Inspection on 14/06/05 for Beechfields

This inspection was carried out on 14th June 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

Beechfields 12/04/07

Beechfields 06/12/05

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 Conyer Road Teynham Sittingbourne Kent ME9 9ET Lead Inspector Graham Cummings Announced 14/06/05 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 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 H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beechfields Address Conyer Road, Teynham, Sittingbourne, Kent ME9 9ET 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) 01795 520580 Mr Clifford Lewis Saffrey Registered Care Home 9 Category(ies) of Care Home for Older People registration, with number of places Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21/01/05 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 Homes 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. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out the Announced Inspection on Tuesday 14th June 2005. The Inspector arrived at 09:40 and left at 15:45. The Inspector spoke with the Proprietors Mr and Mrs Saffrey, 4 Residents the 2 staff on duty and toured the home. Residents told the Inspector that they were happy living at Beechfields, one said that ‘things were very good and they were well treated’, another said ‘staff were exceptional above and beyond what you would expect’, 1 Resident did express the wish to be living more independently and asked the Inspector to note this. The Residents are all from the local Kent area and those spoken to said the home is well run and managed. The three Requirements from the previous inspection have all been addressed. What the service does well: 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. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,4 The homes Statement of Purpose and Service User Guide are good. They provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. EVIDENCE: The home has updated the Statement and Purpose and Service User Guide following the last inspection and copies were given to the Inspector, both documents will need to be changed to reflect the recent change of location to the Commission for Social Care and Inspection office and telephone number. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8,9,10 The health needs of Service Users are well met. Personal care is offered in a way protect Service Users privacy and dignity and promote independence. Some Policies and Procedures for residents self medicating were not in place. EVIDENCE: All Residents are registered with a local GP and where appropriate are responsible for their own medication. One Resident talked to had medication in her bedside locker, although the risk of another Resident entering and taking the medicine is minimal, the medication should be kept in a locked cabinet in the room. Three of the Residents have been diagnosed as having diabetes, all are at different stages, the Inspector was informed that there were no procedures or protocols on individuals files to guide and advice staff of what action to take should the blood level test results be outside of the agreed guidelines. The Manager agreed that this would be rectified quickly. Residents were very happy with the care they received; one said that ‘staff were exceptional, you could ask them anything’ another Resident told the Inspector that ‘staff are helpful and very good’. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Residents were happy with their lifestyle. Residents maintained regular contact with family and friends. Residents were encouraged to exercise choice and control in their lives. Residents received a balanced diet in pleasant surroundings. EVIDENCE: Residents had visits from family and friends announced and unannounced and this did not cause a problem to the running of the home. Residents were encouraged to exercise choice and control in their lives, however one Resident spoken to said that when she first came to the home she was asked for her likes and dislikes regarding food but is never sure what is on the menu for the day, she did confirm that she has never been given anything she hasn’t liked. The Inspector spoke to 4 of the Residents all who said they had no complaints about the home, there was one Resident who said that they felt isolated and would prefer to be in sheltered / Warden assisted accommodation as they were younger and more able than the other Residents. They had started to get information about local Housing Associations to see whether this was feasible, they had received a positive response from their GP and one of the Housing Associations. The Inspector suggested that they discuss their future with the Manager who could possibly assist and arrange for any assessments that may be needed. The Manager was informed of this information with the Residents permission. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 10 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users are protected from abuse EVIDENCE: The Manager has just completed her NVQ4, this covered the area of Adult Protection in some depth, the 2 staff on duty have both attended Adult Protection courses within the last 2 years, the manager is arranging for them to attend again to update their knowledge, other staff employed are also going to be attending courses. Staff spoken to were aware of what action to take should they have to report any issue of abuse. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 Residents live in a safe environment. Residents have access to safe indoor and outdoor communal facilities. All Residents have sufficient access to lavatories and washing facilities. Specialist equipment is available to meet Residents needs. Residents own rooms meet their needs. Residents rooms are comfortable and they have personal possessions around them. Residents live in safe, comfortable, clean and hygienic surroundings. EVIDENCE: The home is well maintained with one of the owners and their family keeping the outside environment in good order. The internal furnishings and decoration of the home are also in good order. There are several seating areas around the outside of the home including a walled garden area, internally there is a large lounge with ample seating. Residents bedrooms all have en-suite facilities of toilets and shower had personal belongings in them and were well furnished, Residents also had access to a communal bathroom, a hoist is available for Residents who needed any assistance. The home was clean and tidy and the Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 12 Residents were living in safe comfortable surroundings. Regarding the problem highlighted at the last inspection of the heating one Resident said that ‘they had been warm enough and had no complaints’. The Manager said that they had gone round to each individual and explained the workings of the under floor heating and how to use it effectively, this appears to have resolved the issue. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 Staff morale is good resulting in a workforce that works positively with Residents to improve their whole quality of life. Staff are well trained ensuring good quality care and support. EVIDENCE: Staff spoken to both informed the Inspector that they had Supervision with the Manager at least 6 times a year, as the owners lived on site their hours were between 9am and 6pm, there are occasions that staff do work 4pm to 11pm if the owners go out. One staff member said that they were happy to challenge the Manager or owner if it was necessary. When they started, their induction consisted of working alongside the Manager and other staff for approximately 2 weeks prior to working on shift as a member of staff. One staff had NVQ level 3 and the other had started their NVQ level 3 in care in a previous employment and is looking to restart this in the near future. Staff had attended a training course on Risk Assessment on the 13th June and next Monday 20th June were attending a course on Care Planning. The Manager had also attended a course on staff Supervision since the last inspection. Arrangements are being made for staff to attend Health and Safety and First Aid courses. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36,38 Residents live in a well managed home and it is run in their best interests. Residents are responsible for their own finances. Staff supervision takes place. The Residents health, safety and welfare are protected. EVIDENCE: The home is well managed and both Mr and Mrs Saffrey live on site and are available to react immediately to any situation that might arise. Residents are responsible for choosing their daily activities or requesting to go into town. All of the Residents are responsible for their own finances, all monies are paid directly into their bank account and they are the only ones with access to their account. Staff informed the inspector that they receive individual supervision 6 times a year. The Manager informed the inspector that risk assessments are carried out prior to any activity to ensure the safety and welfare of Residents and staff. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 3 3 x 3 3 x 3 Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 16 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 9 Regulation 12(1)(a) Requirement The Registered person shall ensure that the care home is conducted so as - to promote and make proper provisionfor the health and welfare of Residents, in that they provide protocols and procedures for the monitoring and actions to be taken of Residents who have diabetes and are taking their own blood sugar levels and/or are self medicating Timescale for action Immediate 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 9.2 Good Practice Recommendations That the Resident who have medication stored in their room keep it locked away when not being used. This may be best resolved by fixing a lockable wall cabinet. Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Beechfields H56-H05 S23905 Beechfields V221701 140605 Stage 4.doc Version 1.30 Page 18 - 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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