Inspection on 06/12/05 for Beach House

This inspection was carried out on 6th December 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 27/06/05

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 Beach House 1 Beach Avenue Birchington Kent CT7 9JS Lead Inspector Tina Taylor Announced Inspection 6th December 2005 10:00 Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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 DS0000023359.V262382.R01.S.doc Version 5.0 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 DS0000023359.V262382.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beach House Address Beach House 1 Beach Avenue Birchington Kent CT7 9JS 01843 845922 01843 845657 beachhouse@fsmail.net 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 Christopher Dennis Page Mr Stephen David Walden, Mrs Gillian Barbara Page, Mrs Jacqueline Patricia Walden Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Beach House DS0000023359.V262382.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 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 semidetached 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 homes 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 DS0000023359.V262382.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that started at 10am and lasted five and a half hours. The owner/manager (Mr Walden), Mrs Walden (owner), Mrs Page (owner), and other family members were all on duty. The residents were in and out of the home going about their various businesses or attending community projects. The inspector was able to spend time talking about life in the home, and generally socialising, with four residents; the inspector would like to thank the residents for their warm welcome. Discussion was held with Mr and Mrs Walden and Mrs Page and some records were examined. The inspector received two completed questionnaires from relatives and three from residents, all of which were complimentary. What the service does well: This is a home where the residents are looked after well. The home is family run and the resident’s benefit from the continuity of care of the family group. Some of the comments received from the residents about what is good about the home include “freedom to do what I like”, “friendly”, “clean”, “mixed things to do before I am old”, “staff go out of their way to give me food I like”, “got friends”. A resident also said, “we are looked after very well here and don’t you let anyone tell you any different”. Relatives were complimentary about the care provided and one said, “I couldn’t ask for better care”. The owners are always striving to improve and learn and take their commitment to providing the best levels of service very seriously. They accept and take on new ideas and different ways of working, and provide the training necessary. The home has a very good medication system that is clear and well documented. Staff have received formal medication training and first aid, and are kept up to date with changes in medication and usage. The resident’s medication needs are well managed and a resident said he was very pleased that he had been enabled to reduce his levels of medication with appropriate support and advice from staff. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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 DS0000023359.V262382.R01.S.doc Version 5.0 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 DS0000023359.V262382.R01.S.doc Version 5.0 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): 1, 2 The home’s statement of purpose and service user guide provides the residents with the information they need about life in the home. EVIDENCE: The home’s statement of purpose is kept under review and the inspector is provided with the relevant information as it is completed. The service user guide includes all the information necessary for the residents, in a clear and accessible format. The residents said that they knew there was information and records but preferred to leave it all in the hands of the owners as it caused them anxiety. Details of services that are not included in the fee (hairdressing, private phone installation, dry cleaning) are detailed in the statement of purpose. Before any new resident is admitted to the home, the owners carry out their own pre-admission assessment and obtain the assessments completed by social services representatives. These documents were seen on resident’s files. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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, 9, 10 There is a consistent care planning service in the home and the residents know their needs will be met. EVIDENCE: The resident’s files showed evidence of a clear care planning process with aims and objectives, life histories, family contacts, medical and health care appointments and instructions and financial arrangements. Mrs Walden carries out three monthly reviews of the care plans and risk assessments and in discussion with the inspector said that the format of care planning would be reviewed and updated to include further areas of need and risk, as identified in the mental health assessment. A number of residents remain fairly independent and go out and about on their own. Long-term work has been undertaken to support residents in improving their skills to enable them to have the levels of independence they wish for. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 Page 10 Mrs Walden said that the residents are informed that records have to be kept on them to ensure their well being, and that most residents prefer not to have any involvement, as it can cause anxiety; this was confirmed in discussion with some residents. It was seen that some residents have been involved in the care planning process and have signed documents as appropriate. Some residents said that the owners talk to them about what is happening in the home, and that all staff talk to them about what they would like to do and achieve. A resident said that staff were helping him to write Christmas cards and to get them sent off in good time. A resident said that if he asked for something he got it, and that he enjoyed going out shopping with an owner. Some residents said that they liked helping out with some household chores such as dusting and vacuuming, and making their own beds. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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, 13, 15, 17 The home works well to ensure the personal needs of the residents are met. The residents remain satisfied with the quality and variety of meals provided. EVIDENCE: The residents are enabled to pursue the activities they wish through learning and improving on their self-help skills and levels of independence. Residents attend a garden gate project several times a week and work has been found in a local charity shop. A resident has an attendance certificate from Thanet College in Art for All. A resident said that he was still able to use the local train service to visit friends in Medway. A number of residents have rover tickets for the use of public transport in the Thanet area. Relatives were complimentary about the care provided to the residents and of the contact arrangements made with the home. Residents spoke of their relatives and how staff enabled them to maintain contact with them. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 Page 12 The residents said they had received a “wonderful” Sunday roast and that “Jackie outdid herself, it was as good as Christmas dinner”. The record of food provided showed a good variety of meals that were nutritionally sound, and also showed the alternatives provided. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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): 20 The medication in this home is well managed promoting good health EVIDENCE: The home provides a safe system for the administration of medication. The records were in good order and show receipt and disposal of medicines. The Royal Pharmaceutical Society Guidelines are contained within the medication file for reference, as is a product identification booklet, a patient handbook for a particular medication, and information sheets on each medication in use. Mrs Walden said that all staff have now attended a Management of Medication course and that all staff have updated or completed first aid training this year. Safe systems are in place for residents who wish to self medicate and agreements for medication taken away form the home for holiday use. Mrs Walden said that residents had regular review of their medication. A resident spoke of how pleased he was that his medication had been reduced, and that he had discussed with a health care professional how it could safely be reduced even further. He was very complimentary about the help and support he had been given by the home to enable this to happen. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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 the following standard(s): 22, 23 Residents know their complaints will be listened to and taken seriously. The home takes the protection of adults seriously. EVIDENCE: A resident told the inspector that he knew she was visiting the home and that he was free to speak about any problems he may have with the home; the residents was quick to point out that he did not have any complaints. Residents confirmed they could speak to any staff member if they had a worry or concern. A formal complaints procedure is in place. The home also has quality assurance systems in place to identify any areas of dissatisfaction. There have been no complaints made about the home. The home has its own adult protection policy and a staff member has attended adult protection training. Mr Walden said that as part of his personal development for the coming year he would be attend adult protection training. Mr Walden also said he would obtain the Kent & Medway adult protection guidance and a copy of the Department of Health’s “No Secrets”. These documents would then form part of on-going in-house training for the staff. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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 the following standard(s): 24 The residents are provided with an attractive and homely place in which to live EVIDENCE: The owners have had an on-going programme of refurbishment and the home looks warm and welcoming. Improvements have been made that include new windows and doors, carpets and bedroom furniture. The dining room and kitchen are well designed and furnished, and homely. The home has recently been awarded a “gold” standard from the environmental health department in the clean food award. The residents said they like the improvements made to the home and that they were happy with their rooms. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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 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): 33, 36 The resident’s benefit from a competent and well-trained staff group. EVIDENCE: The owners and other family members run the home and the residents said they appreciated the family environment. A resident said he had seen the owners children grow up into adults and informed the inspector that an owner’s grandchild was due to be born any day. The resident’s benefit from the stability of a family staff group. The home has a training programme in place for staff that ensures core subjects are regularly updated. Mr Walden has just successfully completed the NVQ Registered Managers award, and has also completed training in the supervision and appraisal of staff. Staff supervision is undertaken two monthly and appraisal is completed twice a year. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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 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): 42, 43 The home is well managed and provides the residents with a safe place in which to live. EVIDENCE: The staff group have the necessary training to ensure the home is run in a safe manner. The environment is well maintained and service contracts are kept up to date. Fire tests are regularly carried out and Mrs Walden said that the staff knew which resident would not respond and prompt him as necessary. A fire risk assessment has been carried out; the fire safety officer has seen it. The residents said that if the owners see anything that is wrong, they quickly put it right. The owners have a business plan that ensures work is undertaken in a timely manner and to ensure continued financial viability. Building work is expected to be undertaken in spring of next year, and following that, work will continue of the upgrading of the remaining bedrooms. Beach House DS0000023359.V262382.R01.S.doc Version 5.0 Page 18 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 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beach House Score X X 4 X Standard No 37 38 39 40 41 42 Score X X X X X 3 X DS0000023359.V262382.R01.S.doc Version 5.0 Page 19 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. 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 YA6 YA23 Good Practice Recommendations The care planning and risk assessment formats to be updated to include further areas of need More information to be obtained to inform the adult protection process Beach House DS0000023359.V262382.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Beach House DS0000023359.V262382.R01.S.doc Version 5.0 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. 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