Inspection on 07/06/05 for 128 Beech Hill

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

Other inspections for this house

128 Beech Hill 14/12/06

128 Beech Hill 05/01/06

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Beech Hill 128 Beech Hill Haywards Heath West Sussex RH16 3TT Lead Inspector Gaynor Moorey Announced 7 June 2005 08:30 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Beech Hill Address 128 Beech Hill, Haywards Heath, West Sussex, RH16 3TT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01444 239123 The Disabilities Trust Mrs Sue Stopa Care Home 4 Category(ies) of LD Learning Disability registration, with number of places Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered as a care home for adults with a learning disability. The Commission for Social Care Inspection has agreed that Mrs Stopa can be the registered manager of this service as well as Hollyrood because it is a satelite of the home. Date of last inspection First Inspection Brief Description of the Service: Beech Hill is a satelite home connect to Hollyrood care home which offers a service specifically geared towards meeting the needs of people within the autistic spectrum. Beech Hill is design to meet the needs of four people with Autism and Aspergers Sydrome who are able to live a more independent life but need the support of a care home rather than supported living. The home is based in Haywards Heath in a residential area that has access to local shops and facilities. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware the Care Standard Act 2000 and Care homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Beech Hill will be referred to as both ‘service users and residents’. The inspection was announced due to it being the first inspection at the home. The actual inspection took place on Tuesday 7th June 2005 between the hours of 9.00am to 3.30pm. Four residents were accommodated at the home on the day of the inspection. The inspection included a tour of the premises and it’s facilities, with two of the residents being in and out of the home during the day. The service users had been consulted before their bedrooms were seen by the Inspector. Two of the service users’ had been in an out the during the inspection and did briefly say hello but due to the complex needs of Aspergers Syndrome did not engage in a full conversation with the inspector. The manager, team leader and two members of staff were spoken to during the visit; whilst staff were also observed carrying out their duties. Records and documentation inspected included: residents files, staff files, and other records such complaints, training and supervision. A copy of the policies and procedures had already bee sent to the Inspector as part of the inspection process. What the service does well: Beech Hill opened in October 04 it is a satellite home to Hollyrood which is a community for people with autism owned by the Disabilities Trust. The home is very much seen as a house just as those within the community grounds and shares policies and procedures. Beech Hill was set up as a specific unit to offer a more independent lifestyle to four people with Aspergers Syndrome. The service is successful in drawing a balance between supporting service users and allowing them to live as independently as possible. Care plans are carefully designed as to meet the complex needs that Aspergers Syndrome presents. The home’s environment is of a good standard and is well maintained inside and out. The house is decorated to a consistent level throughout and offers the service users considerable more independence and ability to practice living skills within a small home environment. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 6 The home has good structures in place such as polices and procedures, training, supervision and experienced staff this has allowed the service to develop to accommodate the needs of the service users. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 5 The home provides good information for prospective service users and their representatives to make an informed decision about whether or not to move in. The service gathers together information on each potential resident and assesses the appropriateness of each person related to the facilities and services at the home and how the possible new resident would fit in and relate to the service users already residing in the home. The contracts for each of the service users are produced in written word and fed back to each service user in the most appropriate manner according to their communication need so that the residents can have some understanding of the guidelines set down for them whilst living at the home. EVIDENCE: Beech Hill is a new service which opened in October 04 it is a satellite home of Hollyrood and shares the statement of purpose, service users guide and complaints process. Beech Hill is now fully included within the newly developed documents. The statement of purpose, service users guide are produced in written word. The complaints process is also in a signing format. Within discussion with the manager about how the documents are communicated to the service users we looked at the use of visual aids and verbal feedback. Due to the complex needs Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 9 of the service users any information being given to them needs to be appropriate for their individual levels of understanding. All the documents are given to the families and carers when service users enter the home. Three of the residents have been transferred from Hollyrood due to their specific needs and ability to function independently. Hollyrood assessed the service users before their placements at Beech Hill were confirmed in order to insure that their needs would be met at the new house. All three of the residents also have their original pre-assessment information. The service user who entered the home from an outside placement came to the service having been fully assessed and with pre-assessment information in place. All of the service users have a contract which is produced in written word the contract is shared with each resident through verbal communication and visual aids due their specific needs. Parents and carers of the service users are given a copy of the contract in order to be aware of the boundaries and guidance of each individual placement. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 There are clear and comprehensive care plans within the service ensuring that staff are able to understand the complex needs and offer consistent care to the residents within the home. The systems for service user consultation are good with a variety of evidence that indicates that service users’ views are both sought and acted upon. The home has a comprehensive set of risk assessments and management strategies in place to ensure staff know how to support the service users to maintain and develop their independent living skills, while so practicable, minimising the risks associated with them engaging in activities and daily life. EVIDENCE: The service users’ plans are comprehensive and include guidance to all aspects of the specific care needed to meet the needs of each person in all areas of their daily lives. The plans are so detailed due to service users having Aspergers Syndrome where a small change from routine or a difference to the day can cause great anxiety. All of the residents have a Person Centre Programme that is based on the likes and dislikes of each individual. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 11 The plans include any specialist, cultural, ethnic and spiritual requirements. Also any limitations placed upon the service users due to the results of the risk assessments undertaken. The service has a specific policy on the restriction of freedom. This is in order to meet the needs of the service users whilst keeping them safe. Plans are reviewed on a six weekly basis. Statutory reviews undertaken by the service users’ care managers were on file and reflected that if needed, changes are made locally and through the Local Authority to meet the changing needs of the service users. Two of the service users’ had filled in questionnaires with the help of their key workers through this they identified that they were able to make choices and were happy with the new level of independence offered to them through living at the smaller house. It was evident through records, plans and systems that the residents in the house were able to choose and make decisions around all aspects of their lives. All of the service users have a bank account and their main finances are overseen by their parents and carers. The home has a full and comprehensive risk assessment system in place this could be seen through the care plans. Each service had a written risk assessment on most aspects of the daily activities and routines. The service does offer independence to the service users’ but due to the complex needs also to keep them safe. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16, 17 The service users’ at the home are offered numerous opportunities to engage in age appropriate activities and education with a strong emphasis on using community based resources. This enables the residents to live a more independent everyday life within the local community. The home has a clear ethos of encouraging contact with family and friends. All of the service users enjoy time spent away from the home with family and friends that encourages and reinforces memories and identity. The home was set up to promote independence and individual choice for the service users. This has been achieved through comprehensive care planning and risk assessments. Meals appear to be nutritionally well balanced, and clearly based on the service users food and preferences. EVIDENCE: Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 13 Each of the service users’ has a full activity programme which includes education. Three of the residents are following part time college courses and one service user is at college on a full time course and has achieved his NVQ1 in Catering. This particular service user is also preparing to undertake a job within a care home in the kitchen. The activities plan is produced in written word and through verbal and visual aids is explained and planned with the service user. The activities organised for the service users are a mixture within the community and at Hollyrood. Activities include local clubs, cinema, bowling, walking, swimming, shopping, eating out and going to the pub. Weekends within the home are usually more relaxed with less busy days planned. Service user finances are mainly managed and overseen by families and carers. However each of the residents do have a bank account and the home arranged for a employee of Barclays bank to come to the home and talk to the service users about the accounts and how to set one up. Within the two questionnaires completed by the service users’ both felt happy with the amount and variation of activities they were being offered. The service has a comprehensive policy in place in regards to guidance for parent/carer contact. All contact made with the home or service users’ is recorded within their main file. All of the residents at the home have some form of family contact that includes weekends away. The service users’ are able to access the community through different trips and activities. Any relationships that were formed of an intimate nature would be clearly assessed as to any risks or issues of protection due to the complex needs of the service users. Service users rights to individual choice and freedom of movement were clearly affected by their over-riding need for close monitoring and supervision. Service users can be on a 1-1 or 2-1 staff ratio and relationships are based on an intricate basis of needing to know the resident due to the complex needs of each person. The service users’ all have keys to their own rooms but do not have front door keys however the back door is left unlocked in the day time. This is a clear example of the balance of independence and protection as originally the service users’ did have front door keys but due to the front door being left open one resident whom has little understanding of road safety would wander out near the road. So this was modified to incorporate the use of the back door instead. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 14 The service has clear guidance to the use of cigarettes and alcohol. One service does smoke in the house but has a designated area and times of the day when it is appropriate to use the room or go outside. Each service user plans their own menu in conjunction with the other residents and a decision is made on what meals are to be eaten over the course of the week. There are always different options on offer and one service users is a vegetarian and has a separate menu. The food on the menus was seen to well-balanced and healthy. Food eaten by each service is recorded into the main file. Evidence was seen that all staff working within the home had undertaken food hygiene training. The last environmental health report was available and there were only minor requirements which were now seen to have been amended. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, Personal support in the home is offered in such a way as to promote and protect service users’ privacy dignity and independence. The health needs of the service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The medication at this home is well managed promoting good health. EVIDENCE: Records at the home within the service users’ files indicated that each resident was having their personal care needs met and recordings of weight, diet, personal hygiene showed the regular basis on which checks were happening. Each service users has a clear plan and detailed description of how they preferred to receive any personal care needs and whether a male or female carer was needed. Within the home three of the service users only need supervision and reminders of personal hygiene. One service user had a higher need of care and this was reflect in his plan. Training given and identified as having been provided by the staff, showed that specialised knowledge of the resident group being worked with had been given in such areas as communication, Autism focus, and Aspergers Syndrome. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 16 The service users file indicates that appointments are made and used when required with specialist services. Hollyrood has its own team of consultants that are accessible to the residents of Beech Hill. All of the service users are registered with a local doctors practice and also have access to a Dentist, Optician and Chiropodist. Appointments are recorded in the health plans in the resident’s main files. The accident and emergency records were up to date and did not indicate any major incidents. Within the two questionnaires completed by the service users’ both agreed that they had access to a doctor and dentist and felt well cared for at the home. Medication is stored in a metal lockable cabinet in the office. A comprehensive system is in place and medical administration records were being appropriately maintained by staff and accurately reflected medication stocks held in the home at the time of the visit. Staff are trained in the distribution of medicines through the home and Hollyrood. A Boots pharmacist checks the system used in the home on a regular basis and is said to find it satisfactory. The home has clear protocols and policies in place to guide staff in the issue of resident medication. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23, Arrangements for protecting service users’ are satisfactory in keeping residents safe from risk of harm or abuse. Complaints are always taken seriously by the home and service users are confident that any concerns they may have are listened to and acted upon. EVIDENCE: The home has a detailed complaints procedure that is available in a service user ‘friendly format’ using Makaton the process is also fed back verbally using visual aids. The procedure is currently not displayed in the service. No complaints about the homes operation have been receive by the Commission for Social Care Inspection. However two complaints had been received one verbal, and one written these had both been responded to and resolved within 28 days. Two of the service users completed questionnaires both identified that they felt safe in the home and would use the staff to discuss any problems, issues or incidents with. In general observation and in discussions with staff it became evident that there are supportive appropriate relationships between staff and residents. The home has a comprehensive collection of procedures for responding to allegations or suspicion of abuse. Staff are trained in dealing with incidents or disclosures of abuse from the residents. A policy document is also available on dealing with aggression. Service users care plans include specific guidance to help staff support service users’ whose behaviour may challenge the service from time to time. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 18 Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 30 The home is furnished and decorated to a good standard and is kept clean and tidy ensuring that the residents live in a homely, bright and well kept environment, which suits their lifestyles. The service has risk assessments in place to ensure the home is safe and to minimise any risks to the service users. EVIDENCE: Beech Hill has been opened since October 04. The house was completely renovated to a high standard and with the service users’ in mind has been developed in to a homely environment that promotes both supportive care and independence for the service users. The home shares its maintenance service with Hollyrood and staff said that ‘any problems where quickly dealt with in order of need’. Records within the home indicate that emergency and fire systems were satisfactory. The last inspection undertaken by the Fire Department found no requirements. All of the residents’ bedrooms were seen with their permission. The rooms were seen to be personalised and adapted for service users to be able to use independently when not wanting to spend time with the group. The rooms are Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 20 furnished to a high standard. Service users who completed the questionnaire felt that they were very happy with their rooms. The home has suitable bathroom facilities and toilets for the amount of service users in the home. Each of the residents’ bedrooms has a sink for private use. The home has adequate communal areas including one large lounge, a small activities lounge and a dinning room. The house has a medium garden at the back of the house and parking facilities at the front. The home was found to be clean, tidy, hygienic and free from any odours or smells. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35, 36 The assessed needs of the residents are met by the numbers and skills of care staff employed at the home. The home maintain good records and supports and trains the staff to ensure that the residents have all of there needs met and that they are protected and safe. EVIDENCE: There are eight staff employed with the home and at times other staff are used at the service from Hollyrood when more support is needed. All of the permanent staff transferred from Hollyrood to work at the home. There is a mix of staff both in gender and ethnic background. The staff records are maintained at Hollyrood and were brought to the home for the inspection. The records did evidence that a thorough recruitment procedure is in place and references and CRB checks have been undertaken. The service also uses the POVA system. The staff files were not in order which made checking for records difficult. Staff receive both a job description and contract at the beginning of their employment. Part of the recruitment process is a three-month probationary period. There is clear evidence of the training programme in place at the home which is provided through Hollyrood. The staff spoken to confirmed that regular basic and specific training had been offered and undertaken. All the staff had Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 22 undergone an induction programme this had been recorded and stored in the staff file once completed. The home offers NVQ training to the staff as part of their development. Records are kept of each member of staffs training undertaken and objectives. The staff spoken to stated that they felt fully supported by both the team leader and the manager who is based at Hollyrood. Supervision is given on an eight weekly basis there is evidence provided through a system where both supervisor and supervisee both confirm that sessions take place. Currently no appraisals have been completed these are set to happen over the coming sixmonths. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40 The service has several systems in place that involve consultation of service users, parents/carers, and professionals involved with the residents at the home. The various systems of collecting information are used in formulation of the development plan. The home has a full and comprehensive selection of policies and procedures that offer guidance to the staff and help to ensure safe working practices. EVIDENCE: The home uses their own reviews, statutory reviews, on-going contact with both parents/carers and professionals to gain an outside view of the service. The home also has its own audit system and produces regular Regulation 26 reports. The Disabilities Trust also yearly assesses how the home is running and what needs to change. All of this information is used when the home being part of Hollyrood develops its yearly plan. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 24 The service has a full complement of policies and procedures that were evidenced in the planning of the inspection. There is a clear reviewing programme in place for the policies and procedures and this is signed by the manager as they are assessed for appropriateness and updated to reflect the changes made within the service. The staff identified that they had ready access to the policies and procedures and were aware of their use in the daily running of the home. SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 Beech Hill Score 4 3 x Standard No 24 25 26 27 28 29 30 Score 3 3 3 3 3 x 3 Version 1.20 Page 25 H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc 9 10 LIFESTYLES 4 x Score STAFFING Standard No 11 12 13 14 15 16 17 x 4 4 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 x x x Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 26 Are there any outstanding requirements from the last inspection? 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. 1. 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. 1. 2. 3. Refer to Standard NMS22 NMS34 NMS35 Good Practice Recommendations The home needs to display their complaints procedure in a prominent position within the home. The home needs to consider the organisation of the staff files in order the recruitment information can be accessed and seen clearly. The home needs to ensure that all long term staff continue to undertake refresher training in such area as adult protection. Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 27 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 National Enquiry Line: 0845 015 0120 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 Beech Hill H60-H11 S62353 128 Beech Hill V221676 070605 Stage 2.doc Version 1.20 Page 28 - 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. 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