Inspection on 09/01/07 for Beach House

This inspection was carried out on 9th January 2007.

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 09/10/07

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Beach House 94 Alexandra Road Parkstone Poole Dorset BH14 9EP Lead Inspector Marion Hurley Key Unannounced Inspection 9th January 2007 10:00 DS0000068329.V324848.R01.S.doc Version 5.2 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 DS0000068329.V324848.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 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. DS0000068329.V324848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beach House Address 94 Alexandra Road Parkstone Poole Dorset BH14 9EP 01202 700042 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) Harbour Care Limited Mrs Gwendoline Anne Dale Care Home 8 Category(ies) of Learning disability (8) registration, with number of places DS0000068329.V324848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Beach House was first registered in October and is registered to provide care for 8 people with a learning disability. It is situated close to the centre of Parkstone, which has a range of amenities and shops. The home is a detached property situated in a residential street and has been totally refurbished to a high standard. Accommodation is spacious and comprises a lounge/dining room, quiet lounge and kitchen. All bedrooms have en suite facilities and are situated on the ground and first floor. The front of the property provides ample car parking spaces on the tarmac driveway and to the rear is an enclosed garden, with a patio area. Harbour Care, who are just establishing themselves in the county of Dorset, own the home and the company have plans to develop further services in the future. Mrs Went – the Responsible Individual has previously owned a company in Sussex, which provided care homes to people with a learning disability and therefore has considerable experience in establishing this new service in Dorset. The aim of the home is to provide a safe and supportive environment and to promote the emotional, social and independence skills of the service users. The company promote a clear perspective on respect for the rights of individuals to privacy and dignity and to work in partnership with families and other agencies. DS0000068329.V324848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The support received and the experience of all three service users was looked at in detail during the visit, together with care records, staff records and general home management records. One service user and one support worker and the Registered manager were available on the day of the inspection and all were spoken to and observations of care practises were made. What the service does well: What has improved since the last inspection? The home has just opened, and has not been inspected before. DS0000068329.V324848.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. DS0000068329.V324848.R01.S.doc Version 5.2 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 DS0000068329.V324848.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a thorough assessment process that clearly identifies needs and strengths and this process helps ensure that the facilities and staffing arrangements can meet the service user’s individual needs and aspirations. Service users are introduced to the home sensitively, and a range of information about the home is available. EVIDENCE: A range of information is available for prospective service users, and their families and placing authorities. The statement of purpose accurately reflects the service provided, and the service user guide is available in symbol format. Three service users are currently living at Beach House, two moved in October 2006 and the third in November 2006. Assessments were completed with the service users in their own homes and whilst attending day services. All three service users had the opportunity to visit the home prior to accepting their placements all are undertaking a trial stay which may vary from six weeks to three months according to the service user’s individual needs. The manger outlined the process and provided details of the assessments, and introductory visits. Where possible service users are invited to choose their own bedroom DS0000068329.V324848.R01.S.doc Version 5.2 Page 9 and in the current group of service users living at beach House one person clearly identified a preference for a particular bedroom. All three service users transferred to the home with care plans from their previous homes. Service user files were looked at and contained a range of assessments and information including health needs, medical history, personal information and details of their personal strengths and leisure interests There was evidence that service users, relatives and relevant professionals were all involved in the process of the individual assessments, and that the assessments are reviewed and regularly updated. DS0000068329.V324848.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans are still being developed as the staff get to know and understand the service users. However, it was evident from discussion with staff and observations that already service users are encouraged to make decisions and be involved in the running of the home within a safe framework based on risk assessments. EVIDENCE: Each service user has a Care Package File, which contains detailed information including a service user profile; sleep chart, activity plans, any specific restrictions of choice, daily notes and their support needs. There is good cross-referencing between incident reports, daily records and risk assessments. One service user, who has particular health needs, had detailed support plans and specific action to be taken by staff to ensure the service users well being and safety. Service users have a range of abilities and at this stage it has not been possible to involve them fully in the care planning DS0000068329.V324848.R01.S.doc Version 5.2 Page 11 Process. However the manager explained they have met with parents and hope in the future to establish practical ways to ensure all the services users can make a contribution to their plans. The files also contain the service users indivual contracts, emergency contacts, information about how to complain, accident and incident reports, information about getting older and their own service user guide. The manager hopes that in time all these documents will be produced in formats that are more easily understandable for the service users. The service user guide has already been completed in a practical format and whilst not all the current service users understand the symbols it is a userfriendly document for them to use. Daily notes were clearly written and staff were observed to respond positively to the choices and decisions made by one of the service users who was present during the visit. Staff were also observed to present choices in a manner that the service user could understand for example reducing the complexity of sentences and using objects available for reference. Person Centred Plans/Lifestyles will also be introduced, to ensure service users are consulted about their future hopes, aspirations and goals. The manager explained the staff team are not rushing to complete this work as they feel rightly it is very important to understand each person, their likes and dislikes their different behaviours and methods of communicating their needs and wishes first. At this stage the manager feels service users are still settling in to their new environment and routines and learning about the team that support them. Goal planning in conjunction with practical risk assessments are currently being completed and those seen outline how service users can develop skills whilst ensuring that risks are minimised. All records are stored in a lockable office or cabinet and the manager demonstrated knowledge of their responsibilities for maintaining service user confidentiality. DS0000068329.V324848.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activity plans are being developed to ensure service users have a structured and enjoyable timetable. Educational opportunities are currently being researched. Catering arrangements reflect individual choices. EVIDENCE: Because the home has only recently opened it is difficult to fully assess some standards in this section. Activity plans are being developed, as staff get to know service users and service users express their wishes. The three service users living at the home have basic activity timetables covering a working five day week. There is a mixture of home based activities, and external activities i.e. walks, swimming, bowling and outings. One person continues to attend the day services they were previously attending prior to their move and DS0000068329.V324848.R01.S.doc Version 5.2 Page 13 another has just commenced at Poole College and Dorset House joining a garden and recycling group. The activity timetables are displayed in each service users bedroom and the different activities are illustrated in words and symbols. There is also a photograph of their key worker in their bedrooms. As previously mentioned the manager is currently developing Lifestyle files for each of the service users and when completed these will contain their preferred activities and any aspirations for the future. Some information is currently available in the service users assessments and goal plans. However the manager stated they intend to update all the information to create new Lifestyle Plans for each service users. Families and friends are welcome to visit and the visitors’ book looked to be well used. There was also evidence of service users going home to visit families. Catering arrangements are of a domestic nature. With only three service users, it has been possible to accommodate individual choices for each meal and this was observed during the visit. As occupancy increases service users will be involved in menu planning, there is currently a four-week menu, which is the basis for meal plans. One person was preparing lunch with help from the staff. DS0000068329.V324848.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health and personal needs are met and they are protected by related policies and procedures. EVIDENCE: Each service user has a clear section in their plans relating to their personal care & health needs. Records in relation to needs such as the management of epilepsy, dental, GP, chiropody, psychology and psychiatry were all evident. Care plans also reflect emotional needs such as withdrawal from company and anxiety. Staff have already made positive links with local community teams and have accessed multi agency networks, which will support the general welfare and protection of the service users. The service users are registered with the local GP practice and two have recently had medical check ups and been issued with personal healthcare records. Recording and administration of medication was satisfactory. A monitored dosage system is used for medication. A secure cabinet fixed to the wall is in each service user’s bedroom together with a file for their medication records. DS0000068329.V324848.R01.S.doc Version 5.2 Page 15 In addition there is large separate storage cupboard available for any other medication or where records cannot be safely maintained in the service users own bedroom. All staff have received training from the Pharmacist supplying the medicines. DS0000068329.V324848.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for dealing with complaints are satisfactory however; at this stage not all staff have received training in the Protection of Vulnerable Adults though all have signed as having read the policies and procedures. The home has accessible policies and procedures. EVIDENCE: There have been no complaints or concerns raised since this home opened. A copy of the complaints procedures is in each service users care package file and is present in written and symbol format. Staff were seen to listen to what services users had to say and they responded positively to their views. The manager advised that all staff would be attending training courses on vulnerable adults/ Adult Protection and it is recommended this be completed as soon as possible. DS0000068329.V324848.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 and 30 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 comfortable well decorated and maintained environment of a very high standard for residents to enjoy. EVIDENCE: The home has been extensively refurbished prior to registration and there is a good range of communal areas, a large enclosed rear garden and all bedrooms have en suite facilities. Bedroom were nicely personalised with posters, photographs of friends and families. Communal space comprises a lounge/dining room, a quiet smaller lounge and kitchen all on the ground floor. Furniture and fittings are of a good quality. On the day of this inspection the house was found to be clean, tidy and hygienic throughout. Service users are encouraged to help to maintain the clean and tidy environment as part of their home management skill development. Substances used for cleaning were securely stored in clearly marked cupboards. DS0000068329.V324848.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels allow for individual support to be provided. The newly appointed staff are still at the stage of developing into a really effective and consistent team however, progress is being made and once achieved this should ensure service users receive a quality and consistent level of care. EVIDENCE: Staff are all newly recruited or have transferred from other homes previously owned by the Responsible Individual Mrs Went. At the time of this inspection the manager was developing individual training records. These have subsequently been received and were noted to be comprehensive identifying all mandatory training dates, LDAF induction and foundation courses plus areas of other training needs identified i.e. epilepsy, diabetes, challenging behaviour and adult protection. DS0000068329.V324848.R01.S.doc Version 5.2 Page 19 The company has recently registered with Partners in Care who will provide appropriate resources to ensure staff access appropriate and quality training events in addition to completing national vocational training. (NVQs) Three staff files were checked and recruitment records required by the Care Standards Act 2001 were in place including Criminal Record Bureau checks and employment references. There was evidence of regular supervision both from discussions with staff and the records kept in the home. Staff said that they have received good support from the management team who they have found open and helpful. DS0000068329.V324848.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is enthusiastic about developing the service and the home appears to be well managed and organised. Health and safety precautions were satisfactory to ensure that service users are safe. EVIDENCE: Because the home has only recently opened, it is difficult to fully assess some standards in this section. The manager is experienced and has worked with Mrs Went the Responsible Individual before. Both are experienced and have ideas for monitoring the DS0000068329.V324848.R01.S.doc Version 5.2 Page 21 quality of this new service provision. Service user meetings have commenced but at this stage these are more about giving information than consultation. However, the manager hopes over time service users will feel confident and find ways to express their views in these meetings. Daily environmental checks, and weekly health and safety checks are conducted. The home is newly registered and maintenance and servicing arrangements were found to be satisfactory at the time of this inspection. The fire safety records were seen to be up to date and there was a record of a recent fire evacuation drill. DS0000068329.V324848.R01.S.doc Version 5.2 Page 22 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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X DS0000068329.V324848.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations DS0000068329.V324848.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000068329.V324848.R01.S.doc Version 5.2 Page 25 - 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!