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Inspection on 12/08/05 for Beachville

Also see our care home review for Beachville for more information

This inspection was carried out on 12th August 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.

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

What the care home does well

An established staff team is in place to provide continuity of care to service users. The staff are caring and enthusiastic and enjoy their work. This was confirmed by service users spoken to who said staff are kind and helpful to them. Records are well recorded and detailed and provide information to help ensure that each individual receives care and support that is appropriate to their needs. Meals are varied and nutritious. Some service users spoken to stated they enjoyed them. There is an excellent standard of hygiene around the home.

What has improved since the last inspection?

The National Vocational Qualification training programme continues and the minimum requirement should be exceeded by the end of 2005 . The environment continues to becoming better maintained and there is an on going programme of decoration and refurbishment around the home .

What the care home could do better:

To ensure all recordings about service users are documented in their care records. To give thought to establishing s system so a service user is not sent to hospital unaccompanied. To provide a publicized alternative to the main meal. To continue to consult with service users regularly.

CARE HOMES FOR OLDER PEOPLE Beachville West End Newbiggin By The Sea Northumberland NE64 6XD Lead Inspector Karena M. Reed Unannounced 12 August 2005 1:00 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. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beachville Address West End Newbiggin By The Sea Northumberland NE64 6XD 01670 817345 01670 812411 n/a Mr S Allison Mrs J Allison Miss Vivian Adams CRH 15 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) Category(ies) of LD(E) Learning Disability - over 65 (2) registration, with number OP Old Age (13) of places Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 4-3-2005 Brief Description of the Service: Beachville care home is registered to provide personal care to fifteen service users, categories of care include thirteen older people and two people with learning disabilities over sixty five years of age. Nursing care is not provided. The home is situated in a residential area of Newbiggin By the Sea and is well served by public transport systems. It is close to local amenities. The building is a large detached house with gardens overlooking the coast. All bedrooms are for single occupancy apart from one double bedroom. Rooms to the rear enjoy magnificent sea views. A passenger lift is not available but some bedrooms are situated on the ground floor.There is a large lounge, a dining room and conservatory overlooking a wellstocked garden to the rear of the building all the communal rooms have sea views. There are two bathrooms, one of which contains an assisted bath. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 3 care plans, 2 staff files, the fire log record, the accident book, admission/discharge register, complaints record, staffing rotas, daily communication book and service users personal allowance records. The proprietor, manager and a carer were spoken to during the inspection. Time was also spent with 9 service users and two relatives during the inspection. What the service does well: What has improved since the last inspection? What they could do better: To ensure all recordings about service users are documented in their care records. To give thought to establishing s system so a service user is not sent to hospital unaccompanied. To provide a publicized alternative to the main meal. To continue to consult with service users regularly. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 6 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. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4,5 The home ensures that potential service users are provided with details of the services the home provides which helps them to make an informed decision about coming to stay in the home. Detailed information is made available when a referral is made. The home carries out their detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. Staff are equipped with the necessary skills in order to meet the needs of the service users. EVIDENCE: A Statement of Purpose was available outlining the services provided by the home. The service user guide details information in an informal, interesting style to tell people who may be coming to live in the home about services available. The Statement of Purpose and service user guide are updated annually. Inspection of records for three service users showed that full assessments had been carried out prior to their admission. A relatively new service user said that they had visited the home and received information verbally and in writing Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 9 about the way it was run before moving in for a trial stay. The service user was also very happy with the care and attention received. Service users have the opportunity to visit the home as many times as they like to decide if they wish to live there. This may involve tea- time visits, day and overnight stays and can be adjusted to the pace of the service user. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 There are good arrangements in place to ensure that residents’ health and social care needs are met. Detailed information is available to ensure that all health care needs are clearly addressed and to ensure that the staff team are fully informed and aware of the support they need to provide. EVIDENCE: Inspection of the records for a recent admission showed that an assessment had been carried out prior to their admission. This was combined with information received from the care manager’s assessment of the service user’s care needs. The resulting care plan recorded detailed information about the health and medical needs of the service user and the amount of staff intervention required in order to provide support. Daily recordings about the care provided to service users should be included in their case records. Records indicated that a service user recently requiring a visit to hospital during the night was not escorted by any member of staff from the home . Information is also collected in order that the home can make an assessment of the service users social needs. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 11 Service users have a choice of General Practitioner if they are unable to retain their own when they move into the Home. There was evidence that GPs and Community Nurses were regularly consulted for advice and treatment. Records were available to show district nurses visit the home as required and service users are assisted to access chiropody and optical services at least annually or as often as required. Staff receive training about medication before they are given the responsibility of administering it to service users. The medication system was not examined at this inspection. All of those residents spoken to, said that they were treated well by the staff and well cared for. It was apparent during the inspection, that attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 The Home provides support to service users to access and use community facilities when possible e.g health, social and spiritual needs. Social activities provide variation and some interest for service users. Visitors are made welcome and staff support residents to maintain contact with family and friends as they wish. Service users have some encouragement to exercise choice and control over their lives. Meals provide daily variation and interest for people living in the home. EVIDENCE: There is a programme of activities in place including: videos, knitting, sing-along, bingo, manicurist, dominoes. Many service users attend organized activities run by Mind Active within the community. Some also attend a Friday club run by the local church. Organized entertainment also takes place within the home eg slide shows about the history of Newbiggin By The Sea, the Salvation army Band have also visited. Service users spoken to were quite enthusiastic about the activities that were offered by the home. A varied programme was available for people to take part in if they wished. Service users said they did enjoy the organized social evenings arranged by the home eg pie and pea supper. There was no evidence of regular meetings with service users although they did say they were individually asked their views and opinions almost daily. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 13 Nine people living in the home were spoken to and those who commented on the food said how good it was. On the day of inspection, the lunch comprised soup and banana split. Tea was fish fingers, chips, peas and beetroot and cakes and cheese scones. A publicized alternative was not available offering an alternative to the main meal. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 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 standard(s) 16,18 There is a suitable complaints procedure. Service users and their relatives have confidence that they can raise any issues and know that they will be dealt with. The manager has an understanding of Adult Protection issues that protects service users from abuse. EVIDENCE: The home has a complaints procedure. There have been no complaints about the home since the last inspection. A procedure for responding to allegations of abuse is available. Records showed that staff have received training about Adult Protection . Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,22,23,24,25,26 The home is well maintained with good quality furnishings and décor in the communal areas, which creates a pleasant and homely environment for those living there. There is an excellent standard of hygiene around the home. Systems are in place to provide a safe environment for service users and staff. EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. The home is well maintained and there is an ongoing programme of decoration and refurbishment. There is a large bright and airy lounge and dining room and a conservatory with French windows leading to the garden. Service users bedrooms were personalized to their tastes. There are an adequate number of bathrooms with equipment to help those with physical disabilities and some separate lavatories around the home. There are good laundry facilities in place and staff receive training about infection control. There is a large, well tended garden with pleasant sitting areas and a magnificent sea view. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 16 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) 27,28,29,30 Adequate staffing levels are maintained to meet the needs of service users currently. The staff have an understanding of the service users support needs. This is evident from the positive relationships that have been formed between staff and service users. There are training arrangements in place, which means staff are given a knowledge of the needs of service users in order to provide care. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team provided evidence that the numbers of staff are as follows: 8.30am- 4.30pm 3 5.00 pm –9.00pm 2 9.00 pm- 8.30am 1 waking and 1 on call These numbers include the proprietor and manager who work some super numary hours. There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation and cleaning. The necessary checks are being carried out prior to the workers being appointed. There is a stable committed staff team and there is a low turnover of staff. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 17 Staff stated that they receive induction training. Four members of the care staff team have now achieved National Vocational Qualifications at level 2,1 staff members has also achieved level 3 and another staff members level 4. Plans are in place for other staff to begin studying at levels 2 and 3. Staff confirmed that they also receive advice and /or training in other areas, such as loss and bereavement, dementia awareness, risk assessment and the necessary statutory training. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,37,38 The manager is committed to ensuring the home is run for the benefit of service users. Records were quite well documented and statutory health and safety checks were carried out within the required time scales. Systems are in place to ensure the health and safety of service users and staff as far as possible. EVIDENCE: The manager, Miss Vivian Lawson, has worked at the home for several years and has managed it for the last two years. She has obtained the Registered Manager’s award. The positive comments of service users and staff give confidence that the manager provides good leadership throughout the home and promotes a philosophy of individual care to service users. Discussions with the manager and the staff records viewed provided evidence that the staff are supported in their roles through regular supervision. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 19 The two staff files looked at did not contain photographs of the staff members or a copy of their birth certificate or other evidence as required by the Care Standards Act 2000 for proof of identity. There was also no copy of the General Care Council’s Code of Practice. There is a system in place to ensure that staff are given training in moving and handling skills, fire safety, first aid, infection control and good hygiene. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 4 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 Standard No 16 17 18 Score 3 x 3 3 3 3 3 3 x 2 3 Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 21 yes 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 37 Regulation 19(1)(b) para1-7 Schedule 2 18(4) Requirement Staff files must contain all the information as stated in Schedule 2 of the Care Standards Act 2000 A copy of the GSCC code of conduct to be provided to all staff members. Timescale for action September 30th 2005 October 31st 2005 2. 37 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. 2. Refer to Standard 15 14 Good Practice Recommendations To provide a publicized alternative at main meal times. To continue to consult regularily with service users individually and as a group. Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland NE23 6UR 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 Beachville B53-B03 S633 Beachville V233972 120805 Stage 4.doc Version 1.30 Page 23 - 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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