Inspection on 31/01/06 for Homebeech

This inspection was carried out on 31st January 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

Homebeech 27/07/09

Homebeech 18/11/08

Homebeech 08/01/07

Homebeech 09/08/05

Homebeech 26/01/05

Homebeech 01/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Homebeech 19/21 Stocker Road Bognor Regis West Sussex P021 2QH Lead Inspector Mrs J Wright Unannounced Inspection 31st January 2006 10.15 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 Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Homebeech Address 19/21 Stocker Road Bognor Regis West Sussex P021 2QH 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) 01243 823389 01243 841295 Homebeech Limited Miss Marie-Claire Vallerich Care Home 66 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (16), Physical disability of places over 65 years of age (16) Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users in the PD and PD(E) categories to reside only in the Daffodil Suite. 9th August 2005 Date of last inspection Brief Description of the Service: Homebeech is a care home registered to provide accommodation and nursing care for fifty older people and for sixteen people aged 18 to 65 years of age who have physical disabilities. The home is privately owned by Homebeech Limited for whom the Responsible Individual is Mrs Sandra Ellis. Miss MarieClaire Vallerich is the registered manager in charge of the day to day running of the home. Homebeech is located in Bognor Regis, close to the seafront, shops and other amenities. It is a large extended property which was originally four houses. The majority of rooms have en-suite facilities and are for single occupancy. There is a separate unit forming part of the home known as the Daffodil Suite which is purpose built for the physically disabled. It has its own communal space, living accommodation and staff complement. Catering and laundry facilities are shared with the main home. Homebeech has two passenger lifts. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was announced, was undertaken last August. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report or concerns raised about the home since the last inspection. As some standards that were assessed at the previous inspection were not assessed on this occasion; the reader is advised to look at the reports of both inspections for a fuller picture of the home. The Care Manager, who was present throughout the inspection of the unit for Older Persons, accompanied the Inspector on a tour of the premises, and very ably assisted her with that part of the inspection. The Inspector met with the owners of the home during the middle of the inspection, and then spent the remainder of the time with the Manager of Homebeech in the unit for Younger Adults. During this inspection the Inspector examined records of care being provided to the residents; as well as records of any accidents, issues, or complaints, to make sure that the residents at Homebeech were being taken care of. In addition to talking to the Manager, Care Manager and Mr. and Mrs. Ellis, the Inspector spoke with residents, staff members and eight visitors about their views on the home. All the comments received from everyone that the Inspector spoke to were very complementary with regard to Homebeech, The Daffodil Suite, the food, the Manager and all the members of staff. At this inspection Homebeech was audited against the National Minimum Standards for Older Persons and Younger Adults. The vast majority of the elements in each of the standards assessed were met, however the requirement made at the previous inspection was found to be still outstanding, and a further requirement is therefore made in this report for this matter to be addressed. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: The residents that the Inspector met on the day of inspection spoke highly of the Manager, staff members and the meals provided. One resident told the Inspector the food was “the best ever”. The building is maintained safely, and to a high standard, and the records required by the Inspector on the day of inspection, were found to be in order. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 6 Visitors to the home told the Inspector that they were made to feel very welcome when they visited the home, and that the home supported them, as well as person they visited. The Inspector was told that Homebeech does not use outside agency workers, thus ensuring that the residents always know their carers. There are many activities on offer at the home, which include exercises for senior citizens, music, film afternoons and flower arranging. 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. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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 Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP 1, 2, 3, 6 and YA 1, 2, 5, 7, 8, 9, 10 Prospective residents and their relatives have the information they need to make an informed choice about where to live, and each resident has a written contract/ statement of terms and conditions with the home. All residents are assessed prior to coming into Homebeech. Homebeech does not offer intermediate care. EVIDENCE: Each resident is given a Statement of Purpose and Service Users Guide and a Contract when they enter the home. All of the residents have family, or a solicitor, who act on their behalf. The statement of the terms and conditions seen on the day of inspection contained all the requirements of the National Minimum Standards. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP 10, 11 and YA 18, 21 Residents feel they are treated with respect, and their right to privacy is upheld. Residents and their representatives are assured that at the time of their death, staff members will treat all residents and their family, with care, sensitivity and respect. EVIDENCE: Residents spoken with on the day of inspection told the Inspector that staff members always treat them with respect. A visitor to the home confirmed this. Screens are provided where necessary, and staff members were seen to knock on resident’s bedroom door prior to entering. The Inspector was informed that family or friends are offered a spare bedroom, if available, or a comfortable chair in the residents room, at the end of their life. From listening to the Manager, it would appear that Homebeech treat residents who are dying, and their family and friends with respect, care and sensitivity. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP 12, 15 and YA 11, 12, 13, 14 People living at Homebeech are able to make the day-to-day decisions about how they want to live their life, wherever possible. There is a wide range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their old friends and family wherever possible. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: There were a variety of activities on offer at Homebeech, including regular “film matinees” when choc-ices are served half way through. Some residents were participating in gentle exercises on the day of inspection. Residents told the Inspector that the home is very near the sea, and they sometimes go out for a walk in the nearby gardens, and friends and relatives call in regularly. The Inspector was told that there is always a choice of food on offer at the home, sometimes as many as seven, and that the suppers are extremely good also. During the lunchtime meal, the Inspector observed staff members assisting some residents, who were less able than others, in a sensitive and unassuming manner. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP18 and YA23 Residents are protected from abuse. EVIDENCE: The Inspector was informed that the current West Sussex Multi-Agency Policy and Procedure for protecting vulnerable adults from abuse is available in the home, and that there is rolling programme of training on Adult Protection that all staff members are booked on to. The home also has their own policies available to safeguard residents from abuse. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP 22, 23, 26 and YA 25, 29, 30 Residents have access to the specialist equipment they require to maximise their independence. Resident’s’ rooms suit their needs and are safe, clean and comfortable. EVIDENCE: During the course of the inspection the majority of the rooms were visited to ensure that the environment was safe and comfortable for people who live there. It was noted that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Records were available to show that the home is maintained to a high standard. On the day of inspection, Homebeech was seen to be clean, and free from offensive odours. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP 29 and YA 31, 34 Residents are supported and protected by the home’s recruitment policy and practices. Residents benefit from clarity of staff members roles and responsibilities. EVIDENCE: At the previous inspection a requirement was made that all staff members be in receipt of the necessary paperwork prior to their commencing work at the home. At this inspection it was noted that a very few staff members were not in receipt of all the necessary paperwork, and a further requirement is made for this matter to be addressed. Mrs. Ellis informed the Inspector that all those staff members awaiting the necessary paperwork are never left to work in the home unsupervised and that if any references, still outstanding, were not received within the next fourteen days, then that staff member would be suspended until satisfactory ones are received. One member of staff told the Inspector that they were very happy working for Mr. and Mrs. Ellis, and felt supported by them, and the Manager. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 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): OP 34, 35, 37 and YA 40, 41, 43 Residents are safeguarded by the accounting and financial procedures of the home, and their financial interests are safeguarded. Resident’s rights and interests are safeguarded by the home’s record keeping and policies and procedures. EVIDENCE: It is apparent that the needs of the residents are uppermost at Homebeech, and staff members ensure that resident’s, or their representative’s, views are sought and taken forward by the home. The inspector saw that insurance cover is in place to meet the National Minimum Standards. There is a business and financial plan for the home, which would be made available upon request. The Manager informed the Inspector that the home’s policies and procedures are reviewed and updated regularly. Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 15 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X 3 3 X X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X 3 X Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 16 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. 1 Standard YA34OP29 Regulation 19(1)(b) Requirement The registered person shall not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in paragraphs 1-7 of Schedule 2. Timescale for action 31/03/06 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 Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Homebeech DS0000024153.V280378.R01.S.doc Version 5.1 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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