Inspection on 03/10/06 for Beachville

This inspection was carried out on 3rd October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beachville 08/06/07

Beachville 16/01/06

Beachville 12/08/05

Beachville 04/03/05

Beachville 22/06/04

Beachville 04/03/04

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Prince Bishop Court

Park View (15)

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

CARE HOMES FOR OLDER PEOPLE Beachville West End Newbiggin By The Sea Northumberland NE64 6XD Lead Inspector Karena M Reed Key Unannounced Inspection 2:30 3rd October 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 Beachville DS0000000633.V306459.R01.S.doc Version 5.2 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. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beachville Address West End Newbiggin By The Sea Northumberland NE64 6XD 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) 01670-817345 01670 812411 Mr S L Allison Mrs J Allison Ms Linda Karen Rutter Care Home 12 Category(ies) of Learning disability over 65 years of age (2), Old registration, with number age, not falling within any other category (10) of places Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th January 2006 Brief Description of the Service: Beachville care home is registered to provide personal care to twelve residents, categories of care include ten 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 near to a bus route. It is also close to local shops and pubs. The building is a large detached house with gardens overlooking the coast. All bedrooms are for single use apart from one double bedroom. Rooms to the rear of the house 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 well -stocked garden to the rear of the home, all the communal rooms have sea views. There are two bathrooms, one of which contains an assisted bath. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living at the home at the time of inspection in October 2006 vary between £331 and £383.36. Additional charges are payable for hairdressing, private chiropody, toiletries, personal newspapers, escort duties taking residents to hospital and some transport costs. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was unannounced and took place over three hours. A partial tour of the premises took place and a sample of records were inspected which included: The home’s Statement of Purpose and service user guide, 4 care plans, the fire log, accident book, admission /discharge book, complaints record, 2 personal allowance records, staff communication book, staff meeting minutes and 2 staff files. The proprietor, manager, cook, two carers and 6 residents were spoken to at the time of inspection. A questionnaire was also completed by the home before the inspection to provide information. Comment cards were also sent out before inspection to receive feedback from people about the care provided at the home. What the service does well: The home is welcoming and well maintained with an excellent standard of hygiene. There was very positive feedback from relatives and residents about the care provided by staff and the general running of the home. Written comments include: “The home is very clean and tidy, it is very homely and friendly.” “It is immaculate.” “ The home is certainly a credit to Mr & Mrs Allison and staff. It has such a homely atmosphere. As you walk in the door everything is spotlessly clean and there is always a lovely smell of home cooking.” “ Seeing the washing so clean on the line when we visit makes us feel it is certainly a home from home for all the residents.” “ If it was a hotel it would certainly be five star rated.” There is a committed staff team to provide care and support to residents. “…is well looked after, … is always smart, clean, well fed and well cared for.” “ …is very happy and content living in Beachville…. and the staff are caring.” Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 6 “Staff are really pleasant.” “Staff are very helpful.” Residents enjoy a varied menu and home baking. Written comments: “ Lots of very good home cooking.” “Excellent home with friendly staff. Always spotless. Meals very balanced and tasty. Programme of events available.” “First class home. Could not be better cared for.” What has improved since the last inspection? The recruitment and vetting procedures have improved helping to protect the residents living in the home. Residents are offered more choice at meal times. A new manager has been appointed. A staff team is being created. There is an ongoing programme of redecoration and refurbishment around the home to ensure the safety and comfort of residents. The level of staff training continues to improve to help staff meet the needs of residents as individually as possible. The standard of record keeping continues to improve to ensure the health and safety of residents and staff. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 7 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. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 8 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 Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 9 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): 1,3,4,5 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before this visit to this service. The home has up to date information to provide to prospective residents about the home and its facilities to enable them to make an informed choice about where to live. The home collects enough information about the needs of residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of residents and to provide the necessary levels of care and support to individual residents. The home is welcoming and there are opportunities are available for prospective residents and their families to visit to decide if the home is suitable. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. The records for a resident recently admitted to the home showed that an assessment of their care needs had been carried out before their admission. The resident and their family were involved in the initial assessment. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Two staffing files showed staff receive training so that they know how to meet the specialist needs of the residents. Recent staff training includes: Vulnerable Adults Awareness, Dementia Care, Health and Safety, Food Hygiene, First Aid, Infection Control and National Vocational Qualifications at different levels. Future training planned includes more N.V.Qs’ and health and safety training. Residents’ feedback cards all showed their needs were met and they were happy with the care offered to them. Comments included: “Happy and content living in Beachville…. and the staff are caring.” “I was given a lot of information about the home to help me decide if I wanted to live here.” “Staff are really pleasant.” “Staff are very helpful.” Residents 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 individual. “ I came to visit the home before I moved in.” “I looked at several homes before I chose Beachville.” Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before this visit to this service. There are good arrangements in place to ensure that residents’ health and social care needs are met. A system is in place to review the changing needs of residents. Residents’ care plans do not reflect the amount of care and support that staff are providing to residents. Staff receive training before they are able to administer medication to residents. There are very full arrangements in place to ensure residents health care needs are met. Service users are treated with respect and their right to privacy is upheld. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 12 EVIDENCE: There are comprehensive assessments in the residents’ care plans. Personal support needs are well documented but they do not give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, remaining mobile in order to help retain some independence. Care plans are amended and reviewed on a monthly basis by the resident’s key workers, (staff who have special responsibility for each resident). Residents and their families or representatives are involved in the process. Moving and handling assessments are in place. Technical aids and equipment is available for residents. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records 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. Comment cards included: “If … is ever sick or needs a doctor, the home always sees to my mother for the relevant care and they always inform me.” A random inspection of medication held within the home took place and everything was in order. A monitored dosage system is used by the home. A system is in place should residents be able to handle their own medication. Training records showed senior staff members receive training about medication before they are able to administer it to residents. Risk assessments are in place. Care records, conversation with staff and observation showed the privacy and dignity of residents are respected. All of those residents spoken to said that they were treated well by the staff and are well cared for. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before this visit to this service. Recreational activities and outings are available to residents. Residents maintain contact with family and friends as they wish. Staff help more dependent residents to exercise choice and control over their lives. The diet of residents is wholesome. EVIDENCE: A programme of activities is in place for residents this includes: videos, sing-along, manicurist, dominoes, quiz nights, religious services, hairdressing, “pie and pea suppers”. Residents enjoy sitting in the large well- tended garden when the weather is suitable. Various seasonal parties are also arranged, which are well supported by relatives and families. Some residents attend Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 14 regular social sessions outside of the home run by Mind Active, a voluntary group. Residents were positive about the activities provided. Comment cards included: “Any games going on I can take part in.” “There are activities in the home.” Some residents have the opportunity to visit the local community with relatives. Staff ask each resident about their wishes, interests and choices. The cook talks with the residents to collect up to date ideas for making the menus and finding out about the food likes and dislikes of residents. At least two hot meals are provided daily and an alternative is available at tea time. Residents were very positive about the food: “Excellent meals.” On the day of inspection, the tea served was fish or sandwiches and cakes. Comments include: “there is always a lovely smell of home cooking.” “ Lots of very good home cooking.” “….meals very balanced and tasty.” Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before this visit to this service. A complaints procedure is available to residents in case they wish to complain. Residents are protected from abuse. EVIDENCE: There is a complaints procedure if complainants are not happy with the homes investigation and response however it does not provide details of how to contact CSCI to make a complaint but refers to the previous regulatory authority. The home keeps a record of complaints. Comment card: “I am very happy and have no complaints.” “Never had a complaint but if I had I would see staff.” Residents and their families are also asked at residents’ reviews if they have any complaints. Staff have received some training to make them aware of abusive care practice. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 16 Staff have completed a Dementia Care course that has given them more insight into the needs of people with memory loss. Staff enjoyed the course and felt it provided them with more understanding about the care of people with different forms of dementia. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 17 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): 19,26 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before this visit to this service. Residents live in a homely, comfortable and safe environment. There is an excellent standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvement around the home. Since the last inspection some bedrooms have been decorated. The cloakroom has bee decorated and has had a new floor laid. A lavatory has been replaced. The home is clean, well decorated and very well maintained. Written comments include: Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 18 “The home is very clean and tidy, it is very homely and friendly.” “It is immaculate.” “ The home is certainly a credit to Mr & Mrs Allison and staff. It has such a homely atmosphere. As you walk in the door everything is spotlessly clean and there is always a lovely smell of home cooking.” “ If it was a hotel it would certainly be five star rated.” “Seeing the washing so clean on the line when we visit makes us feel it is certainly a home from home for all the residents.” “ If it was a hotel it would certainly be five star rated.” The home is clean, well decorated and very well maintained. The garden is well maintained and attractive. The home has sufficient sitting and dining space. Residents can see visitors in private in their own rooms. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before this visit to this service. Residents’ needs are met by the numbers and skill mix of staff . Systems are in place to ensure residents are in safe hands at all times. Residents are protected by the home’s recruitment policy and practices. Staff are trained to meet the care needs of residents EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 8.00am- 5.00pm 5.00 pm- 9.00pm 9.00pm- 9. 00 am 3 staff 3 staff 1 sleep in member and 1 care staff Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 20 These numbers include the manager who works some supernumerary hours. The proprietor is also available and works at the home certain days of the week. There is a senior staff member on each shift. Other staff members are employed for duties such as food preparation, cleaning. The necessary checks are being carried out prior to the workers being appointed. Two written references were available on the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. A stable committed staff team is being created. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Staff receive Skills for Care induction previously TOPSS. 99 of the care staff team have now achieved National Vocational Qualifications at level 2 some are also studying or have obtained level 3. Catering and house keeping staff are also following relevant NVQs. Staff and their records showed that they also receive advice and /or training in other areas such as dementia care, health and safety, handling of medication, Vulnerable Adults Awareness, Dementia Care, Health and Safety, Food Hygiene, First Aid, Infection Control and National Vocational Qualifications at different levels. Future training planned includes more NVQs and health and safety training. Written Comment cards:” Good staff.” “ …is very happy and content living in Beachville…. and the staff are caring.” “Staff are really pleasant.” “Staff are very helpful.” Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 21 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before this visit to this service. Residents’ live in a home that is well run and managed for the benefit of residents. Residents’ financial interests are safe guarded. The health, safety and welfare of residents and staff are promoted and protected. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager was appointed to her post in June of this year. She has worked at the home for several years. She has completed a National Vocational Qualification at level 4 and is currently studying for her Registered Manager’s award. Discussion and observation maintain that she puts the needs of the residents first and promotes an ethos amongst staff of involving staff and residents in decision making within the home. She has introduced several changes within the home for the benefit of residents and staff. A key worker system has been introduced whereby staff will have special responsibility for each resident. A new shift system for working has been introduced so staff will not work such long shifts. She is creating a staff team. The standard of record keeping has improved. Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Individual records show the home has a suitable system for accounting any monies held on behalf of a resident. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment were all up to date. Staff training relating to health and safety was up to date and training being planned to renew any that required updating such as health and safety. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 23 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 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 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 2 17 x 18 3 4 x x x x x x 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 3 3 3 3 3 x x 3 Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP16 Regulation 22(7)(6) (a) Requirement The complaints procedure must be updated. Timescale for action 05/11/06 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 OP7 Good Practice Recommendations To break down the care plan further to demonstrate levels of support required. Beachville DS0000000633.V306459.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office 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 DS0000000633.V306459.R01.S.doc Version 5.2 Page 26 - 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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