Inspection on 30/11/05 for 6 High Beech Close

This inspection was carried out on 30th November 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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

6 High Beech Close 19/09/06

6 High Beech Close 15/06/05

6 High Beech Close 28/02/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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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 6 Highbeech Close St Leonards-On-Sea East Sussex TN37 7TT Lead Inspector Jeanette Denereaz Unannounced Inspection 30th November 2005 03:30 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 6 Highbeech 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 850033/22 01424 854376 East View Housing Management Ltd Victoria Louise Best Care Home 3 Category(ies) of Learning disability (0) registration, with number of places 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated will be 3 (three). The people accommodated will be aged over eighteen (18) and under sixty-five (65) years on admission. 15th June 2005 Date of last inspection Brief Description of the Service: 6 High Beech Close is a modern executive style house with four bedrooms; the smallest of the bedrooms is now the office and staff sleep-in room. One bedroom has and en-suite bathroom and the two other bedrooms share a family size bathroom on the same floor. The home has a kitchen, utility room off the kitchen, dining and lounge areas and downstairs cloakroom. The home also has a reasonable sized back garden, a driveway and garage to the front of the house. The home is registered for three younger adults with learning disabilities, and is part of East View Housing Management Limited (EVH). 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 15.30 and 17.30. Since the last inspection the manager has left this home to work in another home managed by EVH. However, in the interim period the registered manager from the EVH home next door is overseeing all the management tasks, and she was present for the first hour of this inspection The overall focus of the inspection was on meeting with the staff and reviewing the progress of the requirements from the previous inspection, a full tour of the home. Time was spent meeting the manager and staff member on duty, inspecting a number of records, policies, procedures and other documentation. Two of the residents were at home and were spoken to and they showed the inspector around the home including their bedrooms. As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 15th June 2005 also be obtained to have a clearer picture of the home. What the service does well: The home continues to be is well managed with the support from the registered manager of 5 High Beech Close. All the residents spoken to during this visit said they are really treated very well in the home, and like the staff. One resident for sometime has had health problems and has found the stairs difficult to climb, but she has been at moving to another EVH home which is for people with more mobility issues. She is very excited about moving, and informed the inspector that she has visited the new home on numerous occasion, met with the other residents and staff. The residents look very relaxed in the house, which is very warm and homely, and they commented that: • We are all now getting on well. • I’m really looking forward to moving to my new home, because there are no stairs there, but I will miss everyone here. The third resident was not interviewed on this occasion, as she had not returned from her day service. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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): 2 Residents are given all the information they need to be able to make an informed decision to live at 6 High Beech Close. EVIDENCE: There have not been any new residents to the home since the last inspection. However, the home has a comprehensive policy and procedures in place for prospective residents. The home is part of the East View Housing Organisation and has detailed policies and procedures in place for prospective residents. All residents living the home have copies of their contracts statement of purpose and Service Users’ guides. The home has supported one resident to move on to a more suitable home, which will meet her changing needs. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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): These standards were inspected at the last inspection on the 15th June 2005 and were then, and continue to be fully met. EVIDENCE: 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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): 11 The residents continue to have every opportunity to have a fulfilled, responsible, valued and socially active life. EVIDENCE: All the key standards were inspected at the last inspection and were fully met. The residents at home during this inspection said how much they enjoyed living at 6 High Beech, and the resident who will be leaving in the next few weeks is looking forward to moving, but sad to leave 6 High Beech Close. The residents informed the inspector that they had been on a cruise for their annual holiday, and spoke positively about the 1:1 support they get from the staff. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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): The Key standards were inspected at the last inspection on the 15th June 2005 and were fully met. EVIDENCE: 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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 inspected at the last inspection on the 15th June 2005 and were fully met. There have been no verbal or recorded complaints in the home since the last inspection. EVIDENCE: 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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 &27 Residents have sufficient facilities to meet their current needs. With alterations and redecoration they would benefit further from a safer and comfortable surroundings. EVIDENCE: There are still outstanding areas of the home in need of repair, especially the carpeting throughout the house. The area of carpet between the hallway and lounge has worn away and the carpet grippers are exposed, and during this inspection one resident was walking around the house barefoot. The blinds in the front bedroom need attention, as they do not completely cover the window, and are awkward for the resident the use. Since the last inspection the two residents who share the bathroom, have stopped using the en-suite shower, as this was an infringement of privacy for the resident living in the en-suite bedroom. They have requested that a shower to be fitted in the bathroom, because they preferred showering to bathing, but to date this has not been installed. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 Page 14 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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): 36 The residents quality of life is enhanced by the support and expertise of the staff employed. EVIDENCE: The staff member on duty informed the inspector that she does have regularly supervision, now with the registered manager of 5 High Beech Close and feels supported in her role by the senior management team. Since the registered manager from 5 High Beech Close has been overseeing this home, there has been joint working between both staff teams. All staff files were locked away and not available for inspection. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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 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): 39 & 42 Residents consider that the way the home is managed and run makes it an enjoyable place for them to live. EVIDENCE: Residents are generally safe in the home, they need to be supported to tidy, their bedrooms. The inspector found that in one bedroom the floor area was covered with clothes and objects, which had the potential to become a health and safety issue. The residents spoke freely with the inspector about their lives and it was evident that their views are listened to. Decisions about the home are made jointly between the residents and staff. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 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. 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 X 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X 2 X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 6 Highbeech Close Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 2 X DS0000061409.V261204.R01.S.doc Version 5.0 Page 18 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 13(4)(A) Requirement The registered manager must ensue that the areas outlined in this report are replaced or repaired. The registered manager must ensure that residents’ preference to have a shower should be looked into and if possible a shower should be provided in the main bathroom. Timescale for action 01/04/06 2 YA27 23(2)(j) 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations It is recommenced that the registered manager and staff team support residents to tidy their bedrooms, thus ensuring these areas do not become a health and safety issue. 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 Page 19 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 6 Highbeech Close DS0000061409.V261204.R01.S.doc Version 5.0 Page 20 - 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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