Inspection on 07/07/05 for Beech Gardens

This inspection was carried out on 7th July 2005.

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

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

Other inspections for this house

Beech Gardens 28/09/06

Beech Gardens 05/01/06

Beech Gardens 12/12/04

Beech Gardens 13/07/04

Beech Gardens 26/02/04

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

CARE HOME ADULTS 18-65 BEECH GARDENS 1 ALMOND ROAD SHINFIELD PARK READING RG2 8QN Lead Inspector AMANDA LONGMAN Unannounced 7 July 2005 11:00 th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beech Gardens Address 1 Salmond Road Shinfield Reading RG2 8QN 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) 0118 986 8863 0118 945 1049 Residential Community Care Limited Lorraine Payne - awaiting registration Care Home 6 Category(ies) of Learning Disabilities registration, with number of places BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12 December 2004 Brief Description of the Service: Beech Gardens is a detached house situated in a quiet residential area on the outskirts of Reading. It is on a main bus route and is close to local shops, pubs and leisure facilities. Beech Gardens is one of three homes in the local area owned by Residential Community Care. It provides accommodation and care for up to six men and women aged between 18 years and 65 years whose main need for care arises from a learning disability. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Beech Gardens is one of a group of three homes in the area owned by Residential Community Care Limited. The others are Glebe Gardens and The Walled Garden. The head office of the organisation is at The Walled Garden and all three homes work closely together to the benefit of service users. This was an unannounced inspection which began at 11.00am. The inspector was welcomed by the manager Mrs. Lorraine Payne. Three service users were out, two at a club and one at Glebe Gardens and three were at home. Two were enjoying art therapy and one was gardening. Later these service users were relaxing and playing pool. The other service users arrived back in the afternoon and were then going shopping. In the course of the inspection, one service user left to get the bus to work. This was a very positive inspection with no requirements. The home has a happy, homely atmosphere. It has good facilities and its close working relationship with the two other homes owned by the organisation benefits the people who live there, with individuals visiting other homes in the group to share educational and social activities. Photographs of service users enjoying themselves are on display in the communal areas. Service users enjoy a good balance of educational and leisure activities supported by well trained and caring staff. The recent addition of a pool table is proving very popular. To complete the inspection the inspector spent several hours at the home. Two staff were interviewed, informal conversations were had with service users, including those who were visiting from the organisations other homes, and one in depth conversation. Four service user files were examined in detail, as was one staff file, training records, minutes of service user meetings and client review questionnaires. Formal arrangements for the induction of new staff were also reviewed with the manager. What the service does well: Beech Gardens provides a good quality home which encourages all its service users to partake in the running of the home and enjoy an active life both inside and outside the home. The sense of community which exists with the two other homes owned by Residential Community Care Limited is beneficial to all service users who are able to participate in joint functions and activities and a sharing of resources. Record keeping for service users is extremely thorough BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 6 and detailed with service users being continually involved in their assessments and service user plans. What has improved since the last inspection? 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. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 5 A full assessment of service user needs and goals is undertaken with prospective service users. All service users have individual written service user agreements and contracts. EVIDENCE: An examination of 50 of service user files showed detailed assessments in place for all service users covering all aspects of need, social development, education and interaction. Lifestyle plans were in place with needs and wishes ranked in order of importance to the individual service user. Evidence was seen on all files of a service user agreement and contract. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Service users know that their assessed and changing needs and personal goals are reflected in their individual plan. They make decisions about their lives, with assistance as needed and are supported to take risks as part of an independent lifestyle. EVIDENCE: The service user files examined show that an individual plan is developed with each service user. The plan is divided in to strengths, needs and short and long term goals. It covers all aspects of physical and health needs, aspects of lifestyle needs and wishes and contains a day care and educational profile. It also contains behaviour management guidelines, where appropriate, and a physical intervention guide signed by the service user. Monthly progress reports are included on specific goals and the whole plan is reviewed with the service user every six months. Through an interview with one service user and, separately, with the manager and through observing the interactions between staff and service users it was evident that service users are enabled to make decisions about their lives. On returning home from their morning activities several service users expressed a wish to go shopping that afternoon, this they did, accompanied appropriately. Another service user, who has a job outside of the home was observed to go BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 10 off to catch the bus to work. Evidence from service user files and from speaking with service users informally illustrated that service users choose the clubs, activities and educational courses in which they participate, assisted by staff as appropriate. Up to date risk assessments for all aspects of service users lives were evident on their files, incorporating plans to minimise and reduce risks. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17 Service users are able to take part in appropriate activities and are part of the local community. They have appropriate relationships, their rights are respected and they enjoy their mealtimes, experiencing a healthy diet. EVIDENCE: All the service user files examined showed appropriate day care and educational plans. In addition conversations with service users and staff demonstrated, and an observation of an evening activities timetable, designed with service users, verified, an active and enjoyed social life. This included activities at clubs, social outings and interactions with the local community including shopping and evenings at the local pub. One service user enjoys part time local employment and on the day of the inspection was witnessed leaving the home to get the bus to work. The service user files provided evidence of the personal and family relationships which the service users wished, or did not wish to pursue, and the appropriate assistance given by staff to support this. This was borne out through conversations with the manager of the home. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 12 Service users’ rights are evidently respected in the way information is recorded on their personal files which ensure it is the service users’ goals which are recorded. During a tour of the home, bedrooms were observed to be locked and staff did not presume to enter these rooms. Service users’ responsibilities are acknowledged in terms of their supported understanding of a respect for each other’s space, which was observed. Service users are encouraged to participate in rotas, for example in meal preparation and cleaning. The service user interviewed stated he enjoyed meal planning, shopping and cooking when it was his turn. The inspector was informed by staff and one service user, that meals are planned weekly with participation from service users. The shopping is then done by the manager and one service user. This was confirmed by the manager and the relevant service user. The inspector had lunch with staff and service users on the day of the inspection which was seen to be a sociable time. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service users receive personal support in the way they prefer and require and their physical and emotional health care needs are met. EVIDENCE: The examination of service user files showed that service users had detailed personal care plans covering all aspects of care. Evidence was seen that these are reviewed on a six monthly basis with the service user. These care plans included all aspects of physical health including for example, personal care and self help needs, dental, medical and psychological needs, needs for optician or occupational therapy assistance, medication consent forms and bereavement plans. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 (part) Service users views are listened to and acted upon. EVIDENCE: Minutes were seen of regular monthly service user meetings and the manager and a service user informed the inspector of the informal meetings held on a Monday to plan the week’s menu and shopping. Evidence was also seen relating to service user review questionnaires which provided feedback on care, goals and relationships within the home. However, the complaints procedure was not examined. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Service users live in a homely, comfortable and safe environment. EVIDENCE: The inspector found the home to be accessible, safe and well maintained. A previous requirement to mend the wash hand basin and handrail in the upstairs bathroom had been carried out. The home was seen to be clean and free from hazards. An inspection of the laundry revealed mops stored with their heads in buckets. The inspector advised the manager to ensure these were washed at the end of use and hung up to dry, to assist in infection control. Service users were observed undertaking garden maintenance and the garden is well maintained by the service users. The tour of the home and the day spent their provided evidence that the home was both homely and comfortable. Service users were seen to treat the home as their own. They were relaxed, played pool, watched television, did colouring, sat in the garden, ate lunch, enjoyed snacks and drinks. The home was seen to be safe in terms of being free from hazards and front door security being appropriately managed. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Service users needs are met by appropriately trained staff. EVIDENCE: Training needs analysis forms were seen to be in place. Records of compulsory training for all staff in first aid, the protection of vulnerable adults, non-violent crisis intervention, autism spectrum disorders, emergency treatments, eating and drinking, and personality disorders were seen to be in place. Induction training records are currently held at the home’s head office, The Walled Garden and could not be verified but an interview with a member of staff who had been in post for one year demonstrated she had received training in most of the areas referred to above. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 Service user views underpin self monitoring by the home. EVIDENCE: Evidence was seen that regular, monthly meetings are held with service users and that regular service user review questionnaires provide feedback on care, goals and relationships within the home. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 BEECH GARDENS Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement None made 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. 1. Refer to Standard 24 Good Practice Recommendations The manager should ensure that mops used for cleaning are themselves thoroughly cleaned after use and hung up to dry. BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1015 Arlington Business Park Theale RG7 4SA 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 BEECH GARDENS H52 - HO1 S11349 Beech Gardens V223559 070705 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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