Inspection on 14/02/06 for Beach Crest

This inspection was carried out on 14th February 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 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

Beach Crest 20/07/06

Beach Crest 05/07/05

Beach Crest 06/12/04

Beach Crest 26/04/04

Beach Crest 01/12/03

Beach Crest 11/11/02

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Beach Crest Marine Drive East Barton-on-sea New Milton Hampshire BH25 7DX Lead Inspector Keith Hopkins Unannounced Inspection 14th February 2006 13:15 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 Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 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. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beach Crest Address Marine Drive East Barton-on-sea New Milton Hampshire BH25 7DX 01425 612506 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) Doctor Vallabhdas Faldu Mrs Shobhna Faldu Care Home 7 Category(ies) of Dementia - over 65 years of age (7), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (7), Old age, not falling within any other category (7) Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: Beach Crest is situated on the seafront in a residential area close to local amenities and approximately one mile from New Milton town centre. It provides residential care for up to 7 elderly residents, many of whom may have dementia. The home is on ground and first floors and there is a stairlift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Five of the bedrooms are single and one is a double, with the double having an en suite bathroom and toilet. There is a lounge/dining room on the ground floor. There is one communal toilet on the ground floor and a bathroom and separate toilet on the first floor. Car parking is available to the front of the building and there is a garden to the rear of the property. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two and a quarter hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the person in charge and two other members of staff. The inspector was able to spend some time with residents communally in the lounge, with all of the home’s six current residents choosing to spend time there rather than in their bedrooms. The majority of residents are mentally infirm and unable to express a view about the home although the inspector was able to have brief conversations with two residents. The inspector was also able to speak with a visiting relative. What the service does well: What has improved since the last inspection? No areas were identified on this occasion. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 6 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. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 7 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 Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The admission process is well managed with an assessment of needs being done to ensure these can be met. Residents are given clear information regarding the service to enable them to make an informed choice about where to live. EVIDENCE: There was a clear understanding by person in charge at the time of the inspection of the type of resident suitable for the home and anyone wishing to be admitted is visited in their own home beforehand when an initial assessment is undertaken. Two assessments relating to the two most recently admitted residents were examined and contained a good level of detail. These assessments included information regarding physical health, mobility and mood. Also included were assessments of handling, nutrition and a general risk assessment. Details of recreation and leisure interests were included. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 9 A visitor to the home said that his relative was ‘more than happy’, ‘did well for himself’, and had ’really settled in’. The inspector also noted that a community psychiatric nurse had commented in review documentation that a resident had ‘settled well’. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous occasion. EVIDENCE: Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. The provision of a range of opportunities for stimulation is appreciated by residents, who also enjoy a varied and nutritious diet. EVIDENCE: During the inspection residents were relaxing in the lounge and a number were watching television. This had been recorded in care plans as being particularly enjoyed by several residents. The inspector was informed that the current group of residents tended to prefer quieter ‘in house’ activities and the record kept in the activity book indicated that playing cards, doing crosswords and word games were undertaken on a regular basis. One resident confirmed the extent to which there were choices over everyday activities, and the inspector was informed that she enjoyed going out to a local garden centre. Another resident was said to enjoy pottering in the garden in the summer. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 12 A visitor to the home was spoken with saying that he was ‘ more that happy with the care’ and that his relative was ‘well looked after’. The inspector noted that information in the home’s statement of purpose referred to visiting times being limited to the afternoons although was informed by staff that this was no longer the case. It is recommended that this information be changed so that it is accurate. The home’s menus were examined and were varied, the inspector being informed that the home was currently catering for one diabetic. A cooked breakfast is provided for those residents who want this and residents can have their breakfast in their bedrooms if they wish. Other meals are taken communally. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. Residents are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a policy and procedure relating to adult protection. Staff confirmed their understanding of what to do in the case of suspected abuse, and were also aware of the home’s whistleblowing procedure. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 and 26. Residents enjoy comfortable private and communal surroundings which could be enhanced through some redecoration and ‘freshening up’ in some areas. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a homely ambience although some of the bedrooms appear a little ‘worn’, others having recently been redecorated. The inspector was informed that the home’s programme of redecoration was continuing and that a recently vacated bedroom on the first floor was to be the next room done. It is also expected that some communal areas will be recarpeted shortly. Three residents’ bedrooms were inspected and were adequately furnished and looked homely, as residents had been able to bring items of their own furniture and possessions with them. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 15 There is a large attractive garden to the rear of the building, and a small area at the front of the building for car parking. The ‘tour’ of the building showed it to be clean and free from any unpleasant odours. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous occasion. EVIDENCE: Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The home is well managed and residents’ welfare is promoted through sound policies and procedures. Financial interests are safeguarded, although residents’ relatives need to have a more formal means of influencing policy and practice. EVIDENCE: The owners have a considerable number of years experience in care home ownership and there are clear lines of accountability within the home. The inspector saw residents being consulted by staff informally on day to day care issues but was informed by the person in charge that the home did not consult residents or their relatives formally by way of, for example, a questionnaire or something similar. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 18 It was confirmed to the inspector that the home did not need to involve itself in dealing with any residents’ monies and that any assistance needed is provided by relatives or more formally through the court of protection No immediate obvious hazards to health and safety were observed by the inspector during the inspection and staff were clearly aware of issues relating to these areas. A sample of policies and records required by regulation was inspected and all were in order and up to date. This included, for example, the home’s waste disposal policy and its specific procedure for dealing with clinical waste. The home’s laundry is fit for purpose and contains a machine with disinfection capability. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 19 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X 3 X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 20 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. 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. 1. 2. Refer to Standard OP1313 OP3333 Good Practice Recommendations It is recommended that the registered person updates the home’s policy regarding visitors. It is recommended that residents and their relatives be formally consulted on an annual basis. Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Beach Crest DS0000012135.V282457.R01.S.doc Version 5.1 Page 22 - 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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