Inspection on 08/05/07 for Cloughton Beeches

This inspection was carried out on 8th May 2007.

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

Cloughton Beeches 06/06/06

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 8th May 2007 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 DS0000007637.V333952.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. DS0000007637.V333952.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 DS0000007637.V333952.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2006 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. The accommodation for people who live in the home 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 people who wish to consider living in the home 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 £365 to £410 per week. There are additional charges for hairdressing and chiropody. DS0000007637.V333952.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 pre-inspection questionnaire completed by the registered manager, a site visit, discussions with 5 people who use the service, 2 members of staff and the Registered Manager. Survey forms were sent to the seven people who live in the home and two GP’s. All the forms were returned with positive comments in respect of the care provided. One person stated “I have now lived at Cloughton Beeches for eleven years and I have no regrets”. Another person stated, “I feel very happy here”. Another person stated “Staff good and food good, nothing to complain about”. This unannounced inspection took place on the 8th May 2007 commencing at 9.30 am. During the site visit a number of records were inspected including peoples’ assessments, care plans and health and safety documentation. A tour of the home was also made. What the service does well: What has improved since the last inspection? What they could do better: All people living in the home that were spoken to considered that the service provided all the facilities that they required. No one could identify any DS0000007637.V333952.R01.S.doc Version 5.2 Page 6 improvements to the service provided. They were all very satisfied with the care provided by the staff, their own accommodation and the quality of the food provided. 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. The summary of this inspection report can be made available in other formats on request. DS0000007637.V333952.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 DS0000007637.V333952.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. People who use the service experience good quality outcomes in this area. The assessments prior to admissions are comprehensive and provide informed decisions about moving into the home This judgement has been made using available evidence including a visit to this service. EVIDENCE: All persons wishing to be admitted to the home have a full assessment of their care needs made before they are considered for a trial period in the home. The trial period enables people to decide if the accommodation is suitable for them. Records examined confirmed this. Intermediate care is not provided at this home. DS0000007637.V333952.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes. The health and personal care that people receive is based on their individual needs and promotes dignity, respect and privacy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All people using the service 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 to enable them to provide consistent care. All people using the service are registered with a GP and specialised services are obtained through the GP. Both GP’s contacted prior to the inspection considered that people living in the home are referred appropriately when a health service is required. There was evidence in the records that visits were made to the home by district nurses, GP’s, chiropodist, psychiatrist, optician and dentist. DS0000007637.V333952.R01.S.doc Version 5.2 Page 10 One person stated “If not feeling too well you can stay in your room”. One person self-medicates. A monitored dosage system is provided for other people requiring medication. The records and medication were checked. Staff have taken medication training. The people living in the home that were spoken to considered that the staff were sensitive and receptive to their needs. DS0000007637.V333952.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. People maintain contact with relatives and friends. There is a varied diet that meets the needs of the people who live in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person is involved in some household tasks and also enjoys helping in the garden. The registered provider takes those people who wish to go shopping on a regular basis and also takes them for rides in the countryside. A new member of staff is taking a group of residents on outings to Raven Hall. A relative of someone living in the home said, “My relative is not very interested in going anywhere”. Some people attend church services and ministers of religion visit the home. One person said, “Mr Lawson takes us we go every Sunday”. Another person living in the home stated, “We go for rides out”. The people spoken to stated that the food was very good. Special diets are provided. Nutritional assessments are undertaken. A person living in the DS0000007637.V333952.R01.S.doc Version 5.2 Page 12 home said “We enjoy fish and chips on a Friday”. Another person said “We can always have alternatives if we don’t like the meal of the day”. All people living in the home are in contact with relatives and friends who are welcome to visit at any time. DS0000007637.V333952.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. There are satisfactory complaints and abuse policies and staff were aware of the action to take if a complaint or suspected abuse situation occurred. This judgement has been made using available evidence including a visit to this service. 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. All members of staff are aware of the action to take in the event of an abuse situation arising. DS0000007637.V333952.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. The standard in the environment within the home is good providing an attractive and homely place in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean and comfortable and the people who live there have personalised their own rooms. Each person has an individual room. There is a pleasant lounge and dining area. The home is situated in well-kept gardens. Re-decoration has been undertaken in the lounge and dining room area. DS0000007637.V333952.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. The people living in the home receive a good standard of care from the wellprepared and motivated staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The peoples’ needs are met by the staff on duty at the home. All the people spoken to considered that they were in safe hands at all times. They said that the staff were very caring and provided all the care that they needed. One survey form returned stated, “The staff are all friendly and very helpful”. Staff receive the necessary training and a number of staff have obtained their NVQ in care awards. Two staff files were examined which showed the necessary checks had been made before staff commenced work. DS0000007637.V333952.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use the service experience good quality outcomes in this area. The home is managed in an open and inclusive manner by the registered manager who enjoys the support of staff and the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is experienced in the care and management of older people. The people spoken to and the members of staff stated that the home was very well run by the registered manager who involves them in decisions regarding the running of the home. The finances of the people living in the home are dealt with either by themselves or their relatives. All the health and safety records checked and in order and up to date. DS0000007637.V333952.R01.S.doc Version 5.2 Page 17 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 DS0000007637.V333952.R01.S.doc Version 5.2 Page 18 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. Refer to Standard Good Practice Recommendations DS0000007637.V333952.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000007637.V333952.R01.S.doc Version 5.2 Page 20 - 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!