Inspection on 16/09/05 for Dimensions 54 Beechcroft Gardens

This inspection was carried out on 16th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Dimensions 54 Beechcroft Gardens 20/11/07

Dimensions 54 Beechcroft Gardens 04/04/06

Dimensions 54 Beechcroft Gardens 04/04/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 54 Beechcroft Gardens 54 Beechcroft Gardens Wembley Middlesex HA9 8EP Lead Inspector Bernard Burrell Unannounced Inspection 15th September 2005 10:00 54 Beechcroft Gardens DS0000062638.V256177.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 54 Beechcroft Gardens DS0000062638.V256177.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. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 54 Beechcroft Gardens Address 54 Beechcroft Gardens Wembley Middlesex HA9 8EP 020 8904 8258 020 8343 8876 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) PentaHact Olufunmilayo Sarah Talabi Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th April 2005 Brief Description of the Service: 54 Beechcroft Gardens is a registered detached 3-bedroom bungalow located near central Wembley. It is also near to a variety of health care, social and leisure services and facilities. The home is registered to provide 24-houraccommodatiopn and care support to 3 adults who have mild to moderate learning disability. There is a registered manager in post. The home is suitable for residents who are users of wheelchair and other mobility difficulties. The local health authority owns the property and Pentahatch provides the care support. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. The process was assisted with contributions from the residents, the staff and manager at the home. The inspector also inspected records, toured the building, observed residents and staff doing activities around the home plus had discussions with the residents. Additional information, including monthly person in charge reports and the homes’ risk assessment and quality review reports were also used. The home was clean and well maintained and the findings indicated the resident’s rights, wellbeing, health and best interests are safeguarded and promoted. What the service does well: The home’s statement of purpose and service user’s guide offer relevant information to the residents about the home, the types of care support offered and the quality and range of care they can expect. The guide is written in a style that meets the communication abilities and needs of the residents. The management of the home and staffing cover continues to be consistent. This has helped to provide a good level of reliable and responsive service to the residents. The residents are assisted to access a range of community services and facilities that is helping to enhance their lives, broaden their individual outlook and interest plus ensure they live as members of the wider community. The staff work consistently with each resident and communally to help them raise their self-awareness, their capabilities, self-confidence and sound understanding of their individual and collective responsibilities as residents of their home. The residents are also assisted by staff to access and develop the confidence and ability to travel independently. Good progress has been made by the staff, manager and care provider to develop care plans that are individually planned and reflective of each residents’ assessed care needs. The residents are also supported to understand and become aware of their individual health care needs and the roles played by medical and other professionals in their lives. Staff are adequately supported through consistent system of professional training, development and supervision. The residents also benefit from events such as regular house meetings plus input into development and renovation plans for the home. Staff are also able to provide recorded examples of how 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 6 they work with each resident plus evidence of achievements and progress made by each resident in a variety of tasks. 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. 54 Beechcroft Gardens DS0000062638.V256177.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 54 Beechcroft Gardens DS0000062638.V256177.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): 1,2,3,5 Admission to the home is managed in a structured way. This helps to ensure prospective new residents-including current residents- are made aware of how their needs will be met through the assessment and key worker process and the guide to the home. EVIDENCE: The inspection findings indicated that each of the 3 current residents living at the home were given adequate verbal and written information about its layout, staffing, the key worker system, care support programmes and the range of services and facilities available. The inspector had discussions with the residents and was satisfied, each understood the information explained or made available to them. They were aware of the significance of the assessment and how it helped to identify their care and social needs. The residents also reported they understood their responsibilities as residents as outlined in the contracts. These have been written in a style that meets the communication needs and abilities of each resident. The inspector noted that there were comprehensive care needs assessments and reviews carried out for each resident. These also have input from a range of professionals and other significant persons related to the residents. The care planning is now more person centred and the evidence examined by the inspector, showed that care and attention is given to achieving the objectives for each resident. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 9 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 10 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 Good examples of individual resident care needs assessment and planning were in place. There was evidence to demonstrate that appropriate assistance is offered to each resident and good effort is made to involve them in all areas of the homes’ operation and life in the wider community. EVIDENCE: The levels and types of services and care support are recorded clearly in the care plans for each resident. The inspector noted that residents played proactive roles in the development of their individual plans. There was evidence of life stories and photographs of significant events in the personal portfolio for each resident. The inspector observed each resident actively involved in tasks around the home, including assistance in the kitchen, dining area and individual bedrooms. Staff were observed discussing meal options and plans for late summer holidays with residents. One resident has been actively supported and encouraged to develop the ability to access public transportation independently. This has helped to 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 11 enhance the resident’s confidence and awareness of her ability to utilise community services outside the home. The staff support each resident to make contribution and have ownership of their individual ‘Health Action Plan’. These contain pictorial communication aid about individuals’ health care assessments, medical appointments, and letters of communication with health and social care services, professionals and dates of care reviews. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 12 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): 11,12,13,14,15,16,17 The residents lead proactive lifestyles in the local community, including participation in culturally appropriate activities. Links with relatives, friends and peers are supported and encouraged by staff and each resident enjoys a healthy diet that meet their individual care needs and preferences. EVIDENCE: Each resident is supported by the staff to develop a Life Book and is supported by staff to record significant events about their lives. The books contain a range of personal events, work history, relationship and meetings with friends, families, learning experiences, travels and special events such as birthdays. The care plans and activity records showed that the residents are supported to attend various external events and activities in the community, including day centre, Irish cultural events, barbeque parties, and social evenings at a local pub, meals out at restaurants plus holiday trips abroad. In addition, the evidence examined and observation made by the inspector,plus discussion with staff and residents, the residents are supported also learn new skills and tasks centred work at day centres plus in the home with support from staff. The inspector noted that staff assisted resident on 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 13 how to do tasks safely in the kitchen and also ensuring their living spaces are kept clean and orderly. The inspector was satisfied that the activities undertaken by the residents are reflective of their individual choices and abilities. The residents play active role in meal planning and staff provided recorded evidence of meals planned and consumed by residents. The planning also included special diet for one resident who is diabetic. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 14 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, 20,21. The care planning for each resident is done with their participation and input. The home has good systems in place that help to monitor each resident’s health care needs, including access to medical services. Regular monitoring of medication administration is carried out and the staff are sensitive when dealing with illness among residents. EVIDENCE: The care plans for each resident showed examples of careful and individualised planning with evidence of input from each resident. There were good examples of each resident’s health care needs and assessment with recordings of medical and other health care appointments and inputs. The inspector also talked with two residents who reported about their recent visits to medical services. There was also evidence to show that responsibility for each residents’ personal wellbeing and development was jointly shared by key staff and the resident concerned. Improvements have been made in the way staff manage and administer medication and the home has benefited from periodic visits and inspection by the district nursing service. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 15 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 16 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): 22, 23 The home has a culture of openness, frank and clear communication among staff and residents. This approach has helped to develop communication skill and confidence among residents. They are therefore able to communicate their concerns, views and ideas. Staff have also benefited from access to adult protection training EVIDENCE: Recorded information seen by the inspector, plus observation of residents making verbal complaints during this inspection, verified that they are listened to and their views and concerns taken seriously by staff. The residents also have regular house meetings and they use the events to voice their wishes, communicate their concerns, and make plans for the home and other events of relevance to their individual and collective lives. The home’s complaints and daily recording books are also used to record resident’s concerns and views. Each staff is expected to read this recorded information and where necessary, take appropriate action. The home has good links with relevant advocacy services in the local borough and staff have had training in adult protection issues. Regular staff supervision and the person in control monitoring visits also help to ensure the rights, wellbeing and welfare of residents are safeguarded and protected. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 17 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): 24,25,27,28,29,30 The residents live in a home that is comfortable, clean, well maintained and offer adequate individual and communal space and privacy. EVIDENCE: The home is a detached bungalow in a well-maintained residential street. It is within 10 minutes walk from Wembley Park tube station, close to shopping, leisure and other facilities. The home was clean and hygienic. The home is also accessible to users of wheelchair. Appropriate grab rails and other mobility and safety aids are also installed throughout the home. The garden was well maintained and several areas of the home had renovation and decoration in the last few months. There are adequate bath and toilet facilities for the three residents and also for staff and visitors. Each residents’ bedroom is decorated to individual style, preferences and furnished with items that have been individually chosen. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35.36 The residents are supported by a staff team that is appropriately trained individually and collectively with relevant skills and abilities in care work. Staff also benefit from good access to relevant training and supervision. EVIDENCE: The staffing at the home has been relatively stable. This has provided consistency that has benefited the residents. The inspector observed that each staff are well known to the residents and the communication and interaction was appropriate and respectful. Members of the staff group have undertaken a range of relevant professional training and regular supervision is offered plus staff meetings with appropriate records kept. The manager is well supported by senior staff from the care provider, including the monthly person in control monitoring visits and reports. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. The service is managed in the best interest of the residents with good support systems and monitoring that help to enhance and promote the safety, welfare and wellbeing of residents. EVIDENCE: The inspection findings indicated that the home is managed well. The manager has been in position for several years and is well known to the residents. She has undertaken the NVQ care management training and has demonstrated competence, skill and ability to manage the service. The inspection findings found documented evidence to verify that the senior management staff undertake good monitoring and development plans for the home and the services it offers to residents. Appropriate training and support is also offered to staff. The provider will need to ensure that a review is carried out of the home’s policy and procedure documents, some of which are outdated and referred to the previous provider. 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 20 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 4 4 X 3 Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 X 3 4 3 4 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 54 Beechcroft Gardens Score 4 3 3 4 Standard No 37 38 39 40 41 42 43 Score 4 4 3 2 2 4 4 DS0000062638.V256177.R01.S.doc Version 5.0 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. 1. Standard 40 & 41 Regulation 17 Requirement The registered provider must ensure that all records, policies and procedure documents are reviewed and updated to help ensure that the best interest of residents are safeguarded at all times. Timescale for action 28/02/06 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 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 54 Beechcroft Gardens DS0000062638.V256177.R01.S.doc Version 5.0 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. 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