Inspection on 10/11/05 for Beachside Rest Home

This inspection was carried out on 10th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beachside Rest Home 26/07/07

Beachside Rest Home 24/07/06

Beachside Rest Home 20/05/05

Beachside Rest Home 14/09/04

Beachside Rest Home 15/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Beachside Cricketfield Road Seaford East Sussex BN25 1BU Lead Inspector Jon Wheeler Announced Inspection 10th November 2005 11:00 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 Beachside DS0000021043.V249420.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. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beachside Address Cricketfield Road Seaford East Sussex BN25 1BU 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) 01323 893756 01323 721331 Mr Abdoollah Feroz Peersaib Mrs Maryam Peersaib Mr Abdoollah Feroz Peersaib Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (11), Old age, not falling within any of places other category (11) Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is eleven (11). Service users accommodated will have been diagnosed as having had a functional disorder i.e. past or present mental illness. Service users are over sixty-five (65) years on admission. Date of last inspection 20th May 2005 Brief Description of the Service: Beachside is a detached property on three floors, situated a short distance from Seaford town centre and from the seafront. There is a small patio area to the rear of the property. There are seven single bedrooms and two double rooms. There is a lounge and a dining area on the ground floor. Bedrooms are situated on all floors in the home, but there is no level access as currently the lift does not work. As service users currently in the home can access the stairs, there are few aids or adaptations required to meet their needs. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on the 10 November 2005, starting at 11.00 am and lasting for four hours. The inspection process involved talking to the two proprietor/managers; two staff members and six service users. Written feedback was received from six service users, two relatives and one visitor to the home. The inspection process also involved a tour of the premises, reading care plans, records, policies and procedures. The storage, administration and recording of medication was viewed. What the service does well: What has improved since the last inspection? The care plans have been reviewed and updated to include more detailed information and support guidelines. Staff had received training in Food Hygiene, as well as three staff completing NVQ courses. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 6 A new boiler system had been fitted in the home. 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. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Beachside DS0000021043.V249420.R01.S.doc Version 5.0 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 the following standard(s): 3, 4, 5, 6. A comprehensive pre-admissions process ensures that prospective service users are able to make informed choices and the service is able to meet the needs of people living in the home. EVIDENCE: There was documentary evidence that a service user who recently moved in to the home had a comprehensive pre-admission assessment undertaken by the manager of the home, prior to moving in. The assessment contained background information, a hospital discharge plan, an assessment of needs and an action plan. The service user also had a number of visits to meet people already living in the home, have lunch and spend a day before finally choosing to move in. There was a range of evidence that the home is able to identify and meet the needs of people who live there. The proprietor/managers and staff demonstrated a comprehensive knowledge of the needs of each individual service user and also how those needs are consistently met. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 9 All the service users spoken with said that they felt well cared for in the home and thought that their needs were met. This was also confirmed in written feedback from six service users and two relatives that service users’ needs are met. It is of particular note that the service users in the home have a wide range of complex needs, but their mental health needs are sensitively and effectively supported and managed by a skilled and dedicated workforce. One service user wrote that the staff are “ very good to me”, whilst another wrote that “In Beachside I have found paradise”. This service user in conversation said that the managers and staff enable him to lead the lifestyle he wishes, but ensure his needs are met and that he remains well. The home does not provide intermediate care. Beachside DS0000021043.V249420.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): 7, 8, 9. Whilst care plans identify the needs and support for service users, their protection is not ensured as risk assessments had insufficient detail. Service users receive good health support from a range of services appropriate to their needs. Service users are protected by the efficient and accurate administration and recording of medication. EVIDENCE: There was documentary evidence that the service has worked hard to update its care plans. The new plans contained more detailed information about the care required as well as clear action plans to implement the care. There was documentary evidence of regular recording of the needs and care provided, which enables the service to plot any changes in needs. The care plans contained background information, lifestyle choices and service users’ preferences. There was documentary evidence of regular reviews of care, which also included the service user in their review of care. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 11 However, whilst the managers and staff demonstrated a clear understanding of the care required and provided, the care plans did not contain sufficient detail to highlight and manage risks. The managers continue to ensure that service users are able to swiftly access a wide range of health services to meet their needs. There was documentary evidence that in order to have their needs met, service users access Psychology services, Community Psychiatric Nursing, District Nursing, Consultant Psychiatrist as well as being registered with a local General Practitioner. The proprietors/managers are both experienced Mental Health Nurses and as such demonstrate clear skills and knowledge in ensuring the physical and mental health needs of the service users are effectively managed. Medication is stored securely in the home. All medication had been administered and recorded accurately, in line with the home’s policy and procedure. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 12 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): 12, 13, 14, 15. A range of opportunities in the home and community provide stimulating activities for the service users. Service users benefit from the service enabling them to maintain meaningful relationships with family and friends, with visitors being welcomed in to the home. Service users are encouraged and enabled to make choices about their care and all other aspects of their lives. Varied and nutritious meals are provided to meet the needs and preferences of the service users. EVIDENCE: There was evidence of regular and varied activities available to the service users. There is a weekly art and craft session as well as an Occupational Therapist coming in fortnightly to do quizzes, exercise sessions, reminiscence work, music and dancing. Some service users go out independently in to Seaford to use local facilities. There was also evidence of service users going on trips to the theatre, cinema and shows. They also access the local library, Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 13 shops and cafes. In the home there are a range of videos and DVDs to watch, as well as staff providing gentle exercises. One of the owners stated how important he felt it was to provide “mental stimulation” to the service users. The service users spoken with said that they were able to choose which activities they attended, but felt there was a suitable range offered. Comments from two relatives of service users, one visitor and from four service users spoken with confirmed that visitors are always made welcome in the home. Service users spoken with confirmed that they are supported to make choices about their lives in the home, including choosing which activities to attend; what food they would like to eat, the type of support they receive from staff and also the time they get up and go to bed. There was documentary evidence that service users also take part in the reviews of their care to ensure they receive appropriate support. There was documentary evidence of menus providing varied and nutritious meals. The staff are aware of the dietary requirements of the service users. All the service users spoken with said that the food is very good. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 14 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. Service users are able to raise complaints and concerns and are protected by robust policies and procedures for complaints and adult protection. EVIDENCE: The home has a complaints policy and a book to record complaints, although none had been received in the home. One complaint had been made to East Sussex Social Services about the home by a relative of an ex-service user. However, the complaint was investigated by the East Sussex Social Service department and the Commission for Social Care Inspection and was not substantiated. The home was cooperative, open and transparent during the investigation. Feedback from the six service user comment cards and conversations with three service users confirmed that they were aware of how to raise concerns, and all spoken with felt that their concerns were dealt with swiftly and sensitively by the proprietor/manager. There is an adult protection policy in the home. All the staff spoken with had a clear knowledge and understanding of the adult protection policy and procedure. The staff spoken with had all undertaken training on adult protection as part of their NVQ courses. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 15 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, 20, 21, 24, 25, 26. The home offers a friendly and relaxed environment. There are sufficient bathroom and toilet facilities that meet the needs of the service users. The home is kept clean and tidy. Some of the décor needs decorating, renovating or replacing. Service users are able to personalise their rooms to meet their individual needs. EVIDENCE: Service users reported that they were happy with the environment and that they were able to decorate their bedrooms to suit their individual tastes and preferences. The communal space includes a lounge and a dining room, which does not meet the national minimum standards, although it offers the same space as at 31 March 2002, which service users state is sufficient to meet their needs There are three bathrooms available in the home, one of which has a shower attachment. The lift in the home does not work and therefore the home should Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 16 keep under review the needs of the service users to ensure they are able to access their rooms comfortably, using the stairs. All radiators had been covered and water temperatures are regulated in areas accessed by service users. Whilst the home offers a friendly and homely environment, some areas of the need are in need of renovating or redecorating. There was evidence of some on-going maintenance work, with a new boiler having recently been installed. There was documentary evidence of a recently routine check from the Environmental Health department, which did not raise any significant concerns. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 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 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. Service users receive good quality care and have their individual needs met by a dedicated, knowledgeable and qualified staff team. EVIDENCE: There is an experienced, dedicated and knowledgeable staff team who provide a caring and supportive service to people living in the home. Feedback in the comment cards from the six service users, two relative and one visitor all complimented the staff about their skills. Staff spoken with were able to describe in detail the needs of each individual service user and how those needs are met. Staff were observed working with service users in a friendly and sensitive way. There are generally four staff on duty each morning, with one of them also responsible for cooking the meals. There are two staff on duty in the afternoons. This is currently sufficient to meet the needs of the service users, some of whom are able to go out from the home independently. There is a stable staff team, who have all worked in the home for many years. It was not possible to review the employment procedures of the home as no new staff had been employed in the home recently. Three of the five regular staff have completed relevant NVQ care courses. Staff were able to demonstrate a wide range of knowledge about the skills required in their roles to meet the needs of the service users. There was evidence of Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 18 them completing other courses including Food Hygiene, First Aid, Drug Administration and Fire Training. However, it is required that all staff update their training in Moving and Handling to ensure their safety and that of the service users. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 19 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, 32, 33, 35, 36, 37, 38. Service users receive good quality care from a service which is efficiently and Sensitively run by two experienced, skilled and thoughtful proprietor/managers, who provide a clear ethos and sense of direction in the home. Service users needs are consistently met by a well supervised staff team. Service user interests are safeguarded by robust policies and up to date records. The home could not ensure the safety of service users as staff had not undertaken recent Moving and Handling training. Service users would benefit from a programme of redecoration in the home. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 20 EVIDENCE: The joint proprietors/managers of the home are both caring, skilled and experienced practitioners, having owned and managed the home for many years. Both managers have an NVQ 4 in care and the registered Managers Award. They both have many years experience in working with people with mental health problems and as such continue to provide a skilled and dedicated service in a relaxed and friendly environment. All the service users and staff spoken with stated that the proprietors/managers are open, approachable and supportive. They were described as ‘friendly, kind and helpful’. There is a clear ethos in the home, which values and respects the rights and choices of the service users. The managers work hard to respect the rights of the service users as well as balancing their duty of care to them. There was clear evidence that the proprietors/managers talk to staff and service users about any potential changes or any issues affecting the home. There is a range of monitoring methods, including regular feedback forms filled out by the service users. In addition, there was documentary evidence of regular service users meetings taking place. Service users spoken with confirmed that one of the managers talks to them informally every week to see if there are any issues or concerns which need to be addressed. Service users spoken with said they felt valued by the managers and staff and felt that their views were listened to and acted upon. All the service users have their own money, except one who has agreed for his money to be held by the home. There was documentary evidence that any expenditure is receipted and recorded. There was documentary evidence, supported by staff comments that there is a regular staff supervision programme, which looks at the work in the home and sets objectives. Staff also confirmed that there is regular informal support from the proprietors/managers. There was documentary evidence of the home having up to date policies, procedures and records, required by regulation. In addition, there was documentary evidence of a range of regular health and safety checks, including weekly water temperature checks and testing of the fire system and monthly health and safety checks throughout the home. There was documentary evidence that the home had received a satisfactory Environmental Health check on 4 November 2005. The proprietor described the Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 21 on-going maintenance plan, including the intention to redecorate parts of the home. It is required that all staff update their Moving and Handling training to ensure the protection of staff and the service users. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 22 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 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 2 3 Standard OP7 OP19 OP38 Regulation 13 (14) (b, c) 23 (2) (b) 13 (5) Requirement Risk assessments are developed to provide more comprehensive information. The service starts a programme of redecoration throughout the home. Staff receive an update in Moving and Handling training. Timescale for action 10/01/06 10/05/06 10/01/06 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 OP19 Good Practice Recommendations That the fabric of the building, furniture and maintenance plan are kept under review. Beachside DS0000021043.V249420.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Beachside DS0000021043.V249420.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!