Inspection on 05/05/05 for 5 High Beech Close

This inspection was carried out on 5th May 2005.

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 no outstanding requirements from the previous inspection report, but made 3 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 19/09/06

5 High Beech Close 04/10/05

5 High Beech Close 13/10/04

5 High Beech Close 20/04/04

Similar services:

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 5 High Beech Close 5 High Beech Close St Leonards-on-sea East Sussex TN37 7TT Lead Inspector Jeanette Denereaz Unannounced 5 May 2005 16:00 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 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 Stationary 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 H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 5 High Beech Close Address 5 High Beech Close St Leonards-on-sea East Sussex TN37 7TT 01424 850785 01424 721862 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) East View Housing Management Ltd Care Home 4 Category(ies) of Learning Disability (LD) 4 registration, with number of places 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated will be four (4) 2. The people accommodated will be aged over 18 (eighteen) and under 65 (sixty-five) years on admission Date of last inspection 13 October 2004 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 adult 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. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 16.00 and 20.00 with the inspector made very welcome to the home. The inspector is familiar with the service hence a number of judgements were made from previous knowledge, confirmed by observation and talking with service users and staff. During the course of the inspection, three of the four service users returned from various day activities and were happy to speak with the inspector privately. A new member of staff was on duty when the inspector arrived, the manager arrived shortly and towards the end of the visit the inspector met with another newly appointed staff member. The forth resident was at an evening class, and would be home later in the evening. The service users wish to be referred to as residents within this report. What the service does well: What has improved since the last inspection? The manager has produced an up to date statement of purpose and service users’ guide, and she has plans to put this information on to audio type for the residents. All documentation relating to staff and health and safety required by regulation are now in the home and are available for inspection. The manager has made application to the CSCI to become the registered manager. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 standard(s) 1 Prospective service users are provided with a good level of written information about the service. EVIDENCE: The residents group has been stable since the last inspection. A prospective service user would have access to suitable written information to inform them of the service and what it is like to live at 5 High Beech Close in the form of a statement of purpose and service user guide. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 standard(s) 6,7,8,9 & 10 The residents’ care and support needs are well managed enhancing the residents’ independence and overall quality of life. However, the resident would benefit from a staff team who have a clear and practical direction on care planning, rather than the extensive manufactured assessment tools used by EVH at the present time. EVIDENCE: During this inspection the individual care plans were not inspected in depth. However, it was evident the many forms of manufactured assessment tools where being used. Person Centred Planning (PCP) has now been introduced but the care plan documentation is very detailed and jargonised for new inexperienced staff to understand. The residents’ files are full of checklists and recordings rather than 1:1 meetings where individual choice would give a clear and practical direction of their stated assessed needs. However, during this inspection the residents were heard to be fully consulted during the decision making process with suggestions rather than directives made by staff. The manager informed the inspector that there are regular house meetings and all the residents contribute. Whist the residents were open in their conversations as part of the inspection, there was a good awareness of confidentiality issues. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 standard(s) 11,12,13,14,15,16 &17 The residents have every opportunity to have a fulfilled, responsible, valued and socially active life. EVIDENCE: The service is good in promoting the development of educational, personal, social and emotional skills. The residents told the inspector of all the activities they had been part of and talked of plans for their holiday on the Saturday. Mention was made of formal day services, including college and day centres. One resident at present has one to one support at home with staff. Staff recognise that family and friendship contact is important to residents, and promote contact. The resident at home when the inspector arrived was helping the staff to prepare the evening meal, and when the others came home she made tea for all. The residents said how much they enjoyed the food and is was evident that they are fully involved in choosing food and meal preparation within a risk assessment process. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 standard(s) 18,19 & 20 The residents’ health and care needs are very well managed and take into account service users individual preferences and needs. EVIDENCE: The residents feel that they are treated as individuals and that this is respected in care giving and support. The residents are expected to maintain acceptable standards both in home and externally and are encouraged to maintain these standards. Health care is well managed with regular health checks undertaken with visits to chiropodist, dentist, optician and other health professional when required. One resident does administer her own medication, which is witnessed by the staff. Full training is given to all care staff on dealing with medicines. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 standard(s) 22 & 23 The residents are able to raise concerns and be assured that these concerns will be listened to and acted on. Residents are protected as far as possible from the risks of harm or abuse. EVIDENCE: The residents have a range of opportunities to voice concerns and worries about the service. The residents have an awareness of risk and understand the principles of Adult Protection. They all said they would take any worries or concerns to the manager. The home has polices on the prevention of abuse, staff understanding of such policies was not explored on this occasion. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 standard(s) 24,25,26,27,28,29 & 30 The residents enjoy living at 5 High Beech Close, it is safe, nice well maintained and homely. EVIDENCE: Being in a Close of similar houses, 5 High Beech fits easily into the locality. The residents showed the inspector their rooms that were very personal and being places where they could be private if they wished. Two residents have their own en-suite, and the others share a family sized bathroom with a separate toilet on the ground floor. Staff have their one sleeping room/office. The residents spoke of using the garden, particularly in better weather. There is access from the utility room or from the lounge. However, due the slope and terrain of the garden it becomes very boggy, and for residents to access the garden safely there needs to be landscaping. The décor of the lounge area is in need of updating, however, since the last inspection items of furniture have been purchased but the sofa is in need of replacing. Also a resident requested a headboard for her bed, this was mentioned to the manager. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 14 The residents use the kitchen to make drinks and assist with meal preparation, they are very aware of risks when in the kitchen. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 35 The residents’ quality of life is enhanced by the support and expertise of the manager and staff employed. EVIDENCE: The residents at home during this inspection spoke very highly of the staff team. It was felt the staff were very approachable. The member of staff on duty when the inspector arrived, was relatively new, said this was a new experience for her and she was enjoying it. The residents have a range of abilities and wishes: staff receive in house and external training and direction to work with individuals in their preferred manner. Staff are encouraged to undertake training which includes the Learning disability framework award (Ldfa) and NVQ training. The manager is also working toward her NVQ 4 and Registered Manager Award. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 & 42 The residents consider that the way the home is managed and run makes it an enjoyable place for them to live. The residents are safe in the home, being very well maintained. EVIDENCE: The resident have benefited from a motivated manager at the home, who is developing a fuller range of management and care skills in understanding best practice. The manager has recently made application to the CSCI to become the Registered manager. The home was found to be conducted in an open and friendly manner with staff support to carry out their roles. The overall management of the home, including senior management of the organisation is satisfactory. All health and safety documentation was in place, and records confirmed that all staff have or are in the process of completing First Aid, Fire. Moving and Handling and Food Hygiene training. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 2 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 2 3 3 Standard No 11 12 13 14 15 5 High Beech Close 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x Version 1.20 Page 18 H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 19 Are there any outstanding requirements from the last inspection? No 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 YA6 & YA8 Regulation 15(1) See schedule 3(1)(b) 24(3) 23(2)(o) Requirement It is required that the manager reviews the fomulating of care plans, and ensure that they are user friendly, involving the staff and the indvidual service user. It is required that the external environmental which includes the back garden area is landscaped to enable residents to access this area safely Timescale for action 1/09/05 2. YA28 1/08/05 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. Refer to Standard YA24 YA24 Good Practice Recommendations It is recommended that the home replace the sofas in the lounge area. It is recommended that the home purchase a headboard for a resident. 5 High Beech Close H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection 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 H59-H10 S21335 5 High Beech Close V221965 050505 Stage 4.doc Version 1.20 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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