Inspection on 27/02/06 for Beech Spinney

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Spinney 05/03/09

Beech Spinney 01/07/08

Beech Spinney 23/01/08

Beech Spinney 26/09/06

Beech Spinney 05/07/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Beech Spinney Ironbridge Telford Shropshire TF8 7NE Lead Inspector Sue Woods Unannounced Inspection 27th February 2006 03:00 Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beech Spinney Address Ironbridge Telford Shropshire TF8 7NE 01952 432065 01952 432209 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) www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. Pre-admission assessments must be undertaken on all individuals admitted to the home. An Occupational Therapist report must be produced and forwarded to the Commission within six months from the date of registration. All service users must have a Person Centered Plan initiated within three months from the date of registration. There must be a minimum of three care staff on duty from 7 am - 10 pm in the five-bedded residential unit and two staff in the respite unit. There must be a minimum of two waking staff on duty throughout the night and formal on-call arrangements in case of emergency. All new staff must complete the LDAF induction. LDAF foundation training must commence/continue at the earliest opportunity. Service users on respite/emergency placements and those in long term placements must occupy separate premises including day space, facilities and equipment, unless benefits for both groups can be demonstrated. 5th July 2005 Date of last inspection Brief Description of the Service: Beech Spinney is registered with the CSCI as a residential Care Home for a maximum of seven adults with learning disabilities and additional complex needs. The registration consists of a five bedroomed house for five people and an adjoining two bedroomed respite facility. Although not yet operational the respite home (Thistle Lodge) will have a dedicated staff team and will run independantly from Honeysuckle House. All bedrooms have spacious en suite bathrooms and have access (via a tracking hoist if required) to large assisted bathing and showering facilities. Communal space at Honeysuckle House comprises of a large kitchen, dining room and lounge. The gardens are landscaped and easily accessible. Beech Spinney also has use of a resource centre which boasts an indoor pool and a fully equiped sensory room. Beech Spinney is managed by Cottage and Rural Enterprises Ironbridge. The responsible individual is Mr Michael Keighley. Mr Barry Lord is the manager of the home and is currently in the process of applying for registration with CSCI. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of Beech Spinney took place during the late afternoon and early evening of 27th February and focussed on Thistle Lodge which is now operational. The inspector spoke at length to the service user currently in residence, senior and support staff, and the manager. The inspector reviewed outstanding requirements made at the time of the announced inspection of the home and reviewed care plans and assessments as well as identified records. The inspection lasted three and a half hours. No requirements were made as a result of this inspection. What the service does well: What has improved since the last inspection? The management and staff team have embraced requirements made at the time of the last inspection of the home and used them as a basis to improve practice and policy. For example recording practices were much improved in relation to the recording of financial transactions. Records were well organised and all records requested by the inspector (and others to demonstrate improvements) were readily accessible and user friendly. Since the time of the last inspection the home has recruited a manager who has already demonstrated that he has the skills to lead a staff team and offer them support and encouragement to use and develop individual skills. The process of recruiting staff has also been reviewed by the manager and as a result the latest recruitment drive resulted in the appointment of enough staff to fill all vacancies and have available flexible bank staff. Staffing levels were seen to be good at Thistle Lodge allowing numerous opportunities for the service user to go out and develop some independent living skills during her stay. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 the following standard(s): 2,4 The commitment of the management team to ensure all admissions are supported by appropriate assessments will enable the home to only admit service users whose needs they can meet. EVIDENCE: As Thistle Lodge offers a respite facility it is essential that they receive good quality information from the referring body prior to the admission. The manager was aware of this and stated that he chases up outstanding information to support an admission although this is not always forthcoming. The manager stated that regular meetings between the placing authority and CARE has made the process easier although the potential for Telford and Wrekin Council to ‘lead’ admissions was noted. Telford and Wrekin Council purchase places using g a ‘block booking’ arrangement. Information relating to the service user currently staying at Thistle lodge had been provided although her admission does not reflect the true nature of the service. Despite this the home is more than able to meet her assessed needs and have made significant progress in supporting her to make choices and gain some independence. Future service users coming to stay at Thistle Lodge have previously visited the home for social events and/ or had overnight stays followed by multi agency reviews. The management team demonstrated that they were able to request additional and supplementary information before stays are finalised and have the flexibility to request funding for additional staffing as required during the assessment process. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 the following standard(s): 6,7 Care plans detail individual needs and goals to enable service users to lead full and active lives while receiving the support they need. EVIDENCE: The care plan reviewed reflected a very person centred approach to care delivery. Attention to detail was noted. The manager stated that care plans are built up over a period of time and there was evidence of this in progress for one service user. Where needs assessments identified that certain information is recorded and monitored there is evidence that this takes place. Records had been completed appropriately. One of the positive outcomes for the service user currently staying at Thistle Lodge is that she has started to make choices and has practiced and developed skills of independent living. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 13, 14, 15 Service users are enabled to participate in the community-based activities that they enjoy allowing them a good quality of life while staying at the home. The support to maintain family contacts is valued by the service user and the family member. EVIDENCE: Due to the circumstances of the current service user’s admission it is very important to her that she maintains contact with her family. Staff are aware of this and the service user stated that she values the support from the staff to see her family member. Again there is evidence that staff have not just facilitated this activity but taken time and effort to make visits special. Through discussions with the service user and staff on duty there is evidence that the service user is currently leading a full and active life visiting places of interest as well as re-establishing friendships and activities that can continue when she returns back home. The service user told the inspector of a recent meal out that she had particularly enjoyed. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 11 In house activities include arts and craft and watching ‘the soaps’ and other programmes on the television. The service user was aware what activity takes place each day and looks forward to each one. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19, 20 Responsive and supportive staff ensure that the needs of service users are fully met. The home has a safe system for storing, handling and recording medication. EVIDENCE: The service user staying at Thistle Lodge is being supported sensitively by the staff team. Staff were seen to offer ongoing reassurance that the service user would soon be going home while offering activities to occupy her while she is away from her family. Staff also responded sensitively to the health needs of the service user at the time of the inspection and had taken her to hospital for a check up following a recent incident. The service user was seen to enjoy a foot massage from a staff member and staff were aware of the service user individual health care needs. Medication arrangements have been reviewed over recent months and records and systems implemented demonstrated the safe administration of medication for the service user currently staying at Thistle Lodge. The inspector was able to speak with a staff member who had been involved in the medication review and she spoke knowledgeably about the need for accurate record keeping and Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 13 the need to risk assess the possibility of a service user managing his or her own medication in the future. An issue in relation to staffs ‘accountability’ was discussed and it was established that the requirement had been made by Telford and Wrekin’s quality officer. The inspector advised that the manager follow up on this issue with her. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards have been addressed during the announced inspection of the home and thus were not revisited on this occasion. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 the following standard(s): The home is clean. EVIDENCE: Standard 24 was reviewed during the announced inspection of the home and thus were not revisited on this occasion. All areas of the home seen by the inspector were clean. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 36 Staffing arrangements are very good offering a high quality service. EVIDENCE: The rota for Thistle Lodge demonstrated a staff ratio of two staff to support one service user. It was noted that the home has two waking night staff who work together over both parts of the building. The manager and senior staff stated that these arrangements were satisfactory and additional monitoring devises are used as per care plans. The manager and senior support worker spoke very positively about their recent recruitment drive and are happy to have filled all vacancies including the additional post recently agreed for the home. Staff on duty were well motivated, enthusiastic and totally committed to supporting the service user currently staying at the home. The service user stated that all of the staff were ‘lovely’ speaking very fondly of the staff member supporting her at the time. Staff on duty spoke very highly of the home manager, stating that he offers regular and ongoing support. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 41 The home is managed by a competent manager and staff team who have implemented and maintained systems to safeguard service users. EVIDENCE: The ethos of Thistle Lodge was reflected in discussions by the manager and staff alike. Service users are the priority. Plans are person centred and staffing is arranged around the needs of the service users. The manager is proactive in service delivery and records are well organised and managed. The inspector reviewed the service users money record and it demonstrated that a robust system of recording and monitoring is in place. Entries for purchases reflected information seen in daily records and then later in conversations with the service user and staff. Other records requested by the inspector were readily available and were seen to have been appropriately maintained. The staff rota reflected actual staff on duty. Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 4 34 x 35 x 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x x x LIFESTYLES Standard No Score 11 x 12 x 13 4 14 4 15 4 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 4 3 x x 4 x x 3 x x Beech Spinney DS0000063123.V271768.R01.S.doc Version 5.1 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. 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 Spinney DS0000063123.V271768.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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