Inspection on 19/12/05 for Bevern View

This inspection was carried out on 19th 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

Bevern View 13/07/06

Bevern View 03/06/05

Bevern View 18/01/05

Bevern View 29/09/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Bevern View The Willows Deans Meadow Barcombe Lewes East Sussex BN8 5DX Lead Inspector Paul Taylor Unannounced Inspection 10:00 19 December 2005 th Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 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 Bevern View DS0000013963.V250199.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bevern View Address 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) The Willows Deans Meadow Barcombe Lewes East Sussex BN8 5DX 01273-400752 01273-401797 angela.preston@bevernview.org. The Bevern Trust vacant Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That there is adherence to the staffing levels set down Profound disabilities with complex needs aged 16 to 40 Date of last inspection 3rd June 2005 Brief Description of the Service: Bevern View is a purpose built care home that provides support and care for a maximum of eight service users with profound disabilities and complex needs between the age ranges of 16 to 40 years of age. The home provides respite care as well as full time care. The home is situated in the village of Barcombe. The home aims to provide a service to people from within a 15 mile radius. The home aims to involve service users in the local community as much as possible. Families of service users are encouraged to visit and to be actively involved in the decision making processes and care plans of the individuals resident in the home. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection of Bevern View took place on 19th December 2005. The inspection started at 10 a.m. and ended at 4 p.m. The Inspector met with three different service users and observed staff interactions with them. The Inspector also met with the acting manager, team leader on duty, a parent, five members of staff and observed a staff handover. A number of records were examined and a tour of the premises was undertaken. What the service does well: What has improved since the last inspection? The care plans are regularly updated and endorsed when this is done. The roster has been reviewed to ensure that staff working hours do not compromise service users chances to partake in outings and activities. Support workers are involved in the education programme and key worker involvement is seen as an integral part of each individual education programme. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 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. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 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 the following standard(s): 2. There is a very thorough approach to ascertaining service users aspirations. The driving ethos behind the home is to improve life chances and experiences for the adults who live there. EVIDENCE: Individual needs and aspirations are assessed in the care plans prepared by the home. The Inspector examined a sample of the care plans and found that a number of different sources were approached for information in the process of ascertaining the service users aspirations. The Inspector saw evidence of input from parents, occupational therapists, psychologists, general practitioner, key workers, nurses and dieticians. There was a checklist at the front of the care plans stating who had been involved in the drawing up of the document. The care plans had been regularly reviewed and the individuals involved in the process had used their knowledge of service users and their preferences and manner of communication to ensure that they are able to make choices commensurate with their abilities. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 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 the following standard(s): 6 and 7. Service users needs and abilities are well documented. Different methods of communication, and behaviour as a means of communication are known by members of staff. This enables service users to make their wishes and choices known to those who care for them. EVIDENCE: As mentioned in Standard 2, service users needs are regularly assessed and goals, aspirations and changing needs are regularly reviewed. Achievements and progress are recorded and a member of staff endorses the care plans when they have been checked. The variety of people who have been involved in the drawing up of care plans ensures that service users abilities are known. Service users are seen as central to the process and their ability to communicate and make choices and decisions is respected. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 17. The education programme is very well organised and enthusiastically followed and implemented. There is a drive in the home to ensure that service users have the opportunities to be part of the community, take part in activities and enjoy different experiences. The activity holiday is particularly positive. The Inspector considers the education programme to be a strength of the home. There is a varied menu available to service users and the cook is knowledgeable about individual service users’ dietary needs and preferences. The fridge temperature needs to be monitored. EVIDENCE: The home has an education program in place which is organised by one particular member of staff. Each service user has an individual programme that sets out goals and targets to be achieved. Support workers are seen as an integral part of the programme and attend the sessions organised by the Education Co-ordinator. During the inspection, service users were involved in a drumming activity which was being led by a member of staff on shift. Some service users then went on to do some art work whilst others went on an outing to a nearby park. Service users are able to attend a number of activities both in and outside of the home. Access to some adult education courses has been achieved in the last year. There are regular outings for the service users Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 11 such as trips to the pub, church, horse riding and local college. All of the service users went on holiday to an activity centre in Cornwall this year. Members of staff from the home went with them to ensure that support was available to them from familiar adults. The Inspector saw photographic records of activities that service users had partaken in on the holiday, these included abseiling and trips on boats. The Inspector met with the cook employed by the home. The cook had a good knowledge of the individual dietary needs of the service users. Information is available to the home from dieticians if it is needed. The Inspector saw a copy of the four-week rolling menu. The Inspector saw a report from an environmental health officer following a visit in July2004. The report recommended that food stored in a fridge should be kept at 8 degrees Celsius. The Inspector saw that fridge temperatures which are recorded regularly in the home, had been exceeding this temperature at times, for example the temperature had been recorded as 10 degrees Celsius on 17th December. The Inspector recommends that the time that the temperature is taken be recorded in order to ascertain whether the raised temperature in the fridge is as a result of raised temperature in the kitchen at that time, (with fridge being opened and closed regularly) or if the fridge is not functioning efficiently. The Inspector was informed that the organisation of the kitchen and catering is to be the subject of an audit in January 2006. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20. Service users physical and emotional needs are clearly outlined in their care plans and there is specialist advice available to members of staff when it is needed. The recording of the use of an ‘arm splint’ for one service user needs to be more consistently recorded. The system for the administration and recording of medication has been recently updated and is adequate. EVIDENCE: Service users physical health and emotional needs are very clearly outlined in their care plans. Copies of reviews and advice from professionals such as occupational therapists and psychologists were on file for guidance for members of staff. One member of staff who met with the Inspector reported that the care plans were easy to follow and to implement. One service user was seen to wearing an ‘arm splint’ at the time of the inspection. The care plan for this individual had instructions recommending that this is done for an hour a day from a physiotherapist. There was written record of this but this showed this had not been completed on a daily basis. The shift leader was confident that this had been achieved on a daily basis but had not always been recorded. The Inspector recommends that the recording of this is maintained consistently. The system for administering and recording of medication had been updated shortly before the inspection. The Inspector saw records of medication administered and these were in order. Due to the level of learning disabilities Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 13 of the service users at the home there were none in residence at the time of the inspection that could administer their own medication. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Service users preferences are seen as central to the running of the home. The members of staff who met with the Inspector were committed to meeting service users needs and to being flexible in their approach to ensure that they are given maximum life chances. Members of staff are aware of their obligations with regards to service users welfare. The Inspector recommends that refresher training is provided to members of staff in adult protection. EVIDENCE: Members of staff and parents on an ongoing basis ascertain Service users’ preferences and views by keenly observing their reactions and by using their knowledge of how they communicate. One member of staff who met with the Inspector reported that ‘Bevern View is not about the staff, it’s about the clients that live here, we are adaptable.’ All members of staff who met with Inspector were aware of what to do in the event that they had concerns over a service user’s welfare. There had been child protection training delivered to staff in the home in December 2004. The last training in adult protection had been in October 2002. The Inspector recommends that the staff team be offered refresher training in this subject. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,29 and 30. The home is well designed, comfortable, clean and has good access to a variety of specialist equipment. EVIDENCE: The Inspector undertook a tour of the home. The home is purpose built to provide accommodation for individuals who have physical disabilities as well as learning difficulties. There is good access to all parts of the building and to the garden. There is a lot of specialist equipment in the home which the service users use such as hoists, wheelchairs and baths. All members of staff who met with the Inspector reported that they had attended training in manual handling and had been trained in how to use the equipment. The home also has the use of two minibuses that are wheelchair accessible, this ensures that there is transport available to all service users for outings etc. All service users bedrooms were clean and decorated to their preference. Communal areas had comfortable seating and furniture that was in good condition. The home has a separate laundry facility and macerator. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 and 35. There are well-organised training records. The staffing roster is organised to meet the needs of service users, the staff team are committed and flexible in their approach. The staff team has a good mix of experience training and skills. Recruitment records contain all the information required. EVIDENCE: The Inspector examined a record of staff training. There was a matrix used which showed which members of staff had attended different courses. There was a variety of training offered and the staff team have the skills and knowledge in place to support service users. Additionally there are nursing staff as part of the staffing complement who can give advice when that is needed. There is also access to specialist advice such as psychologists or occupational therapists when that is needed. Staff rosters have also been changed in some cases to ensure that service users have the opportunity to take part in activities and outings for lengths of time not compromised by staff shifts. The Inspector examined the recruitment records of two recently recruited members of staff. These contained the information required by National Minimum Standards. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 and 43. There is a very well organised system in place to monitor health and safety issues in the home. The Inspector recommends that a fire drill is carried out in the near future. There are clear lines of accountability in the home. The acting manager is approachable and feedback about team leaders was very positive. EVIDENCE: One member of staff has responsibility for the monitoring of health and safety issues in the home. There is a system whereby environmental checks are carried out on a weekly basis. Checks included ensuring that water temperatures were monitored, décor is in good order, fire equipment and lighting is checked. The last fire drill was carried out in June 2005. The Inspector recommends that another fire drill is carried out to ensure that new members of staff are aware of what to do in practical rather than theoretical terms. There are clear levels of accountability in the home and there is a wellestablished staff structure. All members of staff have job descriptions and the members of staff who met with the Inspector reported that they receive Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 18 regular supervision. There was positive feedback about the openness and approachability of the team leaders and acting manager. The acting manager has applied to the Commission for Social Care Inspection to become the Registered Manager for the home. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bevern View Score X 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X 3 3 DS0000013963.V250199.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA17 YA19 YA23 YA42 Good Practice Recommendations That the time the fridge temperatures are taken is recorded. That the recording of the use of an ‘arm splint’ for one service user is completed consistently. That refresher training in adult protection is made available to the staff team. That a fire drill is carried out involving new members of staff. Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Bevern View DS0000013963.V250199.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!