CARE HOME ADULTS 18-65
41 Beach Road 41 Beach Road Thornton Cleveleys Lancashire FY5 1EG Lead Inspector
Mr Wesley Cornwell Unannounced Inspection 2nd March 2006 09:30 41 Beach Road DS0000010037.V276722.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 41 Beach Road DS0000010037.V276722.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. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service 41 Beach Road Address 41 Beach Road Thornton Cleveleys Lancashire FY5 1EG 01253 869349 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) Mr Ian Henry Montgomery Mrs Gemma Marian Montgomery Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: 41 Beach Road is a care home registered to accommodate 1 young adult with mental health problems aged 18 to 65 years. The resident has lived with the owners and their family since the age of 10 years. The resident lives with the owners as a member of the family and refers to them as his mum and dad. The home is run as a normal domestic household and not a residential care home. The home is situated in Cleveleys close to the town centre and is convenient for all local amenities. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.30am and took place over 2 hours. The Inspector spoke to the homes owners and the resident living at the home. Care records were examined and a full tour of the premises was undertaken with the resident. What the service does well: What has improved since the last inspection?
The owners of the home have continued to make improvements to the environment with the bathroom and hallway on the top floor being redecorated and new flooring fitted. The resident was very pleased with the improvements. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 Page 6 The homes owners have applied to the local social services department to become Adult Placement Carers as apposed to being registered as a care home. 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. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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 were not assessed during this inspection. EVIDENCE: 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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): 9 The resident is supported to pursue an independent lifestyle with identified risks monitored and reviewed. EVIDENCE: The care plan clearly described the level of support and assistance being provided to the resident with his decision-making. The resident confirmed the home was supportive in encouraging him to live independently with the knowledge that support and assistance is available if this is required. The resident said he was attending an evening class on computers, which he really enjoyed. The owner of the home said they were encouraging the resident to widen his social circle and pursue a more independent lifestyle. Observation of the care plan and discussion with the resident confirmed he continues to undertake voluntary work three days a week at local charity shops. The resident said, “I like working as I get to meet lots of different people”. 41 Beach Road DS0000010037.V276722.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): 15 and 16 Visiting arrangements at the home are informal and friends of the resident are encouraged to maintain contact ensuring personal relationships are maintained. Routines within the home are flexible and are arranged to ensure the residents rights are respected. EVIDENCE: The resident said he was happy with arrangements in place for receiving visitors and was encouraged by the owners of the home to maintain contact with his friends. The resident said, “I can receive visits from my friends any time and they always made welcome”. Discussion with the resident confirmed they were happy with the routines within the home and these were being arranged around their individual needs. The resident said they were provided with the choice of spending time on their own or in the lounge areas and the owners of the home respected their privacy. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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 Promotion of health is taken seriously and personal support is provided in a flexible and sensitive manner. EVIDENCE: Discussion with the resident confirmed he was happy with the level of support he receives within his daily routines and could make his own decisions when to bath, retire to bed and get up in the morning. At the time of this inspection the resident was in good health and hadn’t required any visits to healthcare professionals. The resident does have a skin condition and this was being monitored and treated by the homes owners appropriately. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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): These standards were not assessed during this inspection. EVIDENCE: 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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 and 30 The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure the resident lives in a comfortable, homely and safe environment. EVIDENCE: Since the last inspection the homes owners have continued to make improvements to the environment. The bathroom on the top floor has been redecorated and had new flooring fitted. The hallway on the top floor has also been redecorated and had new flooring fitted. The owner of the home said the refurbishment of the home was ongoing and there were plans to redecorate a room on the first floor and turn this into a computer room. The resident was very happy with the improvements made to the home. It was observed during the inspection the home was clean and hygienic 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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): These standards were not assessed during this inspection. EVIDENCE: 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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): 42 The home is well managed and run in the best interests of the resident. EVIDENCE: Inspection of maintenance records confirmed facilities and equipment was being maintained as required. The home has procedures in place to ensure the health, safety and welfare of the resident is promoted and protected. 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X 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 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X 3 X 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 Page 17 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 41 Beach Road DS0000010037.V276722.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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