Inspection on 24/07/06 for Beachside Rest Home

This inspection was carried out on 24th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 10/11/05

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 Kathy Flynn Key Unannounced Inspection 12:30 24th July 2006 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.V294816.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 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.V294816.R01.S.doc Version 5.1 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.V294816.R01.S.doc Version 5.1 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 10th November 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. Fees charged as from 1 April 2006 range from £363 to £550, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key inspection was carried out on 24 July 2006, starting at 12:30 p.m. It took place over five hours. The inspection included a tour of the home with the manager, a review of care plans, staff files, menus, training records, policies and procedures, accident records and the record of activities. Nine residents, the manager and in three members of the staff team were spoken with during the inspection, and they were all happy to discuss the services provided at the home. A Pre-inspection questionnaire and 10 residents surveys were sent to the home. The Pre-inspection questionnaire and eight residents surveys were completed and returned to the Commission. Staff surveys were also sent to the home, five were completed in addition to the two GP’s comment cards. The reader should be aware the Care Standards Act 2000 and the Care Homes Regulations 2001 use the term service user to describe those living in care home settings. However the purposes of this report those living a Beachside will be referred to as residents. What the service does well: What has improved since the last inspection? Training in moving and handling has been provided for all staff at Beachside to ensure the health and safety of residents. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 6 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.V294816.R01.S.doc Version 5.1 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.V294816.R01.S.doc Version 5.1 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 and 5. Standard 6 is not applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments are completed prior to the offer of a place at the home to ensure that the needs of prospective residents can be met. EVIDENCE: Prospective residents are encouraged to visit the home several times to meet the people living there, including staff, and have lunch before deciding to move into the home. The manager explained that a comprehensive preadmission assessment is completed prior to inviting prospective residents to visit the home. The assessments viewed contained background information, hospital discharge plans, assessment of needs and an action plan regarding how these would be met. The manager and staff were able to demonstrate a good understanding of the individual residents complex needs and how the home can meet them. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 9 Residents spoken with said that they felt staff could provide the support they need, with a number saying that they are very happy at the home. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 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 and 10 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The care planning system identifies the needs of residents and the support provided. However the information recorded varies for each resident and therefore staff may not be able to offer appropriate care. Staff treat the residents with respect and encourage them to play an active role in deciding the care and support they receive. Residents are protected by the efficient and accurate administration and recording of medication. EVIDENCE: The manager advised that a considerable amount of work has been done to improve the care plans and they now include risk assessments and daily records. The manager and staff demonstrated a clear understanding of the care and support residents require and how this is provided. However the format of the care plans varies and may not give her clear picture of their individual needs for staff to follow. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 11 Residents are registered with GPs and have access to local services when required, which include Consultant Psychiatrist, Community Psychiatric Nurse, District Nurse and psychology services. The managers are experienced Mental Health nurses and during the inspection the manager on duty was able to demonstrate the skills and knowledge, which ensure that the needs of residents are met. Staff were noted to treat residents with respect, encouraging them to make choices about how they spend their time. Some were sitting in the lounge, some in their own rooms, while others took advantage of the warm weather and were sitting in the garden. Medication is stored securely in the office. Staff were following the homes policies and procedures concerning its administration with accurate recordings on the Medicine Administration Charts. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 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 and 15 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from the variety of activities provided at the home. Residents are encouraged to maintain contact with relatives and friends and benefit from links with the local community. The routines of the home are flexible. This enables residents to have control and make choices about all aspects of their day to day lives. The meals at the home are good offering variety and choice and catering for dietary needs if required. EVIDENCE: A variety of activities are available for residents to participate in if they wish. These include arts and crafts classes, with regular exercise sessions, reminiscence work, music and dancing provided by an Occupational Therapist. Residents are also able to play bingo and other games with the staff at any time, and during the inspection several residents were watching a film in the lounge. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 13 Residents were happy to discuss the activities provided that the home, some said they preferred to make things and particularly liked the craft sessions, while others like to sit quietly knitting or watching the TV. They are able to access the local library, shops and cafes in Seaford if they wish, with seasonal trips to the theatre and cinema arranged by the home. Some residents visit their relatives on a regular basis and the home encourages contact with family and friends. The manager discussed the importance of providing ‘mental stimulation’ for residents, which includes not only the activities provided at the home but encouragement to use the towns facilities and make choices about all aspects of their day-to-day living, including hobbies. Residents spoken with confirmed that they are able to make choices about how they spend their time, what they would like at mealtimes as well as what time they get up and go to bed. The meals provided by the home are varied and nutritious, choices are available and it was noted that a range of foods were provided at suppertime. Residents stated that meals are ‘actually excellent’, ‘very nice’ and ‘the staff always offer something that we like’. The staff were able to demonstrate an awareness of the residents dietary requirements and an understanding of their preferences so that appropriate food is purchased. Staff have completed Food Hygiene courses. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. Staff demonstrated a good understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: Appropriate policies and procedures are in place with regard to complaints, the book is available to record these but there have been no complaints since the last inspection. Feedback from residents surveys and discussions with residents during the inspection confirmed that they are aware of how to raise concerns and feel that the staff will deal with them. Although one resident stated that this is not applicable there is simply no occasion to complain. In-house training in adult protection is provided for the staff who have not completed NVQ Level 3, which includes appropriate training. Staff spoken with well aware of the adult protection policy in the home and were able to demonstrate a good understanding of the protection of vulnerable adults. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 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 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The home is relaxed and friendly although some of the environment is poor. Considerable decoration and replacement is required to provide a comfortable and homely environment for residents. Infection control policies and procedures are in place and staff were able to demonstrate a good understanding of these. However the environment does not enable staff to follow these effectively. EVIDENCE: Residents who were spoken with said they were happy at the home, they are able to decorate their rooms as they wish and one has asked to have a new carpet in her room and the manager is arranging this. It was noted that some parts of the home require redecoration and some furniture should be replaced. The lift does not work and the manager advised Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 16 that the current and prospective residents needs are reviewed and assessed, to ensure that they can access their rooms safely using the stairs. There are three bathrooms on the home, one with a shower attachment, and it was noticed that the sink in the bathroom on the first floor was loose, appropriate repairs are required to ensure the safety of residents. A cleaning programme is being developed with the checklist to enable staff to ensure the home is clean and odour free. However because the environment of the home is poor staff may be unable to follow this program effectively. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing numbers and skill mix is appropriate to the assessed needs of residents. Appropriate training is provided for staff, 5 have completed the NVQ Level 3, which ensures that residents receive the care and support they need. EVIDENCE: The home has a stable team of staff. They have worked at the home for many years and provide a supportive and caring service for the residents. Comments made by residents and feedback from the resident surveys complemented the staff on the support they provide, ‘the staff are excellent’, ‘staff are friendly and help me when I need it’, ‘it is very relaxed and I am quite happy to live here’. The manager discussed recruitment procedures and the policies that are in place, however it was not possible to view their use because no new staff have been employed at the home since the last inspection. Five of the care staff have completed NVQ Level 3 in care and those working during the inspection were able to demonstrate an understanding of the needs of residents and the skills needed to support them appropriately. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 18 Training courses are provided for staff and include Food Hygiene, First Aid, Drug Administration, Fire Training and all staff have recently completed a relevant Moving and Handling course to ensure the safety of residents. The staff record is viewed during the inspection were found to be incomplete, with records are available for some staff but not others. Relevant checks including references and POVA/CRB checks were not completed for all staff. The manager explained that this is because most of the staff have worked at the home for a number of years, since before the introduction of the National Minimum Standards, he is aware that additional information in line with Schedule 2 is required and will be collected and included in the personnel files. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 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): 31,33,35,36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is supported well by the staff in providing clear leadership throughout the home, with staff demonstrating an awareness of their roles and responsibilities. Residents interests would be safeguarded by robust policies and up to date records. A quality assurance and monitoring system, including the regular staff supervision, enables the home to offer appropriate support and care for residents. EVIDENCE: The joint managers of beachside have owned the home for many years. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 20 They are Registered Mental Health Nurses, have completed the Registered Managers Award and have many years experience of working with people with mental health problems. Being experienced practitioners they have the skills and knowledge to provide an appropriate service for residents in a relaxed and friendly environment. The residents spoken with the said that the managers and staff are ‘friendly and helpful’ while encouraging them to be independent and make choices about to what they want to do. The staff were equally positive saying that they all work together, the staff, the management and the residents, to make sure that the best level of care is provided. Systems are in place to monitor the services provided at the home, both formal and informal, in the form of residents meetings and daily discussions with residents and staff. A questionnaire has recently been developed and some residents have completed this. The manager explained that the staff and residents work together to make sure that the service is appropriate, if residents have any preferences or would like to change anything they can discuss this at any time. For example residents prefer white bread to brown bread and this is now provided, and one resident would like to have a different colour carpet in her room and this is being arranged. Residents who were spoken with said that they talk to the staff on a regular basis and the manager discusses the support they receive each week. They feel that they are able to talk about any concerns they might have, although they also stated they couldnt think of anything that they would like to change. The manager confirmed that residents manage their own finances and the home does not currently take responsibility for residents money. Some of the records kept in the home should be reviewed and updated to ensure that they include all the relevant information required by regulation. It was noted that the doors to some resident’s rooms were propped open during the inspection. The manager explained that stools are used to keep the doors open in the warm weather. The provision of appropriate systems to hold doors open safely was discussed and advice is to be sought from the fire service. Mobile heaters are used in some residents rooms, risk assessments are to be completed to ensure they are used safely. Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 21 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 N/A 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 22 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. Standard OP7 Regulation 13 (14) (b, c) 23 (2) (b) Requirement Care plans to be reviewed and updated to include all relevant information in an appropriate format. The service starts a programme of redecoration throughout the home. This is outstanding from 10/01/06. The service starts a programme of redecoration throughout the home. This is outstanding from 10/01/06. Checks required by legislation to be completed prior to the employment of staff. Staff files to be reviewed and updated in line with items listed in Schedule 2. Staff files to be reviewed and updated in line with items listed in Schedule 2. Advice to be sought from the Fire Service regarding keeping doors to residents rooms open. Risk assessments to be completed for the use of mobile heaters in residents rooms. Timescale for action 23/10/06 2. OP26 18/09/06 3. OP19 23 (2) (b) 18/09/06 4. 5. 6. 7. 8. OP29 OP37 OP29 OP38 OP38 19 (4) 19 (1) 19 (1) 13 (4) 13 (4) 24/07/06 23/10/06 23/10/06 18/09/06 24/07/06 Beachside DS0000021043.V294816.R01.S.doc Version 5.1 Page 23 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.V294816.R01.S.doc Version 5.1 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.V294816.R01.S.doc Version 5.1 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!