Inspection on 12/04/07 for Beechfields

This inspection was carried out on 12th April 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

Beechfields 06/12/05

Beechfields 14/06/05

Beechfields 21/01/05

Beechfields 25/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Beechfields Beechfields Conyer Road Teynham Sittingbourne Kent ME9 9ET Lead Inspector Graham Cummings Key Unannounced Inspection 12th April 2007 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechfields Address Beechfields Conyer Road Teynham Sittingbourne Kent ME9 9ET 01795 520580 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 Clifford Lewis Saffrey Mrs Dorothy Elizabeth Saffrey Mr Clifford Lewis Saffrey Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 Brief Description of the Service: Beechfields is a privately owned residential home. It has registration for up to 9 adults over the age of 65. There are 7 single bedrooms and 1 shared. The premises have been designed and built with reference to the National Minimum Standards for Care Home’s for Older People. The home is set on one level in a rural location with views of the countryside from most windows, there are several seating areas set around the outside of the building for Residents to use in the good weather. The weekly fees range from £395 to £410 Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first Key Inspection under Inspecting for Better Lives 2. The report is based on evidence previous reports, the completed Pre Inspection Questionnaire, site visit where staff and Service Users were spoken with, documentation viewed and a tour of the home. The Manager was not on site at the time of the visit and access to some documents was restricted but not a cause for any concern. The home is spacious with well furnished communal areas that have plenty of natural light. The bedrooms were of a good size and furnished with individuals personal belongings. Some Service Users have a small fridge, kettle and toaster in their rooms so that they have access to snacks and drinks at any time. During the site visit a Service Users friend arrived to take them out for the day. Eight of the Service Users are aged 90 or over and although quite active for this age any activities offered have a limited response. Most Service Users go out at least once a week to the library, local shops, fetes or for a walk, daily papers are delivered to Individual Service Users and they enjoy completing the crosswords, listening to audio book tapes and DVD’s. A Service User spoken to said that they were ‘happy at the home, they would prefer to be able to live with family but this was the next best thing’ ‘staff are helpful and friendly’. What the service does well: What has improved since the last inspection? Since the last Inspection three Service Users have moved on and all three rooms were decorated before being used again, new garden furniture has also been purchased. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective Service Users and their relatives are able to make an informed choice about living at the home. EVIDENCE: The home has had two new admissions since the last inspection, during discussions with a staff member it was clear that the home followed good practice guidelines and carried out pre placement assessments and visits to the home by the Service user and their relatives had taken place. When looking through documentation records of the assessment and visits were found. One of the two admissions made confirmed they had visited the home prior to moving in. The home does not cater for intermediate care. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users can be confident that they have their needs set out in an individual plan and that they will be treated with respect. Service Users can be confident that their health care needs will be met. EVIDENCE: The care plans for the last two admissions were viewed. The information contained was informative and written clearly and in plain English. The Service Users had participated in making their individual care plans and how they wanted any personal care to be delivered. The staff member spoken to said that all Service Users are registered with a local Doctor, Dentist and Optician, this was confirmed in the care plan with the name, address and telephone number of the professional concerned. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 10 Individual risk assessments were seen on the two care plans including moving and handling, personal care and mobility. When looking round the home the staff member knocked on doors before entering and explained about the inspection and who I was. Service Users were able to be as independent as possible and staff encouraged them do as much for themselves as possible with support available as required. None of the Service Users self medicate but there is a policy in place should this ever be required. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users can be confident that they are able to maintain contact with friends and relatives and experience and choose a lifestyle of their choice. Service Users benefit from receiving food that is wholesome and nutritious. EVIDENCE: Service Users were able to live a lifestyle in their preferred manner. They were able to choose the activities they participated in and had access to going to the library, shops, fetes, tea rooms, bazaars, theatre and shows. A Service User commented that they can ‘sit and enjoy the scenery’ from the lounge window or ‘go to the library’. Some Service Users have a small fridge, kettle and toaster in their rooms so that they have access to snacks and drinks at any time. These are all risk assessed. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 12 Friends and relatives can visit at any time and during the site visit a friend arrived to take a Service User out to a tearoom. Visitors to the home include monthly visits from a Reverend and a Priest to meet with an Individual Service User who has requested this. The majority of the food is brought fresh from the local butchers and greengrocer and the menu appeared to be wholesome and nutritious. A Service User commented that the food was ‘always good and there was plenty of it’. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users and friends views are listened to and acted upon and they are protected from abuse. EVIDENCE: Neither the home nor the Commission have received any complaints from any source. Staff and Service Users spoken to were very positive about the lifestyle and care that Service Users lead. Staff have attended Protection of Vulnerable Adult training with two staff also completing NVQ level 4 in care and another starting Level 2. The home’s complaints procedure is available for Service Users, relatives and friends. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a very well maintained homely environment. EVIDENCE: The home is registered for nine Service Users and there are seven single rooms and one double room all with en-suite facilities. The majority of the Service Users are from the local town and the views from the lounge window give a good view of the surrounding area. The corridors are wide as are the doorways so that there is easy access for Service Users who need to use mobility aids. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 15 The rooms are well furnished with lots of personal belongings on display and some had a small fridge, kettle and toaster to enable Service Users to have a snack at any time. Staff carry out regular safety checks of the home. The Fire Brigade had been asked to visit in March 2007 to carry out a safety audit of the premises. A copy of the report has been received by CSCI and this confirmed that the home had met all of the requirements. The home is well set out with lots of natural light in all rooms and allows for good views of the countryside and locals wildlife. Three rooms have been decorated since the last inspection and new garden furniture has been purchased. There are seating areas around the outside of the home including a walled garden and several patio areas. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from having a stable, trained and skilled staff team. EVIDENCE: No staff have left the home since the last inspection so recruitment process could not be verified. At the last inspection there was not an issue with this area. Two staff have almost completed an NVQ Level 4 and another staff member has started their NVQ Level 2. Most training has taken place with KCTA and includes First Aid, Food Hygiene, Moving and Handling and POVA. No staff files were seen as the Manager/Provider was not on site at the time of the visit. However, the staff spoken to said that they received supervision on a regular basis and that as the Manager/Provider lived on site support and advice was always available. Service Users when spoken to said that the staff were ‘friendly, helpful and kind’. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from living in a home that is well managed and run in their best interest. Service Users can be confident that their health, safety and welfare will be promoted and protected. The care of Service Users may be compromised because ongoing records are not completed on a daily basis. EVIDENCE: Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 18 The home is well run and done so in the best interests of the Service Users. Comments from Service Users included that they were, ‘ happy at the home, they would prefer to be able to live with family but this was the next best thing’ ‘staff are helpful and friendly’ ‘I am able to do what I want’. Mr and Mrs Saffrey live on site and are able to react to any situation that may arise. Residents are able to choose to participate in shopping trips and outings and choose their own daily activities. Service Users finances were not checked since all Residents are responsible for their own finances, all monies are paid directly into Service Users’ own accounts and which only they can access. No documentation could be seen relating to finances as these were locked in a filing cabinet and the staff member did not have access to it. Staff files were not seen but the staff member spoken confirmed that they received supervision on a regular basis and at least six times per year. Regular safety checks and fire alarm tests take place that are recorded and signed and dated, the home has recently had the local fire brigade visit to make sure that the home meets the requirements of the Regulatory Reform (Fire Safety) Order 2005. All Service Users are registered with a Doctor, Dentist and Optician to ensure their health needs are met. On looking through the daily records it was noted that the staff are not completing these everyday and it is only filled in when an outing, activity or change in a Service User’s health needs takes place. The importance and need for notes to be recorded daily was discussed with the staff members spoken to during the site visit and agreement that this would start from the day of the site visit. Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 4 X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 2 3 Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Home’s 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. 1. Refer to Standard OP37 Good Practice Recommendations That daily records for each individual are completed daily and entries signed and dated Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone Kent 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 Beechfields DS0000023905.V330249.R01.S.doc Version 5.2 Page 22 - 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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