Inspection on 27/06/05 for Beach House

This inspection was carried out on 27th June 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 House 09/01/09

Beach House 05/02/07

Beach House 06/12/05

Beach House 25/01/05

Beach House 10/08/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Beach House 1 Beach Avenue Birchington Kent CT7 9JS Lead Inspector Tina Taylor Unannounced 27/06/05 at 09:30 hrs 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beach House Address 1 Beach Avenue Birchington Kent CT7 9JS 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) 01843 845922 01843 845657 Mr S Walden, Mrs J Walden, Mrs G Page, Mr C Page Registered Care Home 8 Category(ies) of Mental Disorder registration, with number of places Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Beach House provides residential care for up to 8 ladies and gentlemen (all of whom are currently gentlemen) with mental health problems. The Home does not purport to provide specialist services but is able to access all necessary specialist services within the community. The Home comprises a semi-detached house in a residential area of Birchington, that is within easy walking distance of amenities such as rail and bus stations, leisure and sports centres, shops and churches, colleges, cinemas and concert halls. The Home’s ethos is based on providing a family style environment. Staffing comprises the Registered Persons and other family members, Mr & Mrs Walden live in the adjoining premises; all have a high level of input into the Home. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that started at 9.30am and lasted four hours. Mr Walden was out in the community with a resident, and Mrs Walden, Mrs Page and another family member carer were working in the home. A few residents were in the home going in and out as they wished. Other residents attend community projects. The inspector was able to spend time with four residents discussing life in the home and generally socialising with them. Time was spent talking with Mrs Walden, Mrs Page and a carer. A carer showed the inspector around the home. Some records were examined. What the service does well: This is a home were the residents are looked after well. It has a competent family staff team who know and understand the needs of the people living there. The residents spoken with said they were well looked after and happy at the home. Comments made by residents included “If I didn’t like it I wouldn’t stay”, “Gill’s a great cook”, “Jackie does the paperwork but all the staff have to do their bit and keep the records going”. Residents knew they could speak up if they had a concern, a resident said “We know we can make a complaint and speak to you about it, not that I have one”. The home carries out regular quality assurance questionnaires, and a comment from a resident said “A very nice place with all worries taken care of”. The home’s philosophy is to maintain a warm family environment and they have been successful in this. The residents were complimentary about the meals provided and said they were provided with an alternative if they didn’t like what was on offer. A resident said after he had taken his mid-day meal “You know when they say that was the best meal I have ever had – well that was”. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 6 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. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 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 standard(s) 1, 2 The home has an admissions process that ensures prospective residents have all the information they need to make an informed decision about moving into the home. There is a sound pre-admission assessment process. EVIDENCE: The home has a Statement of Purpose and Service User Guide that include all the information necessary for the residents to make an informed decision about moving into the home; it is in a clear and accessible format. The home carries out its own pre-admission assessment as well as receiving the placing care manager’s assessment. Evidence was seen on resident’s files that this process had been carried out. The owners take care to ensure that the needs of the residents already living in the home are not compromised by taking in residents whose needs cannot be met, or who would disrupt the balance of the home. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 9 There is a clear and consistent care planning system in place and it provides the information necessary to meet individual need and the management of potential risks. EVIDENCE: Resident’s care plans include individual aims and objectives, life histories/pen pictures, family links, medical/health appointments and instructions, financial arrangements and personal care needs and support. The reader is able to gain a clear insight into the needs and wishes of the residents. Daily reports are clear and indicate the service users involvement in activities, and their general well being. Service user plans are reviewed on a three monthly basis, with the involvement of the resident wherever possible. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 10 Some residents understood about care plans and said that staff had talked to them about what they wanted to do and achieve. The agreement and involvement of the resident has been documented wherever possible and wished. The residents are encouraged to maintain their independence and preferred lifestyle, and this has been achieved through a risk assessment process. Risk assessments show that health care professionals have been involved where appropriate, and that the resident is enabled to take responsibility for his own actions. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15, 16, 17 The home works well to ensure the social, personal and emotional needs of the residents are met. Residents are satisfied with the variety of meals provided. EVIDENCE: Two residents attend the garden gate project several times a week, and work has been found in a local charity shop. Some residents said they enjoy doing household chores such as dusting and vacuuming. A number of birthday cards are on display on a mantelpiece and a resident said that he normally moves ornaments when dusting but is just going round the cards because there were too many to move. A number of residents are fairly independent and go out and about to their own choosing, a resident said he still enjoys trips on the train to the Medway towns, another resident said he takes the bus to nearby towns. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 12 The home actively encourages the maintenance and improvement of family relationships, and this has proved beneficial to the residents. A couple of residents regularly stay overnight with family or friends. Family and friends are welcome to visit the home and are offered refreshments or a meal. The residents said the food is good and that Mrs Page is a very good cook. A resident said that if he did not like what was on the menu he could have something else. Two residents said they had recently had a birthday and had enjoyed a roast dinner and birthday cake. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 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 standard(s) 18, 19 Personal care is offered in a way to protect privacy and dignity and to promote independence. EVIDENCE: The residents are encouraged to maintain their independence with regard to personal care but appropriate assistance is provided where needed. Care plans identified where more assistance might be needed or where residents might need to do more for themselves. The resident’s care plans and daily records continue to refer to regular monitoring of healthcare needs, and prompt and appropriate referrals to Community Nurses, Consultants, G.Ps dentists, opticians etc. A carer usually accompanies residents on healthcare appointments, but residents are enabled to attend independently if this has been agreed through risk assessment. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 Residents know about the complaints system. The complaints process is good. EVIDENCE: Residents told the inspector they knew they had the right to make a complaint, and also that they could speak to the inspector if they had a problem. The residents said they had no complaints. The home has a complaints procedure in place. The home has a quality assurance monitoring system in place that will also identify any dissatisfaction. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24, 30 The standard of the environment is good providing the residents with an attractive and homely place to live. EVIDENCE: The owners have been making improvements to the home over the last couple of years that has included new windows and doors, hall, stair and bedroom carpets and bedroom furniture. The dining room and kitchen have also been upgraded to a good standard. The residents said they approve of the new furniture and fittings and said they were happy with their bedrooms. Residents are able to retain their own bedroom key and keep their room locked if they choose. Each resident has a personal lockable facility in their room. Resident’s rooms are individual and decorated with personal possessions to their own taste. The home was very clean and hygienic, and is being maintained to a good standard. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 The home has a recruitment and training programme that protects the safety of the residents EVIDENCE: Mrs Walden has recently reviewed and updated the home’s recruitment process. This will be used if or when a new staff member is employed. The home is managed and run by family members and as such has provided the residents with continuity of care. Mrs Walden arranges staff training courses. Last year three staff completed a ‘Working in Care Induction’ course that is in line with Sector Skills Council specifications. The training programme for staff includes loss and bereavement, challenging behaviour, health and safety, first aid and medication. Courses that have been and are to be attended include supervision and appraisal, risk assessment, infection control, medication, food hygiene and first aid. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 41 The management and conduct of the home is good and staff support each other well. EVIDENCE: The management of the home creates a warm, homely and positive atmosphere. Staff know their roles and responsibilities, and they all work together as an effective team. They all have a clear understanding and knowledge of the residents needs and work together in a consistent manner. The owner’s work hands on in the home and monitor the quality of the home on a daily basis. There is an annual development plan and maintenance programme in place and feedback has been sought from the residents. The home has provided feedback questionnaires to the residents and continues to have some good and interesting results. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 18 Mrs Walden has spent time in the last year reviewing and updating the home’s policies and procedures to a good standard; this will be an on-going process. Mrs Walden keeps the inspector up to date with what she is doing. Beach House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 19 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beach House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 3 x 3 x x H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 20 na 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 House H56-H05 S23359 Beach House V23507 270605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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. 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