Inspection on 09/01/09 for Beach House

This inspection was carried out on 9th January 2009.

CSCI found this care home to be providing an Excellent service.

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 05/02/07

Beach House 06/12/05

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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Beach House Beach House 1 Beach Avenue Birchington Kent CT7 9JS     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joseph Harris     Date: 0 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Beach House 1 Beach Avenue Beach House Birchington Kent CT7 9JS 01843845922 01843845657 beachhouse@fsmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Christopher Dennis Page,Mr Stephen David Walden,Mrs Gillian Barbara Page,Mrs Jacqueline Patricia Name of registered manager (if applicable) Mr Stephen David Walden Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Beach House provides residential care for up to 8 people with mental health problems. The home does not provide specialist services but is able to access all necessary specialist services within the community. The home comprises of a semi-detached house over three floors in a residential area of Birchington. There is no lift access and would not be suitable for someone with limited mobility. The home is within easy walking distance of amenities such as rail and bus stations, leisure, shops and churches and a short car journey to colleges, sport centres, cinemas and concert halls. The homes ethos is based on providing a family style environment. Staffing comprises of the registered persons and other family members. Mr & Mrs Walden live in the Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 8 Brief description of the care home adjoining premises. All have a high level of input into the home. The fees are 336.78 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection process culminated in a site visit to the service on 9th January 2009. The inspection commenced at 9.30am and lasted for approximately 5 hours. The inspector was accompanied on the site visit by an Expert by Experience. An expert by experience is a person who, because of their shared experiences of using services, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The expert by experience spent time with people who use the service discussing lifestyle issues, choices and staff support amongst other things. A tour of the premises was undertaken and discussions were held with the responsible individual, the manager, staff and service users. Care Homes for Adults (18-65 years) Page 6 of 25 A range of documentation was examined including records relating to service users, health and safety, staff and the day to day management of the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs and wishes of prospective service users are assessed prior to admission. Evidence: The home has not admitted any new service users into the home for over 4 years. There is an assessment process in place that ensures the needs of prospective service users are fully assessed. The manager stated that referrals have been made to the home over the past year, but following assessment none of these referrals have been assessed as suitable for the service. Both manager and staff emphasised the importance of any new service users being able to compliment the existing residents and stated that this is one of the primary aspects of any referral process. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The individual needs and choices of service users are assessed and promoted. Evidence: Two service users individual plans were examined as part of the inspection process. In both cases the care an support needs had been well developed addressing all aspects of personal support. The plans showed evidence of regular review and Care Programme Approach documentation had been retained on file. The home benefits from a staff team that have worked in the home for many years and know the service users very well. Service users are enabled to make decisions affecting their daily lives. The expert by experience spoke with residents who confirmed that staff are helpful and supportive adding that they can choose what to do and when to do it. The home does not take a financial appointee role for any service users. Risk assessments have been developed providing a positive framework to enable responsible risk taking. The risk management plans provide good guidance to minimise Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: risks and cover all relevant topics. The risk assessments are regularly reviewed. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users have a lifestyle that suits their needs. Evidence: Service users have a wide range of social, recreational and occupational activities available to them. Some service users have engaged in voluntary work, college courses and other activities such as involvement in a local gardening group amongst other things. Residents said that they feel part of the local community and access the local shops, cafes and amenities regularly with or without support as required. The home encourages and supports residents to take an active part in the day to day running of the home with involvement in household chores, etc. Service users commented on the good support that they receive from the staff stating, This is the best place i have lived in and the staff are friendly and the food is good. Residents also stated that they are able to receive visitors and meet with friends and family. Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: The home provides a nutritious and balanced diet based on individual choices. The kitchen is domestic in size and is well stocked with a range of fresh and good quality produce. Menu records are maintained providing evidence of a healthy diet. One resident said, I wouldnt have lived here for seven years if wasnt good. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and healthcare needs of service users are met. Evidence: People who use the service stated that their experiences of personal support from staff are positive and that they are treated with dignity and respect. Many of the service users are self-caring, but where support is required this is clearly documented within individual plans of care and staff members spoken to demonstrated a good understanding of individual needs. The home maintains clear healthcare records showing evidence that any health issues are appropriately monitored and referred to professionals as required. All service users are registered with local GPs and it was reported that the home receives good support from the Community Mental Health Team in the area. Residents stated that they feel confident that should they have a health problem they will be supported by staff and have access to relevant healthcare professionals. Service users also have access to complimentary healthcare practitioners such as chiropodists and dentists, etc. Medication processes were examined and all records relating to the administration, receipt and disposal of medications were up to date. The home uses a local pharmacy Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: and have a NOMAD system of medication administration in operation. One service user is self-medicating and appropriate assessments have been completed to ensure safety in this area. The homes policies and procedures in relation to medication are suitable to the needs of the home. All staff administering medication have received the necessary training to complete this task safely. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users views are listened to and acted upon. Residents are protected from abuse. Evidence: The home has a complaints process in place that all of the service users are fully aware of. People who use the service stated that they feel comfortable raising concerns with the manager and staff. They also said that they are confident that any problems will be dealt with appropriately. The home has received no complaints since the last inspection. Policies and procedures are in place to support the adult protection process and protect service users from abuse. All staff have received training in abuse awareness issues and adult protection protocols and, in discussion, demonstrated a good awareness of these issues. No adult protection alerts have been raised in connection with the home since the last inspection. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is suitable for the individual and collective needs of the people who use the service. Evidence: A tour of the premises was undertaken and a number of service users invited the inspector to see their bedrooms. The home has been well maintained and is in a good state of repair. The communal areas are homely and comfortable providing sufficient space for the needs of the service users. There is a small, attractive garden to the rear of the home. Toilets and bathrooms are conveniently located throughout the building and all of the bedrooms seen had been personalised and were suitable for the needs of each individual. There is one double room and this has been shared by the same people for a number of years and they are happy to continue doing so. The kitchen and laundry areas are domestic in size and are well maintained to a high standard of cleanliness. It was reported that all equipment is in good working order. The home meets the requirements of the environmental health and fire safety departments. Radiator guards have been installed throughout the building since the last inspection and a number of areas of the home have been redecorated. Care Homes for Adults (18-65 years) Page 18 of 25 Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported by well trained and competent staff. Evidence: Over 50 of the staff team have achieved a National Vocational Qualification at level 2 or above. Discussions were held with staff members all of whom demonstrated a good awareness of the issues affecting the people who use the service. Additionally this was supported by the testimonies of service users who stated that the staff are helpful, supportive and respectful of their needs. One service user said, I wouldnt have lived here for 7 years if it wasnt good, another person said the staff are helpful. The home is staffed exclusively by family members of the provider and, as a result, there have been no staff changes for a number of years. All recruitment records are in place and relevant checks completed. Service users commented on the positive influence that is engendered by a family run home. All staff working in the home have received the required training and the manager is currently in the process of arranging updates and refresher courses in this respect. Additional training has also been provided including topics such as adult protection and courses specific to the needs of the service users. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run in the best interests of the service users. Health and safety issues are well maintained. Evidence: The manager has been in charge of the home for over 20 years and has a wealth of experience in the field. He has achieved all relevant management qualifications and keeps his on going training needs up to date. He is also an active member of the Kent Care Homes Association and attends frequent seminars and meetings in this capacity. The service users were all positive about his influence on the home and management style. Beach House is a family run home and the owners live on site being in day-to-day control of the service. Appropriate quality assurance measures have been implemented including annual surveys of service users and professionals. There is evidence of ongoing monitoring and service improvements highlighting effective quality assurance processes. A range of documentation was examined in relation to health and safety issues all of Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: which was well maintained and up to date. Fire safety and accident records are kept up to date and utility service certificates were in place. Environmental risk assessments have been completed as has a fire risk assessment all of which are reviewed annually. Policies and procedures are in place to underpin safe working practices. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 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. 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