Inspection on 06/12/05 for Beechfields

This inspection was carried out on 6th December 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 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 Unannounced Inspection 6th December 2005 09:30 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.V267698.R01.S.doc Version 5.0 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.V267698.R01.S.doc Version 5.0 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 Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 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 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 DS0000023905.V267698.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Graham Cummings carried out the Unannounced Inspection on the 6th December 2005. The Inspection consisted of talking with the Manager and Proprietor, viewing documentation, speaking with Residents and touring the home. The Inspector found the home clean, tidy and free from any offensive odours. The outstanding Requirement from the last inspection has been put in place, the Inspector saw a procedure and protocol on file for staff to follow should a blood sugar levels fall outside the given parameters. The Resident who wished to move into independent living passed away during the process of visiting warden assisted accommodation. The Inspector left the home with no concerns for the health, safety or welfare of the Residents. 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 DS0000023905.V267698.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 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 the following standard(s): 1,3,5,6 Prospective Residents have access to information needed to make an informed choice. Residents needs are assessed prior to any placement. Residents, relatives and friends have the opportunity to visit prior to placement. The home does not cater for intermediate care. EVIDENCE: The homes information in the Statement of Purpose reflects the care provided by the home. Information is given to prospective Residents and family are asked to visit before any placement is agreed. Prior to any placement taking place the Manager visits the prospective Resident in their own establishment to assess their needs and to make sure that the home could meet them. The home does not take referrals for intermediate care. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9 Residents care needs are set out in individual care plans. Residents health care needs are met. Residents responsible for self medicating are protected by the homes policies and procedures. EVIDENCE: The Inspector looked at the care plan for one Resident and found it to contain the information required for staff to be able to provide relevant and appropriate care in the way the Resident required. The care plan was well written, clear and of a good quality that had been evaluated at regular intervals. All of the Residents are registered with a local Doctor, Dentist and Opticians. The home take Residents to any appointments wherever possible so that they are taken into the community at every opportunity. Only 1 Resident is responsible for self medicating, the medication is kept in a locked draw and is closely monitored, the home has got a risk assessment on the individuals care plan and appropriate policy and procedures are in place. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 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 the following standard(s): 12,13,15 Residents experience a lifestyle that matches their expectation. Residents friends and family are able to visit at any time. Residents receive a wholesome and nutritious diet. EVIDENCE: Since the last inspection the Residents have had trips out that have included going to Faversham, Canterbury, Luddenham Fete, hairdressers and Teynham Xmas Bazaar. At present it looks like 6 of the 9 Residents will be visiting friends or family on Xmas day leaving 3 to have Xmas lunch at the home. The Manager informed the Inspector that Residents family and friends were free to visit at any time and if this was during a meal one could be provided if required. The food provided is of a very good quality and is wholesome and nutritious. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 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 the following standard(s): 16,18 The Inspector was confident that any complaints would be taken seriously. Residents are protected from abuse. EVIDENCE: The home or the Commission had received no complaints. The home had appropriately dealt with and informed the Inspector of 2 Regulation 37 notifications and these were discussed. No staff have left and since the last inspection and the Inspector spoke to them then regarding Adult Protection and both were aware of the procedures to follow should they have any concerns. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 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 the following 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 Residents were living in safe comfortable surroundings. The home has a warm spacious and welcoming atmosphere. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Residents needs are met by the numbers and skill mix of staff. Residents are in safe hands and are protected by the homes recruitment policy and procedures. Staff are trained and competent to do their job. EVIDENCE: The home has 2 staff on during the day between 8am and 6pm with the Manager and proprietor living on sight and able to assist and cover any additional care requirements or emergencies. Staffing in the home has been consistent for some time and the team are at a level of 75 attaining NVQ level 2 or 3. Training since the last inspection has included Care Planning and First Aid. The Inspector was satisfied that staff are competent to do their jobs and the Residents are protected by the recruitment process. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35,36,37,38 Residents live in a home that is managed by a person fit to be in charge. The home is run in the best interests of the Residents. Residents finances are dealt with by themselves and/or their family. Residents are safeguarded by the homes record keeping and policy and procedures. The health, safety and welfare of Residents and staff are promoted and protected. EVIDENCE: 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. All Residents are responsible for their own finances that are paid directly into their account and which they can only access. Staff supervision takes place and staff are receiving a minimum of 6 supervisions per year. The Inspector looked at records kept within the home and found them to be complete and up to date. The Inspector met with 6 Residents and had no concerns for their health, safety or welfare. Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 Page 14 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 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 3 3 3 3 3 Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 Page 15 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 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 Beechfields DS0000023905.V267698.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Kent and Medway Area Office 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. 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