CARE HOMES FOR OLDER PEOPLE
Beachcomber Retirement Home Beachcomber Retirement Home 12 North Road Seaham Durham SR7 7AA Lead Inspector
Gavin Purdon Unannounced Inspection 10:45 20th December 2005 X10015.doc Version 1.40 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 Beachcomber Retirement Home DS0000007452.V253594.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 Older People. 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. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Beachcomber Retirement Home Address Beachcomber Retirement Home 12 North Road Seaham Durham SR7 7AA 0191 5819451 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) A Charles Thomas (Care) Limited Beverley Ann Stubbs Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Beachcomber is a registered care home. It provides personal and social care for older people, but not nursing care. The home can have up to 36 residents. Most live there permanently but Beachcomber does have a small number of part time residential and day care places for people still living in their own homes. Beachcomber is owned by A Charles Thomas Care Ltd, and Mr Thomas takes a close interest in the day to day life of the home. Beachcomber is located on the sea front at Seaham, County Durham, near the town centre. There are some very fine views of the sea from the front of the home. The home is an adapted 2 storey building linked to other adjacent buildings. All bedrooms are used as singles. The home has a passenger lift to the first floor. The home is not newly registered or newly built, but the major extension and modernisation programme now underway will update the home’s physical standards. This redevelopment will be completed with no inconvenience to existing residents and without any need to reduce the number of people living at the home. Beachcomber has quite limited grounds for the use of its residents, but outside amenity space will be much improved as part of the redevelopment scheme. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Beachcomber was last inspected in June 2005, when 9 of the 21 key national minimum standards, that must be inspected at least once a year, were looked at. This second inspection covered the rest of those 21 standards, that apply to Beachcomber. The inspection was unannounced and lasted 3 and 3 quarter hours. On the day of this inspection, Beachcomber had 25 residents. The inspection included individual discussions, held in private, with 3 of the people cared for by the home. All 3 were very happy with the service given. 3 members of staff were interviewed, these were 2 of the home’s care assistants and the handyman. These discussions were mainly about staff and resident views on the key standards looked at that day. Beachcomber’s registered manager also helped with the inspection. Other members of staff and residents were spoken with, but only briefly. A small selection of records were looked at, covering safety of the building and maintenance tasks. A range of facilities were also seen, including laundry, bathrooms, bedrooms, lounge and dining rooms. The general finding was that the home is maintaining and developing its good standards of care to the benefit of its residents. The general view of staff and residents was that Beachcomber is a good home, a good place to live and a good place to work. What the service does well:
Residents said, “Staff are very good. They have a happy way of speaking and going on. Management are very good. They always have time to listen to you.” “ Staff are kind. I get help when I need it.” “The staff are real carers, very caring people. Nothing’s a trouble.” “The manager is very understanding.” Staff said, “We have a good owner, a good manager, and good workers.” “We have a good staff group. Carers, kitchen staff, cleaners, all of them. They are excellent. We have good residents as well. A lot of people have lived here a long time and worked here a long time. There’s a closeness between staff and residents. We all look after each other.” Residents said, “The home involves you. They get you interested in things. They will come around and ask what you think. You can speak your mind. There’s a lot going on in the run up to Christmas. I wasn’t really looking forward to it, but I’ve found it quite exiting.” “They do a good job keeping this place clean and tidy. There’s entertainments going on. Quite a lot of activities I would say. I’ve lived in other care homes
Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 6 and know what they can be like. I think we’re lucky to be here and to be cared for by people like these. I’m happy and I’m well looked after.” 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.
Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was not assessed during this inspection. The last inspection in June 2005 found that residents benefit from having their care needs well assessed, and from being closely involved in their own assessment process. Standard 6 does not apply to Beachcomber. EVIDENCE: Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9, & 10 were not assessed. The last inspection in June 2005 showed that residents had written care plans, covering their social, health, and medicinal needs. Health care arrangements were very well developed. A minor improvement to care plan information, recommended in June 2005, was followed. The home was found to respect the privacy and dignity of its residents. EVIDENCE: Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, & 15, were not assessed in full. The last inspection in June 2005 found that residents benefited from a very good standard of individual and group activities, and community involvement. Residents’ independence and choice were actively encouraged and meals and dining arrangements were enjoyable and pleasant. EVIDENCE: Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18. The home is keen to listen to any views about the service it provides and encourages residents and others to make their feelings known. Residents benefit from this approach, because the combination of the home’s formal procedures and good working relationships makes it easier for residents to say what they think about the service. Residents and staff showed a lot of respect for each other, which is a firm base for the formal protection of vulnerable adults procedures to work from. EVIDENCE: Residents and staff spoken to during the inspection made it clear that there are plenty of opportunities for residents to make their views known and to voice their concerns or preferences. Residents found staff approachable and trustworthy. They confirmed that the home did check with them often whether they were happy with their care, whether they had any concerns, or whether they wanted something doing differently. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, & 26. Residents have the benefit and pleasure of living in a safe and well kept care home. Residents appreciate the clean and cared for home that they live in. The home appreciates the importance of these 2 standards and has a wellorganised approach to ensuring the safety and cleanliness of the home. EVIDENCE: All residents spoken to thought the home was well looked after. They saw the thoroughness and the attention to detail in all matters concerning cleanliness safety and hygiene as one of the strengths of the home. It was something they very much appreciated. The home’s handyman explained his daily and weekly maintenance and safety activities, and produced records kept of these.
Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 14 The home’s laundry was inspected and procedures and materials used to ensure good hygiene were seen. The manager and staff explained how cleaning tasks were organised and safe practices ensured. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 15 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30. The number of staff caring for residents, and the range of skills they share, means residents’ care needs can be met, at the right time, and in the right way. The home has sound recruitment practices and understands the role of these in protecting residents from bad carers. Residents are cared for by a staff group that has good training and development opportunities. EVIDENCE: On the day of the inspection there were 25 residents living at the home and 1 person receiving day care. Staffing levels are 5 carers on mornings with between 4 and 3 carers on duty at other times. This is above the required staffing levels for the present numbers and needs of residents at the home. The care team is supported by cleaning, maintenance and catering staff. Staff spoken to thought all staff of the home worked very well together for the benefit of the home’s residents. Residents agreed with this view. Not including the manager, the home has 20 care staff, 9 of them have NVQ 2 or above. In addition to 20 care staff the home also has a 30 hour activities coordinator, who is a trained carer, holding the NVQ 2 qualification. A further 6 staff have begun their NVQ 2 or 3 studies.
Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 16 The home has its own training officer who provides practical support for the development of staff. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 17 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, & 38. Residents and staff of Beachcomber benefit from having a registered manager who is approachable, experienced, and qualified to run the home. The home takes an active interest in encouraging, gathering, and acting on residents’ views. This makes sure residents’ views are an important factor in the day-to-day running of the home. Money spent by or on behalf of residents is safeguarded and accounted for by receipts and signatures. The home is maintained and operated so as to ensure the safety and well being of residents and staff. EVIDENCE: Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 18 Residents and staff said, “Mrs Stubbs is very understanding.” “We have a good manager. I cannot fault her.” “Management are very good and always have time to listen.” Residents and staff confirmed that time was spent gathering views about life in the home, through individual discussions, by using questionnaires, and through meeting residents as a group. Residents felt well consulted, and staff thought this was important. “You need to ask how people feel, whether they are enjoying their meals. You often get some good answers. It can make all the difference when residents are involved.” Residents said that they were satisfied with arrangements for handling spending money. Staff described how recent Christmas purchases made on behalf of residents were signed and accounted for. The home’s handyman produced detailed records and explained the range of checks, tests, repairs, and other activities carried out and recorded on a daily or weekly basis to help ensure the safety of everyone in the home. Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 20 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 Beachcomber Retirement Home DS0000007452.V253594.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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