Inspection on 08/06/07 for Beech Care

This inspection was carried out on 8th June 2007.

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

Beech Care 30/05/06

Beech Care 04/10/05

Beech Care 28/06/05

Beech Care 12/10/04

Beech Care 14/04/04

Beech Care 18/11/03

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Beech Care Ltd 99 Dunes Road Greatstone New Romney Kent TN28 8SW Lead Inspector Paul Stibbons Key Unannounced Inspection 8th June 2007 12:15 Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 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 Beech Care Ltd DS0000023334.V340294.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 Adults 18-65. 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. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Care Ltd Address 99 Dunes Road Greatstone New Romney Kent TN28 8SW 01797 362121 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) Beacon Care Holdings PLC Mr David Leslie Hussey Care Home 6 Category(ies) of Learning disability (5), Physical disability (1) registration, with number of places Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The resident with a physical disability should also have a learning disability 30th May 2006 Date of last inspection Brief Description of the Service: Beech Care, 99 Dunes Rd, Greatstone, is registered as a Care Home for up to six adults with a learning disability. Beech Care Ltd. is the registered Provider. The Registered Manager, Mr David Hussey is in day-to-day control of the functioning of the Home. The home is a detached property set in a residential area of the seaside village of Greatstone. The accommodation comprises six single bedrooms for the service users. There is a large lounge/dining room with access to the enclosed rear garden. Car parking is available to the front of the property. Local facilities (shop, pub, post office and GP) are all within walking distance. The fees range from £510.00 to £1102.29 per week. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of 2.5 hours. During the course of the inspection a tour of the building was carried out and a variety of records and documents were examined. Discussions were held with the home’s manager and members of staff on duty at the time. Due to the level of functioning of residents meaningful verbal interaction was not possible therefore observations form part of some judgements. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements arising from this inspection but the manager is aware of the need to develop PCPs (Person Centred Plans) and record outcomes for residents. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective resident’s individual aspirations and needs are assessed prior to admission. Written contracts or statement of terms and conditions with the home are agreed with individuals. EVIDENCE: Assessment of individual need is conducted by the home and a person centred plan drawn up with each individual. Input into care plans by individuals is limited due to communication difficulties and level of functioning. Residents have been at this home for some years and staff members demonstrated a good understanding of their needs. Each resident has an individual written contract or statement of terms and conditions with the home on file. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessed and changing needs are reflected in their individual care plans. The residents’ right to confidentiality is upheld. EVIDENCE: Care plans viewed identified the support requirements of individuals and daily records completed by staff on duty highlight any changing needs. Residents are supported to take risks as part of an independent lifestyle and assessments are recorded in individual care plans. Residents are assisted in making decisions about their lives by the staff team and families. The home has completed PCP essential lifestyle plans for each resident. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 10 All records of a confidential nature are securely stored within the manager’s office with access only to authorised personnel. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to participate in a range of appropriate leisure activities and engage with the local community. They have appropriate personal and family relationships. Residents are offered choice and variety for all meals and special dietary needs are catered for. EVIDENCE: The home has now completed a PCP essential lifestyle plan for each resident. Care plans viewed identified the likes and dislikes of individuals and daily records are completed. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 12 Residents were observed interacting with staff members and some were engaged in an activity of interest to them. It is acknowledged that some residents are reluctant to participate in many activities offered but staff were observed in encouraging interaction. The home now has a large mini bus that enables residents to access the wider community and trips out to social venues. Menus viewed evidenced a healthy and varied diet that is based on the experience of residents likes and dislikes. Residents are supported in maintaining friendships and family relationships. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Physical and emotional health needs of residents are met by a supportive staff team and other health care professionals. Residents are protected by the home’s policies and procedures for dealing with medication. EVIDENCE: Care plans viewed evidenced that residents receive personal support in the way they prefer and require. Care plans clearly document the likes and dislikes of individuals and the manner in which they wish to be supported. Staff members support residents in attending healthcare appointments. Discussions with staff members and observation demonstrated a good understanding of the needs of individuals. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 14 The home has a dedicated storage facility for medication and records viewed were completed. Internal training on dealing with medication has taken place with the manager assessing individual staff members as competent. The manager states that further external training has been arranged and is to commence very soon. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to and acted upon. They are protected by the home’s policies and procedures for dealing with abuse. EVIDENCE: The home has a complaints procedure in place and the effectiveness is demonstrated by the logging of a complaint from a relative that is being given due attention. Discussions with staff on duty demonstrated an awareness of reporting procedures. All staff have attended training around adult protection issues and the home’s manager has a ‘train the trainer’ qualification. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment with adequate personal and communal space. They have the specialist equipment they require to maximise their independence and the home is clean and hygienic. EVIDENCE: The home is on one level and well maintained and decorated. There is a good standard of furnishings suitable for the needs of residents. Bedrooms viewed were personalised and reflected the interests and lifestyles of individuals and are adequate to meet the needs of residents. There is a lounge/diner for communal use with adequate furniture to enable residents to have their own space. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 17 There is a good sized and well maintained secure garden to the rear of the property and accessible to residents. Laundry facilities are domestic in nature but meet the needs of the home. At the time of the visit the home was clean and hygienic and pleasant smelling. Equipment viewed has been regularly serviced. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ individual and joint needs are met by a competent and qualified staff team. They are protected by robust recruitment policies and procedures. EVIDENCE: Staff files viewed evidence a robust recruitment policy with appropriate preemployment checks being conducted. Discussions with staff members demonstrated a clear understanding of roles and responsibilities and feel they have received appropriate training to meet the individual and joint needs of residents. Staff members confirmed that they receive regular supervision and feel comfortable in raising any concerns with management. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 19 The home has recently introduced an induction programme that is linked to LDAF/Skills for care competences and NVQ 2 training is offered to all employees. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well run home that provides a supportive and caring environment. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The home’s manager is competent and qualified and residents and staff benefit from the ethos, leadership and management approach of the home. Monthly visits are conducted by the providers to ensure the quality of the service provided, and the environment are to the required standards. The Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 21 manager stated he is supported in maintaining standards and is able to raise any issues during these visits. Quality assurance questionnaires are sent to relatives and others to gather feedback on the service provided. Responses to these were not viewed on this visit. Health and safety records were completed and there were no obvious health and safety hazards noted. Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Beech Care Ltd DS0000023334.V340294.R01.S.doc Version 5.2 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. 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