Inspection on 16/08/05 for The Beaches

This inspection was carried out on 16th August 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

The Beaches 26/09/07

The Beaches 20/07/06

The Beaches 21/02/06

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 The Beaches 13 Jefferstone Lane St Marys Bay Romney Marsh, Kent TN29 0SW Lead Inspector Geoff Senior Unannounced 16 August 2005 9:30 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. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Beaches Address 13 Jefferstone Lane, St Marys Bay, Romney Marsh, Kent, TN29 0SW 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) 01797 366126 01797 366216 Eileen Mary Campbell Care Home only 4 Category(ies) of Learning Disability x 4 registration, with number of places The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection NA Brief Description of the Service: The Beaches is registered to provide accommodation for a maximum of 4 adults with a learning disability. The Registered Providers; Mr and Mrs Campbell are in day-to-day control of the Home. They are supported by 4 members of staff.The property is situated in a residential area of St Marys Bay. Accommodation comprises: 4 single bedrooms, one with a quiet room and two bathrooms on the first floor. The Service users have use of the lounge, dining room, kitchen WC on the ground floor. The garden is accessible to the resident service users.The Home provides transport for the service users to access social, educational and recreational venues. The seafront promenade and beach and other local amenities are within walking distance. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and commenced at 09:50 hrs. The registered providers were on holiday and therefore not available. The inspector spoke with the member of staff on duty and to the one service user in situ. Staff /service user interactions were observed; a range of records viewed and an accompanied tour of the premises was made. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 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 The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 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) 2,3,4. There is a system in place for undertaking preadmission assessments and information gathering which includes a consideration of the mutual benefit of the placement and compatibility of the service users. EVIDENCE: There have been no recent admissions to the home. Mr Mrs Campbell previously indicated that, in the event of a referral, they would endeavour to meet with prospective service users, prior to admission, in their current accommodation or other familiar environment. Records made available at this inspection indicated that pre-placement assessments for the current service user were undertaken and written documentation obtained from the previous placement. Mrs Campbell previously reported that the service would not be offered to any prospective service user unless their needs had been fully assessed and a decision made as to the mutual suitability of the placement. Compatibility with the existing group would also need to be assessed prior to placement. The member of staff on duty is currently undertaking NVQ 2 training and has completed a number of statutory and service specific courses. It was confirmed that the most recent referral was given opportunity to visit, meet and spend time with the existing service user and staff and stay overnight before any decisions on the placement are made. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 8 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) 6,7,8,9. Care plans are in place but would benefit from more detailed guidelines relating to support needs. Risk assessments need to be closely allied to personal goals. Staff indicated a good understanding of Service users rights to make decisions and be consulted on matters affecting them. These are acknowledged and respected. EVIDENCE: It was reported that the service user is encouraged to make decisions on a day-to-day basis regarding her general routine lifestyle. A Care Plan, derived from initial and on-going assessments has been drawn up by Care Management, the home and, where possible, Service User and family. Risk is regarded by the management as part of living within the home and staff on duty expressed a clear understanding of a residents’ right to take responsible risks. Written risk assessments have been undertaken where potential hazards are identified. These need to be closely cross-referenced with the individual goals identified in the care plan. Alternative methods of communication in order to determine choice were discussed. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 9 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) 12,14,15,17. Staff have a good understanding of service user support needs and respond accordingly. Opportunities for social and leisure activities are limited by low staff and service user numbers. Records show a balanced and varied diet is offered. EVIDENCE: The Service Users is encouraged to develop her living skills according to ability and needs. She is encouraged to participate in daily tasks and is involved in helping with the weekly food purchases at the local supermarket. The service user attends external venues for a limited number of social activities. The Home helps her attendance at a Day Centre by providing transport and escort to and from. Visitors are encouraged and welcomed without restriction. They may be received in the communal areas or service user’s room if more privacy is required. Staff were observed interacting with the service user in a dignified and non patronising manner and included her in conversations where appropriate. Menus are planned with the service user who may also be also involved in the food shopping. Individual likes, dislikes and preferences are well known to the staff and catered for accordingly. A record of food provided is kept The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 10 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) Not inspected EVIDENCE: The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 11 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) 23 Staff have received training in the awareness and understanding of adult protection issues in order to protect service users from risk of harm or abuse. EVIDENCE: Mrs Campbell previously reported that she endeavours to maintain a smallscale ‘family’ environment in which service users feel able to freely express any concerns or discontent. A complaints policy and procedure is now available in the home’s policy folder. The member of staff on duty reported that she and other staff recently attended Adult protection training. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 12 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) 24,25,26,27,28,29,30 The environment and furnishings are maintained to a very good standard and provide a comfortable and homely place in which to live and work. EVIDENCE: At the time of inspection the Home appeared to be clean, tidy and well maintained. The service users’ private rooms appeared to be adequately and comfortably furnished. The service users have been encouraged to personalise their rooms according to individual choice and preference. There is a large communal lounge in which to sit and socialise, additionally the dining room is available. All service users are accommodated in single rooms of sufficient dimensions or with compensatory additional and day space available The toilet and bathroom facilities are sufficient for current service user needs. The ground floor wc seat is in need of repair. At the time of inspection it was reported that there were no further requirements for specialist equipment or adaptations for service users other than a hand rail and WC frame fitted on the advice of the physiotherapist. All areas seen appeared to be clean, tidy and free from undue odours. It was reported that the domestic laundry equipment is adequate for the purpose. COSHH products are securely stored and data sheets obtained. Protective clothing and equipment is supplied. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 13 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) Not inspected EVIDENCE: The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 14 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) Not inspected EVIDENCE: The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Beaches Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 16 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. 2. Refer to Standard YA6 YA9 Good Practice Recommendations Care plans are in place but would benefit from more detailed guidelines relating to support needs Risk assessments need to be closely cross-referenced with the individual goals identified in the care plan. The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 The Beaches H56-H05 S62099 The Beaches V241903 160805 Stage 4.doc Version 1.40 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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