Inspection on 11/10/07 for 82 Beagleswood Road

This inspection was carried out on 11th October 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

82 Beagleswood Road 02/09/08

82 Beagleswood Road 24/04/06

82 Beagleswood Road 19/07/04

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

CARE HOMES FOR OLDER PEOPLE 82 Beagleswood Road 82 Beagleswood Road Pembury Tunbridge Wells Kent TN2 4HY Lead Inspector Mrs Sally Gill Unannounced Inspection 11th October 2007 01:45p X10015.doc Version 1.40 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 82 Beagleswood Road DS0000023811.V352921.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 Older People. 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. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 82 Beagleswood Road Address 82 Beagleswood Road Pembury Tunbridge Wells Kent TN2 4HY 01892 824658 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) Mrs Rosario Upstone Mrs Rosario Upstone Care Home 1 Category(ies) of Learning disability over 65 years of age (1) registration, with number of places 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th April 2006 Brief Description of the Service: 82 Beagleswood Road is a service for one older person, which is run as a small family home. There are no staff, the owner Mrs Upstone carries out all care and support 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of time and concluded with an announced visit to the home between 1.45pm and 3.15pm. Where the regulatory inspector spoke at length to the service user and Mrs Upstone. The inspection process consisted of information collected before and during the visit. No survey information was requested. The Annual Quality Assurance Assessment (AQAA) has been completed. What the service does well: 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. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service users needs remain well met. EVIDENCE: The service user has lived here for 21 years. Their care was arranged by a social worker. An assessment would have been undertaken at that time. The service user is content to remain at 82 Beagleswood Road where they are well looked after and feel at home. Mrs Upstone had previously worked in a hospital and care and therefore has care experience. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service users health, care and support are provided in a manner, which suits them and promotes their independence. EVIDENCE: The service user has been in hospital twice this year to have two operations. Both have been successful and their health and mobility is now much better. The service user did not enjoy their stays in hospital although Mrs Upstone visited every day. Mrs Upstone obviously motivates and encourages the service user to promote good health. The service user said they were having their flu jab shortly. The service user is independent in all their personal care needs. During the periods after the operations they were more fragile and Mrs Upstone did assist with some aspects. However they are now able to do all this themselves again. All aspects of the service users life are discussed between them and Mrs Upstone on a daily basis. There are no records in place. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 9 The service user is clearly able to make decisions about their day-to-day life and future plans both they and Mrs Upstone have. Where it is needed Mrs Upstone gives the service users guidance. Mrs Upstone is clearly aware and assesses any possible risks. She gave examples of two situations where there were possible risks. These were discussed with the service user and action was taken to reduce these risks. Mrs Upstone manages the medication and ensures the service user takes it at the right times. Mrs Upstone always makes sure the service user is very presentable and buys all their clothes of which they are obviously very proud and took time to show me one of their jumpers and new coat. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service user enjoys a range of educational, social and recreational activities. EVIDENCE: The service user is able to travel independently on public transport and has a free bus pass. They used to carry a piece of paper with their details on but they now know this off by heart. The service user is currently attending college for reading and writing. Although the times have been changed which do not coincide with the buses. Mrs Upstone is going to discuss this with the college. The service user continues to meet their friend in Tunbridge Wells each Saturday. Daily activities include walks, games, going to the family or family visiting, some gardening tasks such as weeding and sweeping, television as they like all the soaps, a place in the sun, nature and other films. The service user walks to get their daily newspaper each day. The family has a large dog. The service user says they attend the local church each Sunday. The service user is able to speak some Spanish. They have not been to Spain this year due to the health problems and hospital stays. Previously they would 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 11 have visited about three or four times a year. There were problems with swimming in the sea, this was discussed and agreed that they will now only swim in the swimming pool. It is planned they will go to Spain again next year. Mrs Upstone has a two-bedroom apartment there. At Christmas they went Centre Parcs, Longleat with the extended family and will be going again this year but to a different location. They also enjoyed a holiday in Winchelsea this year with the family. The service user has very limited contact with their family. The occasional telephone call such as at Christmas and when they were in hospital after Mrs Upstone advised them of the operations. Mrs Upstone plans, shops and cooks all the meals and is well aware of the service users likes and dislikes. The service user says they does not want to be involved in the cooking and likes Spanish food best paella, which is Mrs Upstone’s speciality. The main meal is taken in the evening and the service user has a very good appetite although didn’t think much of hospital food so Mrs Upstone took in daily snacks. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service user says they have no concerns and are happy with their quality of life. EVIDENCE: The service user said they have no concerns or complaints and are quite happy. They are well protected from abuse by both their and Mrs Upstone’s awareness of risk situations. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service user lives in a homely, comfortable and clean environment which meet their needs. EVIDENCE: The house was clearly a family home. It was clean and decorated to a good standard. Since the last inspection several parts of the home have been redecorated. Mrs Upstone’s does the cleaning and the service users laundry with help from a member of her family. The service user has their own bedroom, which contained personal photographs of their family and also Mrs Upstone’s family. They are obviously proud of their clothes and possessions. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 14 The service user has the sole use of a toilet and shares a bathroom with Mrs Upstone, which has shower over the bath. There is a well-maintained garden (which a member of the family helps maintain) with pleasant views and a patio area with tubs and seating, lawn and flower borders. The front drive is particularly steep. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. No staff are employed by this home. EVIDENCE: 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service user remains happy within the home, which is run to include their best interests. EVIDENCE: The service user is well supported by Mrs Upstone and her family. Mrs Upstone has a current criminal records bureau enhanced disclosure. Mrs Upstone ensures that the service is run to include the service users best interests. Mrs Upstone ensures that the service user has sufficient money for their day-to-day needs. The home is safe and well maintained. 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 17 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? N/A 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 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 82 Beagleswood Road DS0000023811.V352921.R01.S.doc Version 5.2 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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