Inspection on 20/07/06 for Beach Crest

This inspection was carried out on 20th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 14/02/06

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 Michelle Presdee Unannounced Inspection 20th July 2006 10:00 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.V298211.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. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 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 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.V298211.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 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.V298211.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection Dr and Mrs Faldu assisted the inspector. All service users were seen and those that were able were spoken with; two service users more at length. All areas except one bedroom were seen. Policies, procedures and other records were examined on the day. Two relative/visitor comment cards and tow GP comment cards were received, which all made positive comments about the home. What the service does well: What has improved since the last inspection? What they could do better: Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 6 The home needs to improve health and safety procedures in the kitchen. Training in some of the key areas including basic food hygiene, infection control and adult protection is needed. 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.V298211.R01.S.doc Version 5.2 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.V298211.R01.S.doc Version 5.2 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, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process provides sufficient information for care staff to meet all service users needs. Service users have a clear picture of what the home kill be like. The home does not provide intermediate care. EVIDENCE: The assessments of all six service users were looked at. The inspector was advised all new potential service users would be visited and assessed before they moved into the home. The home employs a liaison worker, who is a retired community psychiatric nurse, who is involved in the assessment, planning of care and reviewing process. All service users and their families and friends are invited to come and look around the home before moving in. The assessments gave a clear picture of each service users needs and abilities. Assessments included information on physical health, mood, mobility, handling, nutrition and a general risk assessment. Details of each service users Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 9 social and leisure needs were recorded. One service user had come into the home on a two week short stay a full assessment had been completed. In another case the service users assessment had been completed in the causality department and the service user moved straight into the home from causality. Discussions were held on the need to include specific risk assessments; for example a risk assessment should be completed for a service user who crosses the road to feed the birds. The home does not provide intermediate care. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 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): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans give sufficient information to identify service users needs and show how the needs are to be met by care staff. The medication procedure is followed, ensuring service users safety. The core values are promoted in the home ensuring service users are treated with respect and their right to privacy is respected. EVIDENCE: All six care plans were seen, all detailed clear information on how to meet each service users needs. Plans gave a clear picture for staff to be able to meet a service users needs. Separate notes were maintained on all health visits. The inspector was advised the home has good links with all health professionals and feels well supported by these. District nurses, community psychiatric nurses, GP’s, dentist, optician and chiropodist all visit the home. Comment Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 11 cards from two GP surgeries stated they felt the home offered a good level of care and they had good links with the home. Care plans are reviewed on a monthly basis and all changes in the care plan are recorded. At the present time no service users are managing their own medication. The home has a clear medication procedure, which is on the door of the medication cupboard. All staff have received training from the pharmacist on the administration of medication and most staff in the home have had some medical training. The inspector noted drugs were stored securely and there was no errors in the records or in the medication held. No service users are currently on controlled medication but appropriate storage was available and staff were aware of the procedures involved. From observations on the day it was clear serviced users were treated in a respectful and dignified manner. Service users spoken to praised the staff and felt they were very kind. Service user right to privacy was upheld. All staff were seen to knock on bedroom doors before entering. All bathroom and toilet doors had appropriate locks. One service user kept her room locked and kept the key around her neck. GP comment cards reported they can always see a service user in private. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 12 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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a variety of social activities, giving service users the choice to join in when they wish. Visitors are made welcome to the home. A varied menu with a choice and good quality food is served to service users. EVIDENCE: From discussions with service users and staff it was evident the home matches service users expectations. The home works hard to try and meet individual needs. One service spoke of her enjoyment of going out with a member of staff, another service user enjoyed trying to help in the garden. One service user was unsure if she was in the right home, arrangements had been made for her to visit another home twice; at which point she decided she was better where she was. Group activities are currently not appropriate in the home, but a record is made of activities offered. Two service users enjoy playing cards and play every day; one service user enjoyed the sport on television. At the current time service users have no specific religious needs, but the home will arrange visits to church, temples mosque’s on request, which is recorded in the service user guide of the home. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 13 The home encourages visitors to the home and for service users to remain in contact with family and friends. The statement of purpose clearly states there are no restrictions on visiting and the home needs to ensure this information is the same on all the homes written information. Visitors are offered a cup of tea of coffee when they visit. Menus were seen which demonstrated meals were both varied and nutritious. One service user did make comments that the food was average and tinned meat was used a lot. This was discussed with staff who informed the inspector most meals were served with fresh meat. They were aware of one service user who did not like the meals but explained an alternative is always offered but usually declined. The service user confirmed a choice is offered but stated she did not like to put the staff to any trouble. On the day of the inspection fresh beef was being used for the main meal. A discussion was held on displaying the menu in the home on a daily basis, which the proprietors agreed to do. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 14 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): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users felt confident their complaints would be listened to and acted upon. Service users are protected from abuse and staff have adequate knowledge on dealing with suspected abuse. EVIDENCE: The home has a complaints procedure displayed in the home, which has all relevant details and information. Comment cards received stated they were aware of the homes complaints procedure. The home has had no complaints since the last inspection. The home has a comments book and it was noted all comments in the book were of a very positive nature commentating on the care staff the ambience of the home. The home has a policy and procedure relating to adult protection and other relevant information. Dr and Mrs Faldu have attended a training session on abuse and had reported this information to the care staff in the home. Both felt care staff would be competent to deal with suspected abuse and know whom to inform. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 15 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, 20, 24, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean, pleasant and well-maintained environment for the enjoyment of service users. All carpets need to be secure to ensure the safety of service users. EVIDENCE: All areas of the home were seen except one bedroom, which is kept locked by the service user. All areas of the home were clean, tidy and furnished to a standard that creates a homely environment. No unpleasant odours were detected around the home. Service users have furnished their own rooms and the lounge/dining room with their own furniture. It was noted in one bedroom carpet tiles had been laid, but these were not glued to the floor and moved. It was agreed these could pose a risk to the service user and should either be removed or stuck down. It was also noted in a couple of the rooms the vanity Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 16 units were in need of touching up. The home has a combined lounge/dining room, which overlooks the homes large garden. The home has a laundry away from the main building, which has procedures for staff to follow. The washing machine has the facility to deal with soiled linen. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 17 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): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good recruitment procedures, which ensures service users needs are met by sufficient numbers of competent staff. Training records need to be maintained to ensure care staff have up-to-date training to equip them to meet service users needs. EVIDENCE: The home employs five members of care staff plus Dr. and Mrs Faldu who are also on the duty rota. The home also employs someone who works as a liaison worker, working on assessments, care plans and staff training. The duty rotas seen indicated there is always a minimum of two members of staff on duty. At night one person works a waking duty and the other works a sleep-in duty. The owners on a regular basis undertook some of these shifts. Staff were observed working in a respectful manner supporting service users dignity and privacy. The staffing records of the last two members of staff to join the home were examined. It was found all necessary checks had been undertaken. An induction programme had been undertaken and signed by both parties. Training records were available and demonstrated care staff had in-date Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 18 training in moving and handling, fire training, first aid and medication handling. However no records could be found to demonstrate care staff had indate training in basic food hygiene, infection control or adult protection. One member of staff has gained an National Vocational Qualification (NVQ) Level 2 and two members of staff are undertaking an N.V.Q. Level 2. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 19 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. Service user and visitors views contribute in the development of the home. Service users finances are protected. The health and safety procedures in the home are generally good, but these must be tighter I the kitchen to ensure service users are protected. EVIDENCE: The owners have years of experience running a care home. It was clear from discussions with service users and comment cards received Both Dr and Mrs Faldu spend considerable time in the home and have a good relationship with service users, visitors and other professionals. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 20 It was clear from discussions and from observations the home is run in the best interests of service users. Efforts are made to ensure service users needs are met. The home has recently carried out a survey on visitors to the home. This was seen and all comments were of a positive nature. The inspector was informed the home does not manage or become involved in any of the service user’s finances. It was noted in one service users file information had been received from the court of protection and one of the officers had been to see the service user. The home has adequate policies and procedures in the home. It was noted the health and safety arrangements in the kitchen were in need of improving. Currently the temperature of the fridge and freezers was not being recorded. The temperature of the probe thermometer was also not being recorded. The fridge had food stored, which was not labelled or dated and some staff were unaware of what was contained. It was agreed this would be improved and temperatures would be recorded. It was also agreed Dr and Mrs Faldu would store their food in their own fridge and the food for service users would be stored in the other fridge. It was noted in all but one toilet soap was available. The inspector was advised this is due to one service user regularly removing the soap from this toilet. Boxes of plastic gloves were seen around the home. The inspector was advised all cleaning materials and chemicals are kept in a locked cupboard. The fire-log book was seen, which demonstrated all necessary checks were being carried out in the agreed timescales. All staff receives two sessions of fire training in a twelve-month period from an outside trainer. All service users’ bedroom doors have been fitted with automatic fire closures. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 21 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 3 3 X X X 2 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 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 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 22 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 2 Standard OP24 OP30 Regulation 16 (2) (c) 18 (1) (c) Requirement The carpet tiles must be secure to the floor or removed. All staff must have in-date training in the core areas including basic food hygiene, infection control and adult protection. Health and safety measures must be followed in the kitchen. Fridge, freezer and food temperatures must be recorded. All food in the fridge must be labelled and dated. Timescale for action 01/10/06 01/11/06 3 OP38 13 (c) 01/10/06 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 OP3 Good Practice Recommendations Individual risk assessments where necessary are carried out. Beach Crest DS0000012135.V298211.R01.S.doc Version 5.2 Page 23 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.V298211.R01.S.doc Version 5.2 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. 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