Inspection on 03/06/05 for Bevern View

This inspection was carried out on 3rd 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

Bevern View 13/07/06

Bevern View 19/12/05

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 Endersby Unannounced 3 June 05 10:00 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. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Bevern View Address 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) The Willows Deans Meadow Barcombe Lewes East Sussex BN8 5DX 01273 400752 01273 401797 Angela.preston@bevernview.org The Bevern Trust (Organisation) Mrs Angela Ruth Preston Care Home 8 Category(ies) of Physical disability (PD), Learning disability (LD), registration, with number 8. of places Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. That there is adherence to the staffing levels set down 2. Profound disabilities with complex needs aged 16 to 40 Date of last inspection 18 January 2005 Brief Description of the Service: Bevern view is a purpose built care home that provides support and care for a maximum of 8 service users with profound disabilities and complex needs in thre age range 16 - 40. 2 of the beds are for respite use. The home is situated at the edge of Barcombe village and the village high street is within walking distance. The home aims to provide a service to people from the local area – within a fifteen mile radius. Service users spend time out in the local area as well as further afield to attend college or on trips. Families of service users are encouraged to visit and stay involved in the decision making process via regular meetings. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and early afternoon in June 2005. The Inspector met with the registered manager and other staff plus most of the residents living in the home. However due to their limited communication skills, it was not possible to have any effective conversations with the residents. The Inspector did however spend time with the residents observing them with members of staff during their educational activities and recreational time, and during lunch. The Inspector also reviewed some of the care plans and other documentation including some records. The inspection lasted 5 hours. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 6 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 Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 7 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) 1, 2 & 5 The home’s Statement of Purpose and Service Users Guide provide prospective residents with helpful information when making a decision about admission to the home. The pre-admission assessment procedures ensure that the home only accepts those people whose needs can be met by the staff team. EVIDENCE: Information about the home is included in the Statement of Purpose and Service Users Guide. The Statement of Purpose includes the aims, objectives, philosophy of care, service, facilities and terms and conditions of the home. The Service Users Guide is made available to all the residents and their families. Copies of inspection reports are kept in the front lobby. Although there have been no recent admissions to the home, the manager confirmed that the process of pre-admission assessment can take several months to complete. An initial assessment is carried out in order to determine whether the staff of the home are likely to be able to meet the needs of a prospective resident. Arrangements are then made for the prospective person to visit the home on several occasions, including overnight, in order for a more detailed assessment to be carried out. The whole process involves the multidisciplinary team and includes social work staff, nurses and therapists, and allows staff to fully identify potential needs and facilitates the involvement of relatives. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 8 A comprehensive statement of terms and conditions has been prepared. It is provided for residents prior to admission and signed by their parent or other representative. The terms and conditions provided by the home are used in conjunction with the contract agreed with the placing authority. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 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) 8 & 9 Involving residents in the daily life of the home and providing them with choices in the context of a risk assessment framework contributes to developing their independence and fulfilment. EVIDENCE: Consulting residents and enabling them to participate in the life of the home is central to the whole ethos of the service. Some of the home’s policies are produced in symbol format. Information was provided to confirm that residents are given the opportunity to be involved in the recruitment of new staff. Regular discussions take place between the staff and residents about how the residents spend their time and what services should be provided. The development of policies, procedures and the support provided involves all interested parties including residents and their families. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 10 Risk assessment is an important and integral part of the care provision at Bevern View and the staff seen by the Inspector are aware of the strategies of risk management. The home has a well-developed system in place for enabling residents to take responsible risks within the context of a risk assessment framework. Potential hazards to safety are identified by the staff and then discussed with residents and their relatives. Risk assessments are also carried out at local colleges where residents attend. In addition, all outings are risk assessed, as are holidays. Staff have undertaken training in the identification and recording of potential risks. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 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) 12, 14 & 15 The educational and leisure time programme provides a wide range of life experiences for residents. The close involvement of resident’s families enables them to contribute to the care of their family member and to the wider aspects of the life of the home. EVIDENCE: In addition to the use of local colleges, the home has well developed on site education facilities for residents. Within the home residents are taught by the home’s own educational staff. There are opportunities to develop life skills based on the individuals need. The shift leader and the educational staff ensure that the programme provided is suitable, and residents are encouraged to take responsibility in terms of asking to do an activity or course, where appropriate. Through their own observations and personal knowledge of residents, staff assess if a client enjoys and benefits from an activity. Where appropriate some parents attend courses with the residents to assess the responses of individuals. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 12 In addition to the educational opportunities residents have access to a range of leisure activities. These include gardening, art and craft, horse riding, bowling, swimming, cinema outings, ice-skating, and greyhound racing. In addition leisure activities are arranged for individual residents. Group and individual holidays are arranged. Maintaining family support and involvement is fundamental to the ethos of Bevern View. This includes their being involved in the day-to-day management of the home. There are monthly forums for families that provide opportunities for feedback. Parents and families are involved in care plan reviews as well as the formation of life plans. The relaxed atmosphere in the home and the inclusive approach of staff actively encourages visiting. Visitors are invited to stay for meals and to get involved in any activity taking place both on and off site. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 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 & 20 The personal support provided to residents respects their indivdual needs and preferences. EVIDENCE: Personal support is provided flexibly and at a pace that is preferred by the residents. Staff know the residents well and are able to provide care based around the preferred routine of the individual. Residents decide on their own key workers. Individual likes and dislikes in all aspects of the residents’ life are fully recorded. Currently no advocates are involved with residents, although they are accessible if required. All staff are given appropriate guidance on how to assist with personal hygiene, which ensures the privacy, and dignity of the residents is respected. Residents choose the clothes that they want to wear and are encouraged to make decisions regarding their appearance. Technical aids are provided, following an assessment that is continually reviewed, to maximize the resident’s independence. Staff have support from the health care professionals employed by the local Primary Care Trust who can visit and provide training as necessary. Therapeutic massage is provided by a visiting, trained massage therapist assisted by one of the care staff. Medication is dispensed from lockable cupboards that are in residents’ rooms. A registered nurse supervises the administration of medicines. There are appropriate policies and procedures in place for the receipt, storage, recording, handling and administration of medicines. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 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 standard(s) 22 & 23 Arrangements for receiving complaints and protecting residents from abuse are satisfactory. EVIDENCE: There is a detailed complaints policy in place which is in written and pictorial (Widget) formats. This is displayed at the entrance to the home and is contained in the Service Users Guide. The policy provides details of how to contact the Commission. A record of complaints is maintained. There have been no recorded complaints for over a year. There are clear and robust adult protection policies and procedures and staff training has been provided on adult protection issues by an external trainer. In addition many staff have received training as part of the process of achieving their NVQ Qualification. . Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 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 standard(s) 24, 29 & 30 The overall layout and décor of the building including bedrooms, shared space and specialist equipment provide a safe and comfortable environment for residents. EVIDENCE: Bevern View is a purpose built building, designed to meet the needs of individuals with profound and multiple learning difficulties, while promoting their development and independence. The home provides a warm, light and airy environment for service users, which was clean and hygienic at the time of inspection. There is equipment to aid service users mobility and personal care needs. There are large bathrooms, which are accessed from service users’ rooms at either side. These include overhead hoists and assisted baths and toilets. In addition, there is a ceiling hoist in the sensory room. Other mobile hoists and standing aids are available for use, depending on the assessed needs of each service user. There are also mobility aids including, wheelchairs, adapted seating and chairs with additional head supports, which have been provided following an assessment of the needs of each of the clients by a suitably qualified person, e.g. an Occupational Therapist. There is a pleasant garden accessible to wheelchair users. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 16 The home has a separate laundry area and a sluice with a macerator. There are infection control policies available for the staff. In addition, training relating to infection control is provided for all members of staff with regard to handling clinical waste, protective clothing and hand washing. There are adequate hand washing facilities throughout the home. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 17 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, 33 & 36 The numbers of staff together with their training, supervision and experience provide effective care and support for residents. EVIDENCE: All staff are provided with a job description and each shift is headed up by a shift leader. In addition a registered nurse is on duty 24 hours a day. Some use is made of agency nurses when this is required. The bulk of the staff on each shift is made up of support or care staff. In addition there are educational, management and ancillary staff. Throughout the daytime there are a minimum of five staff providing direct care to residents. Overall turnover of the staff team is low, although by its very nature the home attracts people who use the home as a part of their career progression and move on to further training. This is encouraged by the home’s management. Physiotherapists, occupational therapists and other external professionals provide specialist advice and support as necessary. It is clear that staff have formed effective relationships with the residents. A supervision policy has been prepared. Formal supervision is in place at the recommended intervals. Additionally staff are monitored with regard to their work with residents. Supervising staff have received relevant training. Staff meetings are held every two weeks. All staff have an appraisal on a yearly basis. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 18 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) 40, 41 & 42 The health and safety practices plus the policies and procedures and record keeping systems, all contribute to providing a safe environment for the residents. EVIDENCE: On the day of the inspection all policies were available for inspection. These were found to be appropriate and up to date. They are accessible to staff, service users and relatives who, in many cases have been involved in their development. Some policies are produced in accessible formats for service users using picture symbols. Policies are reviewed regularly. A selection of records required by regulation for the protection of service users and for the effective and efficient running of the business were reviewed. These were found to be maintained to a good standard, are easily accessible, up to date and accurate. The home has policies relating to access to files by residents. In addition relatives can request to see them. There is evidence that the home is managed in a way that ensures as far as is reasonably practicable the health, safety and welfare of service users and staff. Regular risk assessments of the building are undertaken and equipment is checked on a regular basis. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 19 Fire lectures take place on a six monthly basis and there are regular fire drills. Fire procedures are visible throughout the home and policies available for staff. The home has fitted self-closing devices on some internal fire doors. All staff receive health and safety training as well as instruction in first aid, food hygiene and moving and handling. Training is supported by clear policies for the guidance and instruction of staff. Individual care plans demonstrate that the home undertakes a risk assessment process for all service users. Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 4 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 4 x x Standard No 31 32 33 34 35 36 Score 3 x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bevern View Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 3 x H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 21 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Bevern View H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection 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 H59-H10 S13963 Bevern View V225878 030605 Stage 4.doc Version 1.20 Page 23 - 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!