Inspection on 10/03/06 for Beach House

This inspection was carried out on 10th March 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 House 06/08/08

Beach House 10/10/07

Beach House 13/02/07

Beach House 07/08/05

Beach House 15/03/05

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Beach House 322 Padiham Road Burnley Lancashire BB12 6ST Lead Inspector Mrs Marie Dickinson Unannounced Inspection 10th March 2006 10:30 Beach House DS0000061294.V276121.R01.S.doc Version 5.1 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 House DS0000061294.V276121.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 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. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beach House Address 322 Padiham Road Burnley Lancashire BB12 6ST 01282 429657 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) Mr Alfonce Zindoga Mrs Concillia Tambudzai Zindoga Mrs Concillia Tambudzai Zindoga Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The registered person shall ensure that a suitably qualified and experienced manager who is registered with the Commission be employed in the home. The registered person shall ensure that staffing levels in the home remain at the same level as required by the Commission for Social Care Inspection The home is registered to provide personal care and accommodation for six people with a learning disability. 7th September 2005 Date of last inspection Brief Description of the Service: Beach House is a large garden fronted terraced house, situated within a short walking distance to Burnley Town, and is in keeping with the neighbourhood. Mr and Mrs Zindoga own the home and Mrs Zinoga is the registered manager. The home accommodates six people in four single and one double bedroom, most of which are en suite. There is a lounge, dining room, kitchen and laundry room, domestic in scale and appearance. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 10th March 2006. It is the second statutory inspection carried out this year. During the inspection, time was spent talking to the people who live at the home and staff on duty. What the service does well: What has improved since the last inspection? The telephone for residents use is in working order. Residents said they used it and people rang them. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 6 The front door bell is now linked to the staff sleeping in accommodation to benefit any resident who has not got a key. In addition to this in complying with fire regulation an emergency exit lock has been fitted. The percentage of staff trained to a National Vocational Qualification in Care level two is above the recommended 50 . 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 House DS0000061294.V276121.R01.S.doc Version 5.1 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 Beach House DS0000061294.V276121.R01.S.doc Version 5.1 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): 2,4 Procedures were in place to ensure all residents are admitted in a proper manner. Proper use of assessment information and planning for resident being admitted helped to make sure the home could offer the right care. EVIDENCE: There had been one new admission since the last inspection. He said he had wanted to stay at the home and ‘his dad and social worker talked to him about it’. Procedures were in place to ensure all residents are admitted in a proper manner. Proper use of assessment information and planning for a resident being admitted was considered important. Mr Zindoga said by following procedures, it was easy to make sure the home was suitable for the person. Usual practice includes inviting the person to spend some time at the home as part of an introduction plan to meet with staff and other residents. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 9 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 Residents benefited from good assessments to ensure that all their needs were considered. By discussing their own care needs meant they could have personal goals that staff knew about and helped them achieve safely. Information such as policies and procedures helped residents to be involved in all aspects of life in the home. EVIDENCE: Residents said they talked about their care with staff. Staff knew how they wanted to be helped. One resident said his carer spent a lot of time with him. He went with him to see specialists at the hospital and they discussed together how help required was to be provided. For example, what everyone should do when he felt angry or frustrated. Restrictions on residents doing what they liked that may cause them problems was discussed. This is recorded and agreed with them. Residents said these agreements helped them, and they understood the consequences if they were ignored. Residents benefited from the support of a member of staff called a ‘key worker’. The key workers role included the responsibility in making sure the Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 10 resident’s needs were met. Residents in the home said they were pleased with their carer referring to them as ‘ I am a lot happier with my carer, I can discuss anything with her, she always helps me,’ and ‘I go out with my carer and go on holidays’. Residents also talked about their carer taking them to hospital appointments and shopping’. The residents looked after their own money with the help of staff. They explained how this worked which they appreciated. They received money every week. Everyone said they chose to save some money for holidays, clothes and entertainment such as watching the local football team. The post office was near to the home. Residents said that they were involved in making decisions. They had meetings. They had their own their own policies and procedures they had agreed on, however residents would benefit holding their own copy for reference. Residents knew about risk management. They discussed what they did and how staff helped them manage difficult situations. For example, what they should do if they feel angry. Staff said action required to minimise the risk was recorded and agreed with all concerned. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 11 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): 11,12,13,14,15,17 Residents were given opportunities to live a fulfilling lifestyle that included social activities and learning new skills for personal development. Care was provided in such a way to protect privacy and dignity. Residents were helped to keep in touch with their families and friends. Residents were provided with a nutritious and varied diet. EVIDENCE: Residents said they were given opportunities for personal development. They said they followed weekly planners to show them what they did. In the kitchen the planner showed responsibilities each resident had for housekeeping. Staff helped them where needed. Activities for daily living and recreation were different for each person. This was linked to what each resident wanted and agreed. They said they pleased themselves what activity they joined in. residents talked about how they had progressed with studies at the local College, such as writing, number skills and Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 12 computer training. They kept records of achievement that were displayed in bedrooms. Residents were able to make full use of community facilities. This included for example shopping; social events and visiting relatives. One resident said he continues to support his local football team and also went to work part time. This involved making sure all the local people near his home received a copy of a newspaper. Public transport was used where possible. The owner said he was planning to provide transport for the residents in the future. Staff on duty said care plans had working guidance to follow for example when escorting residents for walks or to the shops or other venues. They also said they encouraged residents in activities. Residents discussed going on holiday. The visiting policy enabled residents to have visitors at any time and allowed for residents to refuse to see visitors if they wished. During inspection a visitor said she came nearly every day. Staff made her lunch sometimes. She enjoyed her visit to her friend. She chatted with her friend and could take part in any activity going on such as playing board games. One resident spent weekends with a relative. Residents said the food was good. It was to their liking. They were considering changing the menu to have healthier options. They planned their own menus and took turns to cook. Staff helped them. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 13 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 Residents received personal care in a personalised and dignified manner. Healthcare was monitored and these needs met satisfactorily. Medication was managed correctly. EVIDENCE: Residents said their routine was special to them. Their routines took into account planned activities. Residents confirmed support with personal care if needed was given in private. Their key worker mainly helped them. Residents said they liked their carer and were happy with how they helped them. Residents confirmed staff were involved with other professional people in their care. This included healthcare and part of the staff role was to help them attend medical appointments. One resident said she had been in hospital and also had regular medical check ups for an illness she had. Medication was managed properly. Residents had medication reviews that included managing their own if possible. One resident said she wanted staff to manage her medication, as it was safer that way. This had been discussed with her. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 14 Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 15 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 Residents felt their interests were protected. They were confident in the owners and staff to deal with complaints properly. EVIDENCE: Residents in the home were aware they had the right to make a complaint should the need occur. They had confidence Mr and Mrs Zindoga would listen to them. They said they also discussed issues with their carer and were happy with this arrangement. ‘ Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 16 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): 30 The home was very clean. EVIDENCE: Residents said they helped with housework. Everyone had some responsibility. The home was very clean and hygienic. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 17 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): 32,35,36 The number and skill mix of staff employed met residents’ needs. Staff were trained and supervised in their work. EVIDENCE: The current level of staffing was linked to the needs of the residents. The staff on duty during inspection was clear about their roles and responsibilities within the home. The residents were very happy with the staff in the home. They said they had time for them, and were involved in ‘home life’. One resident said she liked the fact staff stayed the same and there was ‘a good atmosphere. Every one got on fine’. All staff employed had attained the National Vocational Qualification in Care level two and above. In addition to this staff have received other training to help them in their career in social care. Staff said they enjoyed their work. They felt supported and were encouraged to attend relevant training. They received supervision regularly. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 18 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): 37,39,40,42 Residents and staff benefited from influencing how the home was run. Guidance and support was given to staff, which contributed towards ensuring the resident’s quality of life experience in the home was to their liking. The health, safety and welfare of residents was promoted and protected. EVIDENCE: Staff and residents said the owners spent time with them. They could speak to them individually and they were also involved in their care. Residents felt they ‘were listened to’. They had regular meetings to discuss issues that were important to them. During the last meeting for example they agreed to change the menus and asked for transport to be provided. The owners agreed to this. Since the last inspection the home has achieved and Investors In People Award. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 19 Staff said they had regular meetings, and had the opportunity to discuss work issues. They had support with training. Confidential records were locked away. It was discussed with Mr Zindoga that residents should have a personal copy of all records including up to date relevant policies and procedures. Training in health and safety is provided for staff to help them at work. Requirements and recommendations made by the fire department had been met satisfactorily. The health, welfare and safety of residents was considered in the management of the home. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 20 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 2 X 3 X Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 21 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. 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 YA37 YA40 Good Practice Recommendations It is recommended the registered manager inform the Commission when awarded relevant management qualification. It is recommended residents be given a copy of policies and procedures important to them. Beach House DS0000061294.V276121.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 House DS0000061294.V276121.R01.S.doc Version 5.1 Page 23 - 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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