Inspection on 26/10/05 for 19 Beech Avenue

This inspection was carried out on 26th October 2005.

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.

Other inspections for this house

19 Beech Avenue 10/08/09

19 Beech Avenue 17/06/08

19 Beech Avenue 23/03/07

19 Beech Avenue 31/05/06

19 Beech Avenue 09/02/06

19 Beech Avenue 19/11/04

19 Beech Avenue 17/05/04

Similar services:

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

Ruskin Lodge

Clover House

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

CARE HOME ADULTS 18-65 19 Beech Avenue Smithfield Egremont Cumbria CA22 2QA Lead Inspector Cath Wilson Unannounced Inspection 26th October 2005 9:30 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 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 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 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 Adults 18-65. 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. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 19 Beech Avenue Address Smithfield Egremont Cumbria CA22 2QA 01946 824885 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) beechavenue@walsingham.com Walsingham Mrs Fiona Wilshaw Care Home 8 Category(ies) of Learning disability (8), Physical disability (5) registration, with number of places 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Registered for 8 people over 18 years of age with a learning disability (LD) of whom 5 may also have a physical disability (PD). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 19th November 2004 Date of last inspection Brief Description of the Service: Walsingham provide the services and care at 19 Beech Avenue. Eight service users who have a learning and physical disability can live in this home. The home is located in a residential area about one mile from the town of Egremont on the West Coast of Cumbria. Operating as one unit, it comprises of a bungalow and adjoining house. Both properties are linked by a covered and secure walkway. The properties blend in naturally with the immediate area. All private bedrooms are for single occupancy. Those in the bungalow all have en-suite shower, toilet and washing facilities. There is a range of adaptations and specialist equipment available. The bungalow is designed to enable service users who use wheelchairs, and who may need additional support to move around with ease 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the morning and early afternoon of 26 October 2005. I met with service users and staff during the inspection and assessed some of the home’s documentation. A look around both parts of the premises was also made. What the service does well: What has improved since the last inspection? What they could do better: Ensure the bathroom facilities in the house are upgraded. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 6 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. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 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 the following standard(s): These standards have not been assessed at this inspection. EVIDENCE: 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 6, 7, 8 and 9 and 10. Records of people’s individual needs and preferences are well documented and provide clear guidance for staff. EVIDENCE: The care planning used in the home is being further developed using the person centred approach. Staff are informed of people’s very complex needs and the staff training provided is focussed on these needs. Specific strategies have been developed to support residents and guide staff, in response to specialist needs. Care plans are compiled with advice and guidance from a range of specialist health and care personnel. Daily records are also kept to make sure the care that is provided is appropriate. Personal records are appropriately maintained and stored. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 11, 12, 13 and 16 The staff team support and encourage service users to lead as fulfilling lives as possible and links with the community provide valuable social experiences. EVIDENCE: People’s individual needs and wishes about their social and leisure interests are recorded and known to staff. Arrangements are in place for people to maintain contact with their family and friends. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 18, 19 and 20 The health care needs of service users are well managed and this greatly limits any possible or potential risk to people in the home. EVIDENCE: People in the home have full access to a range of general health care services and more specialised services when required. Medication is securely stored and administered and staff follow the home’s policy and procedure for this. The home has designated staff that are trained in these matters. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 23 The home follows the vulnerable adults procedure to ensure that people living in the home are protected from abuse. EVIDENCE: Staff are aware of adult protection procedures and the practices required. Ongoing staff training regarding this matter is being organised so that staff are kept up-to date with current issues and practices. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 24, 27, 29 and 30 Service users are provided with homely, comfortable and pleasant surroundings that include specialist facilities and adaptations. EVIDENCE: There are risk assessments in place for the environment that are up-to-date. There is a recorded programme in place to maintain the furnishings and fittings. The kitchen has been upgraded with new units. People are provided with a range of specialist equipment to make life as comfortable as possible. There is however, one bathroom that needs attention as it is now showing signs of wear and tear and the bath itself may not be meeting the present needs of people in the home. A requirement regarding this has been made. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 and 35 People benefit from a trained staff group who are informed of peoples complex needs and wishes. The home follows the Walsingham procedures for the recruitment of staff. EVIDENCE: Staff are clear about their roles and responsibilities and committed to providing sensitive and nurturing care to people in the home. There is a programme for in-house training as well as people’s involvement in NVQ Qualifications. The present staff team are very diligent in attending to people’s needs and to their credit have continued to do so following the registered manager’s post becoming vacant. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 40, 41 and 42. Service users continue to benefit from a home that is organised and safeguards their rights and best interests. EVIDENCE: Staff are informed regarding people’s personal matters and the home’s policies, practices and procedures. The home is arranged around meeting the needs of people and is done so in a sensitive and relaxing manner with people’s individuality and dignity respected. The records assessed during the inspection including fire drills and instructions were up-to-date. The vacant registered manager’s post has just been filled. This will ensure that the overall monitoring of the home is maintained in a comprehensive and consistent manner. 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 16 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. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 2 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 19 Beech Avenue Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 3 3 X DS0000022536.V255698.R01.S.doc Version 5.0 Page 17 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 27 Regulation 23 Requirement The bathroom in the house must meet the current needs of service users. This to include an up-to-date assessment by the Occupational Therapist Timescale for action 01/03/05 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 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 19 Beech Avenue DS0000022536.V255698.R01.S.doc Version 5.0 Page 19 - 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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