Inspection on 22/02/06 for Beacholme

This inspection was carried out on 22nd February 2006.

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

Beacholme 07/11/07

Beacholme 06/05/05

Beacholme 25/01/05

Beacholme 05/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Beacholme 35 Derbe Road St Annes Lancashire FY8 1NJ Lead Inspector Lesley Plant Unannounced Inspection 22nd February 2006 6:15 Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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 Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beacholme Address 35 Derbe Road St Annes Lancashire FY8 1NJ 01253 723870 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) Mr Alexander Collinge-Pearson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th May 2005 Brief Description of the Service: Beacholme is a small care home for adults with learning disabilities, registered for three people. The house is situated close to the promenade, convenient for a range of local facilities, including St Annes town centre. Nearby there are good transport links. Accommodation is arranged over three floors and is in keeping with the local neighbourhood. Single bedrooms are provided, plus a dining kitchen, lounge and conservatory for communal use. Beacholme provides a stable, family type environment for the two people currently living there. The registered provider does not employ staff at the home but other family members do live there. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 6.15 pm and took place over two hours. The inspector spent time with and spoke to the two people living at the home. One person requested not to speak privately but chatted informally whilst watching television with the provider. The other person happily agreed to a private discussion in his bedroom. Records were viewed and information was gained from the registered provider. A comment cards was left at the home, for the relatives of one individual, inviting feedback about the service provided. At the time of this report no feedback had been received. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 6th May 2005. What the service does well: What has improved since the last inspection? What they could do better: The registered provider should regularly review opportunities for employment, education and promoting independence. Opportunities to make new relationships would be enhanced if individuals were encouraged to take part in more activities or employment in the community. The two people living at the home do not have regular social work contact, with neither having had a social work review for some time. The registered provider is advised to contact the funding authorities and initiate renewed Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 6 contact. This would ensure that the people living at the home have an external contact should any concerns or problems arise. 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. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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 Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were inspected during this visit. EVIDENCE: Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 7 Care needs are met and the two people living at the home are involved in dayto-day decisions about their lives. EVIDENCE: The registered provider is the sole provider of care and has become familiar with the needs and preferences of both individuals, having known one for 20 years. There is a written overview of each person, showing that key areas of need such as prompting with personal care and help with finances have been identified. Written risk assessments and agreements are in place regarding finances and spending time at home alone. Due to risk factors one person has an agreed amount of alcohol each day and discussions confirmed that he understands the need for this restriction. The provider keeps a useful daily record of events and also maintains good records of healthcare appointments. A discussion took place regarding individuals taking more part in communitybased activities and developing independence. At present both people say that they are happy with their current lifestyle, however this should be kept under review. The registered provider should regularly review opportunities for employment, education and promoting independence. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 10 One person explained that he is happy with his involvement in decision-making and understood the need for certain restrictions regarding his alcohol consumption and money. Both people are articulate and are able to express their opinions. The two people living at the home have different interests and choose to spend their time in different ways, both being able to exercise choice in this area. One person enjoys going to the theatre and eating out, and is supported to do so. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 and 16 Relationships are maintained and daily living routines take preferences into account. EVIDENCE: One person at the home has relatives living within the county and regular contact is maintained. He explained that he can phone his relatives and that they visit from time to time. The provider explained that during these visits he would often go out with the group for a meal and that he feels he has a good relationship with them. The other individual has had friends from out of the local area visit and stay for holidays. The large bedrooms mean that visitors can be met in private. One person at the home has lived with the provider for 20 years and is very much part of the family, having built up close relationships with the family members who live at the home. This person also enjoys visiting local shops, where he has a number of acquaintances. Opportunities for this person to make new relationships would be enhanced if he were encouraged to take part in more activities or employment in the community. The registered provider is again advised to keep this under review and to ensure that information and options for meaningful activities are provided. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 12 The service is very much run as a family home, with daily routines being flexible and agreed through natural discussions. Both people living at the home have a front door key, can come and go as they wish and, following risk assessments, are able to spend short amounts of time at home alone. People can spend time alone in their bedroom or together in the lounge. During the evening of the inspection one person was watching TV with the provider and a family member and the other was watching TV in his bedroom. This person explained that he enjoyed having this time to himself. Both people have some involvement in household tasks, with one particularly enjoying helping around the home. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were inspected during this visit. EVIDENCE: Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Agreed systems and practices offer protection from financial abuse. EVIDENCE: The registered provider has a copy of the locally agreed No Secrets in Lancashire adult protection guidance and would refer to this if any such situation arose. There are no issues regarding physical or verbal aggression, with the two people living at the home. Both individuals have a bank account, but require support with their finances. For one person, a relative looks after his account and sends a regular amount of spending money to the provider, who then gives the individual set amounts as agreed. Before coming to live at the home, this person had been extremely vulnerable and had been taken advantage of financially; therefore an agreed amount of protection is now provided. The inspector spoke to this individual, who confirmed that he is happy with the help he gets with his money and that if he had any concerns he would contact his relative. The other individual has access to his spending money as and when needed. Appropriate records were viewed. The two people living at the home do not have regular social work contact, with neither having had a social work review for some time. The registered provider is advised to contact the funding authorities and initiate renewed contact. This would ensure that the people living at the home have an external contact should any concerns or problems arise. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The home is clean and hygienic, providing a pleasant, homely environment for those living there. EVIDENCE: The home is clean, warm and well maintained. An agency cleaner works at the home for six hours each week. The registered provider carries out the laundry tasks. The two people, who live at Beacholme, live as part of the family and both have some involvement in household tasks. One individual particularly enjoys this and likes to empty the bins and help around the house. Hygiene and control of infection are addressed as part of day-to-day life at the home, with the provider applying common sense principles within this family type setting. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 These standards are not applicable to Beacholme as no staff are employed at the home. EVIDENCE: Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 The informal quality monitoring and common sense promotion of health and safety are appropriate to this family type setting. EVIDENCE: There is no formal quality monitoring system in place, as the home very much operates along the lines of family living, with one individual having lived with the provider for 20 years. The registered provider explained that feedback is gained from those living at the home, as part of day-to-day life, such as discussions during meals. One person explained that he is happy with this informal approach and feels that the provider does listen to his views. If the service were to be further developed it would be necessary to re-evaluate the importance of quality monitoring. The registered provider applies a common sense approach to maintaining health and safety at the home. During the past few years the house has been rewired and there is an annual service contract with the gas supplier. Smoke detectors are wired into the premises. Risks are identified and addressed. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 18 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X 3 X Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 19 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. 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. Refer to Standard YA6 Good Practice Recommendations The registered provider should regularly review opportunities for employment, education and promoting independence. Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Beacholme DS0000010015.V285366.R01.S.doc Version 5.1 Page 21 - 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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