Inspection on 06/06/06 for Cloughton Beeches

This inspection was carried out on 6th June 2006.

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 but made no statutory requirements on the home.

Other inspections for this house

Cloughton Beeches 08/05/07

Cloughton Beeches 23/11/05

Cloughton Beeches 05/10/04

Cloughton Beeches 21/04/04

Cloughton Beeches 21/01/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Cloughton Beeches Mill Lane Cloughton Scarborough North Yorkshire YO13 0AB Lead Inspector Brian Hallgate Key Unannounced Inspection 09:30 6th June 2006 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 Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 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. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cloughton Beeches Address Mill Lane Cloughton Scarborough North Yorkshire YO13 0AB 01723 870017 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 James Pratt Lawson Mrs Susan Clare Kennedy, Mr Nigel Jeremy Lawson, Mrs Doreen Lawson, Mr Michael Ian Lawson Ms Susan Joan Pudney Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Cloughton Beeches is a care home providing care for up to 8 older people. The premises are situated in the village of Cloughton and have been extended since its original use as a private dwelling built in the early 1900’s. Service users accommodation is situated on the ground and first floor. Access to the first floor is facilitated by a stair lift. There is a mezzanine area with three bedrooms that is accessible only by people who are able to negotiate steps. The home is set in a pleasant garden with an abundance of established plants and mature trees. Car parking is available at the front of the property. A copy of the service users guide to the home is given to prospective service users and a visit is made to the home before a decision is made to move in for a trial period. A copy of the latest Commission for Social Care Inspection report is available for prospective service users and relatives to read. The fees payable on the date of the inspection are from £350 to £425 per week. There are no additional charges. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to inform this report was obtained from the information documented in previous inspection reports, a site visit and discussions with the registered manager, the two members of staff on duty and 4 of the 6 service users. No relatives or friends of service users visited during the site visit but two relatives were contacted by telephone after the site visit. This unannounced inspection took place on the 6th June 2006 commencing at 9.30am. During the site visit a number of records were inspected including service users’ assessments, care plans and health and safety documents. A tour of the home was made. What the service does well: The service provides comfortable, good quality care in a friendly, safe and homely environment. The home has a good reputation in the local community and a number of service users are from the village or surrounding area. The manager and staff support service users to be as independent as they can be and to continue to be involved in household tasks, gardening and outings into the community. There are detailed records for individual service users and health and safety information that is required to be kept. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 6 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. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 7 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 Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 8 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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessments prior to admission are comprehensive and provide informed decisions about moving into the home. EVIDENCE: All prospective service users have a full assessment of their care needs made before they are considered for a trial period in the home. The trial period enables the service user to decide if the accommodation is suitable for them before deciding to become a long-term resident. Intermediate care is not provided at this home. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 9 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear planning system in place. The health needs of service users are well met with good access to health services. EVIDENCE: All service users have individual plans of care setting out how they wish to be cared for. These plans are reviewed by staff at least monthly and the reviews are recorded for all staff to read and follow to ensure a continuum of care. All service users are registered with a GP and specialised health services are obtained through the GP. There was evidence in the records that visits were made to the home by district nurses, GP’s, chiropodists, psychiatrist, optician and dentist. One service user self-medicates. A monitored dosage system is provided for other service users requiring medication. The records and the medication checked were up to date and in order. Staff have undertaken or are undertaking at the present time medication training. All service users and relatives spoken to considered that the staff were sensitive and receptive to the needs of the service users. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 10 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, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users maintain contact with relatives and friends. There is a varied diet that meets the needs of the service users. EVIDENCE: One service user is involved in some household tasks and also enjoys helping in the garden. The registered provider takes those service users who wish shopping on a regular basis and also takes them for rides in the countryside and to places of interest. Two service users attend the local chapel when they wish. A Church of England and a Methodist minister visit the home to administer Holy Communion to those service users who wish to participate. All service users are in contact with relatives and friends. Relatives spoken to stated that they were very pleased with the care that service users received from staff. They could not suggest how the service could be improved because they considered that service users received all they needed in a pleasant environment. The four service users spoken to stated that the food was very good. Although they could have an alternative to the main meal on the menu they never did as there was nothing that they did not like and enjoy. The home caters for special diets. Nutritional assessments are undertaken for each service user. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 11 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory complaints and abuse policies and staff were aware of the action to take if a complaint or suspected abuse situation occurred. EVIDENCE: There is a policy and procedure and a complaint form available if anyone wishes to make a complaint. No complaint forms have been used since the last inspection as no complaints have been made. A copy of the complaints procedure is included in the service users guide to the home. Each service user has a copy of this document. The staff were fully aware of what action to take in the event of a suspected abuse situation occurring. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 12 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good providing service users with an attractive and homely place in which to live. EVIDENCE: The home is clean and comfortable and service users have personalised their own rooms. All service users have an individual room. One of the rooms is a double room that is only used as a single room by the present service user. There is a pleasant lounge and dining area. The home is situated in well kept gardens that service users use in good weather. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users receive a good standard of care from the well-prepared and motivated staff. EVIDENCE: The service users’ needs are met by the staff on duty at the home. The rota showed that there are two members of staff on duty each day and one night care assistant each night with a member of staff sleeping in. All service users spoken to and their relatives considered that the service users were in safe hands at all times. Both staff and relatives considered that the staff were very caring and provided all the care that the service users required. The staff spoken to and the training records showed that staff were receiving the necessary training that they required to care for the service users. A number of staff have obtained their NVQ Level 2 in care and other staff are completing the award at the present time. Two staff files were examined which showed that the necessary checks were made before a new member of staff commenced work within the home. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in an open and inclusive manner by the registered manager who enjoys the support of staff and service users. EVIDENCE: The registered manager is experienced in the care and management of older people. She is at present undertaking her NVQ Level 4 award in care and management. All service users and staff spoken to stated that the home was very well run by the registered manager who involves them in decisions regarding the running of the home. The manager has undertaken a quality monitoring exercise with service users recently. The information obtained from the service users clearly showed that they were very satisfied with the service provided and could not suggest any improvements. Service users finances are Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 15 dealt with by service users and their relatives. The home keeps a small amount of personal allowance for service users for safekeeping. Income and expenditure records and receipts are kept for all transactions. The documentation was seen and was in good order. All health and safety records in respect of fire prevention, emergency lighting, servicing of equipment and electrical safety seen were in order and up to date. Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 16 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X X 3 Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? YES 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 Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Cloughton Beeches DS0000007637.V296736.R01.S.doc Version 5.2 Page 19 - 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!