Inspection on 31/01/06 for Beeches (The)

This inspection was carried out on 31st January 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

Beeches (The) 29/04/09

Beeches (The) 09/05/07

Beeches (The) 14/06/05

Beeches (The) 23/11/04

Beeches (The) 06/05/04

Beeches (The) 18/03/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Beeches (The) The Beeches 48 The Drive Ilford Essex IG1 3JF Lead Inspector Ms Harina Morzeria Unannounced Inspection 31st January 2006 03:30 Beeches (The) DS0000028719.V282632.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 Beeches (The) DS0000028719.V282632.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. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beeches (The) Address The Beeches 48 The Drive Ilford Essex IG1 3JF 020 8518 3704 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) Mr Chanan Singh Sidhu Ms. Linda Morris Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Beeches is registered for 8 adults with a Learning Disability and Associated Mental Health Problems. 14th June 2005 Date of last inspection Brief Description of the Service: The beeches is registered to care for younger adults with moderate learning disabilities and associated mental health problems. The home is situated on a busy main road in a residential area in the London Borough of Redbridge. It is within easy reach of a park and the main town centre in Ilford which is accessible by public transport. All service users occupy their own single rooms which are well furnished and decorated. The service users are supported by the manager and staff to maintain their independent living skills, go to the day centres, attend college for various courses as well as accessing community facilities locally. Service users are also encouraged to work part time in paid jobs or work as volunteers in charity shops if they wish. Activities are organised both within the home and via various club memberships. Personal care is provided on a 24-hour basis, and all health care needs are met by staff supporting service users to attend appointments with health professionals. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection visit in the inspection programme for 2005/06. Over the course of the two visits, all core standards have now been assessed. Two requirements were set at the previous inspection and the registered person has complied with all of the required action. This inspection was unannounced and started at 3pm. The inspector spoke to 4 service users during the inspection as well as the manager. Two service users files were also inspected. What the service does well: The service continues to offer a comfortable and homely environment to the service users. The décor, furnishings and fittings are maintained and the manager and proprietor ensure that any items requiring replacement are quickly replaced. The home supports the service users to exercise choice and control over their lives in order to promote their independence. The inspector observed this process during the inspection regarding choice of menus as well as evening entertainment. The routines of daily living and activities are flexible and varied to suit each young person’s expectations, preferences and capacities. The service users feel at home and relaxed at the Beeches because the staff pay close attention to meeting their individual needs. The service users said that they enjoyed living at the Beeches and were very positive about the quality of care they are receiving. The service users said that they are asked about things that affect them in the home and are kept informed about any changes and events that take place. Regular discussions and meetings take place between the staff, the service users as well as their relatives. All necessary health care services are accessed for the service users in order to meet their assessed and specialist needs. Each service user has a weekly programme of activities outlined in an activity plan. Hence, the service users are supported by staff to attend college, go to Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 6 the day centre, go shopping and for walks as well as going to the cinema, restaurants, and pubs locally with the staff during the evening and weekends. Holidays are also planned with the service users. Visiting times are flexible and visitors are welcome at any reasonable time. The staff selection and recruitment policy and procedure as well as the home’s induction training is well implemented. 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. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 8 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 Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 9 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): These standards were not tested on this visit. However evidence from the last inspection was that prospective service users’ individual needs are assessed, and they know that they will be met. They visit and “test drive” the home, including getting to know the other people who live there. Service users safety is promoted through a satisfactory system of risk assessments. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. The home have two vacancies and the manager is in the process of carrying out assessments for prospective service users, taking into consideration the present mix of the group, as well as assessing the prospective service users needs and considering whether the home can effectively meet these needs. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 10 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, 8, 9, Each service user has an individual care plan which outlines his/her needs and personal goals. Service users are consulted about their lives and encouraged to make independent decisions as far as possible. Appropriate risk assessments are in place for activities undertaken by the service users in order to promote their independence. EVIDENCE: Each service user has a care plan which outlines the service users’ individual needs and how these will be met. Two service users’ care plans were inspected at the time of inspection and were found to be detailed as to how their needs will be met. The inspector noted that the care plans are reviewed monthly and updated as required. Service users spoken to said that they are given choices and asked by staff about what they would like to do on a daily basis, if they don’t already have an activity planned. The service users knew who their key workers were and said that they would talk to them or the manager if they had any problems. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 11 There are comprehensive risk assessments for all the different activities that service users take part in and they are supported by staff to carry out their chosen activities, within this framework. Daily records showed that staff write what the service users have done daily which show that they aim to meet the service users needs on a daily basis. The individual plans of care for each service user would be improved by increasing further, the involvement of the service users and their relatives, so that these plans reflect as accurately as possible the needs and wishes of the service users themselves. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 12 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): These standards were not tested on this visit. However evidence from the last inspection was that service users have opportunities for personal development and are able to take part in age and culturally appropriate activities. Service users are encouraged to engage in appropriate leisure activities within the local community. Their rights are respected and responsibilities are recognised in their daily lives by staff. The meals in this house are good, offering both choice and variety and cater for special dietary needs. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 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 the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that service users personal support in the way that they prefer and require. The daily records show that the service users physical and emotional health needs are met appropriately within the home. Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beeches (The) DS0000028719.V282632.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): These standards were not tested on this visit. However evidence from the last inspection was that the home has a satisfactory complaints policy and procedure which is also available in picture format. All the staff working in the home receive training in adult protection/abuse awareness to ensure a proper response for reporting any suspected or witnessed abuse. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beeches (The) DS0000028719.V282632.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): 24, 27, 28, 29, 30 Service users live in a homely and comfortable environment. Communal spaces are spacious and sufficient for the numbers of people living in the home. The home is clean and hygienic. EVIDENCE: The house is in keeping with other properties on the street. A tour of the downstairs part of the premises showed that it is decorated and furnished in a homely manner. All of the service users spoken to said that they like their rooms and were comfortable and safe in them. All parts of the home seen were clean and tidy. Beeches (The) DS0000028719.V282632.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): These standards were not tested on this visit. However evidence from the last inspection was that all staff have job descriptions which clearly outline their roles and responsibilities. Staff are qualified, competent and sufficiently experienced to carry out their tasks. The home has a recruitment policy and procedure which is adhered to, ensuring that service users are safeguarded by a robust recruitment process. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beeches (The) DS0000028719.V282632.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): 39, Service users are confident their views, underpin all self monitoring, review and development at the home. Service users benefit from living at the Beeches because the home is run in their best interests. The home is good at making sure that the service users are kept safe whilst living at the Beeches. EVIDENCE: The inspector now receives regular Regulation 26 monthly monitoring visit reports from the proprietor. Service users confirmed that the proprietor visits on a regular basis and are aware that they can discuss any issues or concerns with him about the management or the running of the home. The inspector noted that at the time of the inspection, the manager remains committed to running the home in service users best interests and fully promotes their independence and right to make choices. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 18 At the time of the inspection the atmosphere in the home was lively with constant interaction and communication between the staff and the service users as well as with the manager. The mood in the home was also sombre, as all the service users as well as most staff members had attended the funeral of one of their fellow residents who passed away suddenly. This matter has been sensitively handled by the staff. The manager and the staff have offered individual support to the service users when they have needed this. Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 19 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 X 3 X 4 X 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 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X x 3 X X X x Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 20 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 Beeches (The) DS0000028719.V282632.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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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