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Inspection on 28/06/05 for Beachcomber Care Home with Nursing

Also see our care home review for Beachcomber Care Home with Nursing for more information

This inspection was carried out on 28th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Beachcomber is good at finding out what residents need and how they like to be looked after. Beachcomber is good at listening to and working with other people. The home is outward looking and recognizes how important residents, their relatives, and their social and health care workers are to getting good all round results for their residents. A social worker commented: "They have the right attitude. They are good communicators, they keep everyone in the picture, families, clients, us. They are flexible and not afraid to deal with problems, and that makes things a lot easier. They might not have the latest hotel facilities but they can plan care and they can provide it."

CARE HOMES FOR OLDER PEOPLE Beachcomber Retirement Home 12 North Road Seaham Durham SR7 7AA Lead Inspector Gavin Purdon Unannounced 28 June 2005 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 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 DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beachcomber Retirement Home Address 12 North Road Seaham Durham SR7 7AA 0191 5819451 Telephone number Fax number Email 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 CRH 36 Category(ies) of OP Old age (36) registration, with number of places Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1 February 2005 Brief Description of the Service: Beachcomber is a care home registered to provide care, not including nursing care for older persons not falling into any other registration category. Beachcomber has recently developed some limited provision for temporary respite care and day care for older persons who continue to live in the community. Beachcomber is owned by A Charles Thomas Care Ltd, and the proprietor, Mr Thomas, takes a close interest in the day to day operations of the home. Beachcomber is located on the promenade at Seaham, County Durham, and is convenient for the amenities of the town. The home has limited grounds but enjoys fine views over the promenade to the sea. The home consists of an adapted two storey building, and other adjacent buildings which have been linked into a single home. All bedrooms are effectively in single use, and there is a passenger lift to the first floor. The home is not newly registered or newly built, and is not required to meet the physical standards that would apply to a new care home, but Mr Thomas has indicated that he is seeking to redevelop Beachcomber to meet current physical standards for new care homes. It is intended that the redevelopment will take place without a reduction in the number of people being accommodated during that process. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and lasted 5 hours. It looked in detail at 9 key standards, and in part at one further standard. The 9 key standards looked at are to do with how well the home works with potential residents and other important people to help decide whether Beachcomber would be the right place for them to live. These 9 standards also cover how well the home goes about planning and providing residents with their care, and whether or not the home does so in a way that recognizes resident’s individuality, and their right to a life style that suits them personally. The inspector looked in detail at the care of 3 residents, speaking with those residents about their care, and reading their care records. The inspector also talked to 3 care staff from the home involved in looking after those 3 residents, about their care needs, and how their care was planned, provided, and recorded. A visiting local authority social worker was also able to meet with the inspector during the inspection. In addition, the inspector also spoke briefly with other residents, the home’s activities coordinator, and with the home’s proprietor and the registered manager. The last inspection took place on 1 February 2005 and was conducted by the same inspector as this present inspection. The home has no outstanding requirements to improve from previous inspections, and the 2 good practice recommendations made in February 2005 had been adopted by the home . The findings of this present inspection are very positive. The 3 residents and 3 staff spoken with, the records seen, and comments made by a visiting local authority social worker provided the inspector with convincing evidence that Beachcomber has an open flexible and sensitive approach to the planning and provision of care with many commendable features. What the service does well: Beachcomber is good at finding out what residents need and how they like to be looked after. Beachcomber is good at listening to and working with other people. The home is outward looking and recognizes how important residents, Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 6 their relatives, and their social and health care workers are to getting good all round results for their residents. A social worker commented: “They have the right attitude. They are good communicators, they keep everyone in the picture, families, clients, us. They are flexible and not afraid to deal with problems, and that makes things a lot easier. They might not have the latest hotel facilities but they can plan care and they can provide it.” 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. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 8 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 standard(s) 3 Residents who come to Beachcomber find that the home understands their care needs and can meet those needs in an organized, caring and friendly manner. EVIDENCE: The needs assessments documents of 3 residents, completed by a local authority social worker, were seen by the inspector. These provided a clear basis for Beachcomber to consider whether they were able to care for the resident. These assessments had all been developed by senior staff at Beachcomber, into personal care plans of daily living for each resident, and those completed plans were also seen by the inspector. All 3 plans provided a good picture of the resident as an individual with their own particular needs and preferences. The inspector was able to discuss the assessment and care planning process with the 3 residents whose documents had been inspected. All 3 residents, 2 of them receiving temporary respite care, and the other receiving long term care, were very satisfied with their experience of the assessment and care planning Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 9 process. They had found this a reassuring process at a very difficult time in their lives. The local authority social worker for the 2 residents receiving respite care was able to meet with the inspector during the inspection. The social worker’s view was that: “As a social worker I find this home easy to work with. They have the right attitude. They are good communicators, they keep everyone in the picture, families, clients, us. They are flexible and not afraid to deal with problems, and that makes things a lot easier. They might not have the latest hotel facilities but they can plan care and they can provide it.” Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10. Residents have a care plan that they have helped complete, that recognizes them as individuals, and covers social needs as well as health and personal care. Residents health care needs are well assessed, monitored, supported and provided for, and medication is safely managed. Residents thought their right to privacy and dignity was recognized by staff, and staff showed that they had insight into the value of privacy and dignity and how this might be shown to residents in everyday practice. EVIDENCE: The inspector spoke to 3 residents and 3 members of care staff about individual care plans, and how these were put together and how they were used. Residents confirmed a high level of involvement with their care pans and staff showed a good insight into the value of these documents, as a means of ensuring residents get the care they need in the way that they want it. One resident commented: “The care has been excellent. Very good. The girls are very pleasant. They will do anything. I have a care plan and I signed that. There are details of your likes and dislikes, and what help you need. I need a fair bit of care. I have my Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 11 own key worker, but they are all good. I am asked every month about my care and whether I’m happy with things, or if anything needs to be done differently.” Senior and junior care staff spoken with by the inspector showed a very mature understanding of care plans. One carer commented: “You have to know the needs, what the assessment says, what the needs are, past history, personal issues. What embarrasses one person doesn’t embarrass another. You need to know that people are happy, you need to know what’s changed. A low risk can become a high risk. People are different, just because most people might do something at a particular time of day doesn’t mean everybody has to or wants to. The care plan helps with that.” Another carer commented: “Building a care plan is a very personal thing and it takes time. People are telling you about themselves and they have to trust you to do that. You need to work to the plan and the plan has to be right. “Needs help to undress” doesn’t help if they just need help with the bottom half and can manage the top. People have to be as independent as they can and you have to make sure you don’t take that away. On the other hand if people are having an off day you need to be ready to help with the top half. You can’t just stick to what the plan says.” Medication was discussed with residents and staff. It was noted that respite care residents retained control of their medication and that the details of this agreement were properly noted and signed by the residents concerned. Care staff confirmed that the administration of medication was restricted to senior staff, and a senior member of staff described clear and safe medication procedures and practices within the home to the inspector. The inspector spoke at length to a resident with a wide range of health care needs involving ongoing hospital contact, community nursing input, and some intensive support from care staff at Beachcomber. The inspector also spoke with care staff involved in providing this support. This package was thought to be working very well, and confirmed the view of the social worker, spoken with by the inspector, that Beachcomber was good at communication, at working with other people, and making sure that problems or complications were sorted out. A resident commented: “They help me keep my hospital appointments, a carer goes with me and I don’t have to pay any extra for that. All of my medication is attended to. The District Nurses come in for my dressings twice a week and the girls here see that I get the bed rest I need. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 12 I have to use the hoist a lot and they are very good at helping me with it. The staff here have a sense of humour and we often have a good laugh. I like that.” All residents spoken to thought they were always shown respect. One resident commented, “ Years ago I worked in one of the old hospitals, and I saw how the old people were treated. It wasn’t right. But you’ll see nothing like that here. No bad temper.” Another resident commented, “People are treated properly here, even the awkward ones.” The 3 members of staff spoken to by the inspector showed a very mature insight into the issues of privacy and dignity, how they had to demonstrate that personally and how the care had to be planned and adjusted to take note of it. All residents spoken to by the inspector were very complimentary about how much the home made their visitors welcome. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 12, 13, 14, & 15. The outcomes for all 4 of these standards were very well met. Residents told the inspector that they had thought that coming to Beachcomber was probably the best option open to them, and, how they were more than pleased with the way that decision had worked out for them. How welcoming the home was to them and to their visitors was much more than they had expected. Residents. had been surprised by the degree of interest and concern shown in them by staff, and they were more than satisfied with meals and mealtimes. EVIDENCE: Residents gave a very good account of daily life and social activities. One resident’s comments were typical of the many positive remarks made to the inspector: “I enjoy it here. We are going to have a barbecue shortly and I’m looking forward to that. It’s nice to get into the garden. Mavis sees to the activities and she checks out with you the kind of things you’re interested in. I’ve always been interested in amateur dramatics and a visit to a local show was arranged. We went down to Harry Ramsden’s Fish and Chip restaurant and it was a good day out. The food here is good. The cooks are good and there’s plenty choice. They do a very nice steak and kidney pie and mince with dumplings floating in it. There’s Homemade broth, and salad and chips, and home made sweets. I enjoy my meals, they are ample, meals that are too big can put you off, but Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 14 there’s always more if you want it. There’s always something different. I have visitors, family, neighbours, and old friends of my husband. It’s nice to see them but I often tell them “ You don’t have to come to see me, you know, I’m quite alright here, you needn’t worry. ” But I think they like to come, and the staff make them very welcome. There’s a cup of tea as soon as they come in the door.” The inspector’s discussion with staff confirmed that every effort was made to find out what residents likes and dislikes were, and that every effort was then made to plan and provide for those tastes, preferences and interests. The home shows itself to be particularly aware that people have a history, that they belong to a locality and to a network of family and friends, and that they have a unique set of life experiences and circumstances that need to be recognized and worked into the pattern of care offered to them. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 15 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 standard(s) Not assessed on this occasion. EVIDENCE: Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 16 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 standard(s) Not assessed on this occasion. EVIDENCE: Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Residents’ needs are met by the numbers and skills of staff at Beachcomber. EVIDENCE: This standard was not assessed in full, but it was confirmed that previous staffing levels have been maintained for the number of residents cared for. At the time of the inspection 33 residents were accommodated at Beachcomber, with a maximum of 3 additional day care users at any one time, compensated for by 1 additional carer. As such, there are 5 care staff from 8am to 2.30pm instead of 4. 4 care staff from 2.30pm to 6.00pm, instead of 3, with night staffing remaining at 3 carers. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed on this occasion. EVIDENCE: Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation none 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. Refer to Standard 7 Good Practice Recommendations Acceptable records are kept of residents interests and preferences, but the home should consider improving the standard of these records to be more in line with the very good level of knowledge of these matters shown by care staff in discussion with the inspector. Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 © 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 Beachcomber Retirement Home DB54 S7452 Beachcomber V226928 270605 Stage 4.doc Version 1.30 Page 22 - 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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