Inspection on 20/05/05 for Beachside Rest Home

This inspection was carried out on 20th May 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.

Other inspections for this house

Beachside Rest Home 26/07/07

Beachside Rest Home 24/07/06

Beachside Rest Home 10/11/05

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 Unannounced 20 May 2005 10:00 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. Beachside Version 1.10 Page 3 SERVICE INFORMATION Name of service Beachside Address Cricketfield Road Seaford East Sussex BN25 1BU 01323 893756 01323 721331 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) Mr Abdoollah Peersaib, Mrs. Maryam Peersaib Mr Abdoollah Peersaib, Mrs. Maryam Peersaib Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD). of places Old age, not falling within any other category (OP). Beachside Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is eleven (11). 2. Service users accommodated will have been diagnosed as having had a functional disorder i.e. past or present mental illness. 3. Service users are over sixty-five (65) years on admission. Date of last inspection 14 September 2004 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in May 2005, started at 10.00 am and lasted for four and a half hours. The inspection involved talking to five service users, three staff, one of the home’s proprietors and telephone calls with two relatives of people living in the home. The inspection was also based on observation of staff working with service users, a tour of the environment, reading care plans, policies and records and looking at the storage, administration and recording of medication. There was evidence that since the last inspection, much work has been done to meet most of the requirements. What the service does well: What has improved since the last inspection? The proprietors and staff have worked hard to ensure that most requirements from the previous inspection have been met. These include the development of an up to date statement of purpose and service user guide; the reviewing of the policy and process of dispensing medication; development of an activities programme; regulation of water temperature; covering of radiators and the development of policies. Beachside Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beachside Version 1.10 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 Beachside Version 1.10 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) 1, 3, 4, 5, 6. Service users have appropriate information about where to live. Service users have an appropriate pre-admission assessment and are able to visit the home before moving in. The needs of the service users are met by an established and experienced staff team. Intermediate care is not provided. EVIDENCE: An up to date statement of purpose and service user guide are available for all service users. There was documentary evidence of pre-admission assessments being carried out by the registered providers, both of whom are RMNs with many years of relevant experience. The home was able to demonstrate that it will only admit people whose needs they are confident they can meet. The admissions process also includes talking to the service users and their relatives to ensure a full picture is gained prior to admission. Service users and their relatives are encouraged to visit the home before the service user moves in. The home does not provide intermediate care. Beachside Version 1.10 Page 9 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. Care plans did not contain sufficient information. The home ensures all health needs of service users are met and there is a clear process for the administration of medication. Service users are treated with dignity and respect by the staff team. EVIDENCE: Whilst care plans had a variety of background information, there were insufficient guidelines to indicate the care provided. The staff and proprietor of the home have an in-depth knowledge and understanding of the needs of each individual service user, but this information was not always clearly recorded within the care plans. This issue was discussed during the inspection and the proprietor agreed to further develop the care plans. There was documentary evidence that the home enables service users to have access to a wide range of health professionals to ensure their health needs are met. The proprietor has developed good working relationships with a variety of community health professionals to provide targeted and effective health support. Service users access service including consultants, Community Psychiatric Nurses, Social Workers and Occupational Therapy. Beachside Version 1.10 Page 10 There was documentary evidence that service users are weighed regularly. Staff were observed dispensing medication in line with the home’s policy and procedure. There was documentary evidence that staff had completed a training course in the administration of medication in December 2004. There was also documentary evidence that the pharmacist has made regular monitoring visits to the home. All the service users spoken with said that they were treated with dignity and respect by the staff. They said staff were kind, helpful and sensitive to their needs. Beachside Version 1.10 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 standard(s) 12, 13, 15. Service users are able to access a range of activities in the home and in the community. Visitors are encouraged to visit service users in the home. The home provides a varied, appealing and nutritious diet. EVIDENCE: There was evidence of a range of activities. Service users spoken with said they felt there were enough activities organised as well as opportunities to use community facilities. Activities arranged included occupational therapy, music, trips out and videos to watch. During the inspection, an art therapist was in the home running a regular art session, which service users said they enjoyed. Service users and relatives spoken with confirmed that visitors are made welcome in the home. Service users said that family and friends visited them, as well as some service users visiting people in the community. There was documentary evidence of a weekly menu, which offer a variety of wholesome and nutritious meals. Staff were able to describe the dietary requirements of the service users. Service users spoken with said that the food is plentiful and of good quality. They said there was a choice available, should they not want what is offered on the menu. Beachside Version 1.10 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 standard(s) 16, 17, 18. Service users are able to raise concerns. Service users are supported to access their legal rights. There are policies procedures to ensure the protection of service users from abuse or harm. EVIDENCE: The home has a complaints policy and a book to record complaints, although no formal complaints had been received. It was noted that the proprietor undertook a swift and thorough investigation following a comment made by a relative. Service users said they felt able to raise any issues or concerns they have with staff and felt all concerns were dealt with appropriately and sensitively. There was documentary evidence that the proprietor enabled two service users to access legal advice and support, one to protect the service user’s legal rights and the second to provide support with financial issues. The home has an adult protection policy and there was documentary evidence of records being kept for all financial transactions, where the home holds money on behalf of service users. There was documentary evidence where the home helps service users to manager their money. The service users confirmed that they were happy for the home to help them in this process. Beachside Version 1.10 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 standard(s) 19, 20, 21, 23, 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 and furnishings need 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 they individual tastes and preferences. The communal space includes a lounge and a dining room which does not meet the national minimum standards, but offers the same space as at 31 March 2002. 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 keep under review the needs of the service users to ensure they are able to access their rooms comfortably, using the stairs. Beachside Version 1.10 Page 14 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, some of which is addressed in the on-going maintenance plan. There was evidence of continuing maintenance work to meet previous requirements. Beachside Version 1.10 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 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, 28, 30. There is sufficient staff, with the required training, skills and experience to meet the needs of the service users. EVIDENCE: There is an experienced staff team who were able to describe their roles and responsibilities as well as being clear about the needs of the service users. Staff spoken to at the time of the inspection had worked in the home for many years and were sensitive to the needs of the service users. All of the service users spoken with were positive about the staff in the home. Comments received from service users included that they were “helpful”, “kind”, “caring” and “very good”. Relatives spoken with also were positive about the staff, whom they described as approachable, knowledgeable and caring. Service users spoken with said that they felt the staff in the home are able to meet their needs and provide with appropriate support where required. There was evidence that three of the five main staff had completed NVQ2 in care. There was documentary evidence of staff attending a range of courses including the administration of medication, food hygiene and moving and handling. Staff spoken to were able to identify where they needed further training and had requested relevant courses to be provided to meet their learning needs, which were in the process of being organised. Beachside Version 1.10 Page 16 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) 31, 32, 33, 34, 35, 37, 38. The home owners are skilled and experienced practitioners who are approachable and sensitive to the needs of the service users and staff. There are procedures in place to address the financial stability of the home and for the safety of service users finances. Records are kept under review and up to date. The home has procedures to address the health and safety of service users and staff. Not all staff have completed update training in food hygiene. EVIDENCE: Service users, staff and relatives all described the proprietors as being approachable, supportive, caring and professional. During the inspection, the proprietor present demonstrated an in-depth knowledge; wide range of skills and many years experience of the care industry and of the needs of older people who have mental illness. Whilst the care plans did not always reflect the practice, the proprietor demonstrated an in-depth understanding and knowledge of the needs of each individual service user. Beachside Version 1.10 Page 17 The proprietor was observed interacting in a sensitive, positive and support way with service users and staff. There was documentary evidence of appropriate insurance for the home. Where the home holds money on behalf of the service users, there was evidence of clear documenting of income and expenditure and of written agreements with the service users about the handling of their money. There was documentary evidence of a range of records and policies in place, including financial records, missing person policy, accident book and fire drills. The home had renewed its first aid boxes. There was documentary evidence of two fire drills in the last year, as well as weekly checks on the emergency lighting, fire alarms and water temperature in areas used by service users. Checks of fire equipment was up to date. The proprietor was able to describe the on-going maintenance of the building, where some areas need renovating or redecorating. Beachside Version 1.10 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 x 3 2 Beachside Version 1.10 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. 1. Standard 7 Regulation 13 (4 c) 15 (1) Requirement Timescale for action 20.7.05 2. 38 18 (1) c i Service user care plans are developed to ensure care staff have details to follow to ensure that the health, personal and social care needs of service users continue to be met. (This was a previous requirement from 14.9.04). Staff receive an update in basic 20.7.05 food hygiene training. 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 19 Good Practice Recommendations That the fabric of the building, furniture and maintenance plan are kept under review. Beachside Version 1.10 Page 20 Commission for Social Care Inspection 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 Version 1.10 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. 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!