Inspection on 05/07/05 for Beach Crest

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 14/02/06

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 BH25 7DX Lead Inspector Keith Hopkins Unannounced 05.07.05 12:30 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 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 H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dr Vallabhdas Faldu Mrs Shobhna Faldu CRH 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 H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6.12.04 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 H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three and a half hours were spent visiting the home. The opportunity was taken to look round the home, view records and policies and to talk to the owners, and two other staff on duty. Several of the residents were observed being cared for. Four were spoken with, two of whom privately in their bedrooms. What the service does well: What has improved since the last inspection? What they could do better: Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 6 The home needs to pursue its staff training programme to ensure that further members of the care staff have undertaken training to NVQ level 2. 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 H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 9 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 standard(s) 7, 8, 9 and 10. Residents are well looked after in respect of their health and personal care needs, and have their privacy and dignity respected by staff. EVIDENCE: Care plans contain a good level of detail with a clear plan of action to meet assessed needs and are reviewed. The three plans examined also contained information regarding access to specialist health care staff. At the time of the inspection a community psychiatric nurse was visiting to assess the changing needs of one resident. The owner said that no residents are currently able to deal with their own medication, written risk assessments within care plans confirming this to be the case. There is a procedure for the dispensing of medication. Drugs were securely stored and associated records were in order and up-todate. Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 10 Observation during the inspection showed that the owners and staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on doors and await a response before entering and spoke to residents in a respectful way. One resident said that living at the home was ‘nice’ and another that she ‘liked the quiet’. Someone else said that she was able to go for a walk sometimes. Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. Arrangements for responding to residents’ and relatives’ concerns are satisfactory. EVIDENCE: The home has a complaints policy and procedure, a copy of which was on display in a prominent area of the home. Staff were aware of this policy and procedure. There have been no complaints for the home to deal with since the last inspection. The home has a comments book which contained several compliments from relatives including phrases such as ‘very good care’, ‘ambience delightful’ and ‘well looked after’. Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24, 25 and 26. A comfortable clean and safe standard of accommodation with suitable facilities to meet residents’ needs is provided. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a homely ambience and there is a programme of redecoration and refurbishment in place. There is a chairlift between ground and first floors. There is a lounge/dining room on the ground floor. There is a communal toilet on the ground floor, and a separate toilet and bathroom with a toilet on the first floor. Four 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. One resident in her bedroom said she was having a rest and another in her room said how nice it was. Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 14 All areas of the home smelled pleasant and were cleaned to a high standard. The home has a laundry separate from the main building, and written procedures for staff to follow in dealing with items to be washed. The washing machine has the facility to deal with soiled linen. Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28, 29 and 30. Staff at the home are soundly recruited and are employed in sufficient numbers to meet residents’ needs, and knowledge and skills in some areas are being enhanced through the home’s training programme. EVIDENCE: The staff rota indicated there to normally be two persons on duty at all times during the day and, at night, one person on a waking duty and one ‘sleepingin’. Some of these shifts were undertaken by the owners on a regular basis. The two care staff on duty were observed during the inspection to be providing assistance to residents in a kind and dignified manner. Two staff files examined indicated a sound recruitment process, and evidence of an induction programme upon appointment. Written references were in evidence as were Criminal Record Bureau checks. Two members of staff whose files indicated the attendance on a number of training courses confirmed this to be the case and one added that she had recently commenced NVQ Level 2 training. The owners confirmed that a total of three further staff members were undertaking NVQ Level 2 qualifications. Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 16 Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x 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 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 19 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 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. Refer to Standard Good Practice Recommendations Beach Crest H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 H54 S12135 Beach Crest V234394 5.07.05.doc Version 1.30 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!