Inspection on 19/09/06 for 5 High Beech Close

This inspection was carried out on 19th September 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

5 High Beech Close 28/07/08

5 High Beech Close 04/10/05

5 High Beech Close 05/05/05

5 High Beech Close 13/10/04

5 High Beech Close 20/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 5 High Beech Close St Leonards-on-sea East Sussex TN37 7TT Lead Inspector Jeanette Denereaz Key Unannounced Inspection 19th September 2006 09:00 5 High Beech Close DS0000021335.V305411.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 5 High Beech Close DS0000021335.V305411.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. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 5 High Beech Close Address St Leonards-on-sea East Sussex TN37 7TT 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) 01424 850785 East View Housing Management Ltd Sharon Kathleen Fisher Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated will be four (4). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Service users with a learning disability only to be accommodated. Date of last inspection 4th October 2005 Brief Description of the Service: 5 High Beech Close is owned and managed by East View Housing Management Limited (EVH) and is home to 4 younger adults with learning disabilities and at present are all female. The house is a modern executive style and has four bedrooms. It provides spacious accommodation for four female residents, with a kitchen, utility room off the kitchen, dining and lounge areas. It has a reasonable sized back garden and driveway to the front of the house. The house is situated off the main road, which has bus routes to Hastings and Battle. The service users attend various day services during the week and are supported to pursue leisure opportunities in the evenings and weekends. The current scale of fees range from £839.48 To £1149.64. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at 5 High Beech Close are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection and an unannounced site visit conducted by an Inspector on the 19th September 2006 starting at 09.00am and leaving at 5.00pm, and returning the following day in the afternoon at 2.00pm and finally leaving at 5.00pm. This also included the inspection visit of 6 High Beech Close as the registered manager of 5 High Beech Close has management responsibilities for both homes. The site visit included a tour of the premises and an examination of various records including medication, care and staffing records. The Inspector met with the Registered manager and staff members. Staff were spoken to during the inspection whilst they were working and in private. During this site inspection visit, the inspector met three of the residents and spoke with them individually and collectively, and they were all very positive with the care they received at 5 High Beech Close. The CSCI also received ‘Have your say about 5 High Beech Close’ surveys from the residents and two comment cards from relatives, and all were positive about the home. As part of the inspection process the inspector contacted the new resident’s family, and they confirmed their relative was very happy and had settled well into 5 High Beech Close; and made the comment about the home. “I think it is lovely”. What the service does well: The home was found to do most things well. The manager of the home was found to be especially good in supporting residents and staff. The staff members interviewed expressed how much they enjoyed their work and were very complimentary about the manager. The home has leadership and direction from the manager. All prospective residents are only admitted following a full assessment undertaken by the manager and other stakeholders to ensure as far as possible the home can meet the needs of the individual. The registered manager and staff are good at ensuring residents are supported to take an active part in the running of their own lives and as stated in the homes’ Statement of purpose’. 5 High Beech Close DS0000021335.V305411.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. 5 High Beech Close DS0000021335.V305411.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 5 High Beech Close DS0000021335.V305411.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 & 5 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users can be confident their needs will be assessed, and when they take up residence and their aspirations will be met. EVIDENCE: Since the last inspection a new resident has moved into the home. Through talking with the resident, registered manager and the staff it is evident she has settled in well, and the home had followed the robust admission policy and procedures of EVH. As part of the inspection process the inspector contacted the new resident’s family, and they confirmed their relative was very happy and had settled well into 5 High Beech Close; and made the comment about the home. “I think it is lovely”. On the 20th September 2006 the new resident had her first review, and this was reported by the care manager to have been a very positive meeting, and the sponsoring authority have no concerns with this placement. All residents have individual written contracts, statement of purpose and a service users guide. 5 High Beech Close DS0000021335.V305411.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 & 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The manager demonstrated her knowledge of the individual residents, and are aware of the complex needs of the residents and encourage them to have an independent lifestyle as far as possible. EVIDENCE: The inspector viewed care plans, and inspected in depth the care plan of the newest resident. The resident came to the home with very poor information and care plans. The manager endeavoured to collate information from the resident and health professionals and has compiled a very comprehensive document, which gave a good insight for staff on how to support the resident. The resident had her first review meeting on the 20th September 2006 and her care manager was present. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 10 The manager is in the process of introducing Person Centred Planning (PCP) and she is training the staff and hopefully PCP will be in operation in October 2006. The new resident during this inspection visit spoke at length with the inspector and she confirmed how she was enjoying her new home. All residents have a contract and service user guide with are signed by the residents and dated. The manager regularly updates the statement of purpose to ensure the information contained in this document to correct. This document was seen by the inspector and was found to be very comprehensive. 5 High Beech Close DS0000021335.V305411.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home’s links with the local community are good and enrich residents’ lives socially and educationally. The manager and staff team are enthusiastic and are always looking for new ideas to enrich the residents’ lives. EVIDENCE: At the time of the inspection visit, two of the residents were at home for part of the day and the other two were at their individual day service. On their return they both agreed to meet with the inspector, and they confirmed that they enjoyed living at 5 High Beech Close, and feel this is really their home. The programme of day services is very tailored to the individual and is a combination of traditional day services and college courses and 1:1 activities at home and in the community. The weekends tend to include food shopping and general housework and leisure activities, including attending places of worship if requested. The manager and staff team are enthusiastic and are always looking for new ideas to enrich the residents’ lives. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 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 & 20 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support appropriate to their physical, emotional and healthcare needs. All personal and healthcare needs are well documented, including a full medical review for the new resident. EVIDENCE: The new resident has only lived at the home for a few weeks, but in this time the manager has ensured the resident has had a full medication review, and a full health check. All residents are registered with local GP and health checks are regularly carried out. The medication files and storage were inspected and found to be in order. All staff have had the relevant training and are all deemed to be competent in the administrating of medication to the residents. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 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): Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives’ complaints would be taken seriously and investigated. The staff have the knowledge and understanding to take the correct action to safeguard residents from abuse. EVIDENCE: It is now evident the manager is managing the home well, and the staff respect and recognise her authority. All the staff interviewed said that the manager was a good role model as she always put the residents first. The staff now employed within the home have a good understanding of the organisations policy and procedure on adult protection. Since the last inspection there has been an Adult Protection alert, and from documentation held in the home, and following discussion with the registered manager the alert was conducted in an appropriate manner. The conclusion was the Adult Protection was not upheld. During the interviews with the manager and residents the inspector asked about the homes complaints and concerns procedures. The residents said they understood this concept all said they would speak to the staff and felt confident they would sort things out. The manager and the staff team have a good understanding about the protection of vulnerable adults and what action they would take if they saw or were told of any form of abuse within the home. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 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): 24,27 & 30 Overall the quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. The premises are suitable for the needs of the residents and are kept clean and homely. However, there are signs of wear and tear and there are areas in need of repair and redecorating. EVIDENCE: The inspector accompanied by the manager and for some of the time by a resident undertook an full tour of the home including all communal areas, including the kitchen, bathrooms the garden and individual bedrooms. The home was found to be very clean and homely, but there are areas now showing signs of wear and tear. The kitchen is in need of re-decoration, and the bathroom needs new flooring. The tiling in the en-suite shower room is once again in need of deep cleaning. The fencing in the back garden needs replacing and for the security and health a safety of home, a lockable gate needs to be fitted. On the day of the inspection visit, a dog had got into the back garden via the broken fence or sideway and defecated in the garden. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 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): 31,32,34,35 & 36 Overall the quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The staff employed have the skills and experience to meet residents needs and support them. However, the registered manager must ensure that recruitment references from the last two employers of the candidate are taken up and if the information is not clear clarification is sort from the referee, thus safeguarding the residents. EVIDENCE: The registered manager at the present time has management responsibility for 5 and 6 High Beech Close and this includes the recruitment and supervision of both staff teams. The staff team at 5 High Beech Close is well established and the inspector had met most of the staff team at previous inspection visits. The staff team are very familiar with residents in both homes and staff work in both homes at times of staff shortages. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 16 The newest member of staff was employed in July 2006. The inspector reviewed the staff files and were found to be in order, except it was apparent the one staff member had not given her last two employers as referees. The manager will investigate this. All staff have completed a full induction and many were progressing to various levels of NVQs. The manager supplied a copy of the training matrix for the home as part of the pre-inspection questionnaire information and the training within the last year has been very comprehensive and will ensure the staff have the training and knowledge to meet the changing needs of residents. All staff have regular supervision, which occurs at eight weekly and is recorded and signed by the supervisee and supervisor. The manager also receives regular supervision and support from the Senior Management Team of the EVH organisation. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 17 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 & 42 Overall the quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The manager has a good understanding on the area in which the home needs to improve, she has a clear development plan and vision for the home. However, health and safety records relating to the home must be available for inspection. EVIDENCE: The registered manager is very experienced and holds the Registered managers Award, and she is also in the process of completing a Psychology Diploma. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 18 She has successfully undertaken the management of both 5 and 6 High Beech Close and continues to improve the service offered to residents through good management of the health, welfare and safety of the residents and staffing responsibilities. The good management of staff is reflected in the stable staff team and their praise of the manager’s professionalism. The EVH organisation has a robust Health and Safety policy and procedures and the organisation’s health and safety officer makes regular audits. However, the manager believes all safety checks have been carried out and especially the portable electrical appliances, but the records were not at the home. The manager did request from EVH head office the records during this inspection visit for the inspector to view, but to date the CSCI has not received this information. 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 19 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 4 2 3 3 3 4 4 5 4 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 2 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 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 3 X X 2 X 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 YA24 Regulation Requirement Timescale for action 30/11/06 2. YA24 3. YA27 4. YA34 16(2)(j)(k) The responsible Individual and 13(4)(a) registered manager must ensure the outside of the property is in good order and ensures the safety of the residents and staff. This is in connection with the broken fencing and the absence of a side gate. 13(4)_(a) The responsible Individual and 23(2)(a) registered manager must ensure 39(h) the home is always in good decorative order, and well maintained. This is in connection with the decorative order of the kitchen walls and the now unsuitable flooring in the bathroom. 23(2)(j) The responsible Individual and registered manager must ensure tiles and grouting around baths and showers and in good order, ensuring the tiling is clean and hygienic. This is reference to the older en-suite shower room that since the last inspection has been cleaned but mildew has returned. 7,9,19 The responsible Individual and See registered manager must ensure Schedule the organisation’s robust DS0000021335.V305411.R01.S.doc 30/11/06 30/11/06 30/11/06 5 High Beech Close Version 5.2 Page 21 2(5) 5. YA42 12 37(1)(e) recruitment policy and procedures are followed. Two references must always sort, and to ensure the authenticity of the references. The responsible Individual and registered manager must ensure that all health and safely documentation is available for inspection by the CSCI. 30/11/06 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 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 5 High Beech Close DS0000021335.V305411.R01.S.doc Version 5.2 Page 23 - 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!