Inspection on 13/06/07 for 3 4a The Beach

This inspection was carried out on 13th June 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 4a The Beach 16/02/06

3 4a The Beach 11/07/05

3 4a The Beach 03/03/05

3 4a The Beach 16/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Beach, 3 & 4a Clevedon North Somerset BS21 7QU Lead Inspector Catherine Hill Unannounced Inspection 13th & 20th June 2007 11:50 The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 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 The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beach, 3 & 4a Address Clevedon North Somerset BS21 7QU 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) 01275 879053 01275 879053 hmso89evans@mencap.org.uk www.mencap.org.uk Royal Mencap Society Mr Colin Evans Care Home 11 Category(ies) of Learning disability (11) registration, with number of places The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 11 persons aged between 18-64 years with learning disabilities Date of last inspection Brief Description of the Service: 3 and 4a The Beach is registered to provide personal care to up to 11 adults with a learning disability. No.s 3 and 4a The Beach are run by Mencap, although Dimensions Housing Association owns the property at No.3. The two properties function as independent units to a certain extent but are registered and managed as one home. Only ten places are available now, as one of the undersize bedrooms in No. 3 has been converted to a staff sleeping-in room. Another small bedroom is used as the office. Up to seven people can live in No. 3, and up to four can live in No.4a. The two separate buildings are on opposite sides of the back garden. Each house has its own facilities but there is a shared outdoor bar-room. The home generally caters for a more independent resident group, most of whom are adults between the ages of 30 and 50, and aims to support people to develop their independence skills with a view to moving on to supported living, if this is what the individual wants. However, the home tries to adapt its service to enable residents to continue to live there as they grow older and their needs change. The home is on the seafront in Clevedon, close to local amenities and within easy reach of the town centre. Current fee levels are between £460.66 and £774.18. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection consisted of an unannounced visit to the home, consultation with some residents at their day centre prior to the visit, consultation with some of the health and social care professionals associated with the home, consultation with some relatives, and a self-assessment completed by the home. The unannounced visit was from late morning until early evening, and involved looking at a number of records and spending time with residents and staff individually and as a group. The visit to the day centre was done a month before the visit to the home. Health and social care professionals were consulted before and after the home visit. The home returned an Annual Quality Assurance Assessment prior to the inspection visit. This document gives details of the ways in which the home works to meet good practice standards. The inspector looked at all communal areas of both houses and some residents bedrooms. She also looked at a number of records, including: • Statement of Purpose and Service User Guide • Residents’ tenancy agreements • care plans and related documents • menu records • staff rotas • staff recruitment, training and supervision records • records of residents fee payments • accident records. What the service does well: Feedback from every one the inspector consulted about the home was very positive. People were highly satisfied with the homes culture. Residents described having a large degree of control over their own lives and being treated with respect. People have really good opportunities to broaden their experience, enjoy fulfilling activities, and increase their skills. Health and social care professionals commented on the strong ethos of empowerment that is evident in the home. Many also commented that the homes staff are eager to work in partnership with other agencies, and liaise with them very well. Although there have been a number of staff and resident changes over the past year, and the group is no longer made up largely of people who have been at the home for many years, good relationships have quickly developed between the existing group and the new people. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 6 New residents and staff confirmed that the homes emphasis is still very much on residents rights and individuality, and the team s practice is strongly person-centred. Control and choice is handed to the residents wherever possible, and they are at the centre of the running of the home. As at the last inspection, residents were remarkably well informed about all sorts of aspects of running of the home. The team is very good at looking at areas where it could continue to develop and improve the service. As examples of this, further opportunities have been explored for supporting residents to learn more independence skills and potentially move into less supported living environments. Residents and staff are about to do training on nutrition together. A team within the wider organization is currently looking at ways of making policies more accessible to service users. Health Action Planning has recently been introduced, which is improving the understanding of residents health care needs. When the house car died, this was used as an opportunity to support residents to use public transport independently, thus needing to rely even less on staff. The home is very good at adapting the service to meet different residents needs, and trying to enable people to remain in the home as long as they want. What has improved since the last inspection? What they could do better: The Statement of Purpose and Service Users’ Guide need to be reviewed more frequently to ensure that people are given up-to-date information before they decide to accept a place. Care plans are thorough but reviews should be clearly recorded so that the home can show it is meeting residents’ needs. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 7 The home needs to balance their efforts to continue meeting individual residents needs against the needs of the wider group, making sure that the group is not unfairly disadvantaged while efforts are made to meet the very different needs of one individual. Staff recruitment practices are good but the reasons for any decisions to employ staff who do not meet all the eligibility criteria should be recorded. A master record of staff training will help to ensure that all staff get the necessary training and are able to meet residents’ needs most effectively. Staff fire training needs to be recorded for the same reason. Most staff are trained in First Aid but a first aider is not always on duty. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 8 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 The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their advocates receive enough information about the home before deciding to move in, and residents tenancy agreements give more detail. EVIDENCE: The Statement of Purpose was last reviewed two years ago. This may not be frequent enough to ensure that the information remains reasonably accurate. The inspector recommended that Statement of Purpose and Service User Guide are reviewed at least yearly. Prospective residents can visit as many times as they wish before making the decision to move in for a trial period. Existing residents were aware of these visits and felt able to comment to the manager on how they felt prospective residents might fit in. Each resident with the exception of one person had a copy of the tenancy agreement, which is in a pictorial format. The manager said that the contracts are updated on each fee increase, and undertook to check what had happened to this persons latest copy. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care needs are well documented, although records of reviews could be clearer. Care is planned and given in a very person-centred way. EVIDENCE: Residents files have an index at the front with a photograph of the person whose file it is. Sections in the files include About Me (which is key information that all people working with the person need to have ready access to), My Dreams and Hopes, day-to-day notes, My Support Plan, My Money and Possessions, My Health, accident and incident records, Learning Activities, Thinking about Risk and Choice, and support plan reviews. Care plans are clearly cross-referenced with other supporting documentation but it was not always possible to see that they have been reviewed. The manager said that these reviews are sometimes done in staff meetings, so the record is made on the minutes of these. Each persons care plan needs to be reviewed at least six monthly. The inspector recommended that a note of each review is made on the persons file to ensure that any updates are clearly logged. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 11 Person-centred plans were written in a simple, picture-supported format, positively worded, and the goals are evidently the persons own rather than what staff feel they should be aiming for. These plans have been promptly updated following any significant change. One persons Social Services care plan review had been translated into a pictorial format for her benefit. Risk assessments are drawn up in collaboration with residents as far as possible. These aim to promote safety without unnecessarily restricting freedom. Effective strategies are in place for managing challenging behaviour. One person’s needs are very different from those of the rest of the group. The home has modified the service and sought input form other professionals in an effort to meet this person’s needs within this setting. Care needs to be taken that the adjustments to the service do not have a negative impact on the other residents’ quality of life. If a balance is not achievable, the home cannot continue to accommodate this person. Residents were familiar with the contents of their own files and felt well supported by the staff. Relatives also commented on the quality of support people receive. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents get exceptionally good opportunities and support to pursue their own lifestyles and develop their potential. Links with the community and families are actively promoted. The home has a strong ethos of respect and tolerance. EVIDENCE: Each person has their own timetable of social, leisure and vocational activities, although small group activities are regularly arranged. Timetables were in pictorial formats to make them more accessible to residents. Residents were enthusiastic about their lives, and everyone has good opportunities to make their own links with the wider community. Small groups of residents regularly go to the pub and other local amenities, either independently or with staff. Everyone has a regular holiday, usually taken in groups of two or three residents with similar numbers of staff to support them. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 13 One person regularly goes abroad to visit her family with one-to-one staff support. Residents choose where they would like to go and which staff they would like to support them. When the inspector arrived for this visit, one resident was ringing up travel companies to get brochures sent. Less independent people are supported to choose their holidays by looking at different photographs with staff. Some residents are members of People First, an organization run by and for people with learning disabilities. Residents are kept unusually well informed about the running of the home. Several residents gave information to the inspector about plans for further improving the environment or deploying staff, which tallied with information from other sources. Rotas and other information are displayed where practicable in accessible formats backspace. A computer is provided in one lounge for residents use. Several residents have their own e-mail address, and one person uses a voice-activated programme to play computer games. Regular residents meetings are held to discuss issues around the running of the home and plan future activities and holidays. Mencap also regularly invites service users to fill in questionnaires about their experience of the service, and the results of these form part of the home’s service development action plan. Some of the residents the inspector spoke with gave examples of what has changed as a result of their comments. People evidently felt that their ideas are valued. Mencap has introduced a families charter in the last year, which recognizes the contribution families can make to supporting service users. Some people are hoping to move on to more independent living, and the home has helped them set up plans to achieve this. These plans include getting in specialist external trainers to help residents develop their independent living skills, and getting peoples names onto waiting lists for accommodation. The home is also considering possible ways of developing the in-house service to better meet residents preferences. The resident who cooks is the person who chooses the days menu. More independent people who want to cook something else for themselves can do so, or staff will prepare an alternative. The person on cooking duty can choose which of the staff on duty helps them. Meal records showed that people are having a varied and interesting menu, likely to be suited to this groups tastes. Labels for date-marking food stored in the fridge are colour-coded to make it easier for residents to use them. A photograph of the contents of storage boxes is taped to the top of each box so that anyone can tell what it contains. All staff have had basic food hygiene training. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs are being well met. EVIDENCE: The home has just started working with residents to draw up individual Health Action Plans. One persons plan has been completed, and staff are prioritising the order in which other peoples plans should be drawn up. Daily notes showed that any problems are quickly identified and acted upon, and that professional input is sought where necessary. The professionals the inspector consulted felt that the staff team liaisons well with them and that residents health care needs are being well met. Some people are working towards administering their own medications. The team has also been working through Bath and North East Somersets healthy living packs with several residents to raise awareness. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents well-being is well protected. Any concerns are taken seriously, and there is a good awareness of how to prevent abuse. EVIDENCE: One complaint has been received by the home. This was concerning the behaviour of one resident. This persons file included letters of warning about the way in which antisocial behaviour may be dealt with. These letters were in a pictorial format with plain English. A copy had been sent to the person’s social worker. There was a note on the letter indicating that staff had gone through its contents with the resident and would review it with the person again in the near future. No complaints have been received by CSCI. Mencap operates a particularly accessible complaint procedure, which has been redesigned in the past year to make it even easier to use and understand. Each service user is given a card with their unique identity number on it, and they simply post this if they want to talk to a member of Mencap senior management. The complaint procedure is available in a variety of formats, including DVD. Residents the inspector spoke with were well aware of how they could complain, and felt that their concerns are taken seriously. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 16 Staff the inspector spoke with had a good understanding of residents rights and the ways in which these could be abused. There is evidently a strong commitment among the team to promoting residents rights and well-being. All staff have had abuse awareness training. The home plans to get refresher training in safeguarding adults for longer-standing staff. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28, 30 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 comfortable and pleasant environment that is well suited to their needs. EVIDENCE: The overall impression is of a very pleasant and homely environment. Several residents told the inspector how comfortable they are in their home. The kitchen in No. 3 has been renewed since the last inspection. Residents were very pleased with the way this room looks now. There are plans to redecorate the lounge in 4a soon. The new furniture for that lounge was due to be delivered on the day of this inspection. The vacant bedroom in 4a has been redecorated and refurnished in readiness for a new occupant. Furnishings were of good quality, and the room looked very welcoming. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 18 Work has been completed on the gardens now. Really attractive outdoor environments have been created, with a variety of seating and points of interest. Residents have been fully involved in the design and creation of these. The paintwork in the upstairs corridor in 4a is badly peeling again. This has been a recurring problem for some years. Repair work is due to be carried out on the exterior of the house in the near future, which will hopefully resolve this problem, and the corridor will then be redecorated. The home hopes to refurbish the shower rooms in both houses in the near future. Both bathrooms had been redecorated and looked very nice. The curtain in the bathroom of 4a had come off its tracking and could not be closed properly. The manager said he would put this right immediately. The residents have recently agreed a household chores rota to ensure that all areas of the home are kept clean. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well protected by the staffing practices. EVIDENCE: The rota shows that there are two or three staff on most daytime shifts, and one person covering sleeping-in duty. Rotas show any allocated one-to-one time. Historically the home has a very low staff turnover, although several people have left in the past year. Residents are involved to varying degrees in staff selection, and some have had training in staff selection skills. The files of some new staff were checked, and these showed that preemployment checks are very thorough. A record is kept of the persons interview. One of the files checked showed that a decision had been made to employ the person despite there being evidence that they do not meet all the eligibility criteria. It is recommended that a record is kept on the persons file of how such decisions are reached and who made the decision. This will help the home to evidence that they are only employing suitable people. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 20 New staff go through a thorough induction process, which leads on to Mencaps foundation training course and then to NVQs. Staff get access to good training opportunities, including courses on subjects that are of particular interest to them or will help them to develop the necessary skills. It is recommended that a master training record is kept so that the manager can easily check when statutory training is due for each person. This will also help to provide evidence that each staff member is getting at least five days training per year. Three staff currently hold NVQ 2. The remaining five permanent staff are completing NVQ 2 in the near future. Some staff are now doing NVQ 3. In practice, staff feel very well supported and said that seniors are very accessible if they need to talk anything through. In the past, staff supervision has not always been as regular as it should be, so a new contract of supervision has been agreed with each member of staff, and the date of the next supervision session is arranged at the end of each one-to-one meeting. Staff met at todays inspection said that supervision is now happening very regularly but that the manager and other team members if they need to talk anything through. Staff also have a yearly performance review. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 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 with an open culture which puts their needs at the heart of all decision-making. EVIDENCE: The manager has been in post for the 24 years since the home opened. The deputy manager has left since the last inspection, having worked at the home for many years. He has not been replaced. Some of the tasks he undertook have been delegated among the rest of the staff team. Staff the inspector met felt that this has given them opportunities to increase their skills and to be creative in the way they work. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 22 Stakeholders views are sought in a variety of ways, including regular meetings for residents and staff, and questionnaires being sent to a range of people who have contact with the home. Questionnaires were being given out to residents on the day of inspection, and were being posted to parents and professionals. Headquarters also intends to do a survey of social workers in the near future. Residents anecdotal evidence and the minutes of their meetings showed that the home is really responsive to their ideas. The agenda for the next residents meeting was on the noticeboard, and included other handwritten items that residents wanted to add. Mencap has an excellent quality assurance policy which includes each service drawing up a continuous improvement plan for itself, and a personal development plan for each staff member. The in-house quality monitoring tends to be less formal and can sometimes start to slip. The inspector suggested that clear in-house systems for monitoring quality assurance strategies such as staff training, care plan reviews, and health and safety checks are set up and used. Clear policies and procedures are in place to cover a wide range of possibilities. Those sampled were exceptionally clear and straightforward. At present, work is going on within the wider organization to review these policies and make them more accessible to people who use the services. The wider organization also keeps other recording systems under regular review to ensure that records are as meaningful and easy to use as possible. External contractors have checked the home’s electricity and gas supplies in the past year. The fire alarm system has also been checked. Fire instruction is not always recorded. The external contractor who provided five training to staff last year had still not sent through the certificates, and the home has not always kept a record of refresher training that staff receive in between times. The home needs to be able to show that all staff have had enough fire instruction to be reasonably sure that they can act to protect residents in an emergency. Most staff hold a current first aid certificate but one person had missed the training. This person covers sleep-in duties, which means that she is the sole first port of call in an emergency. Enough staff must hold a current first aid certificate to ensure that first aider cover can be provided at all times. An accident book is kept for staff and visitors. Separate forms are used for accidents or incidents involving service users. The records sampled showed that a good level of information is recorded, and that reports are made to other agencies as appropriate. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 23 The ways in which residents pay their fees are highly individual, according to each persons ability. In each persons case, benefits are paid into their own account and the person themselves then authorises rent payments. The record is kept of each amount paid. A senior manager from Mencap visits the home at least once a month to carry out various checks on how the home is being run. A written report is kept of each visit. The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 2 X 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 25 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 YA42 Regulation 12 Requirement Enough staff must hold a current first aid certificate to ensure that first aider cover can be provided at all times. Timescale for action 13/08/07 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 YA1 YA6 YA34 Good Practice Recommendations The Statement of Purpose and Service Users’ guide should be reviewed more regularly. Clear records should be kept of all care plan reviews so that the home can demonstrate that records of residents needs are up-to-date. A record should be kept on staff files when the decision has been made to employ the person despite there being evidence that they do not meet all the eligibility criteria. This will help the home to evidence that they are only employing suitable people. Records of staff five training should be kept so that the home can show staff are able to protect residents in an emergency. 4. YA42 The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Beach, 3 & 4a DS0000008093.V337861.R01.S.doc Version 5.2 Page 27 - 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!