Inspection on 09/10/07 for Beach House

This inspection was carried out on 9th October 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 09/01/07

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 Tracey Cockburn Key Unannounced Inspection 9th October 2007 11:00 Beach House DS0000068329.V350927.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 Beach House DS0000068329.V350927.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. Beach House DS0000068329.V350927.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) Mrs Eve Mary Went t/a Harbour Care Mrs Gwendoline Anne Dale Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2007 Brief Description of the Service: Beach House was first registered in October 2006 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, own the home and the company have developed further services in town. Mrs Went - the Responsible Individual has previously owned a company in Sussex, which provided care homes to people with a learning disability. 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. The weekly fees range from £850 - £1420 per week. For further advice on fees and contracts information can be found on the Office of Fair Trading website: www.oft.org.uk Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the service. The site visit took place during the morning and afternoon of 1 day. The provider was not given any advance warning of the site visit. As part of the inspection process an “expert by experience” was involved. The report written by the expert will be referred to throughout this report. Part of the planning of this inspection involved reviewing any Regulation 37 notices received and using the Annual Quality Assurance Assessment submitted by the service. At the time of the inspection there were 2 people who live in the home and 3 members of staff present. The manager for the service was also present throughout the inspection and spent time talking to the expert. Survey forms were left for staff and people who live in the service. At the time of writing the report only 2 survey forms had been returned both were from people living in the service. What the service does well: People who live in the service have their needs assessed before moving into the home this means that they can be assured that the home is able to meet their needs before a decision is made. Each person who lives in the home as an individual plan of their care, which means that the staff understand how, each person needs and wants to be supported. People who live in the service are able to make decisions about their daily lives with the support of staff that understand them. People are supported to take risks. People living in the home are able to lead the lives they want to and be part of the local community. People are encouraged to have relationships with friends and family who are important to them. Staff support and encourage healthy eating. The home knows the importance of providing personal support in the way people prefer. Physical and emotional healthcare needs are identified and healthcare professionals are involved. The homes policy and procedures for medication ensure that people are protected. The culture of the home encourages people to express their views. Staff receive the training they need to ensure that people living in the home are safeguarded. People live in a comfortable place where they are able to express their individuality. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 6 The home is clean. Staff receive the training they need to do the job well. Recruitment practice is robust. The home is run by an experienced manager who understands her role and responsibilities, which means that people living in the home should benefit from this experience. There is a quality assurance process in place, which listens to the views of the people who use the service and others who are involved such as relatives and care managers. 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. The summary of this inspection report can be made available in other formats on request. Beach House DS0000068329.V350927.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 Beach House DS0000068329.V350927.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): 1,2,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who are considering moving into the service have their needs and aspirations assessed, which means people know if the home can meet their needs before a decision is made. EVIDENCE: The expert looked at the service user information file, they found that it gave information about the home, the company, which ran it, the training that staff had, and policies such as complaints and equal opportunities. The expert said that some of the information had been made a bit accessible by using widget symbols, but that none of the residents could understand these. The expert felt this could be improved by making their information more accessible and not just for staff and relatives. The expert made suggestions such as using easy English, better pictures and maybe putting things on tape. The expert also thought they could check how to do this best by talking to the people who live in the home. At the time of the inspection there were 6 people living in the service. The file for 1 person was reviewed. This contained an assessment. There was a copy of the contract on the person’s file; this was not signed either by the individual or their representative. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual plans contain assessed and changing needs. People are supported to make decisions in their daily lives and take risks. Work continues to develop participation in all aspects of life in the home. EVIDENCE: People have an individual plan of their care at present this is not completed using a person centred approach. The manager said that they would be introducing person centred planning. The expert said they thought some one from outside the service should facilitate these plans. The plans contained information on how the individual prefers to be supported, what their needs are and the instructions for staff on how to meet their needs. It was not clear if the individual had been involved in the plan. People living in the home do not manage their own finances and the manager explained in detail how transactions are recorded and the system in place to Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 10 ensure that individuals are protected. Very detailed accounts are kept and 1 file was looked at as part of the inspection. 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. All records are stored in a lockable office or cabinet and the manager demonstrated knowledge of their responsibilities for maintaining service user confidentiality. The expert found out that people who live in the home have meetings every month. At the moment a member of staff runs these meetings. The expert thought that they could get someone independent to run the meetings. The manager said that people from Poole forum, which is a speaking up group, were coming to the next meeting. 1 person living in the service has an advocate. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are able to participate in activities, which interest them in the local community. People living in the service are supported to have relationships with people important to them. People are encouraged to have a healthy diet. EVIDENCE: During the inspection there were only 2 people who live in the home present. In the afternoon another person returned home and at the end of the inspection another 3 people came home from day activities. The expert noted in their report that 1 person living in the service had their own car and that overall there was no shortage of transport which was commented on positively as very often there are transport issues. The expert also said that it was good to see 3 or 4 staff on duty during the day, which meant that people could go out, and do the things they wanted to. The expert also spoke with the manager about there only being 2 staff on duty Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 12 after 8pm. The manager said that she comes in or the rota is changed so more people are on duty if anyone wants to go out later at night. People are encouraged and supported to have a social life and are supported to keep in touch with friends and family. During the inspection people living in the service were observed making decisions about taking part in an activity or spending time on their own. Staff were observed not only talking to people who live in the service but talking to each other about what to do next, what tasks needed to be completed and who was responsible for doing it. The manager said that people who live in the service are encouraged to complete household chores and there was a chart on the wall in the kitchen. During the inspection 1 person was baking a cake with the support of a member of staff. The expert said that 1 person was supported to make his or her own lunch. The menu offered variety and the fridges and freezer were well stocked with foods. 1 care plan reviewed made reference to 1 persons weight however their weight had not been recorded for several months. The manager explained that there had been a problem with the scales and some had been bought that the individual could use. There is a training kitchen on the first floor, which is not really used at the moment. The manager said that she is working out with staff and the people who live in the service how they use the kitchen to support people in developing their skills. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in the service are supported in the way they need and prefer. Their emotional and physical needs are identified and met. The homes policy and procedure on medication ensures that the people living in the home are protected. EVIDENCE: The expert said that each person had a personal health record. Each person living in the service has a personal care plan. The file for 1 person was looked at this contained a care plan, which had been reviewed in January 2007. The service complete monthly reviews on each person living in the service. This monthly report is completed by the individual’s key worker and covers areas such as; general health, behaviours, medication, day care, appointments and action being taken. Monthly reports also indicate activities, which the individual has participated in such as trips out, visits by friends and advocates, picnics. Individual plans also contained information on any specialist support being received from services such as psychiatry. There was also evidence that people Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 14 living in the home are seeing health professionals such as dentists and opticians. During the inspection staff were observed completing paperwork such as daily records. The expert noted that the layout of the care plans was good with photos and symbols. They thought that future goals was a good idea, the only drawback was no dates for action to happen or a review space on the form. At the time of the inspection no one living in the home was managing his or her own medication. 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. 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. The expert thought that it was good that people could take their medication in the privacy of their own room. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People’s views are actively sought and acted upon. Training for staff and systems in place in the home means that the people living there should be protected from harm. EVIDENCE: The home has a complaints procedure and at the time of the inspection there had been no complaints made to the home. The AQAA submitted by the management of the service states that they have received compliments from care managers and from relatives about the quality of the service. There is a safeguarding adults policy, which uses “no secrets” as guidance. Staff receive training in this areas. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People live in a homely and comfortable environment, which is clean and hygienic. EVIDENCE: The expert said in their report that the house was nice, clean and tidy: “ I thought the bedrooms were nice and big. There was plenty of room for people to put their pictures on the wall.” The expert also noticed broken tiles on the kitchen floor and some skirting board missing in the downstairs cloakroom. The manager said that the kitchen is being totally refurbished in the next few weeks including replacing the broken tiles. The manager also said that the area in the downstairs cloakroom, where there is missing skirting is an access panel. The home was bright and airy. There is a conservatory leading from the kitchen and lounge and this is used as the dining area there is also comfortable Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 17 seating. There were no offensive odours in the home. There was good natural light in the rooms. The home is in keeping with other homes in the same street and is very well kept outside with plants by the front entrance. The home is accessible to the people living there and this was demonstrated late in the afternoon when several people returned from their day activities. The furnishings are of good quality. The home meets the requirements of the local fire service and environmental health. The laundry room is not near the kitchen. The flooring is of a suitable finish and the walls are cleanable. Beach House DS0000068329.V350927.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): 32,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Competent and qualified staff supports people living in the home. Recruitment practice protects the people living in the home. EVIDENCE: The experts said in the report they sent: “ I thought the staff very supportive to the 2 residents who were in the house when we visited. They treated them with dignity and respect. Staff went at the residents’ pace. They explained things to the residents so they could understand. They offered them choices. I thought the way staff supported one person to make their own lunch was good.” The expert also found out from speaking to staff that they had had some training about communication, epilepsy, manual handling and food hygiene. The expert also found out they had done LDAF training and some staff were doing NVQ’s. The expert said that: “ This means staff are learning skills they need to support somebody properly” Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 19 The expert thought it would be a good idea if they had pictures up of the staff on duty each day. The expert thought that the pictures could be put on the notice board where residents would benefit from it most. During the inspection it was noted that the communication between staff and people living in the service was very good. Staff were observed talking to the people living in the service and supporting them in daily tasks such as baking and tidying up. The staff spoken to were interested in their jobs and appeared very committed to supporting people to develop skills. Through discussion and observation staff demonstrated a good understanding of the individual needs and behaviours of the people living in the home. 1 person likes to complete a particular tasks on return from day activities and staff were observed making sure that the person had the equipment they need to do the task. Recruitment practices are robust and all appropriate documentation is completed. 1 file was seen. At the moment people living in the service are not involved in any part of the recruitment process, however the manager said that they are considering introducing this in the future. There is comprehensive training in place covering all mandatory training as well as training specifically for staff working with people who have a learning disability such as total communication training, person centred planning and autism. Beach House DS0000068329.V350927.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): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run by an experienced manager. The views of people living in the home are part of the homes development. People who live in the home are protected by the health, safety and welfare practices. However there should always be a system in place for ensuring safety checks take place. EVIDENCE: The new manager of the service has only been in post a short time. However Lisa Toms is very experienced as has been the registered manager of another service. She has both the Registered managers Award and NVQ level 4 in care. Beach House DS0000068329.V350927.R01.S.doc Version 5.2 Page 21 The home has a quality assurance system in place. Part of this system is the submission of the Annual Quality Assurance Assessment, which is required by the commission. During the inspection there was evidence that the views of the people in the home are sought through monthly meeting with their key worker as well as house meetings. Questionnaires are sent out to other interested parties such as family, care managers, health care professionals. Questionnaires are also given to family in the first 6 weeks of a new admission to the home. Symbols are used in the questionnaires for people living in the home and the expert thought this was a good idea. Policies and procedures are reviewed annually and updated as necessary in light of any changes to practice or legislation. This information was provide in the Annual Quality Assurance Assessment (AQAA) Regular checks of fire alarms, fire doors, fire fighting equipment and fire drills were up to date except for a few weeks in September. The manager stated that the person had been on holiday. Unfortunately several of the weekly checks had been missed, as there was no back up person to complete the checks in the designated persons absence. Beach House DS0000068329.V350927.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 2 2 3 3 X 4 X 5 2 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 2 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 2 X Beach House DS0000068329.V350927.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. 1 2 3 4 Refer to Standard YA1 YA5 YA8 YA42 Good Practice Recommendations The statement of purpose and service user guide should be available in a variety of formats to suit individual communication needs. Individual contracts should were possible be signed by the individual or their representative. People living in the home should be involved in decision making in the home such as recruitment of staff and joining staff meetings. When the person responsible for completing fire checks is on leave or away there should be someone delegated to complete the checks in their absence. Beach House DS0000068329.V350927.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 Beach House DS0000068329.V350927.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. 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