Inspection on 02/07/09 for Beacon Way (3)

This is the latest available inspection report for this service, carried out on 2nd July 2009.

CQC found this care home to be providing an Good service.

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.

Other inspections for this house

Beacon Way (3) 07/03/07

Beacon Way (3) 19/02/06

Beacon Way (3) 19/10/05

Beacon Way (3) 11/01/05

Beacon Way (3) 30/09/04

Beacon Way (3) 24/03/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Beacon Way (3) 3 Beacon Way Rickmansworth Hertfordshire WD3 7PQ     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: Marian Byrne     Date: 1 6 0 7 2 0 0 9 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 20 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 20 Information about the care home Name of care home: Address: Beacon Way (3) 3 Beacon Way Rickmansworth Hertfordshire WD3 7PQ 01923896579 01923896579FP beaconway@walsingham.com 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) : Walsingham care home 6 Number of places (if applicable): Under 65 Over 65 6 0 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home 6 1 3 Beacon Way is a two storey semi detached house that ha been extended and converted to accommodate up to six service users who have a learning disability. The accommodation comprises of a lounge, dinning room, additional small lounge, kitchen, laundry, toilet and an office that provides sleeping facilities for the person sleeping in. On the ground floor there is also a single occupancy bedroom that can support a service user with a physical disablement. There are five bedrooms on the first floor together with a bathroom, shower room and an additional toilet. The home is situated in a sought-after residential area of Mill End on the out skirts of Rickmansworth. There is a small parade of shops and a local pub near by. A local bus service connects with Rickmansworth town centre and a railway station. Care Homes for Adults (18-65 years) Page 4 of 20 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out by one inspector over two days. We returned on the second day as the Registered Manager was not present for the inspection and staff present did not have access to all records we needed to see. The Registered Manager was not available on the second day either. The Deputy manager was present and was able to give us access to all the information we needed to see. The inspection visits were unannounced. We spoke with staff and the residents. We looked at records pertaining to the care of the residents and to staff recruitment and training. We observed the interaction between staff and residents. We also toured the premises. The home returned its Annual Quality Assurance Assessment (AQAA) in a timely manner. The AQAA is a self assessment form, where the Registered Manager assess the homes performance over the previous year. We found the information contained in Care Homes for Adults (18-65 years) Page 5 of 20 it to be reflected in our inspection. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 20 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 20 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 who are admitted to this home can be sure that the home can meet their needs. Evidence: We looked at the pre-admission detail of two residents these contained good historical information on the needs and the lifestyles of the residents. We found that the home takes care only to admit those residents whose needs they can identify and meet. Care Homes for Adults (18-65 years) Page 9 of 20 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. The people who live in this home can be sure that their individual needs and choices are met. Evidence: We looked at three care plans and found them to contain good information on how the service users wish to live their lives. They are broken down to day to day life with clear information on how residents wish to spend their day. There was clear guidance for staff to follow. One resident wishes to spend most of their time in the home. This is respected and resources are brought into the home to enhance their life. An example of this is once a week a person comes into the home to teach and assist them with cooking. We noted the importance the home places on how it values the resident and is led by their wishes and needs. Care Homes for Adults (18-65 years) Page 10 of 20 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. The people who live in this home can be sure that they will have the opportunity to have a varied lifestyle which meets their needs and expectations. Evidence: Most of the residents have active daily and social lives. Most attend a day center. One person has not had their day center organized yet. The home is proactive in pursuing this. All the residents (who want to) will have a holiday this year. This varies from a full week away to a long weekend. Where possible the residents are offered the opportunity to go abroad for a holiday. The residents have access to the local town and regularly go to the cinema and shopping center. Where possible the residents have good contact with their families. Care Homes for Adults (18-65 years) Page 11 of 20 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 who live in this home can be sure that their health care needs will be recognized and administered in a manner that promotes their health and dignity. Evidence: Care plans are written in a manner show that care has been taken to how the residents like their care to be administered. We saw evidence that this was respected. An example of this is one resident, who through habits from a previous life style, finds it difficult to accept what would be considered conventional sleeping arrangements, has arrangements in place that would be considered unusual but suits them. Medication was administered, recorded and stored appropriately. Care Homes for Adults (18-65 years) Page 12 of 20 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 who live in this home can be sure that their views will be listened to and that they will be safeguarded from abuse. Evidence: We have not had any concerns about the home since the last inspection. The home has a complaints policy which is followed in the event of a complaint. Staff are aware of what constitutes abuse and are aware of their obligations under the Safeguarding Adults Procedure. We saw records that showed an incident where a staff member prepared lunch at a time that did not suit the residents this had been noted and addressed by the Manager. Care Homes for Adults (18-65 years) Page 13 of 20 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 who live in this home can be sure that it will meet their needs. Evidence: We found the home to be clean, fresh and domestic in style and furnishings. All the residents rooms were different and decorated to reflect their style and taste. The garden had furniture set out for the residents with good sun protection. Care Homes for Adults (18-65 years) Page 14 of 20 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 who live in this home can be sure that staff are recruited and trained to ensure their safety and to meet their needs. Evidence: We found that there were sufficient staff on duty to meet the needs of the residents. We found the staff to be well trained to meet the needs of the residents. The home places emphasis on valuing the residents and meeting their needs this was evident from the training records we looked at. We looked at the recruitment records of three staff members and found the recruitment process to be in order and carried out in a manner that promotes the protection of the residents. We found the staff to be dedicated to the residents and observed them to care for the residents with affection and kindness. Care Homes for Adults (18-65 years) Page 15 of 20 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 who live in this home can be sure that it is well managed and is run in their best interests. Evidence: A new manager has been appointed since the last inspection. We found the home continues to be well managed and run in the best interests of the people who live there. Staff are well managed and are given clear guidance on the standard of care expected of them. One member of staff was perceived as not working in the best interests of the residents the Manager picked up on this and addressed it through supervision. The staff member was given guidance and clear direction. Where other issues were raised they were attended to. Records show that staff are given clear direction on how to meet the needs of the residents. Issues raised are followed through until the issues are resolved. All the people we spoke with stated that the Manager was easy to approach and that they would have no difficulty communicating any problems with him. We looked at the records of the residents spending and found it to be in order. Care Homes for Adults (18-65 years) Page 16 of 20 Care Homes for Adults (18-65 years) Page 17 of 20 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 Adults (18-65 years) Page 18 of 20 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 Adults (18-65 years) Page 19 of 20 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) 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 Adults (18-65 years) Page 20 of 20 - 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!