assessment has now been completed to make sure any risks involved with this activity have been minimised. The person said how much they enjoyed doing this. The care plans viewed showed that people who use the service have their health care needs monitored and met. Separate records showed that advice from health care professionals was sought when required. As already stated, nursing needs are referred to the primary health care team. Records showed people had regular visits from the chiropodist and people who use the service said they were able to see their doctor when they wished. Staff have received training on the administration of medication and felt they had a good understanding of medication issues. At the present time no one using the service managed their own medication. The home had a clear medication procedure, which was on the door of the medication cupboard. Drugs were stored securely and there were no errors in the records seen or in the medication held. No one currently using the service were taking controlled medication but appropriate storage was available and staff were aware of the procedures involved. People who use the service felt that staff treated them with dignity and respect. One commented that ‘the staff are very good and look after us very well.’ Several people who use the service commented they had the key to their room and could lock their doors when they wished. Staff were observed giving personal care discreetly and at the person’s own pace. Both the staff spoken with had completed their National Vocational Qualification (NVQ) 2 which they felt had helped them understand the need to uphold the rights of the people who used the service. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 13 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 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are encouraged and supported to make choices about all aspects of their daily living. They are provided with some activities that they enjoy, but the development of activities specifically for people with dementia will ensure everyone has the opportunity for mental stimulation. People who use the service are offered meals they like and that give them choice. EVIDENCE: The AQAA recorded that ‘Service users are given choices where possible as part of their daily routine and the home works hard to promote service user independence and freedom of choice.’ People who use the service confirmed they were able to make choices about their daily routines. For example, three people said they were able to get up when they wished and two said they went to bed when they wanted to. The third person said sometimes staff asked them to go to bed early to fit in with the time they had available to help them. This was discussed with the provider who said this was not acceptable practice and would be discussed with staff. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 14 Everyone spoken with felt they were able to make choices about how they spent their time and the guidance in care plans was individual to the person. For example, one plan identified that staff needed to make sure the person had a cup of tea before helping them get up and dressed. Another instructed staff to make sure the person had their nails done, as they liked this. Two people said they liked to have a sherry before their meals and staff were seen giving them this. There were no formal activities provided in the home but those spoken with felt they were able to do the things they liked such as reading their newspaper, doing cross words and watching television. They said staff were sometimes able to go for walks with them and they enjoyed sitting in the garden or going over to the cliffs to look at the sea. However, three people commented that sometimes there were not enough staff to be able to do this. The provider said that a member of staff had recently left, but shifts were being covered so there was no reason that people could not go out with staff. Some people arranged their own transport to take them to the local shops or to see friends. The providers said the home does not provide organised activities but staff encourage people who use the service to do the things they like on an individual basis. A recent innovation has been the introduction of a vegetable patch in the garden and the provider said the staff are trying to get people who use the service interested in growing vegetables. The home provides care for some people who have dementia. The AQAA identified that the providers feel the activities offered to them could be developed so they were more able to meet their specific needs. Various possibilities were being looked at. The people who were spoken with said they did not have any strong religious convictions and the AQAA confirmed this. It recorded that we ‘currently have no service users with specific religious needs, however in the past service users that have wished to go to religious services have been encouraged to do so by organising with their local church, mosque or temple.’ One visitor to the home said her mother could have visits from her local church if she wished to do so. People who use the service felt their families were made very welcome when they visited. Comments from one relative who was visiting the home included ‘this home is very family orientated. There is always someone around and staff don’t leave people on their own. Communication is very good and we are always made welcome. My daughter and I were even invited to Christmas Day lunch.’ Three people commented on the meals provided. They felt they were usually quite good and said they were given a choice of supper. One person said they did not like a lot to eat and their care plan recorded that they preferred small meals. The menu for the main meal was displayed in the entrance hall and the Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 15 provider said people could have an alternative if they wished. Staff said they knew if someone did not like something and would automatically give them an alternative. People were able to choose where they ate their meals, either in the dining room or in their own rooms. Several people required help with feeding. Assistance was given discreetly, calmly and at the person’s own pace. Some people needed to have their food pureed. This was being done so that everything was pureed together. It was recommended that each item of food be pureed separately, to make it look more pleasing and to give the person the choice of refusing specific items they might not like or wish to eat. Beach Crest DS0000012135.V365230.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make complaints about the service and can be confident they will be listened to and the issues addressed. Staff have the information and training they need to enable them to report any allegation of abuse and to minimise the risk to the people who use the service. EVIDENCE: Three people who use the service said they knew how to make complaints and felt they were able to discuss any issues with the providers. A relative, visiting the home, said she was aware of the complaints procedure but had not had any reason to make a complaint. The AQAA recorded that ‘The comments book enables relatives/advocates and friends of the service user to write down any thoughts and feelings they have regarding our service and they are made aware of this. Our complaints procedure is on display in the hallway and is also filed with our statement of purpose.’ It also recorded that no complaints had been received since the last inspection and the commission had received no complaints either. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 17 A requirement was made at the last inspection that staff must have safeguarding training. Since the last inspection staff have attended a training day about safeguarding adults. Copies of their certificates were seen on file. Two staff were able to demonstrate that they understood the safeguarding adults procedure and were confident they would report any allegation of abuse. Staff had access to information and guidance about safeguarding adults. Beach Crest DS0000012135.V365230.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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe, clean and comfortable environment that meets the needs of the people who use the service. Systems are in place to make sure the environment is kept free of infection. EVIDENCE: People who use the service said they thought the home was a real family one and they were very comfortable. They liked the fact they were close to the sea and loved the gardens. There was evidence they were able to choose their room and fill it with their personal possessions. There were no unpleasant smells. Staff do the day-to-day cleaning as part of their duties, but the provider said the home employed someone to do some of the heavy duty cleaning. The requirement from the last inspection to secure carpet tiles had been met. The provider said the Environmental Health Officer had carried a health and Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 19 safety inspection out on Tuesday and the report showed the health and safety arrangements in the home were satisfactory. Fridge and freezer temperatures were now being recorded. Staff training records showed that staff now had up to date training in infection control and were seen dealing with clinical waste safely and effectively. The laundry had been fitted with a new washing machine that had a sluice function to enable staff to deal effectively with soiled linen and the provider said the home was using a new washing powder that minimised the risk of infection. Beach Crest DS0000012135.V365230.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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained staff are provided in sufficient numbers to meet the needs of people who use the service. The home has a good recruitment procedure that makes sure all the required checks are completed before permitting staff to work in the home. This makes sure the risks to people who use the service are minimised. EVIDENCE: The AQAA recorded that the home always has two staff on duty. The providers, and members of their family, who are all recorded as staff and have had the relevant employment checks completed, provide additional flexible staff hours. Staff are also responsible for the day-to-day cleaning of the home and cook the main meal, but the provider said the flexible provision of additional support means staffing levels are not compromised by this. Some people who use the service felt there had not always been enough staff available recently, but the providers said this had been reviewed and additional support put in place. The provider said no new staff had been appointed since the last inspection. The last inspection report stated that a robust employment procedure was followed and two files were seen that confirmed this. Both contained relevant employment checks, completed before the staff began working in the home. These included Criminal Records Bureau (CRB) and Protection of Vulnerable Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 21 adults (POVA) checks, two references; one from the previous employer, a full employment history and a completed application form. Staff had completed an induction programme, but any new staff would need an induction that complied with the Skills for Care induction programme. The provider was given information about this and agreed to make sure it was in place for any future appointments of staff. At the last inspection a requirement was made in respect of staff training. Training records showed that staff had been able to attend infection control, food hygiene and safeguarding adults training. The home employs a retired community psychiatric nurse who provides staff with training and guidance about dementia care, which is regularly updated and also carries out staff supervision. Staff confirmed they had regular supervision and felt they had training opportunities that enabled them to develop their skills. The provider said they are continually sourcing training opportunities. Staff are also encouraged to obtain their National Vocational Qualification (NVQ). The AQAA recorded that five staff have completed their NVQ2 and one is currently completing it. Both the staff spoken with had completed it and one hoped to be able to carry on to complete NVQ 3. Beach Crest DS0000012135.V365230.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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and people who use the service are able to give feedback about it. The health and safety of the people who use the service is promoted through staff training and the regular maintenance of equipment. EVIDENCE: The home is a family business owned by Dr. & Mrs. Faldu who have over 30 years care home experience between them. They are assisted in running the home by their son and by a retired community psychiatric nurse, who completes the pre admission assessments, some staff training and staff supervision. People who use the service and staff felt the management was approachable and spent a lot of time in the home, providing support and talking to everyone. Several people described the service as a real family home, and having a friendly family environment. Beach Crest DS0000012135.V365230.R01.S.doc Version 5.2 Page 23 People who use the service said they felt they were able to say what they thought about the service that was provided. The providers said they had introduced survey forms to get the views of relatives and other stakeholders. Information from these had been looked at, but had not generated a report that the people who completed the surveys could see. This was discussed and the provider agreed to look at how a report could be complied to give feedback to the people who had participated and to identify any areas for improvement. The providers returned their AQAA within the given timescale and this gave detailed information and evidence about how the service is run. It identified areas for improvement together with plans of how these improvements will be implemented. The AQAA recorded that the home does not hold any money on behalf of the people who use the service. The providers confirmed this, but said there was a system in place in case they should ever need to do so. People who use the service look after their own money or ask someone to do so on their behalf. The AQAA listed a number of service contracts and agreements to evidence equipment is regularly serviced. During the inspection a random selection of these were seen that confirmed equipment is regularly serviced. This included in house testing of fire detection and fire fighting equipment. Staff training records showed that staff receive training in all aspects of health and safety. Training included food hygiene, first aid, moving and handling, fire safety and infection control. Beach Crest DS0000012135.V365230.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beach Crest DS0000012135.V365230.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 Beach Crest DS0000012135.V365230.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. 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