Inspection on 06/07/05 for Beehive

This inspection was carried out on 6th July 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beehive 09/03/07

Beehive 06/01/06

Beehive 03/03/05

Beehive 07/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

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 Beehive 2b Wycombe Road Gants Hill Ilford Essex IG2 6UT Lead Inspector Jackie Date Unannounced Inspection 06 July 2005 10.30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beehive Address 2b Wycombe Road, Gants Hill, Ilford, Essex IG2 6UT 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) 020 8550 1032 020 8550 2422 Maidstone Community Care Housing Society Ltd Michelle Steward CRH Care Home 6 Category(ies) of LD Learning Disability (5) registration, with number of places Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person over the age of 65 years. Date of last inspection 03 March 2005 Brief Description of the Service: Beehive is a home for six people with severe learning disabilities. Residents have little or no verbal communication skills, and limited ability to make decisions about their lives. The home was purpose-built on one level and is accessible to wheelchair users throughout. There is a lounge/dining area leading to a conservatory and the garden. The garden has a patio and is well kept. Some of the residents like to sit in the garden. Each resident has a single bedroom. The house is in a residential area near to public transport and local shops. The residents go to some day activities outside the home on one or two days of each week. Bedrooms are individually decorated and personalised, according to the residents likes. At the time of the visit three ladies and three men were living at the home but one of the ladies had been in hospital for some time. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted for about four hours and took place during the late morning and early afternoon. It was the first of the two inspections that each home must have during the inspection year. Three staff and the five residents were spoken to. All of the communal rooms and three of the bedrooms were seen. Care and other records were checked. What the service does well: What has improved since the last inspection? What they could do better: A very good service is given to the residents and the house is, in general, comfortable. However there is some outstanding work needed in the shower room and some re-decoration around the home. These are outside the control of the manager and staff team. The organisation has a responsibility to ensure that the home is in a good state of repair and reasonably decorated. If negotiations with the Housing Association are unsuccessful the organisation must ensure that the necessary work is carried out. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 6 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. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 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 standard(s) 2,3 and 4. Information is available to enable the staff team to meet residents’ needs. If a vacancy arose the required information would be gathered on a prospective resident and they and their relatives could spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. EVIDENCE: There have not been any new admissions for a couple of years. The organisation has an admissions procedure that includes gathering of information and assessments. It also contains details of how a prospective resident would be introduced to the home. The staff are aware of this and would be able to assess and introduce a new resident to the home if needed. Each resident has a detailed care plan that contains information about what they can do, their likes and dislikes and what help and support they need. The staff team know residents well and know what they can do, their likes and dislikes and what help and support they need and can meet these needs. The residents are unable to comment on what it is like to live in the home, but they all appeared to be happy and relaxed. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Residents’ plans focus on their individual needs and abilities and contain detailed information so that staff can meet their needs. EVIDENCE: Each resident has a care plan. These are very detailed and give clear information about each persons strengths, needs, likes and dislikes. There are also “primary care guidelines” that describe each persons preferred morning routine and also what personal care they need and how they like to have this care. The staff team have now started to do communication passports for the residents. The communication passport seen was very good and it contained a lot of detailed information that showed that staff know this particular resident well. For example “when eating I will rub my stomach whilst shaking my head if Ive had enough”, “I will shake my head and make a low groaning noise if I want to be left alone”. The degree to which residents can be involved in the development of the plan is very limited due to their severe learning and communication difficulties. Each resident has a diary and the staff record details of what the person has done and progress towards individual goals. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 10 The residents cannot look after their own finances and staff have to help them. Some residents can indicate what they want to buy when given choices in the shop and staff support them to do this. There are risk assessments in place. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents’ needs to be met as safely as possible. For example, the support a resident needs when using public transport or when making tea. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 11 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 standard(s) 11, 12, 13, 14, 15, 16 and 17. The residents are encouraged to be as independent as possible, to take part in activities and to be part of the local community. Residents are supported to keep in contact with their relatives but unfortunately most residents do not have any family involvement. Residents are given meals that they like and that meet their needs and individual preferences. EVIDENCE: Residents are encouraged and supported to develop their skills. For example one resident can manage most of her personal care, another takes their clothes to the laundry and some of the residents make tea. All of these need support from staff. All of the residents go to day services for part of the week. One resident also has one to one support from an outreach worker and visits different places in the community. During the week before the visit two of the Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 12 residents been on holiday to Cornwall for a week with staff. Staff said that the residents had really enjoyed themselves. The rest of the residents are going on holiday in September and October. All of the residents need support from the staff team when they go out. The residents go out for lunch and go to the local shops and markets and they also do activities in the home. The staff said that it depended on how the residents felt. One of the residents goes to church every Sunday. The staff team are organising a circus party and barbecue later in July and other homes in East London and Essex have been invited. A new van has just been purchased and the staff team were looking forward to taking residents out in this. Unfortunately most of the residents do not have any contact with their families. One resident had a visit from her sister on her birthday and another receives cards from relatives. The resident that is in hospital does have contact with her family and friends. The inspector arrived at the home at 10:30 a.m. and two of the residents were still in bed. The staff said that they popped their head round the door occasionally and asked if they wanted to get up but both had indicated that they did not want to yet. A member of staff said that the residents have freedom to make choices even though they cant talk. They all have their own ways of showing that they dont want to do things. Menus are based on staffs knowledge of residents’ likes and dislikes. One of the residents is Jewish and kosher meals are prepared for him. There is also a separate fridge for his kosher food. On the day of the visits the residents had jacket potatoes with cheese and beans for lunch. The residents were given the assistance that they needed and one staff sat with one of the residents to give this individual prompting to eat. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20. Residents receive personal care that meets their individual needs and preferences. The staff team support the residents to get the healthcare that they need. Medication is appropriately administered by staff that have been trained to do this. EVIDENCE: The residents require support with their personal care and details of the help that they need and how they prefer to be supported are in their “ primary care” guidelines. Residents are encouraged to choose what to wear. When appropriate, residents are supported to get up in time to attend their day activities but at other times they get up when they choose. All of the residents go to the local doctor and specialist help is received when needed. Staff take residents to all of their medical appointments. Care plans indicate how individual residents might express pain. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 14 these show that residents have checks from the optician, dentist and when needed the chiropodist. A member of staff said that recently one of the residents had not been eating very well and then they noticed that he was refusing to put the toothbrush in his mouth. When they checked they discovered a loose tooth and he was taken to the dentist. He is okay now. None of the residents can self medicate and staff are only allowed to administer medication when they have completed the organisations training. The inspector observed the medication being administered and the member of staff doing this was able to explain clearly what she did and why and what recording was required. The medication was securely stored in a separate locked cupboard in the office. One of the residents is prescribed medication for when they have are having a prolonged seizure. Staff can only administer this medication if they have received special training. The staff on duty were quite clear that they would not be able to administer this medication but if necessary they would call an ambulance. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 15 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 standard(s) 22 and 23 There is a complaints procedure that would be followed in the event of any complaints being made, although residents would not have the capacity to make a complaint without support. Staff are aware of issues of abuse and work to protect residents from abuse EVIDENCE: There is a complaints procedure and the manager has sent copies of this to the relative that are in contact with the home. However due to the degree of their disability is unlikely that any of the residents would take be able to make a complaint without support. The organisation has produced a detailed adult protection policy that tells staff the actions to take in the event of abuse/suspected abuse being discovered. Staff have attended a course on protecting residents from abuse and are aware of their responsibility to residents. All of the residents need help with their finances and have limited capacity to understand about the concept of spending or saving money. Records are kept of financial transactions. Regular checks are made to ensure that these are correct. Residents’ finances checked at the time of the inspection were correct and appropriate receipts were on file. There are safeguards in place where large expenditures of personal money is being spent on behalf of a resident, and where the resident is not able to fully understand or contribute to the decision-making process. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 16 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 standard(s) 24, 25, , 27, 28 and 30 The residents live in a clean and comfortable home that is suitable for their needs. The shower room needs some further improvement to ensure that it provides a safe and suitable place for residents to shower. Some redecoration is required to ensure that residents’ accommodation is of a good standard. EVIDENCE: Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 17 The house is near to the local shops and bus routes. The communal space consists of a large lounge/diner, a conservatory, kitchen, laundry room and a garden. The residents can see visitors in private in the conservatory if required. The building is accessible for wheelchair users throughout. Each resident has a single bedroom. These are decorated and furnished to meet individual needs and likes. There are enough baths, showers and toilets to meet the residents’ needs but not all of the work required by the previous inspection has been carried out in the shower room. The radiator has been replaced but the shower chair, shower screen and hand rails have not. After the visit the manager contacted the inspector to say that the items for the shower room had been ordered and that the work would be carried out as soon as they arrived. A new heating system has recently been fitted in the home and there is damage to the walls in most of the rooms especially as the new radiators are smaller than the old ones. The manager has complained to the Housing Association and is due to meet them in the near future to discuss the damage and to negotiate some redecoration. In addition to this there was some torn wallpaper in the lounge and some flaking paint and plaster in the hall, possibly due to damp. All of these must be addressed. It is the registered persons legal responsibility to ensure that the home is kept in a good state of repair and all areas must be reasonably decorated to provide good quality accommodation for the residents. At the time of the inspection the home was clean and free from offensive odours. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35 & 36 Staffing levels are sufficient, and staff receive the necessary training, supervision and support, in order to meet residents’ current needs and provide a good service for them. Residents are supported by a motivated staff team, who know them well and who are committed to providing a good quality service. EVIDENCE: The staff team have experience of working with people with learning disabilities and staff on duty said that they had received a lot of training since they started work in the home. This has included person centred planning, adult protection, epilepsy, first aid, makaton and food hygiene. They were clear about their duties and responsibilities towards the residents. Three staff are on duty from 7 am to 6.30 pm and then two staff until 9.30 pm. At night there is one member of staff awake and one sleeping in. The manager works a mixture of days and shifts. Staffing levels are sufficient to meet the assessed needs of the residents. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 19 Staff meetings and staff supervision have been taking place regularly, providing staff with the opportunity to discuss problems and to be involved in the development of the service. Staff spoken to say that they receive good support from the manager and from each other. They also said that the staff team work well together and that the residents benefit from this. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 &42 The home is well managed and provides a safe environment for the residents. EVIDENCE: The manager has a lot of experience of working with people with learning disabilities and of managing residential services. She has successfully completed NVQ levels 2 & 3 and the Registered Managers’ Award. Staff are involved in the running of the home and the staff team discuss any developments and changes. One member of staff said, “the manager is open to new ideas and suggestions and is always looking at ways for the home to run better. The home is well managed”. The quality of the service provided to the residents is monitored by the home manager and by the organisation. The service manager carries out monthly monitoring visits to assess how effectively the home is operating to meet its stated aims and objectives, and reports are written. These indicate the action Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 21 to be taken when deficiencies are identified. Copies of these reports were available in the home and copies are sent to the Commission. All of the necessary health and safety checks are carried out and a safe environment is provided for the residents. Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 2 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beehive Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x Version 1.40 Page 23 G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Yes 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. 2. Standard YA24 YA27 Regulation 23 23 Timescale for action The home must be in a good 31 October state of repair and all areas must 2005 be reasonably decorated. The shower chair, shower screen 30 and hand rail in the shower room September must be replaced and any 2005 damage made good. (Previous timescales of 31 October 2004 and 30 June 2005 not met. Requirement 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 None Good Practice Recommendations Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford Essex 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. Extracts may not be used or reproduced without the express permission of CSCI Beehive G55_S0000025943_Beehive_V237135_060705_Stage 4.doc Version 1.40 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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