Inspection on 09/05/07 for 41 Beach Road

This inspection was carried out on 9th May 2007.

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

41 Beach Road 02/03/06

41 Beach Road 28/06/05

41 Beach Road 22/11/04

41 Beach Road 24/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 41 Beach Road 41 Beach Road Thornton Cleveleys Lancashire FY5 1EG Lead Inspector Mr Wesley Cornwell Unannounced Inspection 9th May 2007 09:30 41 Beach Road DS0000010037.V332606.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 41 Beach Road DS0000010037.V332606.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. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 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 vacant post Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 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. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report would be issued to any prospective resident and their relatives/representatives to help them make an informed choice whether to move into the home. The fees being charged to the resident living at the home are £450.00 per week covering all aspects of care, food, entertainment and accommodation. The owner provided this information on the 9th May 2007. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the homes Key Inspection. The site visit commenced at 9.30am and took place over 2 hours. The Inspector spoke to the homes owners and the resident living at the home. Care and maintenance records were examined and a full tour of the premises was undertaken with the resident. At the time this site visit was being undertaken the owners of the home had applied to the local social services department to become Adult Placement Carers as apposed to being registered as a care home and their application was being dealt with. What the service does well: The resident at this home is well looked after. He lives in a normal family environment as a member of the homeowners family and is involved in decision making about the running of the home and his own lifestyle. The resident confirmed routines were very flexible and he could make his own decisions on a day-to-day basis and didn’t feel restricted by the homeowners. The resident said, “ I have a really great room and I like to spend some time on my own listening to music and watching television. My privacy is always respected”. Discussion with the resident confirmed he is very happy living at the home and is encouraged to pursue an independent lifestyle with a minimal level of supervision and guidance being provided by the homeowners. This included visiting relatives in Ireland on his own. Observation of the care plan confirmed clear risk assessment strategies had been put in place to minimize any potential risks to his personal safety. The resident said he had really enjoyed the experience. The resident said since the last inspection he had been to Ireland three times to visit relatives of the homeowners and had also been to Las Vegas on the annual family holiday. The resident was able to describe his involvement in the planning and preparation of the holiday. The resident said, “ We have some really great holidays and I really enjoyed Las Vegas although it was very hot”. The resident is encouraged to pursue personal interests and has recently completed a computer course at night school. The resident also continues to work as a volunteer in a local charity shop, which he says he enjoys very much. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 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.V332606.R01.S.doc Version 5.2 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. 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. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: There have been no new residents admitted to the home since the last inspection. The existing resident had full assessment information in place including his religious/cultural, relationship and nutritional needs. Observation of practice and discussion with the resident confirmed he was happy that his needs were being met. Discussion with the owner confirmed full assessment information would be obtained prior to any new residents being admitted to the home. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident is supported to pursue an independent lifestyle with identified risks monitored and reviewed. EVIDENCE: An Individual record was kept for the resident with a plan of care setting out in detail the action that needed to be taken to ensure all aspects of his health, personal and social care needs were met. Significant events had been recorded and daily entries made setting out the care given. The care plan clearly described the level of support and assistance being provided to the resident with his decision-making. Discussion with the resident confirmed he is involved with decision making within the home as a normal family member and his views are listened to. The homes owners had documented on the care plan discussions about family holidays and the 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 10 decisions made and the level of participation made by the resident. The resident said he was happy that he is kept informed about developments within the home and was able to have his say. The resident confirmed he was being supported and encouraged to live independently with the knowledge that support and assistance is available if this is required. The resident said he has been encouraged to attend 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 four days a week at local charity shops. The resident said, “I like working as I get to meet lots of different people”. Observation of care plan records confirmed the resident is encouraged to take responsible risks with the support of the homeowners. These have included minor tasks like using public transport to flying to Ireland to visit family on his own. The resident was able to describe his level of involvement in planning the trip to Ireland and the steps taken to minimize any potential risks to his personal safety. The resident said, “I was assisted to Liverpool airport and then the airline staff made sure I got on the right plane. I had a mobile phone so I could text to say I had arrived safely”. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Education and employment opportunities are promoted to ensure the resident has opportunities for personal development. EVIDENCE: The home encourages the resident to pursue education and employment opportunities and these are clearly described within the care plan. The resident said he had just finished attending an evening class on computers and wanted to take further training in this area. The resident also said he had attended a course on digital cameras and had enjoyed this so much he wants to join another course. The owner of the home said they are 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 four days a week at a local charity shop. The resident said, “I really enjoy working at the shop and have recently increased my days from three to four. The work is really interesting and I have lots of fun”. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 12 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 he was happy with the routines within the home and these were being arranged around his individual needs. The resident said he was provided with the choice of spending time on his own or in the lounge areas and the owners of the home respected his privacy. Discussion with the resident confirmed he did not have any special dietary needs and enjoyed the food made available to him. The resident said, “I usually eat with mum and dad but can also prepare my own meals if I want to”. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 13 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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, get up in the morning and have his meals. The resident said he was able to attend to his own care and personal hygiene needs and was happy with the level of supervision and guidance available to him and this was provided in a sensitive dignified way. At the time of this visit the resident was in good health and wasn’t taking any prescribed medication. Observation of care plan records and discussion with the resident confirmed the residents health was being monitored and access to healthcare professionals is provided when required. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 14 Discussion with the owner confirmed policies and procedures were in place for the administration of medicines should this be required. The owner said the residents consent would be requested for his medication to be handled on his behalf and recorded in his care plan. 41 Beach Road DS0000010037.V332606.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring the resident feels listened to. EVIDENCE: The home has a detailed complaints procedure, which has been made available to the resident. The resident said he was happy living at the home and had never had cause to make a formal complaint. The home has a procedure in place for dealing with allegations of abuse. Discussion with the owner confirmed he had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect and these would be followed. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 16 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): 24,26 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely and safe environment. EVIDENCE: The premises are in keeping with the local community and have been decorated and furnished in the style of a normal household and provide comfortable and bright accommodation for the resident. Since the last inspection the homes owners have continued to make improvements to the environment with new carpets being fitted in the front and rear lounges. The owner said the refurbishment of the home was ongoing and there were further plans for refurbishment. The resident was very happy with the improvements being made. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 17 A tour of the building confirmed the residents bedroom had been personalised with his own belongings. The resident said he were very happy with his room and could spend as much time there as he wanted without being disturbed by the owners. The resident said, “ I love my room. I like listening to music and watching television”. It was observed during the visit the home was clean and hygienic providing a pleasant environment in which to live. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. These Standards were not assessed. This service is run as a family home and no staff are employed. EVIDENCE: This service is run as a family home and no staff are employed. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 19 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): 37,39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the resident. EVIDENCE: The owner has many years experience in working with people with a learning disability and has achieved a BA Honours in Learning Disabilities. Records seen confirmed the owner has access to training to ensure his knowledge and skills are updated. As discussed previously in this report the resident has lived with the owners of the home since he was 10 yrs old and lives as a member of the family. The home is run as a normal family household and quality assurance systems are 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 20 in place but are informal. Observation of his care plan and discussion with the resident confirmed he is involved in every day family decision-making and his views are listened to. The resident was able to describe how decisions are made about family holidays and his involvement in these. The residents care plan had recorded significant events confirming he is encouraged to pursue leisure and educational interests and make his own decisions about his lifestyle. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for the resident to live. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 21 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 INDIVIDUAL NEEDS 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 3 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 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 22 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.V332606.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 41 Beach Road DS0000010037.V332606.R01.S.doc Version 5.2 Page 24 - 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!