Inspection on 27/07/06 for 2 Beacon Road

This inspection was carried out on 27th July 2006.

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

2 Beacon Road 25/10/07

2 Beacon Road 05/01/06

2 Beacon Road 22/07/05

2 Beacon Road 23/11/04

2 Beacon Road 11/06/04

2 Beacon Road 29/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

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 2 Beacon Road Herne Bay Kent CT6 6DH Lead Inspector Christine Lawrence Key Unannounced Inspection 27 July 2006 15:00 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 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 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 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. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 2 Beacon Road Address Herne Bay Kent CT6 6DH 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) 01227 360334 www.caremanagementgroup.com Care Management Group Limited Mrs Audrey Emmett Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5 January 2006 Brief Description of the Service: 2 Beacon Road is a detached bungalow set in a residential road of Herne Bay. The Home provides care and support to three adults with learning disabilities. Part of the Home is separately registered as an annexe for one person. The home is owned and run by the Care Management Group. Accommodation is over two floors. Stairs access the first floor. All bedrooms are single with wash hand basins. The home has a lounge, dining room, kitchen and three bedrooms. There is a duty office which doubles as staff sleeping in room. The home has a garden to the front and to the rear. Local shops and the sea front of Herne Bay are nearby, as are bus stops and Herne Bay railway station. Information about the home, including the latest report from the Commission for Social Care Inspection (CSCI) and the homes quality monitoring records will be made available on request. Information included in the pre-inspection questionnaire provided by the manager prior to the visit to the home, confirmed the fees as between £550.93 - £1479.11 per week. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started the day before at the nearby larger home where much of the records are stored. At this time the inspector visited the residents and chatted over tea. One member of staff was present and assisted the residents when needed in their communications with the inspector. Two residents showed their rooms. What the service does well: 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 6 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 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 7 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents needs and aspirations would be assessed. EVIDENCE: Although no new resident has moved into the home for some time it is clear from the systems and procedures at the home nearby that this standard would be met for any new resident. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 8 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent lifestyle as possible. EVIDENCE: The individual records looked at for this inspection show that the residents’ needs are assessed clearly and that more emphasis is placed on the individual’s own perceptions and wishes. The new ‘person centred planning’ formats are designed and recorded from the point of view of the resident. Photographs and illustrations are used according to individuals’ own needs or wishes. The keyworker role has been expanded by Audrey Emmett and there are now regular meetings between residents and keyworkers which allows for residents to make decisions or requests for support for instance going to the cinema to see a particular film, purchasing a present for a parent. Key workers are also compiling a monthly review which helps to set goals with and for the individual. The individual plans also contain a section entitled 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 9 ‘Guidelines and Information for working with…’ and examples were noted of residents signing some parts of the individual record to indicate they have been involved. Risk assessments are in place for residents and there were examples of individuals being encouraged to try things to improve their levels of independence. The home has demonstrated its awareness of the principles regarding ‘best interest’ when helping residents to make decisions. Residents are very much encouraged to be responsible and involved in their own personal finances. One resident said, “ I go to the bank and sign for my money and pay my rent”. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from being offered a healthy diet and a sociable setting for mealtimes. EVIDENCE: The records seen had a section entitled ‘Overview of Activities’ and there is also space to record information under ‘Leisure interests I have’, ‘Places I like to visit’, ‘Colleges’, ‘Day Centres’, ‘Groups/clubs I am a member of’ and ‘Place of Worship’. Residents talked about attending church as and when they wished. There were lots of examples noted of residents using local facilities such as cinemas, restaurants, bowling alleys, swimming pools, local shops and libraries. The home has a vehicle but everyone is also encouraged/enabled to use public transport. All residents are on the electoral roll and Audrey Emmett described the efforts undertaken to enable residents to vote. All three residents have recently been on a day trip to France and they talked about other outings that were planned or had taken place. All the people who completed a relative/visitor comment card said that they were welcomed at any time and they could visit in private if they wished. Observations made 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 11 during this inspection showed that residents have choices and freedom of movement. There are routines within the home but they are flexible and are there to support people. Care plans contain information about individuals’ preferences regarding daily routines. Some people have their own keys to their rooms and others do not. The inspector was informed that this is based on preference. Residents can choose to spend time on their own and privacy is respected. The name a person prefers to be called is noted in the care plan. Staff and residents confirmed that personal and housekeeping tasks are carried out with the support of staff and residents have specific jobs that they feel comfortable with. Residents confirmed that this feels fine with them. The menu information provided for this inspection shows that the food provided is suitable. Being such a small group of people it is clear that the atmosphere is congenial. One resident, along with another resident from the other home, regularly prepares a meal and invites guests to join her. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. EVIDENCE: An induction questionnaire is being used by the home to identify a range of preferences from times to get up or go to bed to preferences for taking medication. The staff further inform themselves of individuals’ preferences through the key worker system. Information is recorded to ensure as much consistency as possible. The small group of residents allows for information about personal preferences to be easily communicated and shared. The home has instigated the use of Health Action Plans for each resident as part of its move towards ‘person centred planning’. Residents attend at their GP’s surgery for Well Man or Well Woman appointments. The records seen at this time gave lots of examples of the involvement of health care professionals from consultants to dentists, from opticians to learning disability community nurses. There were also examples of staff supporting residents with a particular health issue. One resident said, “…they know how I like my tablets…”. A medication profile is included in each individual’s care plan as are preferences for taking medication. Medication storage, recording and administration are appropriate for the home. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 13 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their views are listened to and acted on. EVIDENCE: There is a complaints procedure in place at the home and this includes versions which are illustrated to enable residents to understand the process. Staff said that meetings (both key worker and house) allow for issues to be aired. One relative said, “…any problems or possible complaint has always been listened to and sorted promptly…”. There have been no complaints or adult protection referrals. Staff receive training and instruction regarding safeguarding the people living in the home and those spoken to were aware of their responsibilities. There are appropriate policies and procedures in place. One resident said that they “…felt safe with all the lot…” when referring to staff. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 14 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the inspector noted that a new kitchen is planned. The residents are going to be consulted about colour schemes and the work is due to start very soon. One resident said it would “…make it more modern…”. They are still hoping for an improved bathroom and again the inspector was informed that this is close to happening. The home was clean and there were no unwelcome smells. The residents do the housekeeping, supported by staff. They all have jobs that they like doing and feel confident about and this is working well. There is a programme of when individuals can do their own washing and ironing. The windows in the house have been replaced and the garden front has been tidied up and looks very welcoming. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 15 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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and training of staff will have a beneficial impact on residents. EVIDENCE: Staff spoken to and observed during this inspection were very focussed on the needs of the residents. All of the care managers who completed comment cards felt that staff demonstrated a clear understanding of clients’ needs and one said “…very proficient and confident with the care they are providing and a lot more empathetic to service user needs…”. Shift handovers have now been established by Audrey Emmett and the one which was observed for this inspection showed staff who were professional and respectful. The records seen reflect a robust recruitment procedure which includes application forms, references, terms and conditions of employment and criminal record bureau checks. The policies and procedures which the organisation has in place cover relevant aspects of recruitment, including a questionnaire relating to equal opportunities. Part of the recruitment of new staff involves candidates visiting the home and meeting residents and this was confirmed by one new member of staff. Audrey Emmett has a training plan in place and the individual records show that each member of staff has an Individual Training Record. Unfortunately the home does not have direct access to the Internet so is limited in being able to monitor current thinking on the valuing people website and the skills for care and LDAF websites. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 16 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): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. EVIDENCE: Audrey Emmett has considerable experience and is qualified. She is very clear about the aims of the home and the regulations relating to providing care. She was observed to provided a clear sense of leadership and more than one member of staff made a point of emphasising the support and direction she provides. Staff confirmed that she is approachable and listens to what they say. Her attitude to people with learning disability reflects professionalism and knowledge. One resident said that Audrey was a “…nice lady…” and you could talk to her. The organisation has good quality assurance procedures and the home has a Continuous Improvement Plan in place. This is underpinned by key worker meetings, questionnaires to staff, residents and their representatives and there is a Residents’ Forum each year which all people living within a Care 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 17 Management Group home are invited to. These occasions are also video’d and each home has a copy. Audrey Emmett has introduced a system whereby senior members of staff take on particular responsibilities. The person responsible for health and safety presented records for the inspector to view. The records were very well maintained and a spot check on maintenance and service contracts showed that they were appropriate and up to date. The staff training plan covers health and safety. The fire safety checks were properly undertaken and recorded. 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 X 2 3 3 X 4 X 5 X X INDIVIDUAL NEED AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 19 No 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. 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 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 2 Beacon Road DS0000023137.V294836.R01.S.doc Version 5.1 Page 21 - 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!